Depression, Not Just Sadness

Keep in mind that all of my blog posts are intended for general information, which I hope is helpful. Please consult with a professional when you or someone you know is motivated and ready to undergo treatment.


People tend to think that depression is synonymous with sadness, but it’s really so much more than that. Something I often hear from patients goes something like this: “I don’t think I have depression because I don’t feel sad.” Plus, many people figure, if life is going generally well and I have no good reason to be depressed, how can I be depressed?

Sadness is just one of many symptoms that mental health professionals look for when assessing for depression, so even if sadness isn’t your primary problem it doesn’t mean depression should be ruled out completely. It’s also important to remember that feeling sad can be normal and shouldn’t always be seen as pathological (caused by mental illness), so even if you feel sad it doesn’t automatically mean you also have depression.

So what are some other symptoms to look for? Well, some common symptoms that I tend to see in my practice beyond sadness include (but are not at all limited to):

  • Crying easily and often not knowing why
  • Getting very angry very easily or just quickly becoming irritated by others
  • Not wanting to spend time with friends or loved ones and isolating yourself
  • Losing interest in things that you normally find enjoyable
  • Feeling hopeless about the future
  • Difficulty getting restful sleep
  • Feeling physically tired and weak; can’t work out, get off the couch, or out of bed
  • Having a hard time concentrating on school work or work duties
  • Increased feelings of anxiety (for more on anxiety, click here)
  • And yes, many people talk about sadness but actually, maybe even more often than that, I hear about people feeling empty, which is very different


What it is NOT: it is not a defining characteristic that says you are a sad person that doesn’t know how to appreciate life or what you have, that only affects those who are mentally or emotionally weak.

What it is: it is a helpful way for a psychologist to categorize your symptoms and to formulate a treatment plan that works for you (which may or may not include medication), to help not only ease your symptoms but to improve your ability to fulfill important roles in your life (e.g., if you are a mother, a student, or a husband) and ultimately accomplish personal life goals.

Being depressed can be more difficult due to the pressure we feel to constantly remind the world that we are happy and positive. So, especially when we seem to “have it all,” we might feel some shame if we are depressed and would rather not tell anyone about it. For many of you, this might mean you secretly live with it and end up dealing with it alone.

The important thing, if you think you or someone you know is depressed, is to seek appropriate support. In addition to a supportive community, having a professional discuss these things with you to develop a plan that suits your specific concerns may help you determine if psychotherapy and/or medication might be helpful. There may be reason to have hope that help is out there if you need it.

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