Depression can be serious, so I want to help you recognize its symptoms. This information is in no way complete - it does not include every type of depression or everything that you can do to manage depression. There is a lot more you can learn that will help you live beyond the effects of depression.
Everyone will feel sad or blue from time to time. It is important to recognize when sad feelings and behaviors become part of depression. If five or more of the Keys to Recognizing Depression describe how you have been feeling for more than two weeks, you could be clinically depressed.
If you are having trouble with depression, please call your doctor or make a call to someone. Withdrawal into isolation and suffering is a symptom of depression.
Reaching out is part of the cure.
Notice, too, the symptoms you don’t have. You will probably discover that you are already doing some of the suggestions below. Congratulate yourself.
For an appointment call
Keep it a question and call someone.
National Mental Health
National Mental Health Hotline 1.800.784.2433
MHMR 24 HR Crisis Line 214.828.1000
NTBHA Mobile Crisis Hotline (ACS): 1-866-260-8000
Crisis Text Line: Please text HOME to 741741
from your mobile device
Suicide and Crisis Center of North Texas:
National Suicide Prevention Lifeline:
24/7/365 Crisis Hotline:
or Text ANSWER to 839863
Benefits of the crisis lines
Available 24 hours a day - 7 days a week
Caller remains in control of the call
Only tell what you want to tell them
Only talk about what you want to talk about
Can call as often as you want or need to call
Volunteers and professionals trained and willing to listen to just about anything
Volunteers and professionals are not interested preaching, condemning, or telling you what to do
Dial 911 to report risk of imminent harm
to yourself or others.
Keys to Recognizing Depression
Feeling sad, empty, or tearful most of the day. Someone telling you that you seem sad or down often. Children and adolescents could be in an irritable mood most of the time.
You no longer enjoy or have much interest in daily activities.
A significant change in your weight and appetite without deliberate effort. Children might not be gaining weight as expected for growth.
You are sleeping or wanting to sleep all the time. Or it is difficult to sleep at all.
People tell you that you seem physically agitated/restless/slow almost every day. Children may become disruptive or have sudden outbursts of anger.
You feel physically tired most of the time. You have lost your usual energy.
You have strong feelings of guilt and worthlessness almost every day even though you know you have done nothing wrong.
You have trouble concentrating and making decisions almost every day. People tell you that you look like you are in a daze/fog/lost.
Children may become increasingly fearful and preoccupied with thoughts of death with no apparent cause.
You have frequent thoughts about suicide, have developed a suicide plan, or have attempted suicide.
Important Note: 988 is not currently active. If you are experiencing a crisis,
text "NAMI" to 741741 or
call the Suicide Prevention Lifeline at
Just heard -in addition to the 10 digit numbers listed above there will be new quicker easier number - 988 National Emergency Hotline
Gene testing can provide useful information to guide medication selection. Gene testing includes screening for possible interactions, best compatibility and effective dosing.
Pharmacodynamic - what the Rx does to the body - how a medication can contribute to the treatment of a condition.
Pharmacokinetics - what the body does to the Rx - how the body actually manages a treatment medication.
It may be worth having a conversation with your prescribing physician to see if gene testing would assist in selecting the right medication(s) for you.
A healthy diet and regular exercise can make us healthier in many ways. This advice has not changed.
Metabolic research is providing a more explicit understanding in how nutritional deficits may actually be contributing to mental health distress. The National Institutes of Health has comprehensive resources about complimentary alternative medications. For example - B-complex (B3, B6, B12) deficits are being linked to a range of mental health concerns - anxiety, tension, stress, depression, and more specifically PMS, fatigue, moodiness, and irritability.
Again, worth a conversation with your treating physician to see what they suggest adding to your nutritional supplements.
Just a few suggested readings:
Hand Me Down Blues
is one of several useful books
by Michael Yapko
How to Heal Depression
By Harold H. Bloomfield, MD & Peter McWilliams
Feeling Good: The New Mood Therapy
By David D. Burns, MD
By Judith Viorst
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