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Understanding Depression

  • Writer: Christopher Vo
    Christopher Vo
  • Jul 14
  • 4 min read

šŸŒ§ļø Understanding Depression:Ā 

DepressionĀ is more than just ā€œfeeling sad.ā€ It’s 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 disconnection—and it’s often invisible to others.

Depression exists on a spectrum, meaning it doesn’t 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 valid—and help is available.



🧠 What Depression Is (and What It’s Not)

Depression is not a sign of weakness or a personal failure. It is a biopsychosocial condition, meaning it’s shaped by biology, life experiences, environment, and personal history.

At its core, depression affects the brain’s 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 ā€œsad.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 you’re ā€œnot yourselfā€



šŸŒ€ 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 you’re constantly ā€œunderwaterā€ 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

  • Doesn’t meet full criteria for a diagnosis, but still significantly affects your mood or life

  • May feel ā€œfunctionalā€ on the outside, but emotionally exhausted inside



šŸ’¬ What Depression Might Feel Like

  • ā€œI feel like I’m going through the motions.ā€

  • ā€œI don’t feel anything at all anymore.ā€

  • ā€œEverything feels heavy.ā€

  • ā€œI should be happy, but I’m not.ā€

  • ā€œI’m tired all the time—even when I sleep.ā€

  • ā€œI feel like a burden.ā€

  • ā€œI can’t explain it—it’s just always there.ā€

These are not personal failures. They’re signs that your system is overwhelmed, and it needs support—not more pressure.



🌟 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 shame—especially in unsupportive environments. With support, these same qualities can become your greatest assets.



šŸ”§ What Can Help?

There are many ways to support healing from depression—no 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 ā€œWhat’s wrong with me?ā€ to ā€œWhat do I need right now?ā€

  • Recognizing that healing is non-linear

  • Giving yourself credit for showing up, even when it’s hard



šŸ¤ You Are Not Alone

Depression affects over 1 in 5 adultsĀ at some point in life—and even more during times of transition, stress, loss, or isolation. It doesn’t mean you’re 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 space—even when you're struggling.Ā You are still you, even when it feels like you're fading.



šŸ“˜ Want to Explore Further?

  • Self-reflection prompt:Ā ā€œWhen 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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