Understanding Depression
- Christopher Vo
- Jul 14
- 4 min read
š§ļø Understanding Depression:Ā
DepressionĀ is more than just āfeeling sad.ā Itās a real condition that affects how you think, feel, move through the world, and even how your body functions. It can feel like emotional pain, numbness, heaviness, self-doubt, or disconnectionāand itās often invisible to others.
Depression exists on a spectrum, meaning it doesnāt look the same for everyone. It can be brief or long-term, mild or severe, situational or persistent. Regardless of where you are on the spectrum, your experience is validāand help is available.
š§ What Depression Is (and What Itās Not)
Depression is not a sign of weakness or a personal failure. It is a biopsychosocial condition, meaning itās shaped by biology, life experiences, environment, and personal history.
At its core, depression affects the brainās ability to regulate:
Mood and emotion
Energy and motivation
Sleep and appetite
Thoughts and decision-making
Self-worth and hope
You may not always feel āsad.ā Depression can also look like:
Feeling flat, numb, or disconnected
Struggling to enjoy things you used to like
Being easily overwhelmed by small tasks
Feeling guilty for no clear reason
Wanting to isolate or disappear
Feeling like youāre ānot yourselfā
š The Spectrum of Depressive Disorders
Understanding where your experience falls on the depression spectrumĀ can help with treatment and self-compassion.
1. Major Depressive Disorder (MDD)
Persistent sadness, emptiness, or hopelessness lasting most of the day, nearly every day, for at least two weeks
May include sleep and appetite changes, fatigue, feelings of worthlessness, and suicidal thoughts
2. Persistent Depressive Disorder (PDD / Dysthymia)
A longer-lasting form of depression (2+ years) with lower intensity
You may function day-to-day, but feel like youāre constantly āunderwaterā emotionally
3. Bipolar Depression
Depression that occurs as part of Bipolar I or II Disorder
Periods of very low mood (depression) alternate with periods of high energy, impulsivity, or elevated mood (mania or hypomania)
Often misdiagnosed as unipolar depression if the manic symptoms are subtle or unreported
4. Seasonal Affective Disorder (SAD)
Depressive symptoms that follow a seasonal pattern, often worse in fall or winter
Related to reduced sunlight and shifts in circadian rhythm
5. Postpartum Depression
A form of depression that occurs during or after pregnancy
Can affect bonding, energy, sleep, and feelings of adequacy as a parent
6. Premenstrual Dysphoric Disorder (PMDD)
A severe form of PMS marked by mood swings, irritability, and depression in the week or two before menstruation
7. Adjustment Disorder with Depressed Mood
Depressive symptoms in response to a specific stressor (like a breakup, job loss, or life transition)
Shorter-term but still painful and valid
8. Situational or Subclinical Depression
Doesnāt meet full criteria for a diagnosis, but still significantly affects your mood or life
May feel āfunctionalā on the outside, but emotionally exhausted inside
š¬ What Depression Might Feel Like
āI feel like Iām going through the motions.ā
āI donāt feel anything at all anymore.ā
āEverything feels heavy.ā
āI should be happy, but Iām not.ā
āIām tired all the timeāeven when I sleep.ā
āI feel like a burden.ā
āI canāt explain itāitās just always there.ā
These are not personal failures. Theyāre signs that your system is overwhelmed, and it needs supportānot more pressure.
š Common Strengths That Get Overlooked in Depression
Many people with depression are:
Deep feelers and highly empathetic
Caring, responsible, and deeply thoughtful
Perceptive of others' emotions
Sensitive to injustice or disconnection
Hard on themselves but generous to others
These traits can make you more vulnerable to burnout, compassion fatigue, or internalized shameāespecially in unsupportive environments. With support, these same qualities can become your greatest assets.
š§ What Can Help?
There are many ways to support healing from depressionāno one-size-fits-all solution, but many options that can work together.
Therapy
Cognitive Behavioral Therapy (CBT)Ā for managing thoughts and behaviors
Interpersonal Therapy (IPT)Ā for navigating relationships and grief
Psychodynamic TherapyĀ for exploring patterns and self-worth
EMDR or trauma-focused therapyĀ if past experiences contribute to depression
Medication
Antidepressants can help regulate mood, sleep, and energy
Not everyone needs medication, but for some, it creates space to heal and function
Lifestyle Supports
Regular movement (even walking or stretching)
Supportive structure and routine
Creative expression (writing, music, art)
Time in nature or sunlight
Social connection (even small, low-pressure interactions)
Self-Compassion
Shifting from āWhatās wrong with me?ā to āWhat do I need right now?ā
Recognizing that healing is non-linear
Giving yourself credit for showing up, even when itās hard
š¤ You Are Not Alone
Depression affects over 1 in 5 adultsĀ at some point in lifeāand even more during times of transition, stress, loss, or isolation. It doesnāt mean youāre broken or doomed. It means your system needs care, support, and room to heal.
You are allowed to rest.Ā You are allowed to ask for help.Ā You are allowed to take up spaceāeven when you're struggling.Ā You are still you, even when it feels like you're fading.
š Want to Explore Further?
Self-reflection prompt:Ā āWhen was the last time I felt like myself? What helped me feel that way?ā
Books
Feeling GoodĀ by Dr. David Burns (CBT-focused)
Lost ConnectionsĀ by Johann Hari (on root causes of depression)
The Noonday DemonĀ by Andrew Solomon (memoir + research)
Crisis Support (U.S.)
988 Suicide & Crisis Lifeline
Text HOME to 741741 for the Crisis Text Line
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