Feeling blue

Depression is characterised by a feelings of low-mood, sadness, unhappiness, etc. but there are many other associated symptoms that are worth knowing about, including:

  • Low energy levels generally
  • Interrupted sleep (typically falling asleep OK but waking frequently later in the night)
  • Reduced interest in previously pleasurable activities (for example, reduced libido, losing interest in exercise, seeing friends less, etc.)
  • Loss of appetite (although in some cases, increased appetite!)
  • Concentration problems (usually noticed at work)

Depression can lead to suicide. Over 50% of all suicides involve people suffering from depression (but almost invariably they are inadequately or not treated) – 90% of suicides involve a diagnose-able mental-health condition. There are some 10 suicide attempts for every actual suicide.

Depression is caused by imbalances in brain chemicals like Serotonin, as well as by often-complex psychological factors that may be current (e.g. stress, relationship problems, etc.) or historical (e.g. childhood experiences, previous trauma, etc.). Very often a mix of causes is involved.

Depression affects some 3-5% of people at any given time and close to 20% of people will suffer from depression during their lives.

Depression is sometimes associated with other issues like stress, anxiety, alcohol and drug-abuse, etc. It can sometimes be difficult to clearly identify what came first and in many cases the most practical approach is to try to address the set of problems together.

Mental health problems are still associated with a degree of stigma and judgement in modern society (this is really just due to ignorance but still….) and so sufferers tend to be reticent in seeking help, which is hugely unfortunate. The main treatments used for depression are:

  1. Medication – various anti-depressants are used today. Nearly all are safe and non-addictive (these are not sleeping pills) although they take some 4-8 weeks to become effective and usually need to be taken for many months to maintain the improvement.
  2. Counselling – here, a number of approaches are used. Short-term counselling focusses on practical changes and problem solving skills etc. while longer-term psychotherapy considers deeper personal issues. Both approaches can be effective, and hybrid/mixed approaches are also used – the ideal approach for a given person is best considered on an individual basis.


Depression is serious. It is too-often overlooked or hidden, which is a desperate shame since it is usually very treatable with modern approaches.