Menopause Overview
Apr 26 2024 - By Jessica Chrisman
Menopause is a normal part of aging for women and is marked by the cessation of a period ...
There are many types of depression, and many treatments that can help.
Rachel is feeling hopeless, has the urge to stay in bed most days, and can’t find the bright side in much of anything. She may be experiencing the common but miserable curse of depression. Millions of people in the world struggle with the same condition.
Depression is often described as a sadness, but is much more than that. Sadness is a temporary feeling of pain that might follow a loss, breakup, or disappointment. Depression, on the other hand, continues over time, and is often combined with feelings of hopelessness and lethargy.
Fortunately, there are many ways to manage and often alleviate symptoms of depression. Understanding what depression is, what causes it, the many types, and how to treat them can help you begin the road to recovery.
Causes of Depression
While some people are more prone to depression, others seem less inclined to get it. Why is this? There are many possible causes of depression. Here’s a look at the most common causes and how they can impact this area of mental health.
A history of depression in the family also may make someone more prone to depression. Additionally, certain types of depression, such as low moods experienced with bipolar disorder, are caused by biochemical imbalances.
Types of Depression
The most common type of depression is called major depressive disorder, or MDD. However, several other conditions are similar to or overlap with MDD. Here’s a look at the types of depression people are most likely to experience.
Major Depressive Disorder (MDD)
MDD is the best-known type of depression. Almost 7% of adults in the U.S. alone suffer from major depression in a given year. Common symptoms include:
Major depression may include one lifetime episode, or there may be repeated episodes. It affects all genders and ethnicity, but is more common in women, teens, and senior citizens.
Persistent Depressive Disorder (PDD)
Persistent depressive disorder is also referred to as dysthymic disorder. This condition is much like MDD, however it persists for at least two years. Symptoms are not quite as severe as with major depression, but last longer.
Symptoms, like MDD, may include the following:
While MDD and PDD are the most similar presentations of depression, they are not alone in this category.
Bipolar I and Bipolar II
Bipolar disorder, sometimes still referred to as manic depressive disorder, affects roughly 3% of the population. It includes episodes of depression, as well as episodes of extremely high energy called mania, or a less severe form of this called hypomania.
Symptoms of bipolar disorder include a combination of the following:
Unlike major depression, which can often alleviate entirely, bipolar disorder is a chronic medical condition. However, many people are able to manage it effectively with medication.
Seasonal Affective Disorder (SAD)
Many people are familiar with seasonal affective disorder (SAD), now referred to as MDD with a seasonal pattern. Most people experience this condition in winter months. Common symptoms of seasonal depression include:
The specific cause of seasonal depression is unknown, but most people believe it relates to less access to sunlight. It’s also possible that the social changes in winter months, such as spending more time inside or alone, may be a factor in this condition.
Premenstrual Dysphoric Disorder (PMDD)
Premenstrual dysphoric disorder, or PMDD, is a more severe form of premenstrual syndrome (PMS). However, with PMDD symptoms can become more extreme. It may lead to severe mood swings, anxiety and even suicidal thoughts. Common symptoms include:
Some researchers hypothesize, and have found some evidence, that an imbalance of estrogen and progesterone may relate to PMDD.
Postpartum Depression
Another type of depression can occur after a woman gives birth. Women often experience hormonal adjustments in the first couple of weeks after the birth, often called baby blues. It’s common for women to cry, to feel sad, irritable and overwhelmed, and have mood swings.
However, postpartum depression is more severe than this, and lasts longer. It has symptoms consistent with MDD, such as hopelessness, feeling down, and loss of interest in usual activities. However, there are also other symptoms specific to postpartum depression. These include:
Some women also experience what’s called postpartum psychosis. This includes more dangerous symptoms such as paranoia, hallucinations, plans or acts to harm the baby, confusion, and obsessive thoughts.
Depression Caused by Post-Traumatic Stress
One category of symptoms that occur with post-traumatic stress disorder (PTSD) involves depression symptoms. Unlike with major depression, negative feelings and thoughts are more specific to complications from the trauma. Common symptoms of this type of depression includes:
This is not its own condition, but rather occurs as part of PTSD. However, many people with PTSD are also diagnosed with MDD, so symptoms of each condition can overlap or complicate each other.
Self Help For Depression
If you believe you’re experiencing a type of depression, it’s important to get professional help. If you’re having current suicidal or self-harm thoughts, you should contact your doctor immediately, call emergency services, or contact the Suicide Prevention Lifeline.
If you’re not in immediate danger, you can begin with self-help strategies while you wait to get in with a health provider. Here are some methods that may help you alleviate or manage symptoms.
Cognitive Behavioral Therapy (CBT)
Cognitive Behavioral Therapy (CBT) is the most common type of therapy recommended for nearly all types of depression. Even for types of depression with a primarily biological cause, like PMDD or bipolar disorder, therapy can be helpful. In CBT, you learn to notice your patterns of thinking and begin to reframe your thoughts.
Since negative thoughts can both cause and be caused by depression, this is often a helpful step. Depression often includes self-criticism and feelings of doubt and shame. CBT can help you heal and challenge these patterns of thinking.
Acceptance and Commitment Therapy (ACT)
A lesser-known therapy used with depression is acceptance and commitment therapy (ACT). In ACT, rather than challenging thoughts, you begin to notice and release them. In this way you “go with the flow.” This therapy also helps you identify your values and make choices that align with the things that are important to you.
Dialectical Behavioral Therapy
Dialectical behavioral therapy (DBT) is most commonly used with borderline personality disorder. It has expanded to be used with many conditions, for adolescents and adults, and can be helpful for depression. In DBT, you practice mindfulness, and learn specific skills to deal with mood issues, self-harm urges, social challenges, and more. The therapy generally includes both individual therapy and group education and therapy.
Trauma-Focused Therapies
If your depression is caused by trauma and/or PTSD, then addressing the past trauma can help alleviate symptoms. Examples of trauma-focused therapies include the following:
These therapies help you process past trauma and heal negative thoughts about yourself. As other symptoms of PTSD get better, depression often does as well.
Medication Assessment and Therapy
Many people participate in therapy while also taking an antidepressant medication. The use of each treatment can help make the other more effective. For certain types of depression, like bipolar disorder or PMDD, medications may be the key to feeling better. You can discuss options with both your therapist and doctor to determine if medication is appropriate for your needs.
If your depression is a side effect of therapy or another health condition, a doctor can help you sort out the problem. You and your doctor might discuss changing medications, trying alternative treatment options, or taking another medication to counter side effects.
Moving Forward The many types of depression remind us that millions of people are affected by this difficult condition. It’s helpful to understand the different types of depression, so you can accurately address the cause and begin to feel better. Self-help and therapy can make a big difference. While no one feels great all of the time, everyone deserves to be happy and live life to the fullest.
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