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Life's Unseen Struggle: Clinical Depression




It's week 3 of the series and this week I am looking at Clinical Depression.


Clinical depression, also known as major depressive disorder, is a mental health condition characterized by persistent feelings of sadness, hopelessness, and a lack of interest in daily activities. People with clinical depression may also experience physical symptoms, such as changes in appetite and sleep patterns, fatigue, and decreased energy.


Clinical depression is a complex condition that can manifest in a variety of symptoms, both emotional and physical. Some common symptoms of depression include:

  • Persistent feelings of sadness, hopelessness, and emptiness

  • Loss of interest or pleasure in activities that were once enjoyed

  • Changes in appetite and sleep patterns, such as oversleeping or insomnia

  • Fatigue, low energy, and decreased motivation

  • Feelings of worthlessness or guilt

  • Difficulty concentrating, making decisions, or remembering things

  • Thoughts of death or suicide

  • Physical symptoms such as headaches, digestive problems, and chronic pain that don't respond to treatment


It's important to note that not everyone with depression will experience all of these symptoms, and the severity and duration of symptoms can vary from person to person.


According to the World Health Organization (WHO), an estimated 350 million people worldwide suffer from depression. This equates to about 4.4% of the world's population.

Depression is a leading cause of disability and is a major contributor to the overall global burden of disease. It affects people of all ages, genders, and cultures, and is more common in some countries than others. It's worth noting that depression is often underdiagnosed and undertreated, particularly in low- and middle-income countries, where access to mental health services can be limited. WHO estimates that less than half of those suffering from depression globally receive the treatment they need.

Despite this, there is growing recognition of the importance of addressing depression and other mental health conditions. Many countries are working to improve access to mental health services and reduce the stigma surrounding mental illness, with the goal of ensuring that everyone who needs it can receive the care and support they need to recover.


Clinical depression is a complex condition that can be caused by a combination of genetic, biological, environmental, and psychological factors. While the exact cause of depression is not yet fully understood, some of the known factors that can contribute to the development of depression include:

  • Genetics: Depression can run in families, and some studies suggest that there may be a genetic component to the condition. However, it's also important to note that most people with a family history of depression will not develop the condition, and other factors are likely to be involved as well.

  • Brain chemistry: Depression is thought to be related to imbalances in certain chemicals in the brain, particularly neurotransmitters like serotonin and norepinephrine.

  • Environmental factors: Stressful life events, such as the death of a loved one, financial problems, or job loss, can trigger depression. Chronic stress can also contribute to the development of depression over time.

  • Medical conditions: Chronic illnesses, such as heart disease, stroke, and diabetes, can increase the risk of depression. Some medications used to treat medical conditions can also cause depression as a side effect.

  • Substance abuse: Alcohol and drug abuse can increase the risk of depression, and depression can also be a factor in substance abuse.

It's important to note that depression is not caused by a lack of willpower or a personal weakness, and seeking help is a sign of strength. If you or someone you know is struggling with depression, it's important to reach out for support from a mental health professional, who can help determine the best course of treatment.


Clinical depression is diagnosed by a mental health professional, such as a doctor, psychologist, or licensed therapist. The process of diagnosing depression typically involves:

  1. A medical evaluation: The mental health professional will perform a physical examination and ask about your medical history to rule out any underlying physical conditions that could be contributing to your symptoms.

  2. A psychological assessment: The mental health professional will ask you questions about your symptoms, including how long they have been present, how severe they are, and how they are impacting your daily life. They may also ask about your mood, thoughts, behaviors, and relationships to help determine if you have depression.

  3. A diagnostic interview: The mental health professional may use a standardized diagnostic tool, such as the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), to help diagnose depression. This tool provides criteria for diagnosing depression and helps to differentiate it from other mental health conditions.

  4. A discussion of treatment options: Once a diagnosis has been made, the mental health professional will discuss treatment options with you, including therapy, medication, and self-care strategies. They may also make recommendations for lifestyle changes and other treatments that may help manage your symptoms.

The treatment for clinical depression typically involves a combination of therapy, medication, and lifestyle changes. The specific treatment plan will depend on the individual's needs and the severity of their symptoms. Some of the most common treatments for depression include:

  1. Psychotherapy: Talking to a mental health professional about your thoughts, feelings, and experiences can help you understand and manage your depression. Common forms of therapy for depression include cognitive-behavioral therapy (CBT), which helps you identify and change negative thinking patterns, and interpersonal therapy (IPT), which focuses on improving relationships and communication skills.

  2. Medication: Antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs), can help to regulate the chemicals in the brain that affect mood. Antidepressants can take several weeks to start working, and it may take some trial and error to find the right medication and dosage for each individual.

  3. Electroconvulsive therapy (ECT): ECT is a medical procedure that uses electrical currents to stimulate the brain. ECT is usually used for individuals with severe depression that has not responded to other treatments.

  4. Lifestyle changes: Making changes to your daily habits can help to manage symptoms of depression. This may include regular exercise, healthy eating, and getting enough sleep.

  5. Self-care: Practicing self-care, such as mindfulness, deep breathing, and relaxation techniques, can help to manage symptoms of depression and improve overall well-being.

It's important to work with a mental health professional to determine the best course of treatment for your depression. Treatment may need to be adjusted over time based on how well it is working and how symptoms change. With the right support, many people with depression are able to recover and lead fulfilling lives.

If you or someone you know may be struggling with depression or suspected depression, it is important to seek professional help. A mental health professional can provide a proper diagnosis and treatment plan to help manage symptoms and improve overall well-being.

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