Less common symptoms of depression

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  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

    Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

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Last Updated: 08/30/2022

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symptoms, causes in men and women, remedies

Lack of vitality, unwillingness to get out of bed, bad mood for a long time, and even unwillingness to live are all signs of depression. Depression has a negative effect on the health and general well-being of a person. That is why it is so important to get medical help from a specialist in time.

How to determine the presence of depression?

Pathology can appear after experienced stressful situations. If there is no disorder, after the problem is resolved, a good mood returns to the person. But when the cause is eliminated, and apathy, depression and loss of strength do not leave the person, it is necessary to seek help from a specialist. It may also decrease performance. nine0003

You can determine the presence of depression on your own, but you should not self-medicate even at an early stage of development. This should be done by a doctor, since self-medication can only aggravate everything.

Depression in women is often postpartum, as their lives change dramatically, and sleepless nights add fatigue. This is where frustration and apathy come in.

When the pathology is in advanced form, then a person has the following symptoms of depression - not only a bad mood and impotence, but also persistent disorders of the nervous system. There are also symptoms such as: a significant decrease in self-esteem, disadaptation in society, despondency and loss of interest in any events. nine0003

In physiological terms, appetite changes, intimate needs and energy decrease, sleep and bowel function are disturbed (constipation, weakness, fatigue during physical and intellectual stress are observed), pain in the body (in the heart, in muscles, in the stomach area).

The patient shows signs of depression such as loss of interest in other people, a tendency to frequent solitude, refusal of entertainment, use of alcohol and psychotropic substances. nine0003

Mental signs of depression include difficulty in concentrating, concentrating, making decisions, slowness of thinking, a pessimistic view of the future with a lack of perspective and thoughts about the meaninglessness of one's existence, suicide attempts, due to their uselessness, helplessness, insignificance.

Causes of depression

The appearance of the disorder is not influenced by age category or social class. Most often, depression appears against the background of stressful negative situations, with constant failures - then a person falls into despair from the inability to somehow influence the course of events. nine0003

But in addition to the social factor, severe psychological trauma can also lead to the development of depression, for example: family breakup, death of a loved one, a serious illness that affects not only the patient himself, but also his relatives. In this case, depressions are referred to as reactive.

The likelihood of depression increases with changes in hormonal levels: during adolescence, after delivery, with the onset of menopause, and also in old age. It can affect the emotional and physical level. nine0003

Another factor is brain damage and somatic pathologies. Often depression affects patients who have had a stroke, suffering from a chronic lack of blood circulation in the brain, after a traumatic brain injury.

The causes of depression can manifest themselves as a result of the side effects of drugs (benzodiazepines, corticosteroids). Often this condition disappears on its own after the drug is discontinued.

Types of depression

  • Neurotic - people with low self-esteem, insecure, straightforward people often suffer. They constantly feel a sense of injustice, and apathy arises from this.

  • Clinical - bad mood, loss of energy, problems with appetite and sleep. Often there is a tendency to suicide. This clinical picture can last at least 2 weeks.

  • nine0035

    Vegetative - manifested by such signs as tachycardia, a drop in blood pressure, tinnitus.

  • Psychogenic - develops after severe psychological trauma - divorce, loss of a loved one, dismissal from work, betrayal, etc. Accompanied by mood swings, anxiety, excessive sensitivity.

  • Masked - often the disease manifests itself secretly. Apathy, solitude and a decrease in interest in life can only appear as negativity and fatigue accumulate. nine0003

  • Asthenic - the condition is manifested by fatigue, sleep disturbance, emotional imbalance due to accumulated difficulties, stress, physical and psychological stress.

  • Postpartum - usually occurs 10-14 days after delivery. A young mother shows an increased sense of excitement for the baby, and constant lack of sleep and fatigue worsen the situation even more. In addition, the hormonal background also affects the state of the mother. nine0003

  • Somatogenic - attacks occur due to disturbances in the endocrine system, the formation and growth of neoplasms, both benign and malignant.

  • Alcoholic - depression is accompanied by excessive consumption of alcoholic beverages. The post-alcohol state is accompanied by an uncontrolled craving for alcohol and the growth of withdrawal syndrome when alcohol is refused. nine0003

  • Bipolar - the patient is changing euphoria depressive, manic disorder. But in the period between these phenomena, caused by various factors: stress, loss of means of popularity, etc., a person lives an ordinary life and does not show symptoms of the disease.

How does depression develop in stages?

First, the patient has a depressed state, which he himself attributes to fatigue, a hard working week, drinking alcohol and other reasons. At the same time, he wants to retire from others and at the same time is afraid to be alone. nine0003

Then the stage of acceptance arises: the awareness of the dangerous state comes, the problem worsens, the intensity of negative thoughts grows, the body and the immune system fail.

The third stage - in the absence of adequate therapy, the patient loses control over himself, aggression increases.

Diagnosis and treatment of depression


To identify the disease, experienced specialists use short questionnaires - screening tools to identify symptoms: anxiety, anhedonia (loss of pleasure from life), suicidal tendencies. Thanks to this, it is possible to determine whether the patient has chronic depression, symptoms and treatments for depression, what form and severity it is. nine0003

To fully understand the picture of the disease, the doctor needs to familiarize himself with the symptoms that indicate depression, and not another psychological disorder.

For the treatment of depression, you can contact the following specialists:

  • Psychiatrist - treatment of depression with hypnosis, drugs for acute mental pathologies - schizophrenia, mental retardation, epilepsy, as well as other less severe ailments - neurosis, depression, alcoholism, drug addiction, etc. nine0003

  • Psychotherapist – treatment is carried out through special therapy, which provides for explanations, conversations, search for solutions to problems together with the patient.

  • Psychologist - consults the patient, cannot prescribe drugs and examinations. Clinical psychologists use modern test methods to identify problems that caused a psychological disorder. nine0003

The main directions of therapy in treatment are psychotherapy, pharmacotherapy, social therapy.

A necessary condition for the effectiveness of treatment is cooperation and trust in the doctor. It is important to strictly follow the prescription of the therapy regimen, visit the doctor regularly, and give a detailed account of your condition.

Preparations for the treatment of depression


For the treatment of the disorder, antidepressants are used for anxious depression or when the pathology is accompanied by lethargy. Antidepressants are prescribed directly by a doctor and are not recommended for self-administration. The action of many antidepressants manifests itself two weeks after administration, their dosage for the patient is determined individually. nine0003

In bipolar depression, depression is treated with insomnia. While it has a negative effect on a healthy person, in a patient with a psychological disorder, sleep deprivation, on the contrary, brings the psyche back to normal.

Moderate or mild depression requires the appointment of drugs on a light, natural basis (herbal).

Where to get tested and treated for depression in Krasnoyarsk?

If you or your loved ones show signs of an emotional disorder, you should immediately contact a specialist. Since depression can lead to dangerous consequences: nine0003

  • isolation from society

  • deterioration in appearance

  • relationship problems

  • low performance or its complete absence

  • sexual problems

Contact the private clinic "Medunion" in Krasnoyarsk, get examined and treated for depression. Our phone number for appointment +7 (391) 202-95-54.

symptoms, causes, types. Treatment in Kyiv

Depression is not just a constant decline in mood, pessimism and a desire for solitude. This is a mental disorder that leads to serious consequences. The patient loses the ability to enjoy life, he is not given the solution of difficult problems, he is prone to negative outcomes from any situation. But this condition can be corrected, depression is curable.

Vidkriti Zgornuti

Types of depression

Depression is not always perceived as a disease, not only by the patient's relatives, but also by himself. A bad mood lasts for weeks, everything is seen in gloomy colors, you don’t want to move, but you want to hide in a corner and just lie. The patient is accused of deterioration of character, selfishness and laziness. And he needs help. Help of a specialist.

Such help may be needed at any age. Five out of a hundred teenagers and children are familiar with this condition. With age, the number of cases also increases among young people - from 15 to 40%. Among adults, depressive disorders occur in one in ten, and women are twice as likely to experience this disorder. At an older age, about 30% of people have ever been depressed. nine0003

Depression as an illness can take many forms.

Depressive episode

This is the most common form of the disease. Its duration is from two weeks to a year. If such a disorder is recorded only once, it is called unipolar. About 33% of patients experience this condition only once in their lives. As a rule, a depressive disorder is accompanied by a decrease in working capacity. Lack of treatment can lead to relapse.

Periodic depressive disorder

Characterized by repetition of episodes. It is also called recurrent, as well as classical or clinical depression. It usually first occurs in childhood or adolescence. Duration from several months to several years. Phases of the disease alternate with remission. Seriously affects working capacity and requires an appeal to a child psychologist in the early stages of the development of the disease.


Duration from two years to decades. Although the symptoms are less severe than in recurrent disorder, they last longer. Dysthymia is also called chronic depression. The transition of this type to a severe form is called a double depression. nine0003

Bipolar depression type I

It is characterized by a change in the phases of the disease, remission and manic phases. This disorder is also called manic-depressive psychosis. When the patient goes through the last phase, he is characterized by hyperactivity, combined with a good mood, but at the same time with anxiety and insomnia. The patient loses the ability to think critically. As a result - financial problems, the risk of casual sex. After this phase, the patient becomes depressed. This is bipolar disorder. nine0003

Bipolar II depression

Similar to depressive episodes. Changes of phases are also observed, but without an excessive increase in mood. During remission, there is an illusion of recovery.

Depressive psychotic episode

With this disorder, hallucinations, delusions are observed. Such patients in most cases require hospitalization.

Atypical depression

A mild type of depression, accompanied by drowsiness and excessive eating, mood swings, hypersensitivity, a tendency to panic attacks. nine0003

Seasonal depressive disorders

Occur most often in autumn or winter. They pass when the season changes.

Vidkriti Zgornuti

Causes of depression

There is no single point of view among doctors on the causes of depression. Allocate the influence of heredity, as well as the environment. Nearly half of people with depression have close relatives with the same condition. There is a high probability of illness of one of the identical twins if the second is sick. nine0003

Depression can also be caused by external factors. It can be stress caused by the loss of a loved one, loss of a job, divorce. Those who have previously suffered from depression are also at risk. People with a passive life position, with increased anxiety, with mental disorders are also more likely to get sick.

A high risk of depression in women is associated with stress and increased emotionality. And also, with some features of female physiology, for example, a tendency to thyroid dysfunction, hormonal changes during the menstrual cycle and menopause. Also, pregnancy and the postpartum period due to increased stress on the body can lead to postpartum depression. nine0003

Vidkriti Zgornuti

Depression can also be caused by a number of diseases, such as:

  • Thyroid diseases
  • Diseases of the adrenal glands
  • Brain tumors
  • Stroke
  • AIDS
  • Multiple sclerosis
  • Parkinson's disease, etc.

Vidkriti Zgornuti

The development of the disease can be caused by uncontrolled intake of certain drugs, alcoholism and drug addiction. nine0003

Signs and symptoms of depression

Signs of depression are divided into 4 groups:

1. Emotional.
Depressed mood, impaired activity, decreased interest in life, insomnia or hypersomnia, psychomotor agitation or lethargy, fatigue, loss of energy, recurrent thoughts of death or suicide, suicide attempts, low self-esteem, impaired concentration, difficulty making decisions, hopelessness .

2. Physiological.
Cognitive, psychomotor and other types of dysfunctions, increased fatigue, decreased sex drive, loss of interest or pleasure in previously enjoyable activities, sleep disturbances, decreased or increased appetite, body pain, constipation.

3. Behavioral.
Anxiety, tension, nervousness, irritability, anger, mood swings, bouts of sadness, tearfulness, exacerbation of interpersonal conflicts, passivity, a tendency to solitude, abandonment of former hobbies, craving for alcohol and psychotropic substances. nine0003

4. Thinking.
Inability to concentrate, make a decision, slow thinking, pessimism.

Vidkriti Zgornuti

Symptoms of depression are divided into major and minor.

The main ones are:

  • deterioration in mood without external causes for at least two weeks;
  • increased fatigue for at least a month;
  • persistent loss of interest in favorite activities.
  • nine0075

    Vidkriti Zgornuti

    Additional symptoms of depression include:

    • pessimism;
    • suicidal thoughts;
    • feelings of depression, attacks of fear or guilt;
    • drop in self-esteem;
    • any disturbance of sleep and appetite.

    Vidkriti Zgornuti

    The presence of two main and three additional symptoms of depression in a patient allows making an appropriate diagnosis.

    Depression in children has its own characteristics. Young children tend to feign illness in order to skip school or kindergarten, they are dependent on their parents and tormented by the fear of their death. Older children are constantly in a bad mood, their academic performance decreases, they perceive everything “with hostility” and complain of misunderstanding. The complexity of the diagnosis lies in the fact that sometimes it is not easy to separate the signs of depression and growth difficulties. In such cases, professional advice should not be abandoned. nine0003

    Vidkriti Zgornuti

    Sequelae of depression

    If treatment is refused, the consequences of depression can be severe. With each episode of untreated depression, the risk of a recurrence of the disease increases. In addition, each subsequent episode will be more difficult, with greater loss of performance and negative impact on physical health. Episodes will occur with increasing frequency, and cases of prolonged depression are possible. If treatment for depression has been incorrect or incomplete, it can lead to the development of a form of the disease that is difficult to treat. nine0003

    Vidkriti Zgornuti

    Diagnosis of depression

    When diagnosing depression, it is important to rule out diseases that present with similar symptoms, such as viral infections. To do this, the patient must undergo a routine physical examination and pass tests.

    After ruling out other problems, a psychological evaluation is carried out. The patient is being interviewed. Diagnosis of depression is carried out using special tests that reveal the level of anxiety, suicidal tendencies, anhedonia and other symptoms. nine0003

    Vidkriti Zgornuti

    Treatment of depression

    Treatment of depression begins with psychological help. The patient is set up for an optimistic outlook on life, helps to get out of a state of constant fixation on negative aspects. The doctor also works with family members. They must establish a benevolent climate, support the patient in everything.

    Tactics of treatment depends on the condition of the patient. Treatment is carried out on an outpatient basis or in a hospital. Treatment includes psychotherapy, drug therapy and social therapy. Antidepressants are used to treat depression. Only a doctor can choose the right drug. After all, the group under the general name of antidepressants includes drugs of different effects - stimulating, removing anxiety, sedatives. The dosage is selected by the doctor individually. The action of drug therapy begins two weeks after administration, and they cannot be canceled on their own. The duration of treatment is determined only by the doctor. nine0003

    Also, auxiliary methods are used in the treatment - art therapy, hypnotherapy, aromatherapy, light therapy, magnetotherapy, meditation. For each patient, an individual course of treatment is selected.

    Vidkriti Zgornuti

    Prevention of depression

    The support of family and friends plays an important role in the treatment of depression. They should avoid criticism of the patient, offer him joint activities. If the patient trusts them, then it is worth talking about his condition, emphasizing that his condition is temporary, and the treatment will definitely give a positive effect. nine0003

    Since some types of depression recur, it is important to know how to prevent them. Prevention of depression is simple actions that give great results. Doctors advise:

    • sleep at least 8 hours, be sure to go to bed before midnight;
    • a diet with sufficient omega-3 fatty acids;
    • sufficient physical activity;
    • communication with friends, with people who are positive;
    • it is highly desirable to receive psychotherapeutic assistance; nine0038
    • maximum use of daylight hours, if necessary, light therapy.

    Vidkriti Zgornuti

    The article is for informational purposes only. Please remember: self-medication can harm your health.

    Vidkriti Zgornuti


    • World Health Organization
    • Ministry of Health of Ukraine
    • Public Health Center of the Ministry of Health of Ukraine

    Vidkriti Zgornuti

    The author of the article:

    Shulika Elena Valerievna

    Psychotherapist, psychiatrist

    Which doctor treats depression?

    Where to go for help? Which doctor will help? It is better to start with a visit to a therapist. The general practitioner examines the patient, gives a referral for tests. The second specialist who will help is a psychotherapist.

    Treatment of depression in Kyiv can be done at the MEDICOM clinic under the supervision of experienced specialists in comfortable clinics in Obolon and Pechersk. Do not stay with depression on your own. Contact the experts and return to a happy and healthy life as soon as possible! nine0003

    show more



    10/31/2022 16:35

    Natalya Natalya

    The article is built correctly, with a gradual disclosure of the topic. Disease is dealt with step by step. Forms of the disease, exemplary methods of treatment are indicated. For those who suspect that they have this disorder, the article gives a complete description in a brief form. This is of interest to start treatment with narrow specialists.

    06/23/2022 10:15


    Why do you have a psychologist and not a psychiatrist prescribing antidepressants in your clinic? Psychologists do not have the right to recognize whether they are medicines.

    12.01.2022 01:16


    My husband started having problems with his mood - everything is bad all the time, he is not interested in anything, he sees everything in a negative light. And I signed him up with a psychotherapist. At the consultation, pathopsychological and neuropsychological diagnostics were performed, after which it became clear that my husband had depression. Prescribed treatment with antidepressants, sessions of psychotherapy, magnetotherapy. Each case has its own treatment regimen. It's been a month and a half since the treatment started. Gradually, the negative and bad mood disappears, we will continue. nine0003

    11/18/2021 20:22

    Kubrak Masha

    I liked the article, thank you! Very informative without complex medical terms, understandable for the perception of an ordinary person.

    09/05/2021 09:06

    To Svitlana

    Depression is the greatest state of the soul, if nothing makes you happy. I experienced this stage a couple of times and I was helped several times to get a new one in the MEDIKOM clinic - my love psychologist Kulik Mariya Sergievna. Vaughn took antidepressants and gave psychological help. Shiro dyakuyu! nine0003

    07/30/2021 19:27


    Depression began after the death of his father, and was aggravated by a divorce from his wife. Became irritable, insomnia, always all in gloomy shades. Through the selection of drugs and work with a psychotherapist, colors began to appear in life.

    05/07/2021 10:57


    I have postpartum depression after the birth of my long-awaited daughter. She couldn't figure it out on her own. A good psychologist works at the MEDICOM clinic. Without pills, I was able to help cope with depression - only herbal remedies and consultations. I begin to feel the happiness and joy of motherhood. Thanks a lot! nine0003

    11.02.2021 17:17

    Tetyana Oleksandrivna

    The child began to notice a change in behavior and character development. No one knows anything, no wine is needed for anyone, everything is the opposite. I turned back to the psychologist for help, so that nothing bad happened. The doctor spent the interview with the son, prescribing calming preparations. Xing is slowly returning to normal.

    04.11.2020 19:11

    Nadya Reznichenko

    For a long time I could not know the work behind the fah, problems with the person, my mother was sick. All in one compartment. Maria Sergievna Kulik helped me, I asked how you can change it, don’t pay attention to it, but look at it. I prescribed calmness, I relaxed, stopped sіpatisya and nervousness.

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