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My Depression in My Life

Depression is something that shows itself differently for everyone. There is no one person, or one story, or one experience that can make someone universally understand truly how depression alters the lives of those of us who suffer from it. I can’t make anyone understand how it is for everyone, but I can tell you how it alters my life, and maybe that will help people understand how all-encompassing it really is.

For me there are two main ways that my depression manifests itself when it breaks through the barriers I have set with the help of years of therapy and medication. There is the gut wrenching loneliness and near constant anxiety and then there is the checking out, the feeling nothing at all, the numbness. Sometimes I don’t know which is worse, but I will try to explain both.

The Loneliness and Anxiety:

In some ways I consider this step one of when my depression spikes because it always seems to come first. But I don’t consider it step one in levels of horribleness. Like I said above I really think that both ways my depression hits me are pretty awful and I couldn’t say which is worse.

You know that feeling you have in your gut when you are about to and/or really need to cry. While that is what it is like. All the time. I could be laughing and having a great time with my friends, which I often am because my friends are great, and yet in the back of my mind I feel more alone than ever and I just want to curl up into fetal position and cry. But I never can. I can’t go home and cry and then feel better, because it’s not like there is something to cry about, or really anything to be sad about. And it isn’t really sadness. It is complete solitude. It’s when my brain tells me that I am alone, that I can’t be loved, that no one really wants me around, and worst of all that no one will understand me.

That is worst of all because at the place I am in my life, no matter what I have been through in the past, or what my depression tries to make me believe I know that I can be loved, that I’m not alone and that I am wanted. And I know that because of the hard work I have done to get to that place in my life, and because of some of the amazing people in my life who make sure that I know that they are there for me, that they love me, and that they want to spend time with me.

But the idea that no one will ever truly understand who I am, or any of that. That is a little harder to dissuade myself from believing. Because as much as I can tell people what I went, and still go through and what goes through my mind, who can really understand me other than me. And that isn’t necessarily a bad thing, but the way my depression tells me it, it is a bad thing.

So there I am surrounded by people, very possibly having some of the best experiences of my life, feeling like I need to bawl, completely unable to, and nearly having an anxiety attack because I just want it to end.

And it is here where two things happen. It is here where I wish for and welcome the numbness because I don’t want to feel the all-encompassing loneliness and anxiety. It is also where I think about cutting.

I have not cut myself in three and a half years. And I know that it doesn’t solve my problems. I know that I shouldn’t and I don’t want to. Even when I want to I don’t want to.

But here, when I am feeling the all-encompassing loneliness which is the very last thing that I want to feel, I think about cutting because it lets me feel something else.

The physical act of cutting gives me something to think about and focus on, something other than that loneliness. And when I am not physically cutting, instead of thinking about how lonely I am and how that feeling will never end I think about the next time I can cut, or the most recent time I did.

And Then The Numbness:

I don’t really know how to explain this numbness. It is simply a period of time where I feel literally nothing. I fake happiness/normal emotion around friends, not always very well, and when I am alone I just don’t care about anything.

This is when my grades often fall because I don’t care about anything, including school, and therefore school work.

And then, sometimes I just want to feel something, anything, and so that is when I think about cutting. I think about cutting because it gives me something to feel, something I can control, but still feel.

The numbness comes because I can’t handle what I’m thinking and feeling, because it is too much for me to deal with, so I shut everything off so I don’t have to feel it.

In some ways, cutting transitions me back into feeling. But again, cutting, NOT A SOLUTION, NOT HEALTHY.

And something that I no longer do.

Now, for the past three and a half years, whenever I think of cutting, which I still do. It is still my first thought in either of these situations, I instead do one of the many things that I have come to know to help me cope.

For example, I force myself to spend more time with my friends, because I know that the loneliness will pass and I can talk myself out of feeling lonely when I am not physically alone.

I read/watch anything romantic. I pretend that I am one of the characters, and then I feel what they feel instead of what I am feeling (or preventing myself from feeling).

I belt along to old school Taylor Swift. Because what is more beautiful than a summer romance in a small country town with Chevy trucks and Tim McGraw?

And though my schoolwork does still sometimes fall through the cracks, I always make myself do some work.

Basically I force myself to live my life, because well, it is my life, and I refuse to live it feeling alone when I’m not, and numb when I could be great.

So even though I do feel those things far more often than I would like it is something that I live with, because I have depression.

Because depression is a disease, and I will always have it.

Because my depression is a part of who I am.

And most of all, because I only have one life, and I want to live it. Because even though when my depression spikes it makes me want to not live sometimes, I refuse.

Because I am the author of my own life and I choose to put a semicolon instead of a period at every point that my depression tells me otherwise.

So that is how my depression affects my life. That is how I deal with it. Like it or not I always will.

I Have Depression, and I'm Proof That You Never Know the Battle Someone Is Waging Inside

Updated on 2/27/2020 at 7:50 AM

I never thought I'd live to be 26 years old. You may be wondering why someone who seems perfectly healthy would have such a dark thought , and you would not be alone. But I'm proud to say that turning 26 has been one of the greatest accomplishments of my life.

If you checked my Instagram over the last few years, you would have seen me as the happiest girl in the world , traveling the globe teaching yoga and weightlifting. But keeping up that image grew exhausting, so I decided to be brave and tell my story. My story is not unique, but it's one that is rarely spoken about due to fear. Fear can be a crippling emotion, but it can also be a powerful tool.

Depression and anxiety are just like any other illness. They're nothing to hide away.

So I'm going to ask something scary: do the words "mental health" make you uncomfortable? They used to make me feel that way, too. But depression and anxiety are just like any other illness. They're nothing to hide away. In fact, these journeys should be shared and celebrated.

I have had anxiety for as long as I can remember. Growing up, it impacted every part of life. I would have panic attacks before going to school, sleepless nights before games or tests, endless thoughts of everyone being against me, and days where I felt completely alone in the world. In college, things got worse. I became extremely depressed. I partied every chance I got. I hung out with people who fed the worst parts of me. I protected myself by flashing a big smile and playing the part of the bubbly sorority girl. I told myself that depression is scary and no one wants to hear about that .

Keep it hidden and keep smiling.

A few years later, at the age of 20, my smile had fallen and I had given up. The thought of waking up the next morning was too much for me to handle. I was no longer anxious or sad; instead I felt numb, and that's when things took a turn for the worse. I called my dad, who lived across the country, and for the first time in my life, I told him everything. It was too late, though. I was not calling for help. I was calling to say goodbye.

Miraculously, he convinced me to hang on for a few more hours. Had he not boarded the very next flight to me, I would not be here right now.

That is when I started my long and continuous journey to get healthy. I worked with doctors and therapists , but I still struggled. Until one day my dad took me to a CrossFit gym by my school and for the first time I picked up a barbell. It instantly became my place to escape, my outlet, my medicine . I did not go more than a day without having a bar in my hand, but weightlifting and fitness were not enough alone.

After a year or so, the depression crept back in. I channeled the inner strength I had built in the gym and asked for help. This is when I began working with a new therapist, one who believed that depression decreased by age 26. I have no idea if this is true, but in yoga, you're taught not to ask if the thought is true, but rather if the thought serves you. So I hung onto this. When I fell into a really bad spell, I reminded myself, "Just a few more years. Hang on until you are 26. It will get better."

I kept lifting. I kept working. I kept growing.

As an Olympic weightlifting coach and yoga teacher, people tell me all the time how strong I am, which used to make me feel like a total fraud. But today, I am 26 years old. Today, I'm proudly sharing something I felt so ashamed of for so many years , and that's because I'm strong. I have a strength that this illness will never be able to match, not at 26 or any age after that.

The charity Project Semicolon is close to my heart. The idea behind it : "a semicolon represents a sentence an author could have ended, but chose not to." My story isn't over, and each chapter is a lot brighter, a lot bolder, and filled with a lot of fun new characters. There's always more to come. We just need to continue writing.

If you or a loved one are in need of any help, the National Suicide Prevention organization has several resources and a 24/7 lifeline at 1-800-273-8255.

• Healthy Living
• Personal Essay

• Depression: Major Depression & Unipolar Varieties

A Personal Story of Living through Depression

John Folk-Williams has lived with major depressive disorder since boyhood and finally achieved full recovery just a few years ago. As a survivor of ...Read More

A recovery story is a messy thing. It has dozens of beginnings and no final ending. Most of the conflict and drama is internal, and there’s a lot more inaction than action. The lead character hides in the shadows much of the time, so you can’t even see what’s going on.

I joined up with depression around the age of 8. There are snapshots of me in the shabby brown jacket I liked to wear. My mom took beautiful photographs, and there are lots of me in moody shadows, looking as down as could be.

She had her own depression to worry about. My typical memory of her from that time brings back a couch-bound, often napping, mother. She explained her sleep problem as a condition she called knockophasia – a term I’ve never been able to find in any dictionary. A few minutes after lying down, snap! Sound asleep. No one mentioned strange emotional problems or mental illness in those days. My parents occasionally talked about someone having a nervous breakdown as if they had died. There was no hint of a need to get help for my mother, much less for me. No one worried about me since I was a star in school, self-contained and impressive to teachers for being so mature, so adult.

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Migraine headaches started then, and increasingly intense anxiety about school. I missed many days, felt shame as if I were faking, and obsessed over every one of my failings. I spent long hours alone in my room.

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Through my teenage years, depression went underground. Feelings were dangerous. There were too many angry and violent ones shaking the house for me to add to them. So I kept emotion under wraps, even more so than in childhood. Nothing phased me outside the house and even at home I showed almost no sign of reaction to anything, even while churning with fear and anguish.

It was in my 20s that I broke open, and streams of depression, fear, panic, obsessive love and anger flowed out. In response to a panic attack that lasted for a week, I saw a psychiatrist. In one marathon session of 3 hours he helped me put the panic together with frightening episodes from my family life. I was cured on the spot but never went back to him. It was too soon to do any more.

It took another crisis a few years later to get me back to a psychiatrist and my first experience with medication – Elavil. But I had no idea what it was. I took something in the morning to get me going and something at night to help me sleep. I took it short term, got through the crisis but continued in therapy. From there I was steadily seeing psychiatrists in various cities for the next 8 years. But no one mentioned depression.

I first saw the word applied to my condition in a letter one psychiatrist wrote to the draft board during the Vietnam era. But I wasn’t treated for that problem. Therapy in those days was still in the Freudian tradition, and it was all about family life and conflict. Depression was a springboard for going deeper. Digging up the past to understand present problems was a tremendous help, and it changed me in many ways. But depression was still there in various forms, reappearing regularly for the next couple of decades. There were wonderfully happy and successful times as well, but I had these ups and downs through marriage, children and a couple of careers.

Gradually, depression became so disruptive that my wife couldn’t take it anymore and demanded I get help. So I finally did. This was the 1990s. Prozac had arrived, and I started a tour of medication over the next dozen years that didn’t do much at all. Nor did therapy, though two psychiatrists helped me to understand the more destructive patterns in my way of living.

Depression pushed into every corner of my existence, and both work and family life became more and more difficult. The medications only seemed to deaden my feelings and make me feel detached from everyone and immune to every pressure. It was like having pain signals turned off. There was no longer any sign coming from my body or brain that something might be wrong. I felt “fine” but relationships and work still went to hell.

The strange thing was that after all these years of living with it, I didn’t know very much about depression. I thought it was entirely a problem of depressed mood and loss of the energy and motivation. As things got worse, I finally started to read about it in great depth.

I was amazed to learn the full scope of depression and how pervasive it could be throughout the mind and body. I finally had a coherent, comprehensive picture of what depression was.

That was a big step because I could at last imagine the possibility of getting better. I could see that I wasn’t worthless by nature, that there were reasons my mind had trouble focusing and that the frequent slowdown in my speech and thinking was also rooted in this illness. Perhaps the right treatment could bring about fundamental changes after all.

There were still traps ahead, though. I became obsessed with the idea of depression as a brain disease. I studied all the forms of depression, the neurobiology and endless research studies. That was a good thing to do, but after awhile I was looking more at “Depression” than the details of my own version of the illness.

I wondered how many diagnostic categories I fitted into. For sure I had one or more of the anxiety disorders. Perhaps I fit into bipolar II instead of major depressive disorder. What about dissociation? I read the research study findings as if they were announcing my fate.

It was comforting to know I had a “real” disease. Not only could I answer any naysayers about the reality of depression. I also had a weapon to fight my internalized stigma, the lingering doubt that anything was wrong with me. I used to think that maybe I really was using the illness as a way to avoid life and cover up my own weakness. Here was proof that depression wasn’t all in my imagination but in my brain chemistry.

Neurobiology was far beyond my control. I couldn’t recover by myself. Doctors had to cure me through medication or other treatments, like ECT. However, that meant my hopes were pinned on them, not on my own role in getting better.

When the treatments failed to work, I got desperate that there would never be an end to depression. Hope in the future fell apart. My life would continue to run down. Could it even lead to suicide, as it had for friends of mine?

Fortunately, as I learned more, I listened to the experts who had a much broader view of the causes of the illness. Peter Kramer’s overview of research in Against Depression made it clear to me that contributors to the illness could include genetic inheritance, family history, traumatic events and stress as well as the misfiring of multiple body systems. No one could point to a single cause or boil it down to a few neurotransmitters.

So I went back to basics and looked much more closely at the particular symptoms I faced. I tracked the details in everyday living and saw that I needed to take the lead in recovery. Medication – when it had any effect at all – played a modest role in taking the edge off the worst symptoms. That bit of relief gave me the energy and presence of mind to work on the emotional and relationship impacts, to try to straighten out the parts of my life I had some control over.

I was determined to stop the waste of life in depression. I got back into psychotherapy and tried many types of self-help as well. Many didn’t work at all, but something inside pushed me to keep trying, despite setbacks.

One of the most important efforts was writing about my experience with depression. Writing is one way I discover things, but a deep fear had blocked me from doing it for years. I can see now that the real reason I got stuck was that I had been trying to write about everything but depression. When I could finally take that on directly, writing came naturally.

Blogging turned out to be the right medium. It was manageable even when I was down. The online community of people who lived with depression gave me a form of support that I had never had before. Another decisive step was getting out of high-stress work that I had been less and less able to do effectively. Taking that constant burden away restored a deep sense of vitality.

After all this, recovery finally started to happen. It took me by surprise, and for a long time I didn’t trust that it would last. But something had changed deep down. I believed in myself again, and the inner conviction of worthlessness disappeared.

I had found a deeply satisfying purpose in writing, as well as the energy and humor to do what I wanted to do. I regained the awareness and emotional presence to be a part of my family again, instead of the hidden husband and dad.

As anyone dealing with life-long depression will tell you, setbacks happen. There’s no simple happy ending. But if you’re lucky, an inner shift occurs, and the new normal is a decent life rather than depression. Self-awareness is key to good mental health. Take our online depression quiz today.

• Major And Unipolar Depression
• Related Conditions Part I
• Historical Understanding Part I
• Neurotransmitters
• When To Seek Help
• Suicidal Ideation
• Other Articles
• Classic Symptoms
• Neuroplasticity And Endocrinology
• Measuring Depression
• St. John's Wort
• Dual Diagnosis And Symptom Severity
• Understanding Mood Episodes
• Biopsychosocial Model
• Genetics And Imaging
• Questionnaires And Tests
• The Benefit Of Exercise
• How Depression Develops
• Negative Impacts Of Depression
• Diasthesis-Stress Model
• Modes Of Treatment Part I
• Omega-3 Fatty Acids
• DSM Criteria
• Psychodynamic Theories
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• Cognitive Theory ?EUR" Aaron Beck
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• Blunt Instruments
• Depression & Cancer
• Heart Disease
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• Elusiveness Of Pleasure
• Depression In Women
• Symptoms & Causes
• A Treatable Illness
• Path To Healing
• ADHD, Psychotherapy & Medication
• Anxiety & Pets
• Setting Limits
• Dysthymic Disorder
• Elliot Smith & Vulnerability Music
• Tom Cruise Vs Brook Shields On Depression
• Symptoms Of Major Depression
• Does Male Post-Partum Depression Exist?
• National Depression Screening Day
• Older Adults
• Organizations
• Post Partum Adoption Depression
• Protracted Unemployment
• Sensory Overload
• Students & College
• Free Anti-Depressant!
• Depression, Anxiety & Morality
• The Five Senses
• Long Term Effects Of Bullying
• Physical Symptoms Of Depression
• Psychotherapy, Medication Or Both?
• Unmasking Mental Illness
• Depression & Anxiety Part 2
• Wartime Experience
• The Self-Fulfilling Prophecy
• Angry All The Time
• Eating Disorder Or Overreacting?
• Classify My Mental Disorder
• OCD, Depression
• I'm Going Crazy?
• Trying To Forget
• How To Overcome Depression Caused When Boyfriend Ditched Me?
• New Boyfriend Lying About Belongings That Are His Ex Girlfriend's
• How To Help My Delusional Son?
• Is Any Of This Real?
• I Have Everything I Ever Wanted. Why Am I So Miserable?
• How Can I Convince My Suicidal MD Husband To Be Evaluated?
• Sexual Abuse, What Should I Do Now?
• Bipolar Or Depressed Or Neither?
• Feel Like Something's Wrong
• Too Much Sorrow
• Really Desperate..Please Help
• Bipolar, Depression, Grief & Anxiety
• Is This A Flashback?
• Help Us With Our Son!
• No Clue What To Do. Help?
• Am I Going Crazy?
• Do I Suffer From Depression?
• Am I Commitment-Phobic?
• I Don't Care For Anything, I Feel As Though I'm Wasting My Life.
• Anxiety Has Taken Over My Life...
• How Do I Get My 24 Year Old Son To A Counselor
• Bipolar Teen
• I Have This Issue
• Am I Depressed?
• Fear Of Choking
• In Love With A Man Who Does Not Love Me
• I Think I Have A Mental Disorder?
• Please Help Me
• OCD Or Not OCD, That's The Question
• How Can I Move Past This- A Question For Staff
• Does Romance Lead To Aggression?
• Depressed, Anxious And Dead Inside...Please Help!
• Why Do I Feel Like Everyone Is Trying To Upset Me?
• My Husbands Roller Coaster Of Proper Hygiene: Is It Depression?
• I Feel Like A Complete Waste Of A Human Life
• Am I Always Going To Feel Like This?
• Is He Changed???
• Is There Any Hope For Me, Or Am I Destined To Be Damaged?
• Falling Apart
• Helping And Watching A Friend's Recurrent Depression?
• Insanely Jealous Husband
• Can Prescription Drug Use Lead To Delusional Beharior?
• Social Anxiety, Depression And More...
• Same Views On So Much, But Can't Get Along As A Couple
• Suicidal Thoughts
• Hypothyroid 23 Year Old Girl
• It's Me Or It's My Mother?
• Is He A Narcissist?
• Help For Aging Human Service Professionals?
• If There's Nothing New, There's Nothing Good.
• Please Respond, I Need Help
• Need To Ask Someone
• Is It Okay To Give Up?
• I'm Cheated By My Girlfriend..... I Just Want To Die.....
• How Can It Help?
• Everyone Says He Is Depressed, Is He? Or Does He Really Want A Divorce??
• Help! Please!
• I Think I Need Some Help
• I Feel So Lost.
• Scared And Lonely
• Please Help Me Out
• I Never Experience Happiness
• Mystery Symptoms
• I Think I'm Depressed
• Born To Lose, Or Nurtured To Lose?
• I Am An 18 Year Old Mom Diagnosed With Severe Depression And Anxiety
• Extremely Scared: I Felt Indifferent Toward An Obsession
• Suffering With Treatment-Resistant Depression
• My Fiance May Have A Sexual, Nude Photo Addiction
• Infections And The Brain
• My Girlfriend's Family Is Ruining Our Relationship
• I Need Help And Am At The End Of My Rope
• How Can I Cope With My Husband?s Depression And Its Sexual Consequences?
• What Is The Difference Between Mental Illness And Depression?
• Do I Need Help?
• What Is It?
• Why Am I Thinking Like This?
• Why Does My Mother Hoard Everything, Including Garbage?
• Right In The Middle Of A Nervous Breakdown; What's Wrong With Me?
• Huge Disapointment With My Husband
• I Don't Really Care About Anything. What Should I Do?
• Is Post Traumatic Stress Disorder Curable?
• Is It Really A Problem?
• I Am Terrified Of Death.
• Detached: I Feel Guilty, But I Can't Help It.
• My Father, The Sociopath...
• I Feel Like A Question Mark
• Am I Not Normal!?
• Our 23 Year Old Son Refuses To Get Help For His Anxiety Attacks And Depression.
• What Is Wrong?
• Husband Abandoned Me
• D.I.D. Diagnosis, How Do I Accept This?
• I Don't Know Anymore. Please Help.
• Breaking Up With Bipolar
• Depression - Blacking Out
• My Boyfriend Saved Pictures Of His Ex-Girlfriend On His Computer.
• Restroom Phobia
• What Is Wrong With Me?
• Should I Seek Help?
• When To Leave Therapy?
• Help Me Please. What Is Going On With Me?
• I'm Afraid I'm Going Crazy
• I Don't Know What To Do
• Am I Wallowing In Depression?
• What Is Wrong With Me, Doc?
• Am I Suffering A Kind Of Psychological Problem?
• Attention Deficit And Depression
• Do I Have An Eating Disorder?
• Do You Think I Sound Depressed? I Don't Understand What Is Going On
• Is This Bi Polar?
• Depression Helps To Contribute To My Unemployment! - Paula
• Will I Ever Feel Normal?
• Cyclical Depression
• Frightening Thoughts - Fear Losing Control - Please Help!
• Anxious, Depressed, Confused, Angry....the Typical...
• Giving Up - Dad Of Three - Sep 15th 2008
• Dont Understand Me
• Exercising Violence In Dreams
• My Husband Wants To Leave Me
• Is There Help For A Person Who Has Always Been A 'little Depressed'
• Depression Treatment
• Please Help.
• Lovely, However... - Julie C. - Jul 14th 2008
• I Am Really Worried About My Mental Health (19yr Old Female)
• Do I Have Bipolar Dsorder?
• Is There Something Wrong With Me?
• Will I Ever?
• Worried About My Son
• Is There Help Out There? Lonely Mother Of Three
• Major Depressive Disorder Severe With Psychotic Features
• OCD- No Feeling
• Help!!!: Laci
• Is The Memory Of My Father Dooming My Relationship?
• Worried About Thoughts
• How Long Will I Be On Medication For Treatment Of My Depression
• My Mother Won't Go For Depression Treatment!
• Where Do I Start To Get On The Road To Recovery
• How Do I Get My Dr.s To Understand And Help Me?
• What Treatments Are Available After You've Tried The Medicines Of Last Resort?
• No One Will Help!
• A Fighting Couple
• Do I Have A Mental Health Problem?
• Whats Wrong With Me?
• Depression And Employment
• How Do You Treat Depression In Teenager Males?
• Is It Ok To Feel This Way?
• Can We Contact My Mother's Doctor?
• ADD, Tourettes Or Both?
• I Think I'm Lost?
• Don't Want To Take Meds
• Will This Ever End
• Get Supported
• Stages Of Depression
• Is There Any Help?
• Can You Help?
• Dark Fantasies
• Blood Tests
• Is It Illusion Or Truth?
• Should A Depressed Person Marry?
• Dementia And Depression
• What Type Of Exams Can Proven That A Person Has Bipolar Disorder?
• Stuck In A Mental Rut...
• Loss Of Patience
• I Can't Seem To Get Over Any Of This
• Intrusive Humiliating Memories
• Is There Some Way To Deal With Depression Without Meds?
• Losing Personality Wholness
• What Is The Point Of Life?
• No Change Is Normal Mood (e.g., Depression)
• Lack Of Personal Hygiene
• Diagnosing Depression
• Does Untreated Depression Pass On To A Fetus?
• A Request For Help
• Regular Thoughts Of Killing Myself
• How Do I Help My Depressed, Unemployed Mother
• Angry At My Doctor For Prescribing So Carelessly
• I Become Very Hostile Towards Myself
• Coming To Terms With My Own Pathetic Existence
• Do Environmental Factors Hold A Person Back?
• Tired Of This Depression
• Struggling With Feelings And Thoughts
• Greatly Depressed
• Is Depression Getting More Prevalent?
• An Empty Shell
• Helping My Husband
• Inability To Express Myself
• Non-medication Help For Depression
• Untrusting Patient
• Sick Of Feeling This Way
• Depressed And Not Dating
• Congenital Laziness
• Moody Boyfriend
• Electroconvulsive Therapy
• Frustrated And Sucked Dry
• Too Young For Meds
• Paranoid Depression
• Depressed Husband
• Self-Harming Attention Seeker
• Did My Parents Make Me Like This?
• Wild Mood Swings
• A Wonderful Man
• How Can I Become Less Depressed?
• Should I Continue With Therapy?
• Childhood Depression
• Prozac Questions
• Can I Help My Wife With Depression?
• Approaching My Tightly Wound Depressed Attorney Brother
• Brain Injury And Depression
• No Compassion For Depression
• Recurrent Depression
• Meds Don't Seem To Work So Now What?
• Pleasure-blind
• Do People Recover From Depression?
• Crying Is Behavior
• Med Consult
• Shyness And The Post Partum Blues
• The Aftermath Of Abuse
• Medicine Doesn't Work Anymore
• The First Time
• Potentially Suicidal Boyfriend
• Depressed Boyfriend
• How Do I Leave?
• Alternative Treatment
• Bereavement And Grief
• How Can I Stop Depression From Recurring?
• Depression Affects The Entire Family
• Crohn's Disorder Side Effects
• Is Paranoia A Destiny?
• Post-Drinking Depression
• Security Clearance And Depression
• Can I Inherit Depression?
• Two Clinicians
• Depressed Spouse
• Depression 101
• Controlling, Disabled Husband
• Drifting Apart?
• Drinking. . .
• Marijuana And Depression
• A Mother Struggles With Depression
• Trashed House
• Beautiful Dreamer
• Severely Depressed
• Miss Lonely
• Unhappy And In Therapy
• He Won't Tell Me Why...
• Depression Affecting My Relationship
• My Children Aren't Speaking..
• My Wife Is Depressed
• My Boyfriend Is Depressed
• Parlante Writes:
• Trying To Cope With Depression When "I Just Can't."
• Kids Grades Can Suffer When Mom Or Dad Is Depressed
• Even With Treatment, Depression Symptoms Can Linger
• Eight Little-Known Signs Of Post-Partum Depression
• 5 Strategies To Beat Caregiver Depression
• Depression And Short-Term Memory
• How To Beat Caregiver-Related Depression
• New Biochemical Research Points To Five Types Of Depression
• Postpartum Depression, Neurotransmitters, And Nutrition
• A Multidimensional Approach To Depression
• The Psychological Importance Of Gratitude And Gratefulness
• Vitamin D And Depression
• The Self-Fulfilling Prophesy: Making Expectations Come True
• Diets High In Pasta Can Increase Depression In Women
• Shedding Light On Seasonal Affective Disorder
• Psychotherapy Vs. Medication For Depression, Anxiety And Other Mental Illnesses
• Older Adults And Owning A Dog
• Are You Self-Blaming And Self-Critical?
• Is Depression Really More Common In Women?
• When Nostalgia Is A Good Thing
• Of Self-Hatred And Self-Compassion
• Depression Checklist
• The Difference Between Grief And Depression, The DSM V
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• The SAD Time Of Year
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• Does Anxiety Plus Depression Equal Depression Plus Anxiety? How Clinicians Really Think
• Therapy And Medication May Be More Effective Than Drugs Alone
• Another Reason To Save The Arts In Schools
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• Treating Alcohol And Depression
• On Being Selfish: Is It All About Me?
• What Is Boredom?
• A Personal Story Of Living Through Depression
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• Suicide Prevention Week
• A New Form Of Self-Injury, Self-Embedding?
• Recovery From Depression And The Big Book
• Is My Depression Contagious?
• Summer Heat And Human Behavior
• The Big Picture Of Depression Symptoms
• Making Decisions When Depressed
• Understanding Resentment
• Depressed, Forgetful? Take A Walk In The Park
• Fast Food, Health And Depression
• Parental Depression And Children
• What Has Supported My Recovery From Depression?
• Olfactory Sensations (Smell) And Stress Reduction
• Health And Mental Health, Should We Screen Children?
• Turning Off The Inner Voice Of Depression: Part II
• Personality, Are You A Warm Or Cold Person?
• Turning Off The Inner Voice Of Depression: Part 1
• Of Anxiety And Depression And Play
• A Strange Question About Recovery From Depression: Why Get Well?
• Depression And Positive Vs. Negative Emotional States
• Depression And Stress At Work
• Single And Alone For The Holidays? 6 Strategies For Surviving And Even Thriving The Holidays Alone
• Resentment Vs.Forgiveness
• Beginning To Heal Through Meditation
• It's The SAD Season
• Talking With A Depressed Partner
• Depression And Marriage
• Resentment, Like Holding Onto Hot Coals
• The Strange Comfort Of Depression
• Managing A Work Life With Depression
• What Does A Depression Diagnosis Mean To You?
• Some Further Thoughts On Depression And Suicide
• Depression & Panic Disorders: Jennifer's Story
• A Discussion Of Life, Ageing And The Denial Of Death
• Depression: Justin's Story
• Creativity And Bipolar Disorder, Is There A Relationship?
• Did My Parents Care Too Much?
• Depression And The Pressure To Conform
• I Wish I Had An Illness...Mental Or Physical
• Depression And Recovering From Rape - Nicole's Story
• Video Blog: Coping With Depression
• Non Prescription Pain Medications, SSRI's And Depression
• When Life Gives You Lemons, Make Lemonade: Coping With Depression As A Result Of Economic Stress
• Postpartum Depression - Joanna's Story
• A New Cause Of Depression
• Staying Busy And Being Happy
• Treating Depression With Medication: A Philosophical Approach
• The Appearance Of A Depressed Person
• Always Predicting Disaster
• Unmasking The Deceiver...Myself
• The Pain Of Rejection By Social Groups
• Professional Sports, Stress And Depression
• No Slouching Here
• Mindfulness Therapy: Learning To Sit With Depression
• Are We Too Materialistic?
• The Holiday Season: When SAD And Grief Occur
• A Discussion Of Disappointment
• The Benefits Of Yoga
• "Breaking Up Is Hard To Do," Why?
• How To Flood Your Life With Confidence
• Living A POSITIVE LIFE With Bipolar (Manic) Depression
• Self Compassion
• Perceptions Of Life Today
• Score Another One For Cognitive Therapy
• Gauging The Effectiveness Of One Component Of Alcoholics Anonymous
• Walk To Washington: Raising Awareness About Major Depression
• Milder Depressions Don't Appear To Benefit From Antidepressant Treatment
• Staying Sober: Dealing With Temptations
• Feeling Good, It's Not Just In The Brain
• Children, ADHD And Stimulant Medication
• Brain Neuroplasticity And Treatment Resistant Depression
• Post Partum Depression And The Importance Of Sleep
• "The Big Emptiness": Hoarding, OCD, Depression And The Quest For Meaning
• Does Psychotherapy Help Everyone?
• Of Parking Lots, Stress, Life And Psychotherapy
• Teenagers And Depression: Their Families And Psychotherapy
• Kristie Alley And The Problem Of Obesity And Dieting
• Making Friends, A Matter Of Where You Live?
• Work Place Climate, Depression And Job Searching
• Vegetarian Diets May Harbor Eating Disordered Youngsters:
• Cognitive Distortions, Also Known As
• Young Yet Sad: The Social Phobic
• Alcohol As The Cause Of Depression?
• The Importance Of Recognizing Childhood Successes At School
• Suicide: Does A Person Have The Right To Take His Own Life?
• Suspended From College For Expressing Suicidal Ideation (a Reaction To An NPR Radio Story)
• A Natural Approach To Treating Depression Web Series
• Depression And Spirituality
• National Depression Screening Day Is Just Around The Corner (October 10th!)
• Press "D" For Depression Therapy
• Few People Who Are Depressed Receive Mental Health Services
• "Guns And Suicide" Article And Comments: What About The Anger?
• World Suicide Prevention Day... September 10, 2008
• Mood Changes Linked To Seasonal Fluctuations In Serotonin
• Why Is Happiness So Difficult To Achieve? Part 1
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• I'm So Bored!
• Feeling Down During The Winter? You May Have SAD (seasonal Affective Disorder)
• Diabetes, Depression And Life
• Women And Depression
• Problems Connected With Anti Depressant Medications
• Pain And Depression
• Fibromyalgia, It Is Not Just In Your Head
• A Combination Of Cognitive Behavioral Therapy & Antidepressant Medication Works Best For Depressed Adolescents
• Dogs, Depression And Other Health Issues: Is There Something To Be Gained From Illness?
• Anti Depressants And Young People: An Issue Revisited
• Anniversary Reactions
• But, It Still Hurts: Pain-Depression-Pain
• Massive Update For Our Depression Topic Center
• Correlation: Siblings And Depression?
• Interpersonal Therapy May Prevent Future Depressive Episodes
• The Negative Effects Of Pain On Depression
• Depression And Heart Disease
• Our Bipolar Topic Center Has Been Updated
• National Depression Screening Day Is Tomorrow!
• Behavioral Therapy May Be Better Than Cognitive Therapy For Severe Depression
• Perfectionism Probably Creates A Vulnerability For Depression
• Feeling Depressed: Influenced By The Attitudes And Opinions Of Others?
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• How Prozac Gets Its Groove On.
• Chronic Cortisol Exposure Causes Mood Disorders
• Heart Attacks And Young Women == Depression
• SSRI Antidepressants Raise Risk Of Premature Birth
• Adult ADHD: Difficult To Diagnose And Often Misunderstood
• NYTimes Has Story On Deep Brain Stim For Depression
• Brain Scan Predicts Who Will Benefit From Cognitive Therapy
• The Midlife Crisis: A Case Of Extreme Stress
• Treating Mother's Depression Helps Protect Their Children
• Maintanence Medications Ward Off Senior Depression Relapse
• Depression Predicts Mental Decline In Seniors
• Dad's Depression Affects Toddler's Behavior, Too
• Stress, Depression a 'Perfect Storm' of Trouble for Heart Patients
• Depression May Worsen Problem of Obesity Among the Poor
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• Easing Depression May Boost Heart Health, Study Finds
• Risk of Violent Crime Rises With Depression, Study Finds
• Narcotic Painkiller Use Tied to Higher Risk for Depression
• Depression After Stroke Linked to Troubled Sleep
• Binge-Watching TV May Be Sign of Depression, Loneliness
• Depression, Anxiety Can Precede Memory Loss in Alzheimer's, Study Finds
• Health Tip: Is It Grief or Depression?
• 'Tis the Season for Seasonal Affective Disorder
• Mother's Depression Tied to Later Delinquency in Kids
• Nearly 1 in 12 Americans Struggles With Depression, Study Finds
• Early Puberty Linked to Increased Risk of Depression in Teens
• Being the Boss Tied to Depression Risk for Women, But Not Men
• After Breast Cancer, Depression Risk Lingers
• Even Depression May Not Dim Thoughts of Bright Future
• Dark Days Here for Folks With Seasonal Depression
• Depression After Heart Attack May Be More Common for Women
• More Evidence That Exercise May Help Fight Depression
• Obesity and Depression Often Twin Ills, Study Finds
• Teen Girls May Face Greater Risk of Depression
• Weight-Loss Surgery May Not Always Help With Depression
• Nature Walks With Others May Keep Depression at Bay
• One Dose of Antidepressant Changes Brain Connections, Study Says
• Blood Test Spots Adult Depression: Study
• Study Questions Link Between Antidepressants, Miscarriage
• Study: Young Adults Who Had Depression Have 'Hyper-Connected' Brain Networks
• Do Antidepressants in Pregnancy Raise Risks for Mental Woes in Kids?
• Talk Therapy Plus Meds May Be Best for Severe Depression
• Robin Williams' Death Shines Light on Depression, Substance Abuse
• Fitness May Help Ward Off Depression in Girls
• Coaching May Help Diabetics Battle Depression, Disease Better
• Preschoolers Can Suffer From Depression, Too
• Extra Exercise Could Help Depressed Smokers Quit: Study
• Depression May Make It Harder to Beat Prostate Cancer
• Stress, Depression May Boost Stroke Risk, Study Finds
• As Antidepressant Warnings Toughened, Teen Suicide Attempts Rose: Study
• Weight Gain From Antidepressants Is Minimal, Study Suggests
• Depression Tied to Crohn's Disease Flare-Ups
• Altruism May Help Shield Teens From Depression: Study
• Higher Doses of Antidepressants Linked to Suicidal Behavior in Young Patients: Study
• Internet May Help Seniors Avoid Depression
• Study Ties Antidepressant Use in Pregnancy to Autism Risk in Boys
• Young Dads at Risk of Depressive Symptoms, Study Finds
• ICU-Related Depression Often Overlooked, Study Finds
• Depression May Be Linked to Heart Failure
• Scientists Spot Another Group of Genes That May Raise Depression Risk
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Essays About Depression: Top 8 Examples Plus Prompts

Many people deal with mental health issues throughout their lives; if you are writing essays about depression, you can read essay examples to get started.

An occasional feeling of sadness is something that everyone experiences from time to time. Still, a persistent loss of interest, depressed mood, changes in energy levels, and sleeping problems can indicate mental illness. Thankfully, antidepressant medications, therapy, and other types of treatment can be largely helpful for people living with depression.

People suffering from depression or other mood disorders must work closely with a mental health professional to get the support they need to recover. While family members and other loved ones can help move forward after a depressive episode, it’s also important that people who have suffered from major depressive disorder work with a medical professional to get treatment for both the mental and physical problems that can accompany depression.

If you are writing an essay about depression, here are 8 essay examples to help you write an insightful essay. For help with your essays, check out our round-up of the best essay checkers .

• 1. My Best Friend Saved Me When I Attempted Suicide, But I Didn’t Save Her by Drusilla Moorhouse
• 2. How can I complain? by James Blake
• 3. What it’s like living with depression: A personal essay by Nadine Dirks
• 4. I Have Depression, and I’m Proof that You Never Know the Battle Someone is Waging Inside by Jac Gochoco
• 5. Essay: How I Survived Depression by Cameron Stout
• 6. I Can’t Get Out of My Sweat Pants: An Essay on Depression by Marisa McPeck-Stringham
• 7. This is what depression feels like by Courtenay Harris Bond

8. Opening Up About My Struggle with Recurring Depression by Nora Super

1. what is depression, 2. how is depression diagnosed, 3. causes of depression, 4. different types of depression, 5. who is at risk of depression, 6. can social media cause depression, 7. can anyone experience depression, the final word on essays about depression, is depression common, what are the most effective treatments for depression, top 8 examples, 1.  my best friend saved me when i attempted suicide, but i didn’t save her  by drusilla moorhouse.

“Just three months earlier, I had been a patient in another medical facility: a mental hospital. My best friend, Denise, had killed herself on Christmas, and days after the funeral, I told my mom that I wanted to die. I couldn’t forgive myself for the role I’d played in Denise’s death: Not only did I fail to save her, but I’m fairly certain I gave her the idea.”

Moorhouse makes painstaking personal confessions throughout this essay on depression, taking the reader along on the roller coaster of ups and downs that come with suicide attempts, dealing with the death of a loved one, and the difficulty of making it through major depressive disorder.

2.  How can I complain?  by James Blake

“I wanted people to know how I felt, but I didn’t have the vocabulary to tell them. I have gone into a bit of detail here not to make anyone feel sorry for me but to show how a privileged, relatively rich-and-famous-enough-for-zero-pity white man could become depressed against all societal expectations and allowances. If I can be writing this, clearly it isn’t only oppression that causes depression; for me it was largely repression.”

Musician James Blake shares his experience with depression and talks about his struggles with trying to grow up while dealing with existential crises just as he began to hit the peak of his fame. Blake talks about how he experienced guilt and shame around the idea that he had it all on the outside—and so many people deal with issues that he felt were larger than his.

3.  What it’s like living with depression: A personal essay   by Nadine Dirks

“In my early adulthood, I started to feel withdrawn, down, unmotivated, and constantly sad. What initially seemed like an off-day turned into weeks of painful feelings that seemed they would never let up. It was difficult to enjoy life with other people my age. Depression made typical, everyday tasks—like brushing my teeth—seem monumental. It felt like an invisible chain, keeping me in bed.”

Dirks shares her experience with depression and the struggle she faced to find treatment for mental health issues as a Black woman. Dirks discusses how even though she knew something about her mental health wasn’t quite right, she still struggled to get the diagnosis she needed to move forward and receive proper medical and psychological care.

4.  I Have Depression, and I’m Proof that You Never Know the Battle Someone is Waging Inside  by Jac Gochoco

“A few years later, at the age of 20, my smile had fallen, and I had given up. The thought of waking up the next morning was too much for me to handle. I was no longer anxious or sad; instead, I felt numb, and that’s when things took a turn for the worse. I called my dad, who lived across the country, and for the first time in my life, I told him everything. It was too late, though. I was not calling for help. I was calling to say goodbye.”

Gochoco describes the war that so many people with depression go through—trying to put on a brave face and a positive public persona while battling demons on the inside. The Olympic weightlifting coach and yoga instructor now work to share the importance of mental health with others.

5.  Essay: How I Survived Depression   by Cameron Stout

“In 1993, I saw a psychiatrist who prescribed an antidepressant. Within two months, the medication slowly gained traction. As the gray sludge of sadness and apathy washed away, I emerged from a spiral of impending tragedy. I helped raise two wonderful children, built a successful securities-litigation practice, and became an accomplished cyclist. I began to take my mental wellness for granted. “

Princeton alum Cameron Stout shared his experience with depression with his fellow Tigers in Princeton’s alumni magazine, proving that even the most brilliant and successful among us can be rendered powerless by a chemical imbalance. Stout shares his experience with treatment and how working with mental health professionals helped him to come out on the other side of depression.

6.  I Can’t Get Out of My Sweat Pants: An Essay on Depression  by Marisa McPeck-Stringham

“Sometimes, when the depression got really bad in junior high, I would come straight home from school and change into my pajamas. My dad caught on, and he said something to me at dinner time about being in my pajamas several days in a row way before bedtime. I learned it was better not to change into my pajamas until bedtime. People who are depressed like to hide their problematic behaviors because they are so ashamed of the way they feel. I was very ashamed and yet I didn’t have the words or life experience to voice what I was going through.”

McPeck-Stringham discusses her experience with depression and an eating disorder at a young age; both brought on by struggles to adjust to major life changes. The author experienced depression again in her adult life, and thankfully, she was able to fight through the illness using tried-and-true methods until she regained her mental health.

7.  This is what depression feels like  by Courtenay Harris Bond

“The smallest tasks seem insurmountable: paying a cell phone bill, lining up a household repair. Sometimes just taking a shower or arranging a play date feels like more than I can manage. My children’s squabbles make me want to scratch the walls. I want to claw out of my own skin. I feel like the light at the end of the tunnel is a solitary candle about to blow out at any moment. At the same time, I feel like the pain will never end.”

Bond does an excellent job of helping readers understand just how difficult depression can be, even for people who have never been through the difficulty of mental illness. Bond states that no matter what people believe the cause to be—chemical imbalance, childhood issues, a combination of the two—depression can make it nearly impossible to function.

“Once again, I spiraled downward. I couldn’t get out of bed. I couldn’t work. I had thoughts of harming myself. This time, my husband urged me to start ECT much sooner in the cycle, and once again, it worked. Within a matter of weeks I was back at work, pretending nothing had happened. I kept pushing myself harder to show everyone that I was “normal.” I thought I had a pattern: I would function at a high level for many years, and then my depression would be triggered by a significant event. I thought I’d be healthy for another ten years.”

Super shares her experience with electroconvulsive therapy and how her depression recurred with a major life event despite several years of solid mental health. Thankfully, Super was able to recognize her symptoms and get help sooner rather than later.

7 Writing Prompts on Essays About Depression

When writing essays on depression, it can be challenging to think of essay ideas and questions. Here are six essay topics about depression that you can use in your essay.

Depression can be difficult to define and understand. Discuss the definition of depression, and delve into the signs, symptoms, and possible causes of this mental illness. Depression can result from trauma or personal circumstances, but it can also be a health condition due to genetics. In your essay, look at how depression can be spotted and how it can affect your day-to-day life. 

Depression diagnosis can be complicated; this essay topic will be interesting as you can look at the different aspects considered in a diagnosis. While a certain lab test can be conducted, depression can also be diagnosed by a psychiatrist. Research the different ways depression can be diagnosed and discuss the benefits of receiving a diagnosis in this essay.

There are many possible causes of depression; this essay discusses how depression can occur. Possible causes of depression can include trauma, grief, anxiety disorders, and some physical health conditions. Look at each cause and discuss how they can manifest as depression.

There are many different types of depression. This essay topic will investigate each type of depression and its symptoms and causes. Depression symptoms can vary in severity, depending on what is causing it. For example, depression can be linked to medical conditions such as bipolar disorder. This is a different type of depression than depression caused by grief. Discuss the details of the different types of depression and draw comparisons and similarities between them.

Certain genetic traits, socio-economic circumstances, or age can make people more prone to experiencing symptoms of depression. Depression is becoming more and more common amongst young adults and teenagers. Discuss the different groups at risk of experiencing depression and how their circumstances contribute to this risk.

Social media poses many challenges to today’s youth, such as unrealistic beauty standards, cyber-bullying, and only seeing the “highlights” of someone’s life. Can social media cause depression in teens? Delve into the negative impacts of social media when writing this essay. You could compare the positive and negative sides of social media and discuss whether social media causes mental health issues amongst young adults and teenagers.

This essay question poses the question, “can anyone experience depression?” Although those in lower-income households may be prone to experiencing depression, can the rich and famous also experience depression? This essay discusses whether the privileged and wealthy can experience their possible causes. This is a great argumentative essay topic, discuss both sides of this question and draw a conclusion with your final thoughts.

When writing about depression, it is important to study examples of essays to make a compelling essay. You can also use your own research by conducting interviews or pulling information from other sources. As this is a sensitive topic, it is important to approach it with care; you can also write about your own experiences with mental health issues.

Tip: If writing an essay sounds like a lot of work, simplify it. Write a simple 5 paragraph essay instead.

FAQs On Essays About Depression

According to the World Health Organization, about 5% of people under 60 live with depression. The rate is slightly higher—around 6%—for people over 60. Depression can strike at any age, and it’s important that people who are experiencing symptoms of depression receive treatment, no matter their age. 

Suppose you’re living with depression or are experiencing some of the symptoms of depression. In that case, it’s important to work closely with your doctor or another healthcare professional to develop a treatment plan that works for you. A combination of antidepressant medication and cognitive behavioral therapy is a good fit for many people, but this isn’t necessarily the case for everyone who suffers from depression. Be sure to check in with your doctor regularly to ensure that you’re making progress toward improving your mental health.

If you’re still stuck, check out our general resource of essay writing topics .

Amanda has an M.S.Ed degree from the University of Pennsylvania in School and Mental Health Counseling and is a National Academy of Sports Medicine Certified Personal Trainer. She has experience writing magazine articles, newspaper articles, SEO-friendly web copy, and blog posts.

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Addressing Depression in Your Personal Statement

• college application essays
• essay topic

Did you know 20% of teenagers experience depression before reaching adulthood? It is also during this time that college applicants have to answer the most intimate question in order to gain acceptance at their dream school. What defines you?

While it may feel extremely vulnerable to talk about your experience with depression, don’t let that immediately deter you from choosing it as your personal statement essay topic. Here are 5 examples that may help you approach the topic in an essay:

UC Irvine ‘17

Throughout the past few years, I have gone through depression. The inability to focus not only in school, but also in life, is something I have struggled to overcome. The majority of the time, I am able to successfully distinguish my emotions from my academics because of my overly organized tendencies. At other times, the feelings that come with depression are inevitable. Depression, for me, is hopelessness. My biggest struggle with depression is not being able to see the light at the end of the tunnel; therefore, this way of thinking has caused me to feel unmotivated, alone, and frightened. Because of this, I have spent endless nights contemplating my life till 4 or 5 in the morning, I have no motivation to wake up in the mornings, and I feel pain and grief on a daily basis. Keep reading.

Brittanybea

Uc berkeley ‘19.

On a warm August morning I sat shivering and shaking in the waiting room to my doctor’s office. I had my mother make the appointment but didn’t give her the reason; I’m not even sure I really knew the reason. I just knew something was wrong. The past five years had been all uphill - outwardly, at least. I was doing increasingly well in school, growing more independent, and had greater opportunities at my feet. Inwardly, however, was an entirely different story. Those five years felt like an upbeat movie I was watching while in my own personal prison. I was happy for the characters, even excited for their accomplishments. The problem was that my outward self was a character entirely distinct from the internal me. View full essay.

869749923096609FB

Williams college ‘19.

Perhaps the greatest blessing my parents have ever granted me was the move from our apartment in the Bronx to a two-family home in Queens, two blocks away from a public library. The library had all the boons my young heart could desire: bounties of books, air conditioning in the summer, and sweet solace from a dwelling teeming with the cries of an infant sister, a concept I couldn’t yet fathom. Read more.

When I was younger, people chided me for being pessimistic. It was my sincere belief that there were no rewards to be reaped from a life here on earth. I was bored, unhappy, and apathetic. War, injustice, environmental collapse, the mean thing X said to me the other day-it all made me see the world as a tumultuous and unpleasant place. Continue reading.  

879216135461584FB

Dish soap, pepper, a toothpick, and an empty pie tin. The first materials I ever used to perform a simple experiment in grade school. Looking back that would be the moment I fell in love with science. I can still feel the excitement I felt as I watched as the pepper dart off to the edges of the pie tin as I touched the water with the end of a soap coated toothpick. Though I didn’t have to question how or why the reaction happened, I never stopped wondering. It was then that a passion for science ignited in me. It was a fire in my soul that could never die out. However, I couldn’t have been more wrong. As I grew older, the fire within me began to dim and in the year 2012, it became extinguished; the world as I knew it had ended. View full profile.

While this essay topic helped these students gain acceptances to UC Irvine , UC Berkeley , Williams , Vassar and NYU , it doesn’t mean it will work in the exact same way for you. Brainstorm and think carefully about what you want to write in your personal statement and how you want to share your own, unique story. For more inspiration, AdmitSee has a database of 60,000+ successful college applications files waiting for you! 

About The Author

Frances was born in Hong Kong and received her bachelor’s degree from Georgetown University. She loves super sad drama television, cooking, and reading. Her favorite person on Earth isn’t actually a member of the AdmitSee team - it’s her dog Cooper.

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Your chance of acceptance, your chancing factors, extracurriculars, college essay on depression.

I've been dealing with depression for a while and I feel like it's played a big part in shaping who I am today. Is it a good idea to write my college essay about it? Will admissions officers view it negatively? Any insights would be appreciated.

Writing about depression in your college essay can be a powerful and meaningful way to share your personal experiences and reflect on your growth. However, it's essential to approach the topic thoughtfully and carefully, as mental health is a sensitive subject.

1. Focus on growth and resilience: Instead of primarily describing your struggles with depression, emphasize how you've navigated those challenges and grown as a result. Discuss coping strategies, support systems, and other positive changes you've made that have helped you move forward.

2. Show self-awareness: Demonstrate an understanding of your situation and acknowledge your progress, while still recognizing that recovering from depression is an ongoing journey. This can give college admissions officers a sense of maturity and emotional intelligence on your part.

3. Keep it relevant to your college goals: Connect your experiences with depression to your educational and career aspirations. Perhaps overcoming depression has influenced your choice of major, or it has motivated you to engage in volunteer work or other extracurricular activities.

4. Seek feedback from trusted individuals: Ask someone you trust, like a teacher or counselor, to review your essay and provide input. Their perspectives can ensure that you're discussing depression sensitively and that your essay is appropriate for college admissions officers.

5. Be cautious of oversharing: While it's important to be genuine and authentic, avoid revealing deeply personal or disturbing details about your mental health struggles. Some admissions officers may not be comfortable with this level of disclosure, and it could overshadow your accomplishments and other positive aspects of your application.

In summary, writing about depression in your college essay is a personal choice. If you can present your experiences in a thoughtful, growth-focused manner, and connect your journey to your future goals, then it may be a powerful and effective essay topic. However, always consider seeking feedback from trusted individuals to ensure you are addressing the topic appropriately.

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CollegeVine’s Q&A seeks to offer informed perspectives on commonly asked admissions questions. Every answer is refined and validated by our team of admissions experts to ensure it resonates with trusted knowledge in the field.

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My battle with depression and the two things it taught me

I’ve spent a decade slipping in and out of depression, but thanks to the right medicine and loving people, I’m back to being me again

I t’s often said that depression isn’t about feeling sad. It’s part of it, of course, but to compare the life-sapping melancholy of depression to normal sadness is like comparing a paper cut to an amputation. Sadness is a healthy part of every life. Depression progressively eats away your whole being from the inside. It’s with you when you wake up in the morning, telling you there’s nothing or anyone to get up for. It’s with you when the phone rings and you’re too frightened to answer it.

It’s with you when you look into the eyes of those you love, and your eyes prick with tears as you try, and fail, to remember how to love them. It’s with you as you search within for those now eroded things that once made you who you were: your interests, your creativity, your inquisitiveness, your humour, your warmth. And it’s with you as you wake terrified from each nightmare and pace the house, thinking frantically of how you can escape your poisoned life; escape the embrace of the demon that is eating away your mind like a slow drip of acid.

And always, the biggest stigma comes from yourself. You blame yourself for the illness that you can only dimly see.

So why was I depressed? The simple answer is that I don’t know. There was no single factor or trigger that plunged me into it. I’ve turned over many possibilities in my mind. But the best I can conclude is that depression can happen to anyone. I thought I was strong enough to resist it, but I was wrong. That attitude probably explains why I suffered such a serious episode – I resisted seeking help until it was nearly too late.

Let me take you back to 1996. I’d just begun my final year at university and had recently visited my doctor to complain of feeling low. He immediately put me on an antidepressant, and I got down to the business of getting my degree. The pills took a few weeks to work, but the effects were remarkable. Too remarkable. About six weeks in I was leaping from my bed each morning with a vigour and enthusiasm I had never experienced, at least not since early childhood. I started churning out first-class essays and my mind began to make connections with an ease that it had never done before.

The only problem was that the drug did much more. It broke down any fragile sense I had of social appropriateness. I’d frequently say ridiculous and painful things to people I had no right to say them to. So, after a few months, I decided to stop the pills. I ended them abruptly, not realising how foolish that was – and spent a week or two experiencing brain zaps and vertigo. But it was worth it. I still felt good, my mind was still productive, and I regained my sense of social niceties and appropriate behaviour.

I had hoped that was my last brush with mental health problems, but it was not to be.

On reflection, I realise I have spent over a decade dipping in and out of minor bouts of depression – each one slightly worse than the last.

Last spring I was in the grip of depression again. I couldn’t work effectively. I couldn’t earn the income I needed. I began retreating to the safety of my bed – using sleep to escape myself and my exhausted and joyless existence.

So I returned to the doctor and told her about it. It was warm, and I was wearing a cardigan. “I think we should test your thyroid,” she said. “But an antidepressant might help in the meantime.” And here I realised, for all my distaste for the stigmatisation of mental illness, that I stigmatised it in myself. I found myself hoping my thyroid was bust. Tell someone your thyroid’s not working, and they’ll understand and happily wait for you to recover. Tell them you’re depressed, and they might think you’re weak, or lazy, or making it up. I really wanted it to be my thyroid. But, of course, when the blood test came back, it wasn’t. I was depressed.

So I took the antidepressant. And it worked. To begin with. A month into the course, the poisonous cloud began to lift and I even felt my creativity and urge to write begin to return for the first time in years. Not great literature, but fun to write and enjoyed by my friends on social media. And tellingly, my wife said: “You’re becoming more like the person I first met.”

It was a turning point. The drug had given me objectivity about my illness, made me view it for what it was. This was when I realised I had been going through cycles of depression for years. It was a process of gradual erosion, almost impossible to spot while you were experiencing it. But the effects of the drug didn’t last. By September I was both deeply depressed and increasingly angry, behaving erratically and feeling endlessly paranoid.

My wife threatened to frog march me back to the doctor, so I made an appointment and was given another drug. The effects have been miraculous. Nearly two months in and I can feel the old me re-emerging. My engagement and interest is flooding back. I’m back at work and I’m producing copy my clients really love. Only eight weeks ago, the very idea that I would be sitting at home tapping out a blog post of this length on my phone would have made me grunt derisively. But that is what has happened, and I am truly grateful to all those who love and care for me for pushing me along to this stage.

And now, I need to get back to work. Depression may start for no definable reason, but it leaves a growing trail of problems in its wake. The more ill I got, the less work I could do, the more savings I spent and the larger the piles of unpaid bills became. But now I can start to tackle these things.

If you still attach stigma to people with mental illness, please remember two things. One, it could easily happen to you. And two, no one stigmatises their illness more than the people who suffer from it. Reach out to them.

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Biological, Psychological, and Social Determinants of Depression: A Review of Recent Literature

Olivia remes.

1 Institute for Manufacturing, University of Cambridge, Cambridge CB3 0FS, UK

João Francisco Mendes

2 NOVA Medical School, Universidade NOVA de Lisboa, 1099-085 Lisbon, Portugal; ku.ca.mac@94cfj

Peter Templeton

3 IfM Engage Limited, Institute for Manufacturing, University of Cambridge, Cambridge CB3 0FS, UK; ku.ca.mac@32twp

4 The William Templeton Foundation for Young People’s Mental Health (YPMH), Cambridge CB2 0AH, UK

Associated Data

Depression is one of the leading causes of disability, and, if left unmanaged, it can increase the risk for suicide. The evidence base on the determinants of depression is fragmented, which makes the interpretation of the results across studies difficult. The objective of this study is to conduct a thorough synthesis of the literature assessing the biological, psychological, and social determinants of depression in order to piece together the puzzle of the key factors that are related to this condition. Titles and abstracts published between 2017 and 2020 were identified in PubMed, as well as Medline, Scopus, and PsycInfo. Key words relating to biological, social, and psychological determinants as well as depression were applied to the databases, and the screening and data charting of the documents took place. We included 470 documents in this literature review. The findings showed that there are a plethora of risk and protective factors (relating to biological, psychological, and social determinants) that are related to depression; these determinants are interlinked and influence depression outcomes through a web of causation. In this paper, we describe and present the vast, fragmented, and complex literature related to this topic. This review may be used to guide practice, public health efforts, policy, and research related to mental health and, specifically, depression.

1. Introduction

Depression is one of the most common mental health issues, with an estimated prevalence of 5% among adults [ 1 , 2 ]. Symptoms may include anhedonia, feelings of worthlessness, concentration and sleep difficulties, and suicidal ideation. According to the World Health Organization, depression is a leading cause of disability; research shows that it is a burdensome condition with a negative impact on educational trajectories, work performance, and other areas of life [ 1 , 3 ]. Depression can start early in the lifecourse and, if it remains unmanaged, may increase the risk for substance abuse, chronic conditions, such as cardiovascular disease, and premature mortality [ 4 , 5 , 6 , 7 , 8 ].

Treatment for depression exists, such as pharmacotherapy, cognitive behavioural therapy, and other modalities. A meta-analysis of randomized, placebo-controlled trials of patients shows that 56–60% of people respond well to active treatment with antidepressants (selective serotonin reuptake inhibitors, tricyclic antidepressants) [ 9 ]. However, pharmacotherapy may be associated with problems, such as side-effects, relapse issues, a potential duration of weeks until the medication starts working, and possible limited efficacy in mild cases [ 10 , 11 , 12 , 13 , 14 ]. Psychotherapy is also available, but access barriers can make it difficult for a number of people to get the necessary help.

Studies on depression have increased significantly over the past few decades. However, the literature remains fragmented and the interpretation of heterogeneous findings across studies and between fields is difficult. The cross-pollination of ideas between disciplines, such as genetics, neurology, immunology, and psychology, is limited. Reviews on the determinants of depression have been conducted, but they either focus exclusively on a particular set of determinants (ex. genetic risk factors [ 15 ]) or population sub-group (ex. children and adolescents [ 16 ]) or focus on characteristics measured predominantly at the individual level (ex. focus on social support, history of depression [ 17 ]) without taking the wider context (ex. area-level variables) into account. An integrated approach paying attention to key determinants from the biological, psychological, and social spheres, as well as key themes, such as the lifecourse perspective, enables clinicians and public health authorities to develop tailored, person-centred approaches.

The primary aim of this literature review: to address the aforementioned challenges, we have synthesized recent research on the biological, psychological, and social determinants of depression and we have reviewed research from fields including genetics, immunology, neurology, psychology, public health, and epidemiology, among others.

The subsidiary aim: we have paid special attention to important themes, including the lifecourse perspective and interactions between determinants, to guide further efforts by public health and medical professionals.

This literature review can be used as an evidence base by those in public health and the clinical setting and can be used to inform targeted interventions.

2. Materials and Methods

We conducted a review of the literature on the biological, psychological, and social determinants of depression in the last 4 years. We decided to focus on these determinants after discussions with academics (from the Manchester Metropolitan University, University of Cardiff, University of Colorado, Boulder, University of Cork, University of Leuven, University of Texas), charity representatives, and people with lived experience at workshops held by the University of Cambridge in 2020. In several aspects, we attempted to conduct this review according to PRISMA guidelines [ 18 ].

The inclusion and exclusion criteria are the following:

• - We included documents, such as primary studies, literature reviews, systematic reviews, meta-analyses, reports, and commentaries on the determinants of depression. The determinants refer to variables that appear to be linked to the development of depression, such as physiological factors (e.g., the nervous system, genetics), but also factors that are further away or more distal to the condition. Determinants may be risk or protective factors, and individual- or wider-area-level variables.
• - We focused on major depressive disorder, treatment-resistant depression, dysthymia, depressive symptoms, poststroke depression, perinatal depression, as well as depressive-like behaviour (common in animal studies), among others.
• - We included papers regardless of the measurement methods of depression.
• - We included papers that focused on human and/or rodent research.
• - This review focused on articles written in the English language.
• - Documents published between 2017–2020 were captured to provide an understanding of the latest research on this topic.
• - Studies that assessed depression as a comorbidity or secondary to another disorder.
• - Studies that did not focus on rodent and/or human research.
• - Studies that focused on the treatment of depression. We made this decision, because this is an in-depth topic that would warrant a separate stand-alone review.
• Next, we searched PubMed (2017–2020) using keywords related to depression and determinants. Appendix A contains the search strategy used. We also conducted focused searches in Medline, Scopus, and PsycInfo (2017–2020).
• Once the documents were identified through the databases, the inclusion and exclusion criteria were applied to the titles and abstracts. Screening of documents was conducted by O.R., and a subsample was screened by J.M.; any discrepancies were resolved through a communication process.
• The full texts of documents were retrieved, and the inclusion and exclusion criteria were again applied. A subsample of documents underwent double screening by two authors (O.R., J.M.); again, any discrepancies were resolved through communication.
• a. A data charting form was created to capture the data elements of interest, including the authors, titles, determinants (biological, psychological, social), and the type of depression assessed by the research (e.g., major depression, depressive symptoms, depressive behaviour).
• b. The data charting form was piloted on a subset of documents, and refinements to it were made. The data charting form was created with the data elements described above and tested in 20 studies to determine whether refinements in the wording or language were needed.
• c. Data charting was conducted on the documents.
• d. Narrative analysis was conducted on the data charting table to identify key themes. When a particular finding was noted more than once, it was logged as a potential theme, with a review of these notes yielding key themes that appeared on multiple occasions. When key themes were identified, one researcher (O.R.) reviewed each document pertaining to that theme and derived concepts (key determinants and related outcomes). This process (a subsample) was verified by a second author (J.M.), and the two authors resolved any discrepancies through communication. Key themes were also checked as to whether they were of major significance to public mental health and at the forefront of public health discourse according to consultations we held with stakeholders from the Manchester Metropolitan University, University of Cardiff, University of Colorado, Boulder, University of Cork, University of Leuven, University of Texas, charity representatives, and people with lived experience at workshops held by the University of Cambridge in 2020.

We condensed the extensive information gleaned through our review into short summaries (with key points boxes for ease of understanding and interpretation of the data).

Through the searches, 6335 documents, such as primary studies, literature reviews, systematic reviews, meta-analyses, reports, and commentaries, were identified. After applying the inclusion and exclusion criteria, 470 papers were included in this review ( Supplementary Table S1 ). We focused on aspects related to biological, psychological, and social determinants of depression (examples of determinants and related outcomes are provided under each of the following sections.

3.1. Biological Factors

The following aspects will be discussed in this section: physical health conditions; then specific biological factors, including genetics; the microbiome; inflammatory factors; stress and hypothalamic–pituitary–adrenal (HPA) axis dysfunction, and the kynurenine pathway. Finally, aspects related to cognition will also be discussed in the context of depression.

3.1.1. Physical Health Conditions

Studies on physical health conditions—key points:

• The presence of a physical health condition can increase the risk for depression
• Psychological evaluation in physically sick populations is needed
• There is large heterogeneity in study design and measurement; this makes the comparison of findings between and across studies difficult

A number of studies examined the links between the outcome of depression and physical health-related factors, such as bladder outlet obstruction, cerebral atrophy, cataract, stroke, epilepsy, body mass index and obesity, diabetes, urinary tract infection, forms of cancer, inflammatory bowel disorder, glaucoma, acne, urea accumulation, cerebral small vessel disease, traumatic brain injury, and disability in multiple sclerosis [ 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 ]. For example, bladder outlet obstruction has been linked to inflammation and depressive behaviour in rodent research [ 24 ]. The presence of head and neck cancer also seemed to be related to an increased risk for depressive disorder [ 45 ]. Gestational diabetes mellitus has been linked to depressive symptoms in the postpartum period (but no association has been found with depression in the third pregnancy trimester) [ 50 ], and a plethora of other such examples of relationships between depression and physical conditions exist. As such, the assessment of psychopathology and the provision of support are necessary in individuals of ill health [ 45 ]. Despite the large evidence base on physical health-related factors, differences in study methodology and design, the lack of standardization when it comes to the measurement of various physical health conditions and depression, and heterogeneity in the study populations makes it difficult to compare studies [ 50 ].

The next subsections discuss specific biological factors, including genetics; the microbiome; inflammatory factors; stress and hypothalamic–pituitary–adrenal (HPA) axis dysfunction, and the kynurenine pathway; and aspects related to cognition.

3.1.2. Genetics

Studies on genetics—key points:

There were associations between genetic factors and depression; for example:

• The brain-derived neurotrophic factor (BDNF) plays an important role in depression
• Links exist between major histocompatibility complex region genes, as well as various gene polymorphisms and depression
• Single nucleotide polymorphisms (SNPs) of genes involved in the tryptophan catabolites pathway are of interest in relation to depression

A number of genetic-related factors, genomic regions, polymorphisms, and other related aspects have been examined with respect to depression [ 61 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 93 , 94 , 95 , 96 , 97 , 98 , 99 , 100 , 101 , 102 , 103 , 104 , 105 , 106 , 107 , 108 , 109 , 110 , 111 , 112 , 113 , 114 , 115 , 116 , 117 , 118 , 119 , 120 , 121 , 122 , 123 , 124 , 125 , 126 , 127 , 128 , 129 , 130 , 131 , 132 , 133 , 134 , 135 , 136 , 137 , 138 , 139 , 140 ]. The influence of BDNF in relation to depression has been amply studied [ 117 , 118 , 141 , 142 , 143 ]. Research has shown associations between depression and BDNF (as well as candidate SNPs of the BDNF gene, polymorphisms of the BDNF gene, and the interaction of these polymorphisms with other determinants, such as stress) [ 129 , 144 , 145 ]. Specific findings have been reported: for example, a study reported a link between the BDNF rs6265 allele (A) and major depressive disorder [ 117 ].

Other research focused on major histocompatibility complex region genes, endocannabinoid receptor gene polymorphisms, as well as tissue-specific genes and gene co-expression networks and their links to depression [ 99 , 110 , 112 ]. The SNPs of genes involved in the tryptophan catabolites pathway have also been of interest when studying the pathogenesis of depression.

The results from genetics studies are compelling; however, the findings remain mixed. One study indicated no support for depression candidate gene findings [ 122 ]. Another study found no association between specific polymorphisms and major depressive disorder [ 132 ]. As such, further research using larger samples is needed to corroborate the statistically significant associations reported in the literature.

3.1.3. Microbiome

Studies on the microbiome—key points:

• The gut bacteria and the brain communicate via both direct and indirect pathways called the gut-microbiota-brain axis (the bidirectional communication networks between the central nervous system and the gastrointestinal tract; this axis plays an important role in maintaining homeostasis).
• A disordered microbiome can lead to inflammation, which can then lead to depression
• There are possible links between the gut microbiome, host liver metabolism, brain inflammation, and depression

The common themes of this review have focused on the microbiome/microbiota or gut metabolome [ 146 , 147 , 148 , 149 , 150 , 151 , 152 , 153 , 154 , 155 , 156 , 157 , 158 , 159 , 160 , 161 ], the microbiota-gut-brain axis, and related factors [ 152 , 162 , 163 , 164 , 165 , 166 , 167 ]. When there is an imbalance in the intestinal bacteria, this can interfere with emotional regulation and contribute to harmful inflammatory processes and mood disorders [ 148 , 151 , 153 , 155 , 157 ]. Rodent research has shown that there may be a bidirectional association between the gut microbiota and depression: a disordered gut microbiota can play a role in the onset of this mental health problem, but, at the same time, the existence of stress and depression may also lead to a lower level of richness and diversity in the microbiome [ 158 ].

Research has also attempted to disentangle the links between the gut microbiome, host liver metabolism, brain inflammation, and depression, as well as the role of the ratio of lactobacillus to clostridium [ 152 ]. The literature has also examined the links between medication, such as antibiotics, and mood and behaviour, with the findings showing that antibiotics may be related to depression [ 159 , 168 ]. The links between the microbiome and depression are complex, and further studies are needed to determine the underpinning causal mechanisms.

3.1.4. Inflammation

Studies on inflammation—key points:

• Pro-inflammatory cytokines are linked to depression
• Pro-inflammatory cytokines, such as the tumour necrosis factor (TNF)-alpha, may play an important role
• Different methods of measurement are used, making the comparison of findings across studies difficult

Inflammation has been a theme in this literature review [ 60 , 161 , 164 , 169 , 170 , 171 , 172 , 173 , 174 , 175 , 176 , 177 , 178 , 179 , 180 , 181 , 182 , 183 , 184 ]. The findings show that raised levels of inflammation (because of factors such as pro-inflammatory cytokines) have been associated with depression [ 60 , 161 , 174 , 175 , 178 ]. For example, pro-inflammatory cytokines, such as tumour necrosis factor (TNF)-alpha, have been linked to depression [ 185 ]. Various determinants, such as early life stress, have also been linked to systemic inflammation, and this can increase the risk for depression [ 186 ].

Nevertheless, not everyone with elevated inflammation develops depression; therefore, this is just one route out of many linked to pathogenesis. Despite the compelling evidence reported with respect to inflammation, it is difficult to compare the findings across studies because of different methods used to assess depression and its risk factors.

3.1.5. Stress and HPA Axis Dysfunction

Studies on stress and HPA axis dysfunction—key points:

• Stress is linked to the release of proinflammatory factors
• The dysregulation of the HPA axis is linked to depression
• Determinants are interlinked in a complex web of causation

Stress was studied in various forms in rodent populations and humans [ 144 , 145 , 155 , 174 , 176 , 180 , 185 , 186 , 187 , 188 , 189 , 190 , 191 , 192 , 193 , 194 , 195 , 196 , 197 , 198 , 199 , 200 , 201 , 202 , 203 , 204 , 205 , 206 , 207 , 208 , 209 , 210 , 211 ].

Although this section has some overlap with others (as is to be expected because all of these determinants and body systems are interlinked), a number of studies have focused on the impact of stress on mental health. Stress has been mentioned in the literature as a risk factor of poor mental health and has emerged as an important determinant of depression. The effects of this variable are wide-ranging, and a short discussion is warranted.

Stress has been linked to the release of inflammatory factors, as well as the development of depression [ 204 ]. When the stress is high or lasts for a long period of time, this may negatively impact the brain. Chronic stress can impact the dendrites and synapses of various neurons, and may be implicated in the pathway leading to major depressive disorder [ 114 ]. As a review by Uchida et al. indicates, stress may be associated with the “dysregulation of neuronal and synaptic plasticity” [ 114 ]. Even in rodent studies, stress has a negative impact: chronic and unpredictable stress (and other forms of tension or stress) have been linked to unusual behaviour and depression symptoms [ 114 ].

The depression process and related brain changes, however, have also been linked to the hyperactivity or dysregulation of the HPA axis [ 127 , 130 , 131 , 182 , 212 ]. One review indicates that a potential underpinning mechanism of depression relates to “HPA axis abnormalities involved in chronic stress” [ 213 ]. There is a complex relationship between the HPA axis, glucocorticoid receptors, epigenetic mechanisms, and psychiatric sequelae [ 130 , 212 ].

In terms of the relationship between the HPA axis and stress and their influence on depression, the diathesis–stress model offers an explanation: it could be that early stress plays a role in the hyperactivation of the HPA axis, thus creating a predisposition “towards a maladaptive reaction to stress”. When this predisposition then meets an acute stressor, depression may ensue; thus, in line with the diathesis–stress model, a pre-existing vulnerability and stressor can create fertile ground for a mood disorder [ 213 ]. An integrated review by Dean and Keshavan [ 213 ] suggests that HPA axis hyperactivity is, in turn, related to other determinants, such as early deprivation and insecure early attachment; this again shows the complex web of causation between the different determinants.

3.1.6. Kynurenine Pathway

Studies on the kynurenine pathway—key points:

• The kynurenine pathway is linked to depression
• Indolamine 2,3-dioxegenase (IDO) polymorphisms are linked to postpartum depression

The kynurenine pathway was another theme that emerged in this review [ 120 , 178 , 181 , 184 , 214 , 215 , 216 , 217 , 218 , 219 , 220 , 221 ]. The kynurenine pathway has been implicated not only in general depressed mood (inflammation-induced depression) [ 184 , 214 , 219 ] but also postpartum depression [ 120 ]. When the kynurenine metabolism pathway is activated, this results in metabolites, which are neurotoxic.

A review by Jeon et al. notes a link between the impairment of the kynurenine pathway and inflammation-induced depression (triggered by treatment for various physical diseases, such as malignancy). The authors note that this could represent an important opportunity for immunopharmacology [ 214 ]. Another review by Danzer et al. suggests links between the inflammation-induced activation of indolamine 2,3-dioxegenase (the enzyme that converts tryptophan to kynurenine), the kynurenine metabolism pathway, and depression, and also remarks about the “opportunities for treatment of inflammation-induced depression” [ 184 ].

3.1.7. Cognition

Studies on cognition and the brain—key points:

• Cognitive decline and cognitive deficits are linked to increased depression risk
• Cognitive reserve is important in the disability/depression relationship
• Family history of cognitive impairment is linked to depression

A number of studies have focused on the theme of cognition and the brain. The results show that factors, such as low cognitive ability/function, cognitive vulnerability, cognitive impairment or deficits, subjective cognitive decline, regression of dendritic branching and hippocampal atrophy/death of hippocampal cells, impaired neuroplasticity, and neurogenesis-related aspects, have been linked to depression [ 131 , 212 , 222 , 223 , 224 , 225 , 226 , 227 , 228 , 229 , 230 , 231 , 232 , 233 , 234 , 235 , 236 , 237 , 238 , 239 ]. The cognitive reserve appears to act as a moderator and can magnify the impact of certain determinants on poor mental health. For example, in a study in which participants with multiple sclerosis also had low cognitive reserve, disability was shown to increase the risk for depression [ 63 ]. Cognitive deficits can be both causal and resultant in depression. A study on individuals attending outpatient stroke clinics showed that lower scores in cognition were related to depression; thus, cognitive impairment appears to be associated with depressive symptomatology [ 226 ]. Further, Halahakoon et al. [ 222 ] note a meta-analysis [ 240 ] that shows that a family history of cognitive impairment (in first degree relatives) is also linked to depression.

In addition to cognitive deficits, low-level cognitive ability [ 231 ] and cognitive vulnerability [ 232 ] have also been linked to depression. While cognitive impairment may be implicated in the pathogenesis of depressive symptoms [ 222 ], negative information processing biases are also important; according to the ‘cognitive neuropsychological’ model of depression, negative affective biases play a central part in the development of depression [ 222 , 241 ]. Nevertheless, the evidence on this topic is mixed and further work is needed to determine the underpinning mechanisms between these states.

3.2. Psychological Factors

Studies on psychological factors—key points:

• There are many affective risk factors linked to depression
• Determinants of depression include negative self-concept, sensitivity to rejection, neuroticism, rumination, negative emotionality, and others

A number of studies have been undertaken on the psychological factors linked to depression (including mastery, self-esteem, optimism, negative self-image, current or past mental health conditions, and various other aspects, including neuroticism, brooding, conflict, negative thinking, insight, cognitive fusion, emotional clarity, rumination, dysfunctional attitudes, interpretation bias, and attachment style) [ 66 , 128 , 140 , 205 , 210 , 228 , 235 , 242 , 243 , 244 , 245 , 246 , 247 , 248 , 249 , 250 , 251 , 252 , 253 , 254 , 255 , 256 , 257 , 258 , 259 , 260 , 261 , 262 , 263 , 264 , 265 , 266 , 267 , 268 , 269 , 270 , 271 , 272 , 273 , 274 , 275 , 276 , 277 , 278 , 279 , 280 , 281 , 282 , 283 , 284 , 285 , 286 , 287 , 288 , 289 , 290 ]. Determinants related to this condition include low self-esteem and shame, among other factors [ 269 , 270 , 275 , 278 ]. Several emotional states and traits, such as neuroticism [ 235 , 260 , 271 , 278 ], negative self-concept (with self-perceptions of worthlessness and uselessness), and negative interpretation or attention biases have been linked to depression [ 261 , 271 , 282 , 283 , 286 ]. Moreover, low emotional clarity has been associated with depression [ 267 ]. When it comes to the severity of the disorder, it appears that meta-emotions (“emotions that occur in response to other emotions (e.g., guilt about anger)” [ 268 ]) have a role to play in depression [ 268 ].

A determinant that has received much attention in mental health research concerns rumination. Rumination has been presented as a mediator but also as a risk factor for depression [ 57 , 210 , 259 ]. When studied as a risk factor, it appears that the relationship of rumination with depression is mediated by variables that include limited problem-solving ability and insufficient social support [ 259 ]. However, rumination also appears to act as a mediator: for example, this variable (particularly brooding rumination) lies on the causal pathway between poor attention control and depression [ 265 ]. This shows that determinants may present in several forms: as moderators or mediators, risk factors or outcomes, and this is why disentangling the relationships between the various factors linked to depression is a complex task.

The psychological determinants are commonly researched variables in the mental health literature. A wide range of factors have been linked to depression, such as the aforementioned determinants, but also: (low) optimism levels, maladaptive coping (such as avoidance), body image issues, and maladaptive perfectionism, among others [ 269 , 270 , 272 , 273 , 275 , 276 , 279 , 285 , 286 ]. Various mechanisms have been proposed to explain the way these determinants increase the risk for depression. One of the underpinning mechanisms linking the determinants and depression concerns coping. For example, positive fantasy engagement, cognitive biases, or personality dispositions may lead to emotion-focused coping, such as brooding, and subsequently increase the risk for depression [ 272 , 284 , 287 ]. Knowing the causal mechanisms linking the determinants to outcomes provides insight for the development of targeted interventions.

3.3. Social Determinants

Studies on social determinants—key points:

• Social determinants are the conditions in the environments where people are born, live, learn, work, play, etc.; these influence (mental) health [ 291 ]
• There are many social determinants linked to depression, such as sociodemographics, social support, adverse childhood experiences
• Determinants can be at the individual, social network, community, and societal levels

Studies also focused on the social determinants of (mental) health; these are the conditions in which people are born, live, learn, work, play, and age, and have a significant influence on wellbeing [ 291 ]. Factors such as age, social or socioeconomic status, social support, financial strain and deprivation, food insecurity, education, employment status, living arrangements, marital status, race, childhood conflict and bullying, violent crime exposure, abuse, discrimination, (self)-stigma, ethnicity and migrant status, working conditions, adverse or significant life events, illiteracy or health literacy, environmental events, job strain, and the built environment have been linked to depression, among others [ 52 , 133 , 235 , 236 , 239 , 252 , 269 , 280 , 292 , 293 , 294 , 295 , 296 , 297 , 298 , 299 , 300 , 301 , 302 , 303 , 304 , 305 , 306 , 307 , 308 , 309 , 310 , 311 , 312 , 313 , 314 , 315 , 316 , 317 , 318 , 319 , 320 , 321 , 322 , 323 , 324 , 325 , 326 , 327 , 328 , 329 , 330 , 331 , 332 , 333 , 334 , 335 , 336 , 337 , 338 , 339 , 340 , 341 , 342 , 343 , 344 , 345 , 346 , 347 , 348 , 349 , 350 , 351 , 352 , 353 , 354 , 355 , 356 , 357 , 358 , 359 , 360 , 361 , 362 , 363 , 364 , 365 , 366 , 367 , 368 , 369 , 370 , 371 ]. Social support and cohesion, as well as structural social capital, have also been identified as determinants [ 140 , 228 , 239 , 269 , 293 , 372 , 373 , 374 , 375 , 376 , 377 , 378 , 379 ]. In a study, part of the findings showed that low levels of education have been shown to be linked to post-stroke depression (but not severe or clinical depression outcomes) [ 299 ]. A study within a systematic review indicated that having only primary education was associated with a higher risk of depression compared to having secondary or higher education (although another study contrasted this finding) [ 296 ]. Various studies on socioeconomic status-related factors have been undertaken [ 239 , 297 ]; the research has shown that a low level of education is linked to depression [ 297 ]. Low income is also related to depressive disorders [ 312 ]. By contrast, high levels of education and income are protective [ 335 ].

A group of determinants touched upon by several studies included adverse childhood or early life experiences: ex. conflict with parents, early exposure to traumatic life events, bullying and childhood trauma were found to increase the risk of depression (ex. through pathways, such as inflammation, interaction effects, or cognitive biases) [ 161 , 182 , 258 , 358 , 362 , 380 ].

Gender-related factors were also found to play an important role with respect to mental health [ 235 , 381 , 382 , 383 , 384 , 385 ]. Gender inequalities can start early on in the lifecourse, and women were found to be twice as likely to have depression as men. Gender-related factors were linked to cognitive biases, resilience and vulnerabilities [ 362 , 384 ].

Determinants can impact mental health outcomes through underpinning mechanisms. For example, harmful determinants can influence the uptake of risk behaviours. Risk behaviours, such as sedentary behaviour, substance abuse and smoking/nicotine exposure, have been linked to depression [ 226 , 335 , 355 , 385 , 386 , 387 , 388 , 389 , 390 , 391 , 392 , 393 , 394 , 395 , 396 , 397 , 398 , 399 , 400 , 401 ]. Harmful determinants can also have an impact on diet. Indeed, dietary aspects and diet components (ex. vitamin D, folate, selenium intake, iron, vitamin B12, vitamin K, fiber intake, zinc) as well as diet-related inflammatory potential have been linked to depression outcomes [ 161 , 208 , 236 , 312 , 396 , 402 , 403 , 404 , 405 , 406 , 407 , 408 , 409 , 410 , 411 , 412 , 413 , 414 , 415 , 416 , 417 , 418 , 419 , 420 , 421 , 422 , 423 , 424 , 425 , 426 , 427 , 428 ]. A poor diet has been linked to depression through mechanisms such as inflammation [ 428 ].

Again, it is difficult to constrict diet to the ‘social determinants of health’ category as it also relates to inflammation (biological determinants) and could even stand alone as its own category. Nevertheless, all of these factors are interlinked and influence one another in a complex web of causation, as mentioned elsewhere in the paper.

Supplementary Figure S1 contains a representation of key determinants acting at various levels: the individual, social network, community, and societal levels. The determinants have an influence on risk behaviours, and this, in turn, can affect the mood (i.e., depression), body processes (ex. can increase inflammation), and may negatively influence brain structure and function.

3.4. Others

Studies on ‘other’ determinants—key points:

• A number of factors are related to depression
• These may not be as easily categorized as the other determinants in this paper

A number of factors arose in this review that were related to depression; it was difficult to place these under a specific heading above, so this ‘other’ category was created. A number of these could be sorted under the ‘social determinants of depression’ category. For example, being exposed to deprivation, hardship, or adversity may increase the risk for air pollution exposure and nighttime shift work, among others, and the latter determinants have been found to increase the risk for depression. Air pollution could also be regarded as an ecologic-level (environmental) determinant of mental health.

Nevertheless, we have decided to leave these factors in a separate category (because their categorization may not be as immediately clear-cut as others), and these factors include: low-level light [ 429 ], weight cycling [ 430 ], water contaminants [ 431 ], trade [ 432 ], air pollution [ 433 , 434 ], program-level variables (ex. feedback and learning experience) [ 435 ], TV viewing [ 436 ], falls [ 437 ], various other biological factors [ 116 , 136 , 141 , 151 , 164 , 182 , 363 , 364 , 438 , 439 , 440 , 441 , 442 , 443 , 444 , 445 , 446 , 447 , 448 , 449 , 450 , 451 , 452 , 453 , 454 , 455 , 456 , 457 , 458 , 459 , 460 , 461 , 462 , 463 , 464 , 465 , 466 , 467 , 468 , 469 ], mobile phone use [ 470 ], ultrasound chronic exposure [ 471 ], nighttime shift work [ 472 ], work accidents [ 473 ], therapy enrollment [ 226 ], and exposure to light at night [ 474 ].

4. Cross-Cutting Themes

4.1. lifecourse perspective.

Studies on the lifecourse perspective—key points:

• Early life has an importance on mental health
• Stress has been linked to depression
• In old age, the decline in social capital is important

Trajectories and life events are important when it comes to the lifecourse perspective. Research has touched on the influence of prenatal or early life stress on an individual’s mental health trajectory [ 164 , 199 , 475 ]. Severe stress that occurs in the form of early-life trauma has also been associated with depressive symptoms [ 362 , 380 ]. It may be that some individuals exposed to trauma develop thoughts of personal failure, which then serve as a catalyst of depression [ 380 ].

At the other end of the life trajectory—old age—specific determinants have been linked to an increased risk for depression. Older people are at a heightened risk of losing their social networks, and structural social capital has been identified as important in relation to depression in old age [ 293 ].

4.2. Gene–Environment Interactions

Studies on gene–environment interactions—key points:

• The environment and genetics interact to increase the risk of depression
• The etiology of depression is multifactorial
• Adolescence is a time of vulnerability

A number of studies have touched on gene–environment interactions [ 72 , 77 , 82 , 119 , 381 , 476 , 477 , 478 , 479 , 480 , 481 ]. The interactions between genetic factors and determinants, such as negative life events (ex. relationship and social difficulties, serious illness, unemployment and financial crises) and stressors (ex. death of spouse, minor violations of law, neighbourhood socioeconomic status) have been studied in relation to depression [ 82 , 135 , 298 , 449 , 481 ]. A study reported an interaction of significant life events with functional variation in the serotonin-transporter-linked polymorphic region (5-HTTLPR) allele type (in the context of multiple sclerosis) and linked this to depression [ 361 ], while another reported an interaction between stress and 5-HTTLPR in relation to depression [ 480 ]. Other research reported that the genetic variation of HPA-axis genes has moderating effects on the relationship between stressors and depression [ 198 ]. Another study showed that early-life stress interacts with gene variants to increase the risk for depression [ 77 ].

Adolescence is a time of vulnerability [ 111 , 480 ]. Perceived parental support has been found to interact with genes (GABRR1, GABRR2), and this appears to be associated with depressive symptoms in adolescence [ 480 ]. It is important to pay special attention to critical periods in the lifecourse so that adequate support is provided to those who are most vulnerable.

The etiology of depression is multifactorial, and it is worthwhile to examine the interaction between multiple factors, such as epigenetic, genetic, and environmental factors, in order to truly understand this mental health condition. Finally, taking into account critical periods of life when assessing gene–environment interactions is important for developing targeted interventions.

5. Discussion

Depression is one of the most common mental health conditions, and, if left untreated, it can increase the risk for substance abuse, anxiety disorders, and suicide. In the past 20 years, a large number of studies on the risk and protective factors of depression have been undertaken in various fields, such as genetics, neurology, immunology, and epidemiology. However, there are limitations associated with the extant evidence base. The previous syntheses on depression are limited in scope and focus exclusively on social or biological factors, population sub-groups, or examine depression as a comorbidity (rather than an independent disorder). The research on the determinants and causal pathways of depression is fragmentated and heterogeneous, and this has not helped to stimulate progress when it comes to the prevention and intervention of this condition—specifically unravelling the complexity of the determinants related to this condition and thus refining the prevention and intervention methods.

The scope of this paper was to bring together the heterogeneous, vast, and fragmented literature on depression and paint a picture of the key factors that contribute to this condition. The findings from this review show that there are important themes when it comes to the determinants of depression, such as: the microbiome, dysregulation of the HPA axis, inflammatory reactions, the kynurenine pathway, as well as psychological and social factors. It may be that physical factors are proximal determinants of depression, which, in turn, are acted on by more distal social factors, such as deprivation, environmental events, and social capital.

The Marmot Report [ 291 ], the World Health Organization [ 482 ], and Compton et al. [ 483 ] highlight that the most disadvantaged segments of society are suffering (the socioeconomic context is important), and this inequality in resources has translated to inequality in mental health outcomes [ 483 ]. To tackle the issue of egalitarianism and restore equality in the health between the groups, the social determinants need to be addressed [ 483 ]. A wide range of determinants of mental health have been identified in the literature: age, gender, ethnicity, family upbringing and early attachment patterns, social support, access to food, water and proper nutrition, and community factors. People spiral downwards because of individual- and societal-level circumstances; therefore, these circumstances along with the interactions between the determinants need to be considered.

Another important theme in the mental health literature is the lifecourse perspective. This shows that the timing of events has significance when it comes to mental health. Early life is a critical period during the lifespan at which cognitive processes develop. Exposure to harmful determinants, such as stress, during this period can place an individual on a trajectory of depression in adulthood or later life. When an individual is exposed to harmful determinants during critical periods and is also genetically predisposed to depression, the risk for the disorder can be compounded. This is why aspects such as the lifecourse perspective and gene–environment interactions need to be taken into account. Insight into this can also help to refine targeted interventions.

A number of interventions for depression have been developed or recommended, addressing, for example, the physical factors described here and lifestyle modifications. Interventions targeting various factors, such as education and socioeconomic status, are needed to help prevent and reduce the burden of depression. Further research on the efficacy of various interventions is needed. Additional studies are also needed on each of the themes described in this paper, for example: the biological factors related to postpartum depression [ 134 ], and further work is needed on depression outcomes, such as chronic, recurrent depression [ 452 ]. Previous literature has shown that chronic stress (associated with depression) is also linked to glucocorticoid receptor resistance, as well as problems with the regulation of the inflammatory response [ 484 ]. Further work is needed on this and the underpinning mechanisms between the determinants and outcomes. This review highlighted the myriad ways of measuring depression and its determinants [ 66 , 85 , 281 , 298 , 451 , 485 ]. Thus, the standardization of the measurements of the outcomes (ex. a gold standard for measuring depression) and determinants is essential; this can facilitate comparisons of findings across studies.

5.1. Strengths

This paper has important strengths. It brings together the wide literature on depression and helps to bridge disciplines in relation to one of the most common mental health problems. We identified, selected, and extracted data from studies, and provided concise summaries.

5.2. Limitations

The limitations of the review include missing potentially important studies; however, this is a weakness that cannot be avoided by literature reviews. Nevertheless, the aim of the review was not to identify each study that has been conducted on the risk and protective factors of depression (which a single review is unable to capture) but rather to gain insight into the breadth of literature on this topic, highlight key biological, psychological, and social determinants, and shed light on important themes, such as the lifecourse perspective and gene–environment interactions.

6. Conclusions

We have reviewed the determinants of depression and recognize that there are a multitude of risk and protective factors at the individual and wider ecologic levels. These determinants are interlinked and influence one another. We have attempted to describe the wide literature on this topic, and we have brought to light major factors that are of public mental health significance. This review may be used as an evidence base by those in public health, clinical practice, and research.

This paper discusses key areas in depression research; however, an exhaustive discussion of all the risk factors and determinants linked to depression and their mechanisms is not possible in one journal article—which, by its very nature, a single paper cannot do. We have brought to light overarching factors linked to depression and a workable conceptual framework that may guide clinical and public health practice; however, we encourage other researchers to continue to expand on this timely and relevant work—particularly as depression is a top priority on the policy agenda now.

Acknowledgments

Thank you to Isla Kuhn for the help with the Medline, Scopus, and PsycInfo database searches.

Supplementary Materials

The following are available online at https://www.mdpi.com/article/10.3390/brainsci11121633/s1 , Figure S1: Conceptual framework: Determinants of depression, Table S1: Data charting—A selection of determinants from the literature.

Appendix A.1. Search Strategy

Search: ((((((((((((((((“Gene-Environment Interaction”[Majr]) OR (“Genetics”[Mesh])) OR (“Genome-Wide Association Study”[Majr])) OR (“Microbiota”[Mesh] OR “Gastrointestinal Microbiome”[Mesh])) OR (“Neurogenic Inflammation”[Mesh])) OR (“genetic determinant”)) OR (“gut-brain-axis”)) OR (“Kynurenine”[Majr])) OR (“Cognition”[Mesh])) OR (“Neuronal Plasticity”[Majr])) OR (“Neurogenesis”[Mesh])) OR (“Genes”[Mesh])) OR (“Neurology”[Majr])) OR (“Social Determinants of Health”[Majr])) OR (“Glucocorticoids”[Mesh])) OR (“Tryptophan”[Mesh])) AND (“Depression”[Mesh] OR “Depressive Disorder”[Mesh]) Filters: from 2017—2020.

Ovid MEDLINE(R) and Epub Ahead of Print, In-Process, In-Data-Review & Other Non-Indexed Citations, Daily and Versions(R)

• exp *Depression/
• exp *Depressive Disorder/
• exp *”Social Determinants of Health”/
• exp *Tryptophan/
• exp *Glucocorticoids/
• exp *Neurology/
• exp *Genes/
• exp *Neurogenesis/
• exp *Neuronal Plasticity/
• exp *Kynurenine/
• exp *Genetics/
• exp *Neurogenic Inflammation/
• exp *Gastrointestinal Microbiome/
• exp *Genome-Wide Association Study/
• exp *Gene-Environment Interaction/
• exp *Depression/et [Etiology]
• exp *Depressive Disorder/et
• or/4-16   637368
• limit 22 to yr = “2017–Current”
• “cause* of depression”.mp.
• “cause* of depression”.ti.
• (cause adj3 (depression or depressive)).ti.
• (caus* adj3 (depression or depressive)).ti.

Appendix A.2. PsycInfo

(TITLE ( depression OR “ Depressive Disorder ”) AND TITLE (“ Social Determinants of Health ” OR tryptophan OR glucocorticoids OR neurology OR genes OR neurogenesis OR “ Neuronal Plasticity ” OR kynurenine OR genetics OR “ Neurogenic Inflammation ” OR “ Gastrointestinal Microbiome ” OR “ Genome-Wide Association Study ” OR “ Gene-Environment Interaction ” OR aetiology OR etiology )) OR TITLE ( cause* W/3 ( depression OR depressive )).

Author Contributions

O.R. was responsible for the design of the study and methodology undertaken. Despite P.T.’s involvement in YPMH, he had no role in the design of the study; P.T. was responsible for the conceptualization of the study. Validation was conducted by O.R. and J.F.M. Formal analysis (data charting) was undertaken by O.R. O.R. and P.T. were involved in the investigation, resource acquisition, and data presentation. The original draft preparation was undertaken by O.R. The writing was conducted by O.R., with review and editing by P.T. and J.F.M. Funding acquisition was undertaken by O.R. and P.T. All authors have read and agreed to the published version of the manuscript.

This research was funded by The William Templeton Foundation for Young People’s Mental Health, Cambridge Philosophical Society, and the Aviva Foundation.

Conflicts of Interest

The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations.

How to Discuss Your Mental Health on College Applications

Should you write about depression in your personal statement? Should you disclose mental health challenges elsewhere on your college application? Here’s what experts say.

Within the next few months, many rising high school seniors will be staring at a blank computer screen with the same question on their minds: What should I write about in my college application essay?  This question can feel heavy.  After all, by the time students approach the end of their junior year, they’ve surely heard lots about “THE” college essay.  The concept can feel overwhelming so it’s no surprise that many students struggle when it comes to choosing the perfect topic.

For students who experienced a mental health challenge while in high school, this question takes on another dimension. Should they talk about how they coped with say, depression, or any other mental health condition? Should they refer to it only in passing? Should they avoid mentioning it at all?  What is the best way to handle such an important topic?

While this is a very complicated topic, the college planning experts I talked with all offered similar advice.

The Purpose of a College Application Essay

Before thinking about whether or not you should write about mental health in your college essay, you should remember what the essay — or the “personal statement”— is all about in the first place.  What is the purpose of the essay?

No matter which prompt students select, and for all college applicants, those with or without mental health challenges, the essay is the only part of the application in which college admissions officers have the opportunity to hear the voices of the student. The rest of the application contains numbers, statistics, and comments from teachers and counselors.

This is why the personal statement, as college planning experts concur, is where you should share part of your true self in the most positive light. Think about what a college wants to know about you as a person, or what a university would gain by having you become a part of the campus community.  Dig deep to figure out what makes you, you.

Use your essay as an opportunity to bring your college application to life. Try to strive for it to represent you in an authentic yet optimistic way. One former reader of applications at a top university’s admission office shared a fun way to see if your essay checks out.  She asked me, “Does the essay pass the midnight test”?

Picture an exhausted admissions officer with a stack of unread application files on her desk. She is reading yours at midnight at the end of a 16-hour day. Does your essay draw the officer in and make her eager to read until the end of your essay to learn more about you? Will she be eager enough for her to conclude that, yes, we want this student on our campus next fall? Or does your essay sound far too similar to some of the others she’s read that day?

The purpose of your essay is to take the reader beyond the numbers (test scores and GPA) and into who you are as a real live human being.

Experts on Writing About Mental Health

All counselors interviewed for this piece agreed that students’ college essays should not be about their struggles with mental health. Wendy Kahn , a Chicago-based college planner, and Anna Seltz, of Higher Ed U , a college consulting organization in Philadelphia, both spoke about how students should try to talk about themselves in a positive light, taking the opportunity to showcase one of their many outstanding qualities, like intellectual curiosity, personal growth, or maturity.

A couple of the counselors — Bruce Vinik of Vinik Educational Services and Marsha Shaines of College Strategies in Kensington, Maryland — said that the only case in which a student should consider writing about her mental health challenges is if the struggle truly defines her as a person. Even then, both counselors saw this as the rare exception, and suggest that instead, most students should take advantage of the opportunity to explore one of the many other attributes that makes them unique. Vinik says that mental health problems should only be shared in the essay if the college would not be able to understand the applicant without knowing about this part of her. Generally, he discourages selecting this as a primary topic.

The Additional Information Section

All of the college planners mentioned above agree that if your mental health struggle in high school clearly impacted your performance, then you should mention it in the “Additional Information” portion of the Common Application — but only in a factual manner. If you missed three months of your sophomore year to deal with a mental health condition, you should explain that you spent those months dealing with a “health challenge,” overcame it, and are now back on track, advises Vinik.

The three other college counselors generally agreed with this sentiment. All expressed that if the mental health challenges have made an impact on your grades, involvement in class, attendance, or ability to participate in school activities, you should provide a short, factual summary (no more than two paragraphs) for background purposes, always emphasizing your recovery after these difficult moments and your preparedness for a college environment.

Seltz suggests that talking about this in your admissions interview may be another route that applicants can explore. Seltz recommends taking an approach like the one outlined for personal statements above: Briefly explain how the challenge affected your grades and focus mostly on the fact that those problems are now under control.  Making sure to emphasize the way/s that the challenge helped you to grow as a person is also important.

All of the college planners suggest that you talk with your high school counselor to ensure that what you are saying about mental illness in the college application is consistent with what the counselor may or may not say in her own counselor recommendation. Or, if you’d prefer that the counselor not address your mental health issues, request that as well. School counselors are almost always open to any guidance you may have for what you’d like them to include in or leave out of your letter of recommendation.

Dealing With Mental Health Challenges Past the Application

Being told that you cannot share a part of yourself that may have had a large impact on your life can be difficult to hear. Unfortunately, mental health is a stigmatized topic, and it’s difficult to explore its nuances and complexities in the short and streamlined format of a college application.  It is also extremely important to remember that with or without mental health challenges, you are far more complex than a 650-word personal statement.

The fact that you are not writing about it on your application doesn’t mean that colleges don’t want the “real” you, or that you will be unable to succeed. A mental health condition does not disqualify you from having an excellent collegiate experience by any means, the same way that a physical limitation would not interfere with your success as a student. As you explore your college options, be sure to look for campuses that are particularly mental-health friendly, and focus on finding resources you can rely on as a student. From counseling services to wellness organizations, many campuses make student mental health a priority, and selecting this kind of college will help you embrace your challenges and thrive in a new environment.

If you are worried that your problems are not yet under control — and that college may exacerbate them — you may want to consider taking a gap year and working with a local counselor to prepare for the big transition.  There are lots of really wonderful gap year programs for students in this exact position. If you think you might be interested in this option, talk with your school counselor about exploring what programs are available to you.

Be personal in your college application essay — but do so in an optimistic and positive way. The purpose of the essay is to convince the reader that you belong on their campus next fall. Don’t leave the reader with any unanswered questions or red flags about you.  Be clear about who you are and your will to enhance whatever campus you find yourself on.  This is the best way to tell the story of who you are.

If there are circumstances that need to be explained — such as time off, a drop in grades, or diminished participation in extracurricular activities, do so in a factual and concise manner in the “Additional Information” section.

Yes, you may have experienced a mental health challenge, and/or you may be going to college with mental illness. But don’t let that singularly define you as a person. You have the propensity to offer much more to a college than your diagnosis. And the personal statement essay is the place to show the college who you are as an individual, why you are ready for college, and what strong and special qualities you will bring to the campus community if accepted.

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16 Personal Essays About Mental Health Worth Reading

Here are some of the most moving and illuminating essays published on BuzzFeed about mental illness, wellness, and the way our minds work.

BuzzFeed Staff

1. My Best Friend Saved Me When I Attempted Suicide, But I Didn’t Save Her — Drusilla Moorhouse

"I was serious about killing myself. My best friend wasn’t — but she’s the one who’s dead."

2. Life Is What Happens While You’re Googling Symptoms Of Cancer — Ramona Emerson

"After a lifetime of hypochondria, I was finally diagnosed with my very own medical condition. And maybe, in a weird way, it’s made me less afraid to die."

3. How I Learned To Be OK With Feeling Sad — Mac McClelland

"It wasn’t easy, or cheap."

4. Who Gets To Be The “Good Schizophrenic”? — Esmé Weijun Wang

"When you’re labeled as crazy, the “right” kind of diagnosis could mean the difference between a productive life and a life sentence."

5. Why Do I Miss Being Bipolar? — Sasha Chapin

"The medication I take to treat my bipolar disorder works perfectly. Sometimes I wish it didn’t."

6. What My Best Friend And I Didn’t Learn About Loss — Zan Romanoff

"When my closest friend’s first baby was stillborn, we navigated through depression and grief together."

7. I Can’t Live Without Fear, But I Can Learn To Be OK With It — Arianna Rebolini

"I’ve become obsessively afraid that the people I love will die. Now I have to teach myself how to be OK with that."

8. What It’s Like Having PPD As A Black Woman — Tyrese Coleman

"It took me two years to even acknowledge I’d been depressed after the birth of my twin sons. I wonder how much it had to do with the way I had been taught to be strong."

9. Notes On An Eating Disorder — Larissa Pham

"I still tell my friends I am in recovery so they will hold me accountable."

10. What Comedy Taught Me About My Mental Illness — Kate Lindstedt

"I didn’t expect it, but stand-up comedy has given me the freedom to talk about depression and anxiety on my own terms."

11. The Night I Spoke Up About My #BlackSuicide — Terrell J. Starr

"My entire life was shaped by violence, so I wanted to end it violently. But I didn’t — thanks to overcoming the stigma surrounding African-Americans and depression, and to building a community on Twitter."

12. Knitting Myself Back Together — Alanna Okun

"The best way I’ve found to fight my anxiety is with a pair of knitting needles."

13. I Started Therapy So I Could Take Better Care Of Myself — Matt Ortile

"I’d known for a while that I needed to see a therapist. It wasn’t until I felt like I could do without help that I finally sought it."

14. I’m Mending My Broken Relationship With Food — Anita Badejo

"After a lifetime struggling with disordered eating, I’m still figuring out how to have a healthy relationship with my body and what I feed it."

15. I Found Love In A Hopeless Mess — Kate Conger

"Dehoarding my partner’s childhood home gave me a way to understand his mother, but I’m still not sure how to live with the habit he’s inherited."

16. When Taking Anxiety Medication Is A Revolutionary Act — Tracy Clayton

"I had to learn how to love myself enough to take care of myself. It wasn’t easy."

Topics in this article

• Mental Health

434 Depression Essay Titles & Research Topics: Argumentative, Controversial, and More

Depression is undeniably one of the most prevalent mental health conditions globally, affecting approximately 5% of adults worldwide. It often manifests as intense feelings of hopelessness, sadness, and a loss of interest in previously enjoyable activities. Many also experience physical symptoms like fatigue, sleep disturbances, and appetite changes. Recognizing and addressing this mental disorder is extremely important to save lives and treat the condition.

In this article, we’ll discuss how to write an essay about depression and introduce depression essay topics and research titles for students that may be inspirational.

• 🔝 Top Depression Essay Titles
• ✅ Essay Prompts
• 💡 Research Topics
• 🔎 Essay Titles
• 💭 Speech Topics
• 📝 Essay Structure

🔗 References

🔝 top 12 research titles about depression.

• How is depression treated?
• Depression: Risk factors.
• The symptoms of depression.
• What types of depression exist?
• Depression in young people.
• Differences between anxiety and depression.
• The parents’ role in depression therapy.
• Drugs as the root cause of depression.
• Dangerous consequences of untreated depression.
• Effect of long-term depression.
• Different stages of depression.
• Treatment for depression.

✅ Prompts for Essay about Depression

Struggling to find inspiration for your essay? Look no further! We’ve put together some valuable essay prompts on depression just for you!

Prompt for Personal Essay about Depression

Sharing your own experience with depression in a paper can be a good idea. Others may feel more motivated to overcome their situation after reading your story. You can also share valuable advice by discussing things or methods that have personally helped you deal with the condition.

For example, in your essay about depression, you can:

• Tell about the time you felt anxious, hopeless, or depressed;
• Express your opinion on depression based on the experiences from your life;
• Suggest a way of dealing with the initial symptoms of depression ;
• Share your ideas on how to protect mental health at a young age.

How to Overcome Depression: Essay Prompt

Sadness is a common human emotion, but depression encompasses more than just sadness. As reported by the National Institute of Mental Health, around 21 million adults in the United States, roughly 8.4% of the total adult population , faced at least one significant episode of depression in 2020. When crafting your essay about overcoming depression, consider exploring the following aspects:

• Depression in young people and adolescents;
• The main causes of depression;
• The symptoms of depression;
• Ways to treat depression;
• Help from a psychologist (cognitive behavioral therapy or interpersonal therapy ).

Postpartum Depression: Essay Prompt

The birth of a child often evokes a spectrum of powerful emotions, spanning from exhilaration and happiness to apprehension and unease. It can also trigger the onset of depression. Following childbirth, many new mothers experience postpartum “baby blues,” marked by shifts in mood, bouts of tears, anxiety, and sleep disturbances. To shed light on the subject of postpartum depression, explore the following questions:

• What factors may increase the risk of postpartum depression?
• Is postpartum depression predictable?
• How to prevent postpartum depression?
• What are the symptoms of postpartum depression?
• What kinds of postpartum depression treatments exist?

Prompt for Essay about Teenage Depression

Teenage depression is a mental health condition characterized by sadness and diminishing interest in daily activities. It can significantly impact a teenager’s thoughts, emotions, and behavior, often requiring long-term treatment and support.

By discussing the primary symptoms of teenage depression in your paper, you can raise awareness of the issue and encourage those in need to seek assistance. You can pay attention to the following aspects:

• Emotional changes (feelings of sadness, anger, hopelessness, guilt, etc.);
• Behavioral changes (loss of energy and appetite , less attention to personal hygiene, self-harm, etc.);
• New addictions (drugs, alcohol, computer games, etc.).

💡 Research Topics about Depression

• The role of genetics in depression development.
• The effectiveness of different psychotherapeutic interventions for depression.
• Anti-depression non-pharmacological and medication treatment .
• The impact of childhood trauma on the onset of depression later in life.
• Exploring the efficacy of antidepressant medication in different populations.
• The impact of exercise on depression symptoms and treatment outcomes.
• Mild depression: pharmacotherapy and psychotherapy .
• The relationship between sleep disturbances and depression.
• The role of gut microbiota in depression and potential implications for treatment.
• Investigating the impact of social media on depression rates in adolescents.
• Depression, dementia, and delirium in older people .
• The efficacy of cognitive-behavioral therapy in preventing depression relapse.
• The influence of hormonal changes on depression risk.
• Assessing the effectiveness of self-help and digital interventions for depression.
• Herbal and complementary therapies for depression .
• The relationship between personality traits and vulnerability to depression.
• Investigating the long-term consequences of untreated depression on physical health.
• Exploring the link between chronic pain and depression.
• Depression in the elderly male .
• The impact of childhood experiences on depression outcomes in adulthood.
• The use of ketamine and other novel treatments for depression.
• The effect of stigma on depression diagnosis and treatment.
• The conducted family assessment: cases of depression .
• The role of social support in depression recovery.
• The effectiveness of online support groups for individuals with depression.
• Depression and cognitive decline in adults.
• Depression: PICOT question component exploration .
• Exploring the impact of nutrition and dietary patterns on depression symptoms.
• Investigating the efficacy of art-based therapies in depression treatment.
• The role of neuroplasticity in the development and treatment of depression.
• Depression among HIV-positive women .
• The influence of gender on depression prevalence and symptomatology.
• Investigating the impact of workplace factors on depression rates and outcomes.
• The efficacy of family-based interventions in reducing depression symptoms in teenagers.
• Frontline nurses’ burnout, anxiety, depression, and fear statuses .
• The role of early-life stress and adversity in depression vulnerability.
• The impact of various environmental factors on depression rates.
• Exploring the link between depression and cardiovascular health .
• Depression detection in adults in nursing practice .
• Virtual reality as a therapeutic tool for depression treatment.
• Investigating the impact of childhood bullying on depression outcomes.
• The benefits of animal-assisted interventions in depression management.
• Depression and physical exercise .
• The relationship between depression and suicidal behavior .
• The influence of cultural factors on depression symptom expression.
• Investigating the role of epigenetics in depression susceptibility.
• Depression associated with cognitive dysfunction .
• Exploring the impact of adverse trauma on the course of depression.
• The efficacy of acceptance and commitment therapy in treating depression.
• The relationship between depression and substance use disorders .
• Depression and anxiety among college students .
• Investigating the effectiveness of group therapy for depression.
• Depression and chronic medical conditions .

Psychology Research Topics on Depression

• The influence of early attachment experiences on the development of depression.
• The impact of negative cognitive biases on depression symptomatology.
• Depression treatment plan for a queer patient .
• Examining the relationship between perfectionism and depression.
• The role of self-esteem in depression vulnerability and recovery.
• Exploring the link between maladaptive thinking styles (e.g., rumination, catastrophizing) and depression.
• Investigating the impact of social support on depression outcomes and resilience.
• Identifying depression in young adults at an early stage .
• The influence of parenting styles on the risk of depression in children and adolescents.
• The role of self-criticism and self-compassion in depression treatment.
• Exploring the relationship between identity development and depression in emerging adulthood.
• The role of learned helplessness in understanding depression and its treatment.
• Depression in the elderly .
• Examining the connection between self-efficacy beliefs and depression symptoms.
• The influence of social comparison processes on depression and body image dissatisfaction .
• Exploring the impact of trauma-related disorders on depression.
• The role of resilience factors in buffering against the development of depression.
• Investigating the relationship between personality traits and depression.
• Depression and workplace violence .
• The impact of cultural factors on depression prevalence and symptom presentation.
• Investigating the effects of chronic stress on depression risk.
• The role of coping strategies in depression management and recovery.
• The correlation between discrimination/prejudice and depression/anxiety .
• Exploring the influence of gender norms and societal expectations on depression rates.
• The impact of adverse workplace conditions on employee depression.
• Investigating the effectiveness of narrative therapy in treating depression.
• Cognitive behavior and depression in adolescents .
• Childhood emotional neglect and adult depression.
• The influence of perceived social support on treatment outcomes in depression.
• The effects of childhood bullying on the development of depression.
• The impact of intergenerational transmission of depression within families.
• Depression in children: symptoms and treatments .
• Investigating the link between body dissatisfaction and depression in adolescence.
• The influence of adverse life events and chronic stressors on depression risk.
• The effects of peer victimization on the development of depression in adolescence.
• Counselling clients with depression and addiction .
• The role of experiential avoidance in depression and its treatment.
• The impact of social media use and online interactions on depression rates.
• Depression management in adolescent .
• Exploring the relationship between emotional intelligence and depression symptomatology.
• Investigating the influence of cultural values and norms on depression stigma and help-seeking behavior.
• The effects of childhood maltreatment on neurobiological markers of depression.
• Psychological and emotional conditions of suicide and depression .
• Exploring the relationship between body dissatisfaction and depression.
• The influence of self-worth contingencies on depression vulnerability and treatment response.
• The impact of social isolation and loneliness on depression rates.
• Psychology of depression among college students .
• The effects of perfectionistic self-presentation on depression in college students.
• The role of mindfulness skills in depression prevention and relapse prevention.
• Investigating the influence of adverse neighborhood conditions on depression risk.
• Personality psychology and depression .
• The impact of attachment insecurity on depression symptomatology.

Postpartum Depression Research Topics

• Identifying risk factors for postpartum depression.
• Exploring the role of hormonal changes in postpartum depression.
• “Baby blues” or postpartum depression and evidence-based care .
• The impact of social support on postpartum depression.
• The effectiveness of screening tools for early detection of postpartum depression.
• The relationship between postpartum depression and maternal-infant bonding .
• Postpartum depression educational program results .
• Identifying effective interventions for preventing and treating postpartum depression.
• Examining the impact of cultural factors on postpartum depression rates.
• Investigating the role of sleep disturbances in postpartum depression.
• Depression and postpartum depression relationship .
• Exploring the impact of a traumatic birth experience on postpartum depression.
• Assessing the impact of breastfeeding difficulties on postpartum depression.
• Understanding the role of genetic factors in postpartum depression.
• Postpartum depression: consequences .
• Investigating the impact of previous psychiatric history on postpartum depression risk.
• The potential benefits of exercise on postpartum depression symptoms.
• The efficacy of psychotherapeutic interventions for postpartum depression.
• Postpartum depression in the twenty-first century .
• The influence of partner support on postpartum depression outcomes.
• Examining the relationship between postpartum depression and maternal self-esteem.
• The impact of postpartum depression on infant development and well-being.
• Maternal mood symptoms in pregnancy and postpartum depression .
• The effectiveness of group therapy for postpartum depression management.
• Identifying the role of inflammation and immune dysregulation in postpartum depression.
• Investigating the impact of childcare stress on postpartum depression.
• Postpartum depression among low-income US mothers .
• The role of postnatal anxiety symptoms in postpartum depression.
• The impact of postpartum depression on the marital relationship.
• The influence of postpartum depression on parenting practices and parental stress.
• Postpartum depression: symptoms, role of cultural factors, and ways to support .
• Investigating the efficacy of pharmacological treatments for postpartum depression.
• The impact of postpartum depression on breastfeeding initiation and continuation.
• The relationship between postpartum depression and post-traumatic stress disorder .
• Postpartum depression and its identification .
• The impact of postpartum depression on cognitive functioning and decision-making.
• Investigating the influence of cultural norms and expectations on postpartum depression rates.
• The impact of maternal guilt and shame on postpartum depression symptoms.
• Beck’s postpartum depression theory: purpose, concepts, and significance .
• Understanding the role of attachment styles in postpartum depression vulnerability.
• Investigating the effectiveness of online support groups for women with postpartum depression.
• The impact of socioeconomic factors on postpartum depression prevalence.
• Perinatal depression: research study and design .
• The efficacy of mindfulness-based interventions for postpartum depression.
• Investigating the influence of birth spacing on postpartum depression risk.
• The role of trauma history in postpartum depression development.
• The link between the birth experience and postnatal depression .
• How does postpartum depression affect the mother-infant interaction and bonding ?
• The effectiveness of home visiting programs in preventing and managing postpartum depression.
• Assessing the influence of work-related stress on postpartum depression.
• The relationship between postpartum depression and pregnancy-related complications.
• The role of personality traits in postpartum depression vulnerability.

🔎 Depression Essay Titles

Depression essay topics: cause & effect.

• The effects of childhood trauma on the development of depression in adults.
• The impact of social media usage on the prevalence of depression in adolescents.
• “Predictors of Postpartum Depression” by Katon et al.
• The effects of environmental factors on depression rates.
• The relationship between academic pressure and depression among college students.
• The relationship between financial stress and depression.
• The best solution to predict depression because of bullying .
• How does long-term unemployment affect mental health ?
• The effects of unemployment on mental health, particularly the risk of depression.
• The impact of genetics and family history of depression on an individual’s likelihood of developing depression.
• The relationship between depression and substance abuse .
• Child abuse and depression .
• The role of gender in the manifestation and treatment of depression.
• The effects of chronic stress on the development of depression.
• The link between substance abuse and depression.
• Depression among students at Elon University .
• The influence of early attachment styles on an individual’s vulnerability to depression.
• The effects of sleep disturbances on the severity of depression.
• Chronic illness and the risk of developing depression.
• Depression: symptoms and treatment .
• Adverse childhood experiences and the likelihood of experiencing depression in adulthood.
• The relationship between chronic illness and depression.
• The role of negative thinking patterns in the development of depression.
• Effects of depression among adolescents .
• The effects of poor body image and low self-esteem on the prevalence of depression.
• The influence of social support systems on preventing symptoms of depression.
• The effects of child neglect on adult depression rates.
• Depression caused by hormonal imbalance .
• The link between perfectionism and the risk of developing depression.
• The effects of a lack of sleep on depression symptoms.
• The effects of childhood abuse and neglect on the risk of depression.
• Social aspects of depression and anxiety .
• The impact of bullying on the likelihood of experiencing depression.
• The role of serotonin and neurotransmitter imbalances in the development of depression.
• The impact of a poor diet on depression rates.
• Depression and anxiety run in the family .
• The effects of childhood poverty and socioeconomic status on depression rates in adults.
• The impact of divorce on depression rates.
• The relationship between traumatic life events and the risk of developing depression.
• The influence of personality traits on susceptibility to depression.
• The impact of workplace stress on depression rates.
• Depression in older adults: causes and treatment .
• The impact of parental depression on children’s mental health outcomes.
• The effects of social isolation on the prevalence and severity of depression.
• The role of cultural factors in the manifestation and treatment of depression.
• The relationship between childhood bullying victimization and future depressive symptoms.
• The impact of early intervention and prevention programs on reducing the risk of postpartum depression.
• Treating mood disorders and depression .
• How do hormonal changes during pregnancy contribute to the development of depression?
• The effects of sleep deprivation on the onset and severity of postpartum depression.
• The impact of social media on depression rates among teenagers.
• The role of genetics in the development of depression.
• The impact of bullying on adolescent depression rates.
• Mental illness, depression, and wellness issues .
• The effects of a sedentary lifestyle on depression symptoms.
• The correlation between academic pressure and depression in students.
• The relationship between perfectionism and depression.
• The correlation between trauma and depression in military veterans.
• Anxiety and depression during childhood and adolescence .
• The impact of racial discrimination on depression rates among minorities.
• The relationship between chronic pain and depression.
• The impact of social comparison on depression rates among young adults.
• The effects of childhood abuse on adult depression rates.

Depression Argumentative Essay Topics

• The role of social media in contributing to depression among teenagers.
• The effectiveness of antidepressant medication: an ongoing debate.
• Depression treatment: therapy or medications ?
• Should depression screening be mandatory in schools and colleges?
• Is there a genetic predisposition to depression?
• The stigma surrounding depression: addressing misconceptions and promoting understanding.
• Implementation of depression screening in primary care .
• Is psychotherapy more effective than medication in treating depression?
• Is teenage depression overdiagnosed or underdiagnosed: a critical analysis.
• The connection between depression and substance abuse: untangling the relationship.
• Humanistic therapy of depression .
• Should ECT (electroconvulsive therapy) be a treatment option for severe depression?
• Where is depression more prevalent: in urban or rural communities? Analyzing the disparities.
• Is depression a result of chemical imbalance in the brain? Debunking the myth.
• Depression: a serious mental and behavioral problem .
• Should depression medication be prescribed for children and adolescents?
• The effectiveness of mindfulness-based interventions in managing depression.
• Should depression in the elderly be considered a normal part of aging?
• Is depression hereditary? Investigating the role of genetics in depression risk.
• Different types of training in managing the symptoms of depression .
• The effectiveness of online therapy platforms in treating depression.
• Should psychedelic therapy be explored as an alternative treatment for depression?
• The connection between depression and cardiovascular health: Is there a link?
• The effectiveness of cognitive-behavioral therapy in preventing depression relapse.
• Depression as a bad a clinical condition .
• Should mind-body interventions (e.g., yoga , meditation) be integrated into depression treatment?
• Should emotional support animals be prescribed for individuals with depression?
• The effectiveness of peer support groups in decreasing depression symptoms.
• The use of antidepressants: are they overprescribed or necessary for treating depression?
• Adult depression and anxiety as a complex problem .
• The effectiveness of therapy versus medication in treating depression.
• The stigma surrounding depression and mental illness: how can we reduce it?
• The debate over the legalization of psychedelic drugs for treating depression.
• The relationship between creativity and depression: does one cause the other?
• Cognitive-behavioral therapy for generalized anxiety disorder and depression .
• The role of childhood trauma in shaping adult depression: Is it always a causal factor?
• The debate over the medicalization of sadness and grief as forms of depression.
• Alternative therapies, such as acupuncture or meditation, are effective in treating depression.
• Depression as a widespread mental condition .

Controversial Topics about Depression

• The existence of “chemical imbalance” in depression: fact or fiction?
• The over-reliance on medication in treating depression: are alternatives neglected?
• Is depression overdiagnosed and overmedicated in Western society?
• Measurement of an individual’s level of depression .
• The role of Big Pharma in shaping the narrative and treatment of depression.
• Should antidepressant advertisements be banned?
• The inadequacy of current diagnostic criteria for depression: rethinking the DSM-5.
• Is depression a biological illness or a product of societal factors?
• Literature review on depression .
• The overemphasis on biological factors in depression treatment: ignoring environmental factors.
• Is depression a normal reaction to an abnormal society?
• The influence of cultural norms on the perception and treatment of depression.
• Should children and adolescents be routinely prescribed antidepressants?
• The role of family in depression treatment .
• The connection between depression and creative genius: does depression enhance artistic abilities?
• The ethics of using placebo treatment for depression studies.
• The impact of social and economic inequalities on depression rates.
• Is depression primarily a mental health issue or a social justice issue?
• Depression disassembling and treating .
• Should depression screening be mandatory in the workplace?
• The influence of gender bias in the diagnosis and treatment of depression.
• The controversial role of religion and spirituality in managing depression.
• Is depression a result of individual weakness or societal factors?
• Abnormal psychology: anxiety and depression case .
• The link between depression and obesity: examining the bidirectional relationship.
• The connection between depression and academic performance : causation or correlation?
• Should depression medication be available over the counter?
• The impact of internet and social media use on depression rates: harmful or beneficial?
• Interacting in the workplace: depression .
• Is depression a modern epidemic or simply better diagnosed and identified?
• The ethical considerations of using animals in depression research.
• The effectiveness of psychedelic therapies for treatment-resistant depression.
• Is depression a disability? The debate on workplace accommodations.
• Polysubstance abuse among adolescent males with depression .
• The link between depression and intimate partner violence : exploring the relationship.
• The controversy surrounding “happy” pills and the pursuit of happiness.
• Is depression a choice? Examining the role of personal responsibility.

Good Titles for Depression Essays

• The poetic depictions of depression: exploring its representation in literature.
• The melancholic symphony: the influence of depression on classical music.
• Moderate depression symptoms and treatment .
• Depression in modern music: analyzing its themes and expressions.
• Cultural perspectives on depression: a comparative analysis of attitudes in different countries.
• Contrasting cultural views on depression in Eastern and Western societies.
• Diagnosing depression in the older population .
• The influence of social media on attitudes and perceptions of depression in global contexts.
• Countries with progressive approaches to mental health awareness.
• From taboo to acceptance: the evolution of attitudes towards depression.
• Depression screening tool in acute settings .
• The Bell Jar : analyzing Sylvia Plath’s iconic tale of depression .
• The art of despair: examining Frida Kahlo’s self-portraits as a window into depression.
• The Catcher in the Rye : Holden Caulfield’s battle with adolescent depression.
• Music as therapy: how jazz artists turned depression into art.
• Depression screening tool for a primary care center .
• The Nordic paradox: high depression rates in Scandinavian countries despite high-quality healthcare.
• The Stoic East: how Eastern philosophies approach and manage depression.
• From solitude to solidarity: collective approaches to depression in collectivist cultures.
• The portrayal of depression in popular culture: a critical analysis of movies and TV shows.
• The depression screening training in primary care .
• The impact of social media influencers on depression rates among young adults.
• The role of music in coping with depression: can specific genres or songs help alleviate depressive symptoms?
• The representation of depression in literature: a comparative analysis of classic and contemporary works.
• The use of art as a form of self-expression and therapy for individuals with depression.
• Depression management guidelines implementation .
• The role of religion in coping with depression: Christian and Buddhist practices.
• The representation of depression in the video game Hellblade: Senua’s Sacrifice .
• The role of nature in coping with depression: can spending time outdoors help alleviate depressive symptoms?
• The effectiveness of dance/movement therapy in treating depression among older adults.
• The National Institute for Health: depression management .
• The portrayal of depression in stand-up comedy: a study of comedians like Maria Bamford and Chris Gethard.
• The role of spirituality in coping with depression: Islamic and Hindu practices .
• The portrayal of depression in animated movies : an analysis of Inside Out and The Lion King .
• The representation of depression by fashion designers like Alexander McQueen and Rick Owens.
• Depression screening in primary care .
• The portrayal of depression in documentaries: an analysis of films like The Bridge and Happy Valley .
• The effectiveness of wilderness therapy in treating depression among adolescents.
• The connection between creativity and depression: how art can help heal.
• The role of Buddhist and Taoist practices in coping with depression.
• Mild depression treatment research funding sources .
• The portrayal of depression in podcasts: an analysis of the show The Hilarious World of Depression .
• The effectiveness of drama therapy in treating depression among children and adolescents.
• The representation of depression in the works of Vincent van Gogh and Edvard Munch.
• Depression in young people: articles review .
• The impact of social media on political polarization and its relationship with depression.
• The role of humor in coping with depression: a study of comedians like Ellen DeGeneres.
• The portrayal of depression in webcomics: an analysis of the comics Hyperbole and a Half .
• The effect of social media on mental health stigma and its relationship with depression.
• Depression and the impact of human services workers .
• The masked faces: hiding depression in highly individualistic societies.

💭 Depression Speech Topics

Informative speech topics about depression.

• Different types of depression and their symptoms.
• The causes of depression: biological, psychological, and environmental factors.
• How depression and physical issues are connected .
• The prevalence of depression in different age groups and demographics.
• The link between depression and anxiety disorders .
• Physical health: The effects of untreated depression.
• The role of genetics in predisposing individuals to depression.
• What you need to know about depression .
• How necessary is early intervention in treating depression?
• The effectiveness of medication in treating depression.
• The role of exercise in managing depressive symptoms.
• Depression in later life: overview .
• The relationship between substance abuse and depression.
• The impact of trauma on depression rates and treatment.
• The effectiveness of mindfulness meditation in managing depressive symptoms.
• Enzymes conversion and metabolites in major depression .
• The benefits and drawbacks of electroconvulsive therapy for severe depression.
• The effect of gender and cultural norms on depression rates and treatment.
• The effectiveness of alternative therapies for depression, such as acupuncture and herbal remedies .
• The importance of self-care in managing depression.
• Symptoms of anxiety, depression, and peritraumatic dissociation .
• The role of support systems in managing depression.
• The effectiveness of cognitive-behavioral therapy in treating depression.
• The benefits and drawbacks of online therapy for depression.
• The role of spirituality in managing depression.
• Depression among minority groups .
• The benefits and drawbacks of residential treatment for severe depression.
• What is the relationship between childhood trauma and adult depression?
• How effective is transcranial magnetic stimulation (TMS) for treatment-resistant depression?
• The benefits and drawbacks of art therapy for depression.
• Mood disorder: depression and bipolar .
• The impact of social media on depression rates.
• The effectiveness of dialectical behavior therapy (DBT) in treating depression.
• Depression in older people .
• The impact of seasonal changes on depression rates and treatment options.
• The impact of depression on daily life and relationships, and strategies for coping with the condition.
• The stigma around depression and the importance of seeking help.

Persuasive Speech Topics about Depression

• How important is it to recognize the signs and symptoms of depression ?
• How do you support a loved one who is struggling with depression?
• The importance of mental health education in schools to prevent and manage depression.
• Social media: the rise of depression and anxiety .
• Is there a need to increase funding for mental health research to develop better treatments for depression?
• Addressing depression in minority communities: overcoming barriers and disparities.
• The benefits of including alternative therapies , such as yoga and meditation, in depression treatment plans.
• Challenging media portrayals of depression: promoting accurate representations.
• Two sides of depression disease .
• How social media affects mental health: the need for responsible use to prevent depression.
• The importance of early intervention: addressing depression in schools and colleges.
• The benefits of seeking professional help for depression.
• There is a need for better access to mental health care, including therapy and medication, for those suffering from depression.
• Depression in adolescents and suitable interventions .
• How do you manage depression while in college or university?
• The role of family and friends in supporting loved ones with depression and encouraging them to seek help.
• The benefits of mindfulness and meditation for depression.
• The link between sleep and depression, and how to improve sleep habits.
• How do you manage depression while working a high-stress job?
• Approaches to treating depression .
• How do you manage depression during pregnancy and postpartum?
• The importance of prioritizing employee mental health and providing resources for managing depression in the workplace.
• How should you manage depression while caring for a loved one with a chronic illness?
• How to manage depression while dealing with infertility or pregnancy loss.
• Andrew Solomon: why we can’t talk about depression .
• Destigmatizing depression: promoting mental health awareness and understanding.
• Raising funds for depression research: investing in mental health advances.
• The power of peer support: establishing peer-led programs for depression.
• Accessible mental health services: ensuring treatment for all affected by depression.
• Evidence-based screening for depression in acute care .
• The benefits of journaling for mental health: putting your thoughts on paper to heal.
• The power of positivity: changing your mindset to fight depression .
• The healing power of gratitude in fighting depression.
• The connection between diet and depression: eating well can improve your mood.
• Teen depression and suicide in Soto’s The Afterlife .
• The benefits of therapy for depression: finding professional help to heal.
• The importance of setting realistic expectations when living with depression.

📝 How to Write about Depression: Essay Structure

We’ve prepared some tips and examples to help you structure your essay and communicate your ideas.

Essay about Depression: Introduction

An introduction is the first paragraph of an essay. It plays a crucial role in engaging the reader, offering the context, and presenting the central theme.

A good introduction typically consists of 3 components:

• Hook. The hook captures readers’ attention and encourages them to continue reading.
• Background information. Background information provides context for the essay.
• Thesis statement. A thesis statement expresses the essay’s primary idea or central argument.

Hook : Depression is a widespread mental illness affecting millions worldwide.

Background information : Depression affects your emotions, thoughts, and behavior. If you suffer from depression, engaging in everyday tasks might become arduous, and life may appear devoid of purpose or joy.

Depression Essay Thesis Statement

A good thesis statement serves as an essay’s road map. It expresses the author’s point of view on the issue in 1 or 2 sentences and presents the main argument.

Thesis statement : The stigma surrounding depression and other mental health conditions can discourage people from seeking help, only worsening their symptoms.

Essays on Depression: Body Paragraphs

The main body of the essay is where you present your arguments. An essay paragraph includes the following:

• a topic sentence,
• evidence to back up your claim,
• explanation of why the point is essential to the argument;
• a link to the next paragraph.

Topic sentence : Depression is a complex disorder that requires a personalized treatment approach, comprising both medication and therapy.

Evidence : Medication can be prescribed by a healthcare provider or a psychiatrist to relieve the symptoms. Additionally, practical strategies for managing depression encompass building a support system, setting achievable goals, and practicing self-care.

Depression Essay: Conclusion

The conclusion is the last part of your essay. It helps you leave a favorable impression on the reader.

The perfect conclusion includes 3 elements:

• Rephrased thesis statement.
• Summary of the main points.
• Final opinion on the topic.

Rephrased thesis: In conclusion, overcoming depression is challenging because it involves a complex interplay of biological, psychological, and environmental factors that affect an individual’s mental well-being.

Summary: Untreated depression heightens the risk of engaging in harmful behaviors such as substance abuse and can also result in negative thought patterns, diminished self-esteem, and distorted perceptions of reality.

We hope you’ve found our article helpful and learned some new information. If so, feel free to share it with your friends. You can also try our free online topic generator !

• Pain, anxiety, and depression – Harvard Health | Harvard Health Publishing
• Depression-related increases and decreases in appetite reveal dissociable patterns of aberrant activity in reward and interoceptive neurocircuitry – PMC | National Library of Medicine
• How to Get Treatment for Postpartum Depression – The New York Times
• What Is Background Information and What Purpose Does It Serve? | Indeed.com
• Thesis | Harvard College Writing Center
• Topic Sentences: How Do You Write a Great One? | Grammarly Blog

725 Research Proposal Topics & Title Ideas in Education, Psychology, Business, & More

414 proposal essay topics for projects, research, & proposal arguments.

Anxiety Disorders and Depression Essay (Critical Writing)

Introduction, description section, feelings section, action plan, reference list.

Human beings become anxious in different situations that are uncertain to them. Depression and anxiety occur at a similar time. Anxiety is caused due to an overwhelming fear of an expected occurrence of an event that is unclear to a person. More than 25 million people globally are affected by anxiety disorders. People feel anxious in moments such as when making important decisions, before facing an interview panel, and before taking tests. Anxiety disorders are normally brained reactions to stress as they alert a person of impending danger. Most people feel sad and low due to disappointments. Feelings normally overwhelm a person leading to depression, especially during sad moments such as losing a loved one or divorce. When people are depressed, they engage in reckless behaviors such as drug abuse that affect them physically and emotionally. However, depression manifests in different forms in both men and women. Research shows that more women are depressed compared to men. This essay reflects on anxiety disorders and depression regarding from a real-life experience extracted from a publication.

“Every year almost 20% of the general population suffers from a common mental disorder, such as depression or an anxiety disorder” (Cuijpers et al. 2016, p.245). I came across a publication by Madison Jo Sieminski available who was diagnosed with depression and anxiety disorders (Madison 2020). She explains how she was first diagnosed with anxiety disorders and depression and how it felt unreal at first. She further says that she developed the need to get a distraction that would keep her busy so that she won’t embrace her situation. In her case, anxiety made her feel that she needed to do more, and everything needed to be perfect.

Madison further said that the struggle with anxiety is that it never seemed to happen, but it happened eventually. She always felt a feeling of darkness and loneliness. She could barely stay awake for more than 30 minutes for many days. Anxiety and depression made her question herself if she was good enough, and this resulted in tears in her eyes due to the burning sensation and overwhelmed emotions. In her own words, she said, “Do I deserve to be here? What is my purpose?” (Madison 2020). Anxiety made her lose confidence in herself and lowered her self-esteem. She could lay in bed most of the time and could not take any meal most of the days.

Madison said that since the sophomore year of high school, all was not well, and she suddenly felt someone in her head telling her to constantly worry and hold back from everything. She could wake up days when she could try a marathon to keep her mind busy. However, she sought help on 1 January 2020, since she felt her mental health was important, and she needed to be strong. She was relieved from her biggest worries, and what she thought was failure turned into a biggest achievement. She realized that her health needed to be her priority. Even after being diagnosed with depression disorders, she wanted to feel normal and have a normal lifestyle like other people.

Madison was happy with her decision to seek medical help even though she had her doubts. She was happy that she finally took that step to see a doctor since she was suffering in silence. She noted that the background of her depression and anxiety disorders was her family. It was kind of genetic since her mom also struggled with depression and anxiety disorders. Her mom was always upset, and this broke her heart. She said it took her years to better herself, but she still had bad days. Madison decided to take the challenge regarding her mother’s experience. Also, Madison said she was struggling to get over depression since her childhood friends committed suicide, and it affected her deeply. She also told the doctor how she often thought of harming herself. The doctor advised her on the different ways she could overcome her situation after discovering she had severe depression and anxiety disorders.

After going through Madison’s story, I was hurt by the fact that he had to go through that for a long time, and something tragic could have happened if she had not resorted to medical help. I felt emotional by the fact that she constantly blamed herself due to her friends who committed suicide, and she decided to accumulate all the pain and worries. The fact that I have heard stories of how people commit suicide due to depression and anxiety disorders made me have a somber mood considering her case. In this case, you will never know what people are going through in their private lives until they decide to open up. We normally assume every person is okay, yet they fight their demons and struggle to look okay. Hence, it won’t cost any person to check up on other people, especially if they suddenly change their social characters.

Madison’s story stood out for me since she had struggled since childhood to deal with depression and anxiety disorders. In her case, she was unable to seek help first even when she knew that she was suffering in silence (Madison 2020). However, most people find it hard to admit they need help regardless of what they are going through, like Madison. People who are depressed cannot work as they lack the motivation to do anything. In my knowledge, depression affects people close to you, including your family and friends. Depression also hurts those who love someone suffering from it. Hence, it is complex to deal with. Madison’s situation stood out for me since her childhood friends committed suicide, and she wished silently she could be with them. Hence, this leads to her constant thoughts of harming herself. Childhood friends at one point can become your family even though you are not related by blood due to the memories you share.

Depression and Anxiety disorders have been common mental health concerns globally for a long time. Depression and anxiety disorders create the impression that social interactions are vague with no meaning. It is argued by Cuijpers (2016, p.245) that people who are depressed normally have personality difficulties as they find it hard to trust people around them, including themselves. In this case, Madison spent most of her time alone, sleeping, and could not find it necessary to hang around other people. Negativity is the order of the day as people depressed find everything around them not interesting.

People who are depressed find it easy to induce negativity in others. Hence, they end up being rejected. Besides, if someone is depressed and is in a relationship, he/she may be the reason for ending the relationship since they would constantly find everything offensive. Research shows that people who are clinically depressed, such as Madison, prefer sad facial expressions to happy facial expressions. Besides, most teenagers in the 21 st century are depressed, and few parents tend to notice that. Also, most teenagers lack parental love and care since their parents are busy with their job routines and have no time to engage their children. Research has shown that suicide is the second cause of death among teenagers aged between 15-24 years due to mental disorders such as suicide and anxiety disorders.

Despite depression being a major concern globally, it can be controlled and contained if specific actions are taken. Any person needs to prioritize their mental health to avoid occurrences of depression and anxiety orders. Emotional responses can be used to gauge if a person is undergoing anxiety and depression. The best efficient way to deal with depression and anxiety is to sensitize people about depression through different media platforms (Cuijpers et al. 2016). A day in a month should be set aside where students in colleges are sensitized on the symptoms of depression and how to cope up with the situation. Some of the basic things to do to avoid anxiety and depression include; talking to someone when you are low, welcoming humor, learning the cause of your anxiety, maintaining a positive attitude, exercising daily, and having enough sleep.

Depression and anxiety disorders are different forms among people, such as irritability and nervousness. Most people are diagnosed with depression as a psychiatric disorder. Technology has been a major catalyst in enabling depression among people as they are exposed to many negative experiences online. Besides, some people are always motivated by actions of other people who seem to have given up due to depression. Many people who develop depression normally have a history of anxiety disorders. Therefore, people with depression need to seek medical attention before they harm themselves or even commit suicide. Also, people need to speak out about what they are going through to either their friends or people they trust. Speaking out enables people to relieve their burden and hence it enhances peace.

Cuijpers, P., Cristea, I.A., Karyotaki, E., Reijnders, M. and Huibers, M.J., 2016. How effective are cognitive behavior therapies for major depression and anxiety disorders? A meta‐analytic update of the evidence . World Psychiatry 15(3), pp. 245-258.

Madison, J. 2020. Open Doors .

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IvyPanda. (2022, June 16). Anxiety Disorders and Depression. https://ivypanda.com/essays/anxiety-disorders-and-depression/

"Anxiety Disorders and Depression." IvyPanda , 16 June 2022, ivypanda.com/essays/anxiety-disorders-and-depression/.

IvyPanda . (2022) 'Anxiety Disorders and Depression'. 16 June.

IvyPanda . 2022. "Anxiety Disorders and Depression." June 16, 2022. https://ivypanda.com/essays/anxiety-disorders-and-depression/.

1. IvyPanda . "Anxiety Disorders and Depression." June 16, 2022. https://ivypanda.com/essays/anxiety-disorders-and-depression/.

Bibliography

IvyPanda . "Anxiety Disorders and Depression." June 16, 2022. https://ivypanda.com/essays/anxiety-disorders-and-depression/.

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3 Signs of Hidden Depression

Despite the emotional tempest, signs of depression may be subtle..

Updated April 10, 2024 | Reviewed by Ray Parker

• What Is Depression?
• Find counselling to overcome depression
• Depression isn't always obvious.
• Noticing hidden signs can expedite evaluation and intervention.
• Sighing, frustration, and agitation can be revealing of underlying depression.

Depression is a ubiquitous term, and it seems most people have some idea, if not entirely accurate, of what it means. The symptom of sadness might come to mind for some, while others envision a suicidal gothic character. What lies between these extreme ends of the continuum—an isolated, fleeting symptom and an almost caricature representation—is vast. There are subtypes of depression, and even people suffering from the same subtype can present differently.

Further, some people are more internalized or externalized in their expression and possess greater or lesser abilities in managing. Jane, for instance, upon evaluation, might possess eight symptoms but seems OK because she works and cares for her family. Joe, on the other hand, might have five and be unable to care for himself. The severity of depression isn't necessarily weighed by several symptoms but by how impaired someone is by them. Regardless, given Joe’s symptoms are more visual, he might get help and live a higher quality of life while Jane silently suffers through life, or, worse, to a tragic ending.

With this in mind, it is important to pay attention to hidden signs of depression. There might be more to someone always sighing, frustrated, and agitated than meets the eye.

Unusual and Subtle Signs

Would it surprise you that depression can be hidden in plain sight, perhaps chameleonized as a "different issue?"

People arriving for sleep problems, anger , or infidelity may just be presenting the tip of the depression iceberg. As I wrote about in this earlier post, for instance, aggressive or thrill-seeking behaviors can be downstream effects of an internalized process. This is especially true for males/cultures where displaying emotional “weakness” is considered dishonorable.

Internalized emotional pressure, coupled with insomnia and poor diet , might escape as anger reactions. Cheating or indiscriminate sex may assuage one’s low self-image , providing a sense of desirability or thrill in the face of an otherwise flat internal landscape. Providers should always provide careful diagnostic assessments, as no symptom/behavior exists in a vacuum. Trying to address the anger or infidelity alone will only provide tenuous abatement at best, like clipping back a weed but leaving the root to grow it back.

More Complicated Dynamics

Anyone who has worked with angry people knows that “They’re just an angry person” isn’t likely. This is also the case with someone who sighs a lot, acts frustrated, and appears rattled. There’s an internal conflict being expressed, and often, a mood or personality complication behind it.

Behaviors are expressions of thoughts and feelings.

People who are depressed often present with sighing, frustration/irritability, and agitation, but if the package presents itself sans obvious depression, don’t write it off. Depression could be driving that demeanor, but the person is otherwise managing to conceal the foundational struggle. Take the case of Jessie (composite identity), who was referred by his employer to the employee assistance program for appearing increasingly discontent over recent months.

Jessie was never the life of the office, but he was dependable and pleasant enough. Insidiously, he had taken to exaggerated exhaling throughout the day, as if trying to externalize some burden so his day could go on. His work quality and productivity were not suffering, but he uncharacteristically became frustrated if there was a meeting or he was approached by colleagues, which disrupted his work. In meetings, it was hard not to notice his being fidgety or that he might roll his eyes and look about in an “I can’t believe this” gesture like his time was being wasted.

Jessie’s workload hadn’t changed, and there was no inter-collegiate problem present. However, his supervisor, Jenna, was concerned that his demeanor, despite his ongoing productivity, was placing a burden on the office milieu and referred him to the employee assistance program.

The Sigh-Depression Connection

Sighing alone isn’t necessarily a signal of negative emotionality ( Danvers et al ., 2021). We sigh every few minutes, as it is normal for respiratory function to inflate alveoli in the lungs (Li et al., 2016). However, when pronounced sighs are presented regularly with other observations, as Jenna noticed, maybe it’s time to check in with the person or oneself.

This is because we sigh more when stressed or emotional. Vlemincx et al. (2022) noted that “[Sighs reset] emotional states by facilitating emotional transitions.” Perhaps more frequent sighing helps people mired in negative emotions constantly reset to a manageable emotional state.

Agitation, of course, is not only a physical expression of one’s restless mental state but can serve as stimulation/preoccupation/distraction. It can also be an expression of frustration, which is not unusual in depressed people. This, of course, lends itself to sighing, too.

The inherent poor sleep and appetite of depression alone can cause irritation/agitation, but couple that with cognitive slowing and rumination of depression, and someone’s emotional experience could be akin to a pot with a lid on it beginning to boil; we don’t see the roil, but the shaking indicates something is up inside.

We all periodically roll our eyes, grunt, and/or hold our foreheads when frustrated, but when that fleeting state(s) becomes a trait, chronic internal turmoil likely keeps it afloat.

Clinical Implications

When encountering someone like Jessie, exploring their internal landscape is required for effective therapy :

After exchanging pleasantries, I said, “So, Jessie, we briefly spoke on the phone that you were referred because of seeming frustrated and on edge at work lately. What can you tell me about that?” Jessie went on to describe what Jenna did in the EAP referral.

“Seems like it’s become more noticeable over time," I replied. "I’m curious about what you can tell me about your experience as it was all building. Like, what changed? What has been on your mind in conjunction with all this?”

Though not directly answering the thought process question, Jessie reflected that for several months, he had been feeling “a grey mood” and could get irritable. He also slept more. It wasn’t the first time it happened. He remembered a similar event when his parents divorced when he was in his teens, 15 years earlier. Now, his mother had just divorced again and began “guilting” Jessie into doing things for her around the house. He set hard boundaries , engendering never-ending squabbling between him, his mother, and his siblings.

Jessie thought he kept any signs of bad moods hidden. Work was the most stimulating thing in his life at the moment, and he figured being occupied wouldn’t allow his bad mood to show through to colleagues. Work was an escape, but some of his inner world was escaping at work. Thankfully, it brought him to therapy, where he was able to work through his familial problems and not be left to stew in his emotions privately.

Robbins (2011) provides a good reminder of why it is important to keep vigilant for people like Jessie:

Because depression most immediately affects people’s inner mood and cognitive landscape, it is often “invisible” to outsiders. Thus, depression’s privacy can impede its early detection and thereby adequate treatment. These issues are compounded when the social stigma surrounding depression leads to patients intentionally hiding symptoms. Therefore, identifying observable, behavioral markers of depression is an important scientific endeavor with theoretical and clinical implications.

Danvers, A.F., Milek, A., Tackman, A.M., Kaplan, D.M., Robbins, M.L., Poslinelli, A., Moseley, S., Raison, C.L., Sbarra, D., & Mehl, M.R. (2021). Is frequent sighing an indicator of dispositional negative emotionality? A multi-sample, multi-measure naturalistic-observation study. Journal of Research in Personality , 90 , https://doi.org/10.1016/j.jrp.2020.104046

Li, P., Janczewski, W., Yackle, K., Kam, K., Pagliardini, S., Krasnow, M.A., & Feldman, J.A. (2016). The peptidergic control circuit for sighing. Nature, 530, 293–297 .

Robbins, M.L., Mehl, M.R., Holleran, S.E., & Kasle, S. (2011). Naturalistically observed sighing and depression in rheumatoid arthritis patients: a preliminary study. Health Psychology, 30 (1), 129-33. doi: 10.1037/a0021558. PMID: 21299301; PMCID: PMC3059549

Vlemincx, E., Severs, L., & Ramirez, J.M. (2022). The psychophysiology of the sigh: II: The sigh from the psychological perspective. Biological Psychology, 173 , https://doi.org/10.1016/j.biopsycho.2022.108386

Anthony Smith, LMHC, has 23 years of experience that includes the roles of therapist, juvenile court evaluator, professor, and counseling supervisor.

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