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The Cleveland Clinic

Depression:
Depression Basics

Everyone at one time or another has felt depressed, sad, or blue. Being depressed is a normal reaction to loss, life's struggles, or an injured self-esteem. But sometimes the feeling of sadness becomes intense, lasting for long periods of time and preventing a person from leading a normal life. Depression that has these characteristics is a treatable medical condition called major depressive disorder, one of a number of depressive illnesses. Types of depression include: Major depression, chronic depression (dysthymia), bipolar depression, and seasonal depression (seasonal affective disorder or SAD).

According to a report from the National Institute of Mental Health, nearly 18.8 million Americans over the age of 18 suffer from major depression. Suicide, closely linked to depression, is the third leading cause of death in 10- to 24-year-olds. Unfortunately, most people never seek treatment. Left undiagnosed and untreated, depression can worsen, lasting for years and causing untold suffering, and possibly even result in suicide.

What Are the Symptoms of Depression?

These are some of the signs and symptoms of depression that you should be aware of:

  • Sadness
  • Loss of enjoyment from things that were once pleasurable
  • Loss of energy
  • Feelings of hopelessness or worthlessness
  • Difficulty concentrating
  • Difficulty making decisions
  • Insomnia or excessive sleep
  • Stomachache and digestive problems
  • Sexual problems (for example, decreased sex drive)
  • Aches and pains (such as recurrent headaches)
  • A change in appetite causing weight loss or gain
  • Thoughts of death or suicide
  • Attempting suicide

Are There Different Types of Depression?

Although these signs and symptoms of depression are characteristic, they can occur in different patterns, like seasonal symptoms, or in association with manic features.

Types include:

How Do I Get Help for Depression?

If you or someone you know is experiencing symptoms of depression, seek your health care provider's advice for treatment or referral to a mental health professional.

Warning Signs of Suicide

If you or someone you know is demonstrating any of the following warning signs, contact a mental health professional right away or go to the emergency room for treatment.

  • Thoughts or talk of death or suicide
  • Thoughts or talk of self-harm or harm to others
  • Aggressive behavior or impulsiveness

Previous suicide attempts increase the risk for future suicide attempts and completed suicide. All mentions of suicide or violence must be taken seriously. If you intend or have a plan to commit suicide, go to the emergency room for immediate treatment.

Reviewed by the doctors at The Cleveland Clinic Department of Psychiatry and Psychology.

Edited by Cynthia Haines, MD, WebMD, April 2005.


Portions of this page © The Cleveland Clinic 2000-2005

© 1996-2005 WebMD Inc. All rights reserved.


Last Editorial Review: 11/28/2005






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