Do you have questions about the symptoms and types of trauma or how you can recover from a trauma? Contact us to receive personal advice and to explore treatment options at iPractice. Or read more about when to consult a psychologist and how to match with a psychologist.
Depression
What is depression?
- Depression is a mental disorder that affects your feelings, thoughts and behavior.
- You speak of depression when the symptoms last longer than 2 weeks and they do not improve.
- It is a common disorder, nearly 20% of Dutch people have experienced or face depression at some point in their lives.
- Depression can be mild, moderate or severe and can sometimes last for years.
If you are depressed continuously between two years you speak of a Dysthyme Disorder. Then you experience long-term mild depressive symptoms.
Do you experience more severe symptoms? Or do you alternate between good and heavy periods? Then you have bipolar disorder. Find out more about the different types of depression.
⮕ Or read more about how depression develops.
You may also experience a one-time period of depression – this is called an “episode. Does such a period recur again? Then we call it recurrent depression.
How do you recognize depression?
The first signs of depression may be:
- You feel gloomy and listless;
- You feel a certain emptiness, indecision and uncertainty;
- You feel a lack of pleasure in things;
- You feel little to no motivation;
- You may sometimes experience feelings of shame;
How depression manifests itself is different for everyone. The symptoms of depression among young people differ from those in older people. Also, you may experience or express depression differently than others with depression.
Depression and negative thoughts
With depression, your view of the world and everything around you is gloomy. You tend to see mostly those negative aspects of yourself, others, the world and your future. Negative thoughts in depression can persist for a long time. It then feels as if you are in a vicious circle and the way out is difficult to see. This makes your mood even more gloomy.
What are symptoms of depression?
Besides the initial signs mentioned earlier, other common symptoms of depression can be divided into psychological and physical features.
Psychological symptoms of depression
Psychological and cognitive symptoms of depression may include;
- Feelings of anxiety
- Concentration problems
- Indecision
- Feeling that you are not worth anything
- Feelings of guilt
- Continuous worrying
- Thinking about suicide
Physical symptoms of depression
Physical symptoms of depression may include:
- Fatigue
- No energy to do anything
- No desire for sex; lower libido
- Changes in weight
- Much more appetite or much less
- Sleep problems
- Continuous feeling of restlessness
- Sluggish feeling in your body
What can you do?
- Talk about your depression with friends, watch your diet and stay socially active. Take care of yourself first, so you can take care of another person after that. Try these pieces of advice to deal with depression yourself.
- Does a loved one have depressive symptoms? Offer patience and space to your loved one and help with practical matters, such as making a schedule.
- Take depression seriously. Depression is a risk factor for sleep problems, insecurity and even, in severe cases, suicidal behavior.
- Not coming to terms with it yourself? There are several types of treatments for depression.
Help with depression
Do you have questions about depression? Or do you have doubts about when to consult a psychologist?
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Are you afraid that you won’t be able to break out of this negative spiral? Depending on your location, call one of the following numbers for immediate support:
- 116 123 (UK)
- 1-800-273-8255 (USA)
- 0900-0113 (The Netherlands)
Frequently asked questions
Doubt is normal. Depression is recognized by the duration and intensity of symptoms like sadness, loss of joy, energy loss, and negative thoughts. In therapy, we help you clarify this.
Shame is common with depression — often because you feel different from “normal.” But asking for help is a powerful act of self-care. You don’t have to do it alone.
If your symptoms affect your daily life and you can’t manage alone, therapy is a valuable step. Even if you still doubt, you can already start talking. You don’t have to be “sick enough.”
That feeling is understandable. Talking is often the start, but therapy is more than that. You actively work on recovery with exercises, insights, and behavioral change — tailored to your situation.
Yes, therapy and medication can complement each other. Medication can provide relief while therapy addresses the underlying patterns and causes. We coordinate this carefully with you.