Sadness or downswings in mood are normal reactions to life’s struggles, setbacks, and disappointments. Many people use the word “depression” to explain these kinds of feelings, but depression is much more than just sadness.
Some people describe depression as “living in a black
hole” or having a feeling of impending doom. However, some depressed people
don't feel sad at all—they may feel lifeless, empty, and apathetic, or men in
particular may even feel angry, aggressive, and restless.
Whatever the symptoms, depression is different from
normal sadness in that it engulfs your day-to-day life, interfering with your
ability to work, study, eat, sleep, and have fun. The feelings of helplessness,
hopelessness, and worthlessness are intense and unrelenting, with little, if
any, relief.
Signs and symptoms of depression include:
- Feelings of helplessness and
hopelessness. A bleak outlook—nothing
will ever get better and there’s nothing you can do to improve your
situation.
- Loss of interest in daily
activities. No interest in former
hobbies, pastimes, social activities, or sex. You’ve lost your ability to
feel joy and pleasure.
- Appetite or weight changes. Significant weight loss or weight gain—a change
of more than 5% of body weight in a month.
- Sleep changes. Either insomnia, especially waking in the early
hours of the morning, or oversleeping (also known as hypersomnia).
- Anger or irritability. Feeling agitated, restless, or even violent. Your
tolerance level is low, your temper short, and everything and everyone
gets on your nerves.
- Loss of energy. Feeling fatigued, sluggish, and physically
drained. Your whole body may feel heavy, and even small tasks are
exhausting or take longer to complete.
- Self-loathing. Strong feelings of worthlessness or guilt. You
harshly criticize yourself for perceived faults and mistakes.
- Reckless behavior. You engage in escapist behavior such as substance
abuse, compulsive gambling, reckless driving, or dangerous sports.
- Concentration problems. Trouble focusing, making decisions, or
remembering things.
- Unexplained aches and pains. An increase in physical complaints such as
headaches, back pain, aching muscles, and stomach pain.
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