There has been an increasing interest in and justifiable concern about people’s mental health. Depression is used as a catch-all covering any and all mental health issues especially those that manifest in feelings of deep sadness and a dark mood overall. There are however different types of depression varying in severity, causal factors, and even symptoms. Here are the most common types of depression:
1. Major depressive disorder
This is the classic depression type also referred to as unipolar depression where a dark mood is all-consuming and one loses interest in activities, even the ones that are usually pleasurable. People with major depression experience symptoms most of the day every day and it has little to do with what’s happening around them. Their circumstances can be great, for example, they may have a supportive family, great friends, and a dream job yet still suffer from it. It is a severe form of depression that cause symptoms such as:
- Despondency, gloom, or grief
- Difficulty sleeping or sleeping too much
- Lack of energy and fatigue
- Loss of appetite or overeating
- Unexplained aches and pains
- Loss of interest in formerly pleasurable activities
- Lack of concentration, memory problems, and inability to make decisions
- Feelings of worthlessness and hopelessness
- Constant worry and anxiety
- Thoughts of death, self-harm, or suicide
If a person experiences the majority of these symptoms for longer than a two-week period, they will often be diagnosed with MDD.
2. Persistent depressive disorder
Also known as dysthymia, persistent depressive disorder refers to a type of chronic depression present for more days than not for at least two years. It can be mild, moderate or severe. While it is not as intense as major depression, it can still strain relationships and make daily tasks difficult. The severity can vary so that some months are worse than others. Some people also have episodes of major depression before or while they have a persistent depressive disorder. Some symptoms of persistent depression include:
- Deep sadness or hopelessness
- Low self-esteem or feelings of inadequacy
- Lack of interest in things you once enjoyed
- Appetite changes
- Changes to sleep patterns or low energy
- Concentration and memory problems
- Difficulty functioning at school or work
- Inability to feel joy, even on happy occasions
- Social withdrawal
Treatment often involves the use of medication and psychotherapy.
3. Season affective disorder (SAD)
This depression occurs with seasonal changes and is at its peak during winter. It is depression that’s related to certain seasons. It does not stay long and clears up on its own within months. The cause is yet to be pinpointed but it is believed to occur as a result of an imbalance in brain chemicals with the decreased sunlight that occurs mainly in winter.
It may get worse as the season progresses and can lead to suicidal thoughts.
Symptoms include:
- Social withdrawal
- Increased need for sleep
- Weight gain
- Daily feelings of sadness, hopelessness or unworthiness
4. Bipolar disorder
Bipolar disorder was formerly known as manic depression. Someone suffering from bipolar has mood episodes that range from extremes of high energy with an “up” mood to low “depressive” periods. Symptoms can range from mild to extreme. In the low periods, people experience symptoms of major depression including:
- Diminished interest in activities
- Fatigue, insomnia, and lethargy
- Unexplained aches, pains, and psychomotor agitation
- Hopelessness and loss of self-esteem
- Irritability and anxiety
- Indecisions and disorganization
The risk of suicide in bipolar illness is about 15 times greater than in the general population. In extreme cases, psychosis, including hallucinations and delusions occur. Medication can help bring mood swings under control. Read more about Bipolar Disorder: Types, Causes And Symptoms
5. Situational depression
Also clinically referred to as adjustment disorder, situational depression looks has symptoms similar to major depression in many aspects and can be brought on by specific events or situations such as:
- The death of a loved one
- A serious illness or other life-threatening events
- Going through divorce or child custody issues
- Being in emotionally or physically abusive relationships
- Being unemployed or facing serious financial difficulties
- Facing extensive legal troubles
It can also be referred to as “stress response syndrome”. Psychotherapy can often help with this type of depression that is related to a stressful situation.
Depressive disorders unique to women
6. Perinatal depression (PPD)
It occurs during pregnancy or after childbirth within four weeks of childbirth. Post-partum only covers the after childbirth depression but perinatal covers depression during pregnancy and after giving birth. It is triggered by hormonal changes in the brain that happen during pregnancy and after childbirth. It is further exacerbated by the lack of sleep and physical discomfort that accompany pregnancy and having a newborn. Symptoms include:
- Sadness
- Anxiety
- Anger or rage
- Exhaustion
- Extreme worry about the baby’s health and safety
- Difficulty caring for yourself or the new baby
- Thoughts of self-harm or harming the baby
Women who have had depression before and women who lack support are at an increased risk of developing perinatal depression but it can happen to anyone. Here is more about postpartum depression. Health & Parenting: Things You Should Know About Postpartum Depression
7. Premenstrual dysphoric disorder (PMDD)
This is a severe form of premenstrual syndrome (PMS). While PMS symptoms tend to be both physical and psychological, PMDD symptoms tend to be psychological. Women with PMDD have depression and other symptoms at the start of their period including:
- Cramps, bloating, and breast tenderness
- Headaches
- Joint and muscle pain
- Sadness and despair
- Extreme mood swings
- Irritability and anger
- Panic attacks or anxiety
- Trouble concentrating
- Fatigue and general lack of energy
- Food cravings or binge eating
- Sleep problems
- Feelings of being overwhelmed
It’s believed to be related to hormonal changes. Symptoms often begin just after ovulation and start to ease up once you get your period.
There are different types of depression with different levels of severity, different causal factors, symptoms, and treatment methods. What they do have in common, is people who are in pain and are suffering in one way or another. Let’s remember to extend compassion and whatever help we’re able to offer.
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Check out: 7 ways you can help a friend going through depression. Also Here are Mental Health: How To Spot Depression In Loved One
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