5 Causes of Depression: The Common Culprits

statistics on depression reveal the extent of this widespread mental health condition – the National Institute of Mental Health estimates that in a single year, between 5-12% of people will suffer from at least one episode of major depression. These episodes can have a huge impact on the individual’s life.

When looking at lifespans as a whole, about 20% of people will suffer from a mood disorder at some point in their lives; this can include depression, anxiety, etc.

It’s more than likely that someone you know is living with depression, which may or may not have been diagnosed. Newport Beach Christian Counseling can offer valuable support and resources for those struggling with depression.

What Is Depression’s Root Cause?

Since depression affects so many lives, this leads us to ask what causes this condition. Psychologists have been exploring the possible causes of depression for many years. They’ve drawn some conclusions, but there are no easy answers, and the explanations we do have are complex and vary according to the individual.

Different Types of Depression

It’s important to give a definition of depression since the term can encompass a range of more specific conditions. The hallmark diagnosis is called Major Depressive Disorder, and under this umbrella are 14 more specific diagnoses that can be made by therapists, psychologists, and psychiatrists.

When making a specific diagnosis, mental health professionals account for severity, whether or not the condition occurs in a repeating cycle, and whether or not there are psychotic symptoms present. In any of these categories, the standard minimum for diagnosis is a major depressive episode lasting for two weeks or more, with impacts on both mood and motivation.

Dysthymia is a long-term, less severe form of depression that can linger for years. Although it may not be as acutely painful, this chronic, continual condition can be exhausting and debilitating.

Another common type of depression is based on an adjustment disorder. This can be triggered by painful or stressful events, leading to a depressed mood, which can eventually turn into a major depressive episode.

A final significant type of depression to mention is bipolar depression, wherein the sufferer fluctuates between low and high moods. The “high” of bipolar can feel pleasant but often triggers destructive behavior.

The common thread running through the various types of depression is a long-lasting period of sadness and lack of motivation.

Since depression presents in so many different ways, it’s vital for therapists to ask a lot of questions to make an accurate diagnosis. For example, an adjustment disorder with depression might be based on the environment or circumstances more than brain function, and this can be processed in therapy.

By contrast, it can be hard to pinpoint the cause of a major depressive episode. These episodes can start suddenly, overwhelmingly, and seem to have no rhyme or reason. This type of depression is often based on brain chemistry issues. A psychiatrist may be most helpful in this case.

Possible Causes of Depression

Let’s take a closer look at some of the common causes of depression:

Neurotransmitters

A popular commercial created a visual for depression using a two-dimensional blob bouncing around in black and white with a huge frown on its face. This is, of course, an oversimplified caricature of depression, but it does point to the reality of neurotransmitters in the brain, as the illustration included little triangles floating between two knobs corrected to larger neurons.

This illustration managed to demonstrate the possible imbalance of chemicals that can have a significant impact on our mood and mental health.

Neurons are cells that transmit information throughout the body and brain. They have the capacity to fire signals that allow us to think, experience emotions and memories, and maintain both voluntary and involuntary control over our physical functions.

Serotonin is a specific neurotransmitter that has a positive impact on mood. Dopamine is another. Antidepressants work by balancing neurotransmitter levels.

It can be challenging to medicate depression effectively because of the complexity of the brain and how widely the response differs based on the individual. Finding the right antidepressant can require a period of trial and error.

Other steps can be taken in the meantime, however, such as exercising and improving one’s diet. These can help ignite the process of recovery. Of course, the nature of depression often makes it difficult to find the motivation to be more active, but if you can incorporate it into your life you can see a positive change to your mood very quickly.

Genes

Genetics is another major factor in depression. Your chances of developing depression are much higher if you have a family member suffering from it, especially if they are a parent or sibling. Genetic predisposition is a powerful component in this disorder.

Genes affect brain development and how neurotransmitters interact, but they are not a decisive predictor. Even identical twins do not have a 100% correlation between brain disorders. And some people are depressed even without a family history of depression. This is why we say that while genes increase the likelihood of depression, they do not cause it, but are often combined with other factors, such as the next one.

Environment

One professor described this cause of depression as a gun that was loaded by genetics, with the trigger being pulled by the environment. If someone is genetically predisposed to develop depression, they will often be triggered into developing it by their environment.

Examples of environment include workplace stress, the loss of a loved one, or even the weather (as seen in seasonal affective disorder).

The environmental category also describes a common threshold that would generally trigger depression in almost anyone, such as being oppressed or bereaved. Each person has an individual threshold at which they will inevitably suffer depression because we are humans who are susceptible to being affected by our circumstances.

Anemia

This is a physical trigger for depression that can easily be overlooked. Anemia reduces energy levels, leading to reduced motivation and often low self-esteem. This might present as depression, however, the cause isn’t a chemical imbalance, but a lack of iron in the blood.

When someone who is anemic experiences this sadness and lack of motivation, they often seek therapy and describe symptoms of depression, but any prescribed antidepressants won’t help. After a long period of trying to find the right medication, the feeling of depression will linger, fueling a sense of hopelessness.

It’s important to consider whether low iron might be contributing to your mental condition. You could ask for a blood test, or even just try to eat iron-rich foods more often and test their effects on your mood.

Spirituality

It’s important to note that depression is not your fault because you’re too sinful or not praying enough. The assumption that a person’s depression is because they’re out of line spiritually has inflicted a lot of damage.

This is evidenced by the fact that many individuals who have major sin issues do not have depression, while people living moral lives often struggle with depression. This situation is not hopeless; God can use our emotional state to draw us closer to Himself.

One common factor in this category is gradually withdrawing from spiritual habits that helped fulfill us in the past, such as Bible studies, small groups, or volunteering. Although it can be tempting to isolate when depressed, maintaining social connections and spiritual activities can be crucial to keep a depressed person from spiraling further downward.

People often withdraw because of their depression, not the other way around. Therefore, know that it’s important to intentionally stay involved and that it can help your mood and sense of personal value.

As we’ve discussed, depression is often rooted in physical causes, and we should be confident that we can ask God to provide both physical and emotional healing.

Treatment for Depression

Depression often consumes the life of someone suffering from it. Treatments must address the wide range of issues that can contribute to this mental condition. According to research, a combination of both therapy and medication generally provides the best outcome for sufferers.

If you’re depressed, you might feel trapped in a pit that you can never climb out of. Medication can be like someone tossing a rope down into the pit. You’ll need to put in the work to climb out, but that is a much more achievable goal when you actually have a rope.

Some people are in deeper pits than others. If your pit is more shallow, you might be able to climb out without the help of medication, but for others, that’s not possible. This isn’t a judgment about your worth as a person; it’s just a matter of assessing your individual situation and responding in the most helpful way.

The act of seeking therapy alone often jump starts the recovery process. Newport Beach Christian Counseling can work with you to make progress in various areas of your life. He or she can also identify any thought processes you have that contribute to your mental health condition so that you can challenge false beliefs with truth.

For some, simply identifying the depression and processing it is enough to begin to climb out of it. A psychiatric referral may be in order to help you identify a medication that can work for you. And in general, therapy can help you uncover the cause(s) of your depression and start you on your healing process.

 

Photos
“Darkness,” courtesy of Andrik Langfield Petrides, unsplash.com, CC0 License; “Laundromat,” courtesy of Drew Roberts, unsplash.com, CC0 License; “Alone time,” courtesy of Steven Spassov, unsplash.com, CC0 License; “Waiting,” courtesy of Shashank Sahay, unsplash.com, CC0 License

What are the Symptoms of Depression? Find Out Here

“Am I depressed?”

This question comes up a lot in conversation nowadays, even when speaking casually. It’s part of our cultural language.

“That’s really depressing!” “Wow, I’m so depressed about this.” Being in a state of depression seems almost normal. The word is used in everyday conversations and is in some ways an expected part of life. On television, depression is shown as an expected occurrence after a breakup, trauma, or even as a joke or on cartoons.

As an example, consider one of your favorite TV show characters who you think of as being depressed. What about their behavior points to depression? Are they truly experiencing depression, or is it just sadness inherent to being human? Is their emotional state caused by circumstances or who they are on the inside?

The answer completely depends on the individual. Some people suffer from depression that was passed down genetically with a strong biological component, while for other people a specific situation or a crisis experience in their lives can suddenly bring on depressive symptoms.

The common experience of sadness may resemble depression without meeting clinical criteria for the mental illness. Sadness can also stem from other kinds of disorders. For this reason, it’s best not to jump to the conclusion that your condition is depression; it could have any number of causes.

Even though the word depression is often thrown around, many are still wondering, “What are the symptoms of depression?” Sometimes the condition is obvious, and other times it’s not. True depression is an overwhelming sense of sadness, but not every depressed person will manifest identical symptoms.

It has been estimated 6.7% of adults suffer from depression (National Institute of Mental Health [NIMH], 2015). The most common groups affected are women and young adults between 18 and 25 years old (NIMH, 2015). Although depression is found in all ethnicities, its prevalence varies by race. Onset is typically found in the early thirties (Anxiety and Depression Association of America [ADAA], 2016).

Again, depression will manifest differently based on the individual, and its presentation can be very nuanced. It does not discriminate based on age, socioeconomic status, or level of education, and it can even change based on what season of the year it is.

Demographics don’t limit the prevalence of depression.  It is a widespread issue that affects the mental health of millions of people; and at the same time, it can be hard to diagnose properly. If you believe you might have depression, you should seek the advice of a doctor to rule out any physical causes that may need medical care. Once other causes have been ruled out, many physicians will give you a referral to a mental health professional so you can seek a diagnosis and treatment plan.

Getting a specific diagnosis requires that you be assessed by a professional. But here are some of the most common indicators of depression; these can help you assess your current state.

What are the Symptoms of Depression?

Emotional Changes

Emotions are one of the first factors to be affected by depression. You may experience sudden and unexpected mood swings, or your typical emotional fluctuations may become more intense and frequent. These can include feelings of irritability, anger, restlessness, or tension. If you’re struggling with these emotional challenges, seeking support through Newport Beach Christian Counseling could provide helpful guidance and strategies for managing your feelings.

Guilt is another common emotion connected to depression; you may think about past events or current issues and feel overcome with shame. You may feel suddenly consumed by thoughts about death, and you might feel overwhelmed by hopelessness or a sense of personal worthlessness.

Crying more than usual is another symptom, even when things appear outwardly fine. Taken together, symptoms like these can be very alarming and upsetting, and you might feel out of control and overwhelmed. Anxiety is often closely connected to depression.

These are common thoughts you might have:

“My family would be better off without me.”

“Things will never improve.”

“It’s all my fault.”

Apathy

People suffering from depression often experience a lack of interest in things they usually enjoy. This can show itself either through lessened enthusiasm or a complete absence of motivation to engage in things that typically interest you. A project you’ve wanted to start for months suddenly feels like it takes too much energy. The Friday night plans you looked forward to all week just don’t sound very enticing. You know there are changes you need to make in your life, but the motivation just isn’t there.

As for setting goals and reaching new milestones, it’s not even on your radar right now. Everyday life itself seems like too much work. It’s hard to concentrate on getting the necessities accomplished, much less on enjoying exciting activities. You might end up staying home a lot, lacking the desire or capacity to even go grocery shopping.

You might feel stressed by the thought of new experiences you would usually enjoy. Many people lose interest in their romantic relationships and experience a loss of libido. Guilt can wrap itself around your thoughts until you feel like a waste of time for your partner, or perhaps you just feel too exhausted and despondent to make an effort in your relationship. Everyday life seems excruciatingly difficult, and you just don’t want to try anymore.

Things you might notice yourself saying:

“I realize that Thursday night is basketball night, but I just can’t manage it this week.”

“Can we go out to dinner another night? I’m just not in the mood right now.”

“I’m usually so good at keeping up with my work, but right now I just can’t and what’s worse, I don’t even think I care.”

Weight Changes

Sudden changes in weight are another red flag for depression. Stress often causes a change in appetite, whether that means eating more or less. Some people feel like they have to force themselves to eat. Depression causes a similar physical response in that it may either dramatically increase or decrease your appetite, ultimately leading to changes in your weight. Ongoing depression often makes it difficult to maintain a healthy weight.

Things you might notice yourself saying:

“I just haven’t been hungry this week.”

“Crying makes me hungry and when I eat I feel better.”

“My weight is sitting next to my emotions on a rollercoaster.”

Sleep Changes

Sleep is integrally connected to our wellbeing and is usually affected in some way by depression. Insomnia can haunt your nights, making it difficult to fall and stay asleep. Your mind may feel blank or it may feel overwhelmed with thoughts that don’t stop. Your sleep might be restless and interrupted by frequent wakings. This can cause intense frustration and the need for daytime naps, creating a vicious cycle where falling asleep at night becomes even more difficult.

A general lack of energy and motivation can also lead to a constant sense of sleepiness. You may feel exhausted all the time, even if you’re plagued by insomnia. On the other hand, you may sink into a state of such drowsiness that you sleep far too much. This is called hypersomnolence and leads to feeling tired all day.

Depressed individuals may experience a variety of abnormal sleep patterns while they suffer from this condition.

Things you might notice yourself saying:

“It has been the weirdest thing. I’ve been sleeping 10-12 hours a night and I still wake up sleepy!”

“I’m up all night. I don’t know what’s waking me up, but I keep finding myself awake for random hours during the night.”

“I just can’t fall asleep. I feel numb. I’m exhausted, but I can’t seem to fall asleep.”

Physical Changes

Since our minds and bodies are inextricably interconnected, signs of mental illness will often display themselves physically. Health changes may occur. The way you perceive yourself and your physical health may change. Your cognitive abilities may suffer. People with depression often experience headaches, stomach pain, and digestive problems. Jaw clenching and hand-wringing can cause chronic pain.

Some individuals with depression suffer from chronic health conditions or pain, which makes their mental state worse. On the flip side, depression can contribute to a physical environment that makes chronic illness more likely. People with depression often feel that they just process things more slowly, whether that’s in movement, speech, or thinking. Memory can be affected as well.

Things you might notice yourself saying:

“I just feel like staying in all the time. These headaches seem constant in the last month or so.”

“I feel like I just can’t pick up speed lately. I’m just not my usual self.”

“I keep needing to stay home from work with stomach cramps. I just can’t make myself go in like this.”

Christian Counseling Can Help Depression Sufferers

Depression is a pervasive mental illness, and it’s being diagnosed more frequently each year, but many people with depressive symptoms are never diagnosed, and many never seek treatment of any kind.

There is hope. If you feel that you’re exhibiting some or all of these signs of depression, it’s vital to seek treatment and discover the underlying cause. There are a variety of issues that can cause these symptoms, and it’s important to explore what’s going on.

Our counselors at Newport Beach Christian Counseling often work with clients who are experiencing depression. We look forward to meeting with you to help you work on regaining your everyday functioning and enjoying your life again.

References

Anxiety and Depression Association of America (2016). Facts and statistics. Retrieved from https://www.adaa.org/about-adaa/press-room/facts-statistics

National Institute of Mental Health (2015). Major depression among adults. Retrieved from https://www.nimh.nih.gov/health/statistics/prevalence/major-depression-among-adults.shtml

Photos

“Be Still and Know,” courtesy of Chad Madden, unsplash.com, CC0 License; “Down,” courtesy of Max Sandelin, unsplash.com, CC0 License; “Think,” courtesy of Priscilla du Preez, unsplash.com, CC0 License; “Alone,” courtesy of Mike Wilson, unsplash.com, CC0 License