Signs of depression
Depression looks different from person to person. Clinicians look for symptoms that last most of the day, nearly every day, for at least two weeks, such as:
- Persistent sadness, emptiness, or hopelessness
- Loss of interest or pleasure in usual activities
- Fatigue and low energy
- Changes in sleep or appetite
- Trouble concentrating or making decisions
- Irritability, guilt, or feelings of worthlessness
- Physical symptoms such as aches, headaches, or stomach problems without a clear cause
What can contribute
There is rarely a single cause. Family history, stressful or traumatic events, loss, chronic illness, hormonal changes such as after giving birth, and seasonal changes can all play a part. Some people cope by drinking, using other substances, or overeating, which can add problems of their own.
Because some medical conditions and medications can cause similar symptoms, a check-up with your physician is often part of the picture.
How therapy can help
Talk therapy is one of the main treatments for depression, and for some people it is combined with medication prescribed by a physician or psychiatrist. With Dr. Lehmann, therapy combines support and practical steps for getting through the week with insight work: understanding the history, relationships, and self-critical patterns that keep low mood in place.
Change is usually gradual. Many people first notice small shifts, like a little more energy or a little less self-blame, before larger ones.
If you are thinking about harming yourself
Depression can bring thoughts of suicide or self-harm. If that is happening, please do not wait for a therapy appointment. Call or text 988, the Suicide & Crisis Lifeline, at any time, or call 911 or go to the nearest emergency room if you are in immediate danger. Dr. Lehmann's practice does not provide emergency or after-hours crisis services.
Learn more
Anxiety and Depression Resource Center: guides on anxiety vs. everyday stress: how can you tell the difference; depression vs. a difficult season: when should you seek support, and related questions.
Grief, Loss, and Life Transitions Guide: guides on grief has no fixed timeline: what support can offer; what is grief counseling, and when might it help, and related questions.
Common questions
Is it depression or just a hard time?
Both deserve support. A clinician looks at how long symptoms have lasted, how many there are, and how much they affect your life. You do not need to know the answer before you call.
Should I try medication or therapy?
For some people one is enough; for others a combination works best. Medication decisions are made with your physician or a psychiatrist, and Dr. Lehmann can coordinate with them if you give written permission.
What about depression after having a baby?
Depression during pregnancy or after birth is common and treatable. Talk with your obstetric provider too, since it can have medical components.