Depression  
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This Care Guide Covers:

  • Feeling depressed
  • Feelings of sadness or have no hope
  • Decreased joy from or interest in daily activities

If not, see these topics
When to Call Your Doctor

Call 911 Now (you may need an ambulance) If
  • Suicide attempt
  • Feeling like harming yourself or killing yourself
  • ... or call a suicide crisis line NOW
  • ... or call the National Hopeline Network NOW for counseling: 800-784-2433
  • You think you have a life-threatening emergency
Call Your Doctor Now (night or day) If
  • You feel weak or very sick
  • You feel severely depressed
  • Acting strange, odd, or confused
Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If
  • You think you need to be seen
  • You want to talk with a mental health worker, psychiatrist, or counselor
  • Symptoms keep you from working or going to school
  • Alcohol or drug use
Call Your Doctor During Weekday Office Hours If
  • You have other questions or concerns
  • Hard to focus or pay attention
  • Moody or irritable
  • Pregnant
Self Care at Home If
  • Mild depression symptoms
Causes & Health Information

Some Basics...

Symptoms

People with depression feel sad much of the time. They often have decreased joy from or interest in daily activities. Sometimes people may have one or more of these:

Causes

It is caused by a chemical imbalance in the brain. Stresses in life can trigger a bout of depression or make it worse. Causes can include:

Treatment

CARE ADVICE

Care Advice for Depression
  1. What You Should Know:
    • Depression is common. About 1 in 20 people in the United States and Canada get depressed each year.
    • People with depression do get through this. Even people who feel as bad as you feel now. You can be helped.
    • Healthy living habits can help you to feel better. Counseling and medication can also help you to recover.
    • Here is some care advice that should help.
  2. Causes: There are many things that can cause or lead to depression. These include:
    • Death of a loved one
    • Divorce or other relationship problems
    • Loss of a job or money problems
    • Major life changes, such as starting college or having a baby
    • Certain drugs
    • Severe or long-standing illness
  3. Premenstrual Syndrome or PMS: Some women feel depressed just before their period. This is because of changes in hormone levels. Your doctor can help you with this.
  4. Tips for Healthy Living: There are things you can do to feel better. These include:
    • Eat healthy: Eat a well-balanced diet.
    • Get more sleep: Most people need 7-8 hours of sleep each night. Being well-rested improves your mood and your sense of well-being.
    • Communicate: Share how you are feeling with someone. Make sure that your spouse, family, or friends know how you are feeling.
    • Exercise regularly: Take a daily walk.
    • Avoid alcohol.
  5. Stay Active: Staying active can also make you feel better.
    • Spend time outside of your home. Go on an outing with a family member or a friend. Go to the store. Go to a movie.
    • Become involved in your community. Go to a place of worship or school. Join a club or parent teacher association.
    • Start a new hobby.
    • Take a daily walk.
  6. Call Your Doctor If:
    • Sadness or depression lasts more than 2 weeks
    • You want to talk with a mental health worker, psychiatrist, or counselor
    • You feel like harming yourself
    • You get worse
Internet Resources and Referral Phone Numbers
  1. United States Hotline and Helplines - NAMI Information HelpLine:
    • National Alliance on Mental Illness
    • The NAMI HelpLine is a source for finding community mental health programs. National toll-free phone number: 800-950-NAMI (6264). You can call this number Monday through Friday from 10 am- 6 pm (Eastern Time).
    • http://www.nami.org
  2. United States - Substance Abuse Treatment:
    • Substance Abuse & Mental Health Services Administration
    • http://www.samhsa.gov/
    • National referral hotline for substance abuse treatment: 800-662-4357 (24 hours a day)
  3. United States - Mood Disorders Organizations:
    • Anxiety Disorders Association of America (ADAA)
    • There is a FIND A THERAPIST link on the home page.
    • http://www.adaa.org/
    • Telephone: 240-485-1001
  4. Canada Hotlines and Helplines:
    • New Brunswick: Offered by region
    • Northwest Territories - Nats'ejée K'éh Treatment Centre crisis line: 800-661-0846
    • Ontario - Centre for Addiction and Mental Health (CAMH): 800-463-6273
  5. Canada - Mood Disorder Organizations

Remember! Call your doctor if any of the "When to Call" symptoms occur.

Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.


Author and Senior Reviewer: David A. Thompson, M.D.

Last Reviewed: 9/1/2012

Last Revised: 2/24/2013

Content Set: Adult Symptom Checker

Copyright 2000-2012. Self Care Decisions LLC; LMS, Inc.