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Depression is a word we hear often, but the reality of living with it is often misunderstood. It's much more than just feeling sad; it's a complex condition that can affect every aspect of a person's life. This post explores some common and less common symptoms of depression, highlighting the importance of recognizing the many faces this illness can wear. 

When we think about depression, often we think of a dark cloud hanging over a person or someone sitting alone in a dark room. For many people that struggle with depression, this is their story, for others it can look quite different. Some people struggle with depression alone and in silence and are able to go about their day to day activities and “function”. Sometimes depression can leave you feeling like you are in the passenger seat of your life. 

Common symptoms: The Usual Suspects

Many people associate depression with persistent sadness. While that's certainly a core symptom, depression can manifest in other ways too, including:

• Persistent Sadness, Emptiness, or Irritability: This isn't just a bad day; it's a low mood that lingers for weeks or longer. Sometimes, especially in teens, irritability can be the dominant mood.

• Loss of Interest or Pleasure: Things you used to enjoy suddenly feel dull and unappealing. This can include hobbies, social activities, and even intimacy.

• Significant Weight Loss or Gain: Changes in appetite are common. Some people lose their appetite, while others may turn to food for comfort.

• Sleep Disturbances: Depression can disrupt sleep in various ways. You might struggle to fall asleep, wake up frequently, or sleep excessively.

• Fatigue and Low Energy: Feeling constantly drained, even after resting, is a common complaint. Even small tasks can feel overwhelming.

• Restlessness and Agitation: While some people experience fatigue, others may feel restless, agitated, and unable to sit still. This can manifest as pacing, fidgeting, or irritability.

• Feelings of Guilt or Worthlessness: These feelings can be intense and pervasive, leading to self-blame and negative self-talk. Sometimes, these feelings can become so strong they lead to thoughts of death or suicide.

• Recurrent Thoughts of Death: Thinking about death frequently, including suicidal thoughts, with or without a plan, can accompany depression. If you are having suicidal thoughts, please reach out for help. 

Call 988 or visit www.988lifeline.org

Beyond the Usual: Less Common, But Just as Real

Depression can also present with symptoms that aren't as widely recognized:

• Physical Aches and Pains: Depression can manifest physically as headaches, muscle aches, digestive problems, or other unexplained pains. Sometimes, these physical symptoms are the primary complaint, masking the underlying depression.

• Cognitive Difficulties: Depression can impact concentration, memory, and decision-making. You might find it hard to focus, feel "foggy," or struggle with simple choices.

• Changes in Libido: Depression can affect sexual desire and performance.

• Feeling numb: Depression can affect your ability to feel emotions including joy, anger and sadness. 

The Importance of Recognizing the Full Spectrum

It's crucial to understand that depression can look different in everyone. Someone struggling with depression might not exhibit all the "classic" symptoms. They might primarily experience physical aches, cognitive difficulties, or restlessness. By recognizing the full spectrum of possible symptoms, we can better identify depression in ourselves and those we love, encouraging early intervention and support. 

If you are concerned that you, or someone you know, may be struggling with depression you should reach out for support. You are not alone.  Depression is a treatable condition, and with the right support, individuals can find relief and reclaim their lives. Your mental health matters.

If you are ready to begin your journey to improving your mental health or have questions, reach out today for a free consultation.

Written by Jamie Scamihorn, MSW, LCSW