Debunking Common Myths About Depression

Depression is one of the most common diagnoses in the United States and, yet, it's a diagnosis that is still poorly understood with many misconceptions (see my article: What is the Difference Between Sadness and Depression?).

Debunking Common Myths About Depression

According to the National Institute of Mental Health (NIMH), more than 21 million people had at least one depressive episode in 2020. However, people who are depressed continue to be stigmatized because misconceptions about depression persist.

What Are the Symptoms of Depression?

Depression symptoms involve a persistent low mood or loss of interest in activities lasting two weeks or more as well as some or all of the symptoms mentioned below.

The following are among the symptoms that can be depression, but a differential diagnosis must be made by a skilled mental health professional:

• Feeling Down or Empty: A feeling that does not go away
• Loss of interest in activities that were enjoyable before: Anhedonia
• Hopelessness/Pessimism: A bleak outlook about the future
• Feelings of Worthlessness/Guilt: Intense feelings of failure or self blame
• Irritability and Restlessness: Particularly common in men
• Suicidal Thoughts: Thoughts of death or self harm
• Fatigue: Extreme lack of energy or feeling "slowed down"
• Appetite/Weight Changes: Significant weight loss or weight gain; increased or decreased appetite
• Physical Pain: Headaches, cramps or digestive problems that do not improve with treatment
• Reduced Concentration: Difficulty focusing, remembering or making decisions
• Social Isolation: Withdrawing from friends and loved ones

Symptoms in Different Groups:

Men: Men are more likely to show anger, irritability, aggression and more likely to engage in high-risk activities.

Debunking Common Myths About Depression

Women: Women may experience symptoms related to menstrual cycles (e.g., Premenstrual Dysphoric Disorder)

Children/Teens: Children and teens may exhibit irritability, outbursts or poor performance in school--although some children and teens don't exhibit these symptoms.

When to Seek Help Immediately

If you or someone you know is experiencing suicidal thoughts, seek help immediately by calling 911 or going to your nearest emergency room.

Common Myths About Depression Debunked

• Depression Isn't All in Your Head: Depression is a biological, social and psychological disorder. It can be chronic and requires psychological treatment. 

• Depression Isn't Only Brought On By a Traumatic Event: A traumatic event isn't necessarily the cause of depression. For example, while experiencing grief is common, someone who is depressed can experience symptoms for a longer period of time than someone who has a loss but who isn't depressed. 

• Medication Alone Doesn't Always Help Depression: The best combination of treatment is often a combination of psychotherapy and, if needed, medication.

Debunking Common Myths About Depression

• You Can't Just "Snap Out of It": Depression isn't a choice. You can't just "snap out of it" with positive thinking (see my article: What is Toxic Positivity?).

• Depression Doesn't Look the Same For Everyone: There is no one-size-fits-all experience of depression. Each person can have different symptoms and a different experience.

• Depression Isn't the Same as Feeling Sad: Feeling sad and being depressed are two different things. Feeling sad or "down" usually doesn't last as long as a depressive episode. 

• Depression Isn't a Sign of Weakness: Anyone can experience depression. Depression is a biological and psychological condition that has nothing to do with being "weak" or "strong".

• Talking About Depression Doesn't Make It Worse: Working with a skilled mental health professional can help to provide clarity and hope. Silence perpetuates the stigma against depression and can increase feelings of isolation.

Note: The purpose of this article is only to provide information. For medical advice or diagnosis, consult a mental health professional who has an expertise in working with individuals who experience depression.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing, Parts Work (IFS and Ego States Therapy) and a Certified Sex Therapist.

I have helped many individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

How to Support a Friend Who is Depressed

Supporting a depressed friend can be challenging, especially if you don't understand what it means to be depressed, so it can be helpful to familiarize yourself with the symptoms of depression (see my article: What is the Difference Between Sadness and Depression?).

Supporting a Friend Who is Depressed

What is Major Depression?

Major depression is a common serious mood disorder.

Depression isn't just "feeling bad". It's a persistent condition that is often episodic and which usually lasts at least two weeks.

Depression isn't a sign of "weakness." It's a mental health condition that is treatable for most people.

Approximately 8-9% of adults in the U.S. experience at least one episode of major depression in their lifetime.

Approximately 15-20% of children ages 12-17 experience depression in the U.S. (see my article: Adolescent Depression).

There are gender differences with women being twice as likely to experience depression than men in the U.S.

Symptoms can include:

• Intense sadness

• Irritability

• Loss of interest in activities that were once enjoyable

• Problems sleeping

• Feeling worthless

• Problems concentrating

• Poor appetite

• Weight loss

• Possible suicidal thoughts

• Possible intent and plan to commit suicide

What Causes Major Depression?

Major depression is often a combination of genetic and environmental factors including (but not limited to):

• A genetic predisposition for depression

• A traumatic history including:
• Emotional neglect
• Abuse
• Loss of a loved one
• Other losses

• Major life changes including (but not limited to):Moving to a new areRelationship problems
• Separation or divorce
• Children moving out of the house (see my article: Coping With Empty Nest Syndrome)

• Low self esteem

• Pessimism

• Medical conditions

• Substance misuse/abuse

• Financial problems

• Medications

How Can You Help a Friend Who is Depressed?

Supporting a friend who is depressed can be challenging.

Supporting a Friend Who is Depressed

Here are some tips for helping a depressed friend:

• Listen without judgment

• Keep in touch to check in with them

• Offer help including
• Helping with chores
• Running errands
• Offering childcare to give them a break
• Helping with other tasks

• Encourage your friend to get professional help which might include helping them to find a psychotherapist or psychiatrist in their area.

• Be patient and understand that recovery from depression can take a while.

What Should You Not Do?

• Don't say things like "Snap out of it' or "Cheer up" or "You have so much to be grateful for."

• Don't minimize or dismiss their pain by saying, "Things could be worse."

• Don't compare them unfavorably to others (see my article: Comparison and Judgment Are the Thieves of Joy).

• Don't blame them for their depression.

• Don't try to be their psychotherapist. Be their friend.

Take Care of Yourself

Supporting a loved one who is depressed can be physically and emotionally draining 

Self Care

Make sure you have your own friends and support system.

Set boundaries.

Seek help for yourself if you feel overwhelmed by your friend's depression.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Parts Work (IFS and Ego States Therapy), EFT (for couples), Somatic Experiencing and Certified Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also see my articles: 

Seasonal Affective Disorder (SAD)

Are You Concerned About Your Spouses Depression? 

What is the Connection Between Anxiety and Depression?