Feeling sad, lonely or depressed at times is part of the human condition especially when there has been a loss or life struggle or injured self-esteem.  A diagnosis of clinical depression is made when during those times the feelings become overwhelming, cause physical symptoms, and last for long period of time, keeping you from leading a normal, active life.  That is when it is time to seek help.  

Recognizing the symptoms is the key which can include:

• Trouble concentrating, remembering details or making decisions
• Fatigue
• Feelings of guilt, worthlessness and helplessness
• Pessimism and hopelessness
• Insomnia, early-morning wakefulness or sleeping too much
• Irritability
• Restlessness
• Loss of interest in things once pleasurable, including sex
• Overeating, or appetite loss
• Aches, pains, headaches or cramps that won’t go away
• Digestive problems that don’t get better, even with treatment
• Persistent sade, anxious, or “empty” feelings
• Suicidal thoughts or attempts

What are the warning signs of suicide with depression?

• A sudden switch from sadness to extreme calmness or appearing to be happy
• Always thinking or talking about death
• Clinical depression (see symptoms above)
• Taking risks that could lead to death, such as driving through red lights
• Making comments about being hopeless, helpless or worthless
• Putting affairs in order, like tying up loose ends or changing a will
• Saying things like “It would be better if I weren’t here or “I want out”
• Talking about suicide
• Suddenly visiting or calling family or loved ones when it hasn’t happened in a while or giving away possessions

Risk factors for depression include a family history of depression, big stressors such as grief or loss, conflict with family or friends, chronic illnesses or substance abuse.