Understanding Clinical Depression, Coping Mechanisms, and The Possibility of Improving Our Mental State


Clinical depression (also called major depression) is a major hurdle in the lives of many people. In fact, about 14.8 million American adults – nearly 7% of the population – suffer from it during any given year. While it can strike anyone, it is more common among women than men. However, women are more likely to seek treatment.

When it comes to teens, the depression problem only gets more severe. In fact, experts estimate that as many as 1 out of every 8 adolescents in America are depressed, but only 1 in every 5 of those get the help they need. Even children, at a lower percentage, can be diagnosed with clinical depression.

What is Clinical Depression?

Depression disorders vary widely in severity and duration. What most people refer to as "depression" would typically describe more mild and temporary episodes. Why any type of depression is troubling, clinical depression often rises to the level of a persistent and debilitating illness. As the more serious form of depression, it is not typically caused by a single tragic event. It consumes sufferers most of the day, nearly every day, and cannot be treated as a temporary sadness to "snap out of." Clinical depression is exhibited in the following symptoms:

  • Depressed mood, sadness, and a feeling of emptiness
  • Low or no interest, and taking no pleasure in most or all activities
  • Significant, unintentional weight loss, weight gain, or appetite changes
  • Insomnia or excessive desire to sleep; fatigue
  • Feeling restless or slow
  • Unexplained aches and pains
  • Misplaced guilt or feelings of worthlessness
  • Difficulty concentrating or making decisions
  • Contemplating death or suicide; suicide attempt(s)

What About Teens?

While the symptoms are very similar in teens and adults, there are some more particular signs of depression in teenagers that parents should be looking for in addition to the list above. Many depressed teens will exhibit poor performance in school or neglect their appearance. They might withdraw from friends or activities that they usually love. They may also show increased hostility or irritability without provocation. Many others will speak or write of suicide or wanting to disappear -- even in apparent joking.

What Causes Clinical Depression?

While the exact cause of clinical depression isn't clearly understood, experts have considered some contributing factors that may increase the risk of you or someone you love developing it. For example:

  • Biological or chemical differences in the brain - The brains of people with clinical depression may operate differently from those who do not have it.
  • Hormonal changes or imbalance - Changes in the way hormones in the body are balanced can be a trigger for depression.
  • Genetics - Doctors are studying the role genetics may play in depression, since those with a family history of it are more likely to have the same diagnosis.
  • Substance abuse - These habits may trigger or exacerbate depression, especially for others already at higher risk.
  • Certain medications - Some medicines, such as sleep aids or blood pressure medication, can increase risk for clinical depression.

How to Cope with Clinical Depression

In addition to seeking medical assistance or counseling, there are a lot of things you can do to help yourself or your teen with the effects of depression. Family support is a big indicator of treatment success, so rallying around each other is a great first step. But as far as the affected individual goes, there are some specific things you can encourage them to do to feel better:

  1. Stay connected
    People with depression tend to isolate themselves, withdrawing from their usual social circles. From social media and phone calls, to in-person visits and even pets, help them stay involved with people who love and care about them.
  2. Focus on the fun
    When your teen or other loved one wants to back away from things they used to enjoy, encourage them to continue with the hobbies and actives you know they love. It could be as simple as lunch with a few friends, a day trip, or a creative project.
  3. Move more
    The tendency to stay in bed or lay low can only make the depression feel worse. But physical activity itself can be a powerful anti-depressant. If a rigorous or formal workout is too much, begin with a short walk, stretching, or something fun like dancing.
  4. Eat right
    Believe it or not, your diet has a big impact on your mood - for good or bad. Foods that can make your mood more volatile include alcohol, caffeine, or foods with chemical preservatives, trans-fats, or hormones (such as some dairy or meat products).
  5. Know the source
    When someone has depression, the negative thinking can overwhelm them. They may feel weak, hopeless, and irritable. Encourage them to consider the source of the thoughts that enter their mind, and evaluate the real-world rationality of them. Most of the pessimistic, negative self-talk is actually the depression distorting their normal thinking.

Treatment Options

Clinical depression is a diagnosis that tends to weigh heavily patients. It may seem like a life-long sentence of sadness, but it often responds remarkably well to treatment. As a friend, family member, or parent of someone with depression, it's important to seek qualified professional help and consider all the available options to see what fits best. Some of your options may include:

  • Psychotherapy - Cognitive, family-focused, one-on-one
  • Medication - Prescription mood stabilizers, antidepressants, and more
  • Brain stimulation - Electroconvulsive or magnetic treatments
  • Self-management strategies - Education, meditation, and faith
  • Alternative treatments - Nutrition, natural mood stabilizers, and acupuncture

Take Action

No matter your situation, it's vital that you never ignore the signs of depression in yourself or someone you love. In the case of a teen, you are in a strong position to make a major difference in the rest of their lives. With the proper attention and treatment, clinical depression doesn't have to define who they are.

As long as you know what to look for, you can reach out for help where necessary. If you suspect depression is becoming an issue in yourself, your teen, or someone else close to you, don't hesitate to ask for help from a counselor or medical professional.

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