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Major Depression: When Everything Feels Too Hard

Arslan is from Pakistan with high ambitions to achieve his goals in life. He is a freelance writer. Writing articles is his passion.


Most people feel sad or depressed at times. It's a normal reaction to life's struggles. But when intense sadness, including handling helplessness, hopelessness, and worthlessness, lasts for many days to weeks and keeps you from living your life, it may be something more than sadness. You could have clinical depression, which is a treatable medical condition.

Depression is when everything feels too hard. When you feel so low, things you previously enjoyed no longer hold that same joy. Depression is more than just feeling sad. Everyone feels upset or unmotivated from time to time, but depression is more serious. It is a mood disorder characterized by prolonged feelings of sadness and loss of interest in daily activities. If these symptoms persist for at least two weeks, it is considered a depressive episode.


Things To Keep in Mind

Depression is:

  • A mental illness that is known all around the world
  • Common, and it affects about one in ten of us
  • Something that anyone can get
  • Treatable

Depression is not:

  • Something you can 'snap out of.'
  • A sign of weakness
  • Something that everyone experiences
  • Something that lasts forever as one episode

“What is depression like? It’s like drowning, except everyone around you is breathing.”


Depression symptoms

  • Feelings of sadness or suicide.
  • Loss of interest or pleasure in activities once enjoyed
  • Changes in appetite — weight loss or gain unrelated to dieting
  • Trouble sleeping or sleeping too much
  • Loss of energy or increased fatigue
  • Increase in purposeless physical activity (e.g., hand-wringing or pacing) or slowed movements and speech (actions observable by others)
  • Feelings of worthless or guilty.
  • Difficulty thinking, concentrating or making decisions.
  • Thoughts of death or suicide
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Depression Causes

  • Family history – Depression can run in families, and some people will be at an increased genetic risk. However, having a parent or close relative with depression doesn’t mean you’ll automatically have the same experience. Life circumstances and other personal factors are still likely to influence significantly.
  • Personality – Some people may be more at risk of depression because of their nature, particularly if they tend to worry a lot, have low self-esteem, are perfectionists, are sensitive to personal criticism, or are self-critical and pessimistic.
  • Serious medical illness – The stress and worry of coping with severe disease can lead to depression, especially if you’re dealing with long-term management and chronic pain.
  • Drug and alcohol use – Drug and alcohol use can both lead to and result from depression. Many people with depression also have drug and alcohol problems. Over 500,000 Australians will experience depression and a substance use disorder simultaneously at some point.

Depression and Anxiety Disorders: Not the Same

Depression and anxiety disorders are different, but people with depression often experience symptoms similar to those of an anxiety disorder, such as nervousness, irritability, and problems sleeping and concentrating. But each condition has its causes and its own emotional and behavioral symptoms.

Many people who develop depression have a history of anxiety disorders earlier in life. There is no evidence one condition causes the other, but there is clear evidence that many people suffer from both diseases.

Depression is "living in a black hole" or feeling impending doom. However, some depressed people don't feel sad at all—they may feel lifeless, empty, and apathetic, or men, in particular, may even feel angry, aggressive, and restless. Whatever the symptoms, depression is different from normal sadness in that it engulfs your day-to-day life, interfering with your ability to work, study, eat, sleep, and have fun. In addition, the feelings of helplessness, hopelessness, and worthlessness are intense and unrelenting, with little, if any, relief.


Remember ...

Medications and psychotherapy are effective for most people with depression. Your primary care doctor or psychiatrist can prescribe medications to relieve symptoms. However, many people with depression also benefit from seeing a psychiatrist, psychologist, or other mental health professional.

If you have severe depression, you may need a hospital stay, or you may need to participate in an outpatient treatment program until your symptoms improve.

Antidepressants are beneficial in the treatment of depression.

Antidepressants aren't considered addictive, but sometimes physical dependence (which is different from addiction) can occur.

© 2020 Arslan Khan

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