Depression Is Common
Lately Lindsay hasn't felt like herself. Her friends have
noticed it, too. Kia was surprised when Lindsay turned down her
invitation to go to the mall last Saturday. There was really no
reason not to go, but Lindsay just didn't feel like it.
Instead, she spent most of Saturday sleeping.
Staying in more than usual isn't the only change in Lindsay.
She's always been a really good student. But over the past
couple of months her grades have fallen and she has trouble
concentrating. She forgot to turn in a paper that was due and is
having a hard time getting motivated to study for her finals.
Lindsay feels tired all the time but has difficulty falling
asleep. She's gained weight too. When her mother asks her
what's wrong, Lindsay just feels like crying. But
she doesn't know why. Nothing particularly bad has
happened. Yet Lindsay feels sad all the time and can't
Lindsay may not realize it yet, but she is depressed.
Depression is very common and affects as many as 1 in 8 people
in their teen years. Depression affects people of every color,
race, economic status, or age; however, it does seem to affect more
girls than guys.
How Do People Respond to Someone Who's Depressed?
Sometimes friends or family members recognize that someone is
depressed. They may respond with love, kindness, or support, hoping
that the sadness will soon pass. They may offer to listen if the
person wants to talk. If the depressed feeling doesn't pass
with a little time, friends or loved ones may encourage the person
to get help from a doctor, therapist, or counselor.
But not everyone recognizes depression when it happens to
someone they know.
Some people don't really understand about depression. For
example, they may react to a depressed person's low energy with
criticism, yelling at the person for acting lazy or not
trying harder. Some people mistakenly believe that depression is
just an attitude or a mood that a person can shake off.
It's not that easy.
Sometimes even people who are depressed don't take their
condition seriously enough. Some people feel that they are weak in
some way because they are depressed. This is wrong - and it
can even be harmful if it causes people to hide their
depression and avoid getting help.
Occasionally, when depression causes physical symptoms (things
like headaches or other stress-related problems), a person may see
a doctor. Once in a while, even a well-meaning doctor may not
realize a person is depressed, and just treat the physical
Why Do People Get Depressed?
There is no single cause for depression. Many factors play a
role including genetics, environment, life events, medical
conditions, and the way people react to things that happen in their
Research shows that depression runs in families and that some
people inherit genes that make it more likely for them to get
depressed. Not everyone who has the genetic makeup for depression
gets depressed, though. And many people who have no family history
of depression have the condition. So although genes are one factor,
they aren't the single cause of depression.
The death of a family member, friend, or pet can go beyond
normal grief and sometimes lead to depression. Other difficult life
events, such as when parents divorce, separate, or remarry, can
trigger depression. Even events like moving or changing schools can
be emotionally challenging enough that a person becomes
Family and Social Environment
For some teens, a negative, stressful, or unhappy family
atmosphere can affect their self-esteem and lead to depression.
This can also include high-stress living situations such as
poverty; homelessness; and violence in the family, relationships,
Substance use and abuse also can cause chemical changes in the
brain that affect mood - alcohol and some drugs are known to have
depressant effects. The negative social and personal consequences
of substance abuse also can lead to severe unhappiness and
Certain medical conditions can affect hormone balance and
therefore have an effect on mood. Some conditions, such as
hypothyroidism, are known to cause a depressed mood in some people.
When these medical conditions are diagnosed and treated by a
doctor, the depression usually disappears.
For some teens, undiagnosed learning disabilities might block
school success, hormonal changes might affect mood, or physical
illness might present challenges or setbacks.
What Happens in the Brain When Someone Is Depressed?
Depression involves the brain's delicate chemistry -
specifically, it involves chemicals called
. These chemicals help send messages between nerve cells in the
brain. Certain neurotransmitters regulate mood, and if they run
low, people can become depressed, anxious, and stressed. Stress
also can affect the balance of neurotransmitters and lead to
Sometimes, a person may experience depression without being able
to point to any particular sad or stressful event. People who have
a genetic predisposition to depression may be more prone to the
imbalance of neurotransmitter activity that is part of
Medications that doctors use to treat depression work by helping
to restore the proper balance of neurotransmitters.
Types of Depression
For some people, depression can be intense and occur in bouts
that last for weeks at a time. For others, depression can be less
severe but can linger at a low level for years.
Doctors who treat depression distinguish between these two types
of depression. They call the more severe, short-lasting type
, and the longer-lasting but less severe form
A third form of depression that doctors may diagnose is called
adjustment disorder with depressed mood
. This diagnosis refers to a depressive reaction to a specific
life event (such as a death, divorce, or other loss), when
adjusting to the loss takes longer than the normally expected
timeframe or is more severe than expected and interferes with the
person's daily activities.
(also sometimes called manic depressive illness) is another
depressive condition that involves periods of major depression
mixed with periods of mania. Mania is the term for abnormally high
mood and extreme bursts of unusual activity or energy.
What Are the Symptoms of Depression?
Symptoms that people have when they're depressed can
- depressed mood or sadness most of the time (for what may seem
like no reason)
- lack of energy and feeling tired all the time
- inability to enjoy things that used to bring pleasure
- withdrawal from friends and family
- irritability, anger, or anxiety
- inability to concentrate
- significant weight loss or gain
- significant change in sleep patterns (inability to fall
asleep, stay asleep, or get up in the morning)
- feelings of guilt or worthlessness
- aches and pains (with no known medical cause)
- pessimism and indifference (not caring about anything in the
present or future)
- thoughts of death or suicide
When someone has five or more of these symptoms most of the time
for 2 weeks or longer, that person is probably depressed.
Teens who are depressed may show other warning signs or
symptoms, such as lack of interest or motivation, poor
concentration, and low mental energy caused by depression. They
also might have increased problems at school because of skipped
Some teens with depression have other problems, too, and these
can intensify feelings of worthlessness or inner pain. For example,
people who cut themselves or who have eating disorders may have
unrecognized depression that needs attention.
How Is Depression Different From Regular Sadness?
Everyone has some ups and downs, and sadness is a natural
emotion. The normal stresses of life can lead anyone to feel
sad every once in a while. Things like an argument with a friend, a
breakup, doing poorly on a test, not being chosen for a team, or a
best friend moving out of town can lead to feelings of sadness,
hurt, disappointment, or grief. These reactions are usually brief
and go away with a little time and care.
Depression is more than occasionally feeling blue, sad, or down
in the dumps, though. Depression is a strong mood involving
sadness, discouragement, despair, or hopelessness that lasts for
weeks, months, or even longer. It interferes with a person's
ability to participate in normal activities.
Depression affects a person's thoughts, outlook, and
behavior as well as mood. In addition to a depressed mood, a person
with depression can also feel tired, irritable, and notice changes
When someone has depression, it can cloud everything. The world
looks bleak and the person's thoughts reflect that hopelessness
and helplessness. People with depression tend to have negative and
self-critical thoughts. Sometimes, despite their true value, people
with depression can feel worthless and unlovable.
Because of feelings of sadness and low energy, people with
depression may pull away from those around them or from activities
they once enjoyed. This usually makes them feel more lonely and
isolated, making the depression and negative thinking worse.
Depression can be mild or severe. At its worst, depression can
create such feelings of despair that a person thinks about
Depression can cause physical symptoms, too. Some people have an
upset stomach, loss of appetite, weight gain or loss, headaches,
and sleeping problems when they're depressed.
Depression is one of the most common emotional problems in the
United States and around the world. The good news is that it's
also one of the most treatable conditions. Therapists and
other professionals can help. In fact, about 80% of people who
get help for their depression have a better quality of life - they
feel better and enjoy themselves in a way that they weren't
able to before.
Treatment for depression can include talk therapy, medication,
or a combination of both.
Talk therapy with a mental health professional is very effective
in treating depression. Therapy sessions can help people understand
more about why they feel depressed, and ways to combat it.
Sometimes, doctors prescribe medicine for a person who has
depression. When prescribing medicine, a doctor will carefully
monitor patients to make sure they get the right dose. The
doctor will adjust the dose as necessary. It can take a few weeks
before the person feels the medicine working. Because every
person's brain is different, what works well for one person
might not be good for another.
Everyone can benefit from mood-boosting activities like
exercise, yoga, dance, journaling, or art. It can also help to keep
busy no matter how tired you feel.
People who are depressed shouldn't wait and hope it will go
away on its own because depression can be effectively treated.
Friends or others need to step in if someone seems severely
depressed and isn't getting help.
Many people find that it helps to open up to parents or other
adults they trust. Simply saying, "I've been feeling
really down lately and I think I'm depressed," can be a
good way to begin the discussion. Ask your parent to arrange an
appointment with a therapist. If a parent or family member
can't help, turn to your school counselor, best friend, or
a helpline to get help.
When Depression Is Severe
People who are extremely depressed and who may be thinking about
hurting themselves or about suicide need help as soon as possible.
When depression is this severe, it is a very real medical
emergency, and an adult must be notified. Most communities have
suicide hotlines where people can get guidance and support in an
Although it's important to be supportive, trying to cheer up
a friend or reasoning with him or her probably won't work to
help depression or suicidal feelings go away. Depression can be so
strong that it outweighs a person's ability to respond to
reason. Even if your friend has asked you to promise not to tell,
severe depression is a situation where telling can save a
life. The most important thing a depressed person can do is to get
help. If you or a friend feels unsafe or out of control, get help
now. Tell a trusted adult, call 911, or go to the emergency
Depression doesn't mean a person
is "crazy." Depression (and the suffering that goes
with it) is a real and recognized medical problem. Just as things
can go wrong in all other organs of the body, things can go wrong
in the most important organ of all: the brain. Luckily, most teens
who get help for their depression go on to enjoy life and feel
better about themselves.
Michelle New, PhD
Date reviewed: October 2007
Note: All information is for educational purposes only. For specific medical advice,
diagnoses, and treatment, consult your doctor.
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