Recognising depression: sadness that stays too long
Everyone feels sad or upset sometimes. It is normal to have a bad day or feel down when things go wrong. Depression is different. It is a real health condition in which the sadness does not go away. It can make people feel hopeless, tired or not good enough, every day, for a long time.
What is depression?
Depression affects how we feel, think and act. It is not just feeling sad for a few hours. It is when those feelings stay for weeks or months and make it hard to enjoy life, study, work or be with others.
Signs of depression
- Feeling sad almost every day
- Losing interest in things you used to enjoy
- Sleeping too much, or not being able to sleep
- Feeling tired even after resting
- Eating too little or too much
- Thinking “I’m not good enough” or “I’m a failure”
- Finding it hard to focus or remember things
- Crying easily or often
- Headaches, stomach aches or body pain without a clear cause
- Thinking about death or not wanting to live
People with depression often have thoughts like “I feel like a burden”, “Nothing will ever get better” or “I can’t do anything right”. These thoughts feel true, but they are symptoms of the illness.
What causes depression?
Depression is nobody’s fault. It can happen to anyone, including people who seem happy. Common causes include:
- Family history of depression
- Big life changes, such as losing someone, moving to a new place, or problems at school or work
- Long-term illness or pain
- Bullying, or pressure to be perfect
- Changes in brain chemistry that affect mood
Why it matters to recognise depression early
The sooner depression is noticed, the sooner help can start. Depression can get worse if ignored, but it is treatable. Just as we see a doctor when the body is sick, we can see a mental health professional when the mind needs care.
How depression is treated
- Cognitive behavioural therapy (CBT): a talking therapy that helps you notice and change the negative thoughts that keep depression going.
- Medicine: sometimes medicine helps the brain recover. I explain every medicine and review it at each follow-up.
- Support: talking with someone who listens, so you do not feel alone.
Treatment is planned with you, to fit your needs.
You are not alone
If you or someone you know shows signs of depression, please do not wait. Asking for help is a brave and wise choice. With support, people with depression can feel better and enjoy life again.
Talk to Dr. Yujal
Confidential consultations in person at Kuleshwor, Kathmandu, or online by Google Meet from anywhere, in Nepali or English.
This article is general information, not medical advice for you personally. See our medical disclaimer. If you are in danger or thinking of ending your life, call your local emergency number now. In Nepal, call 1166.