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Sometimes we have a tough day. But if you feel down and gloomy for a long time, it could be a sign of something more serious. Here we describe what melancholy is and how you can get help.
What is melancholy?
Melancholia, or melancholic depression, is a condition where you feel persistent low mood. It is a form of depression where you may have difficulty feeling joy, desire, loss of appetite and have trouble sleeping. If you experience persistent low mood it is important that you seek medical attention. Help is available.
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Melancholic depression
This is rarely one specific cause of depression. Having periods of deep sadness and depression can be due to a variety of factors. Here are some different factors that can contribute:
- Genetic factors: There is a genetic component to many mental health conditions, including depression.
- Psychosocial factors: Life events and stresses, such as the loss of a loved one, divorce, unemployment or other difficult situations, can trigger or worsen depression. Traumatic experiences in childhood can also have long-term effects on our health.
- Personality traits: Some people may be more likely to experience melancholy because of their personality. For example, people with a tendency towards perfectionism or self-criticism may be more vulnerable.
- Hormonal changes: Hormonal changes, such as those that occur during pregnancy, after childbirth or during menopause, can affect mood and increase the risk of depression.
- Medication side effects: Some medications can affect mood as a side effect.
- Social isolation: Lack of social support and feeling isolated can increase the risk of depression.
If you have an undefined feeling of unease or depression, don’t hesitate to seek out a professional therapist to help you. You don’t have to struggle alone.
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Symptoms of melancholic depression
Melancholic depression, or depression with melancholic features, shares similar symptoms to major depressive disorder. Symptoms most characteristic of this form of depression include slowed speech, thoughts and movement. Symptoms may also be more severe than in major depressive disorder. Additional symptoms include:
- Sadness and loss of interest in activities
- Apathy
- Sleep problems or too much sleep
- Physical symptoms such as fatigue or pain
- Feelings of hopelessness or worthlessness
- Anxiety
- Loss of zest for life
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What kind of treatment is available?
There are various treatment options for dealing with depression. Psychotherapy and lifestyle changes are common, medication can also be helpful. Cognitive behavioural therapy (CBT) has proven to be an effective treatment method, especially when combined with medication such as antidepressants. By talking to a professional therapist or psychologist, you can work on concrete strategies to improve your well-being and help you overcome your depression.
We make the difficult easier
Talking about mental health can be difficult, but seeking help is an important step in improving your quality of life. The benefits include improved health, better work ability and improved relationships. It takes strength to seek help and therapy is a proven method for dealing with various concerns. By seeking professional help, you can make the difficult a little easier. At Lavendla, we have therapists and psychologists who can help you.
If you have thoughts of self-harm or suicidal thoughts, call 911, call or text the national suicide hotline at 988 or go to the nearest emergency room.
12 frequently asked questions about melancholic depression
What is melancholy?
Melancholia is a form of more severe depression in which people experience low mood and slowed thoughts, speech and movement.
What are the most common symptoms of melancholia?
The symptoms of melancholia are the same as those of regular depression, but may be more severe and include slowed thoughts, speech and movement.
How is melancholia diagnosed?
Diagnosis is made by a medical professional such as a doctor or psychologist through interviews and questionnaires. Blood tests should also be taken to rule out other medical causes.
What is the difference between melancholy and depression?
Melancholic depression is a type of depression. It may present with more severe depressive symptoms than major depressive disorder.
How is melancholy treated?
Treatment options vary but often include a combination of medication, therapy and lifestyle changes. Cognitive behavioural therapy (CBT) is a common form of psychological treatment.
How long is a treatment?
The length of treatment can vary depending on the severity and individual needs. Some people may feel better in a short time while others need longer treatment.
Is melancholia hereditary?
Genetics can play a role in depression, but it is usually a combination of several factors such as life events and personal circumstances that contribute to the illness.
Can exercise help with melancholy?
Yes, regular physical activity has been shown to improve mood. However, it should not replace professional care and medication.
What are the risk factors for melancholy?
Depression develops through a combination of genetic, biological, psychological and environmental factors. Life events and stresses can also trigger or worsen the condition.
Is melancholy more common in men or women?
Depression is diagnosed in women twice as much as it is in men. Symptoms may differ between the sexes.
How does melancholy affect relationships?
Depression can make it difficult to maintain healthy relationships and can lead to social isolation. It is important to get the right help.
Where can I get help?
If you experience symptoms of dysthymia, it is important to seek professional help. Our psychologists and therapists are available for online sessions and can help you make the difficult easier. If you have thoughts of self-harm or suicidal thoughts, call 911, call or text the national suicide hotline at 988 or go to the nearest emergency room.
What help is available for melancholic depression?
Seeking help is a big step towards better health. Deciding to take control of how you feel is a positive thing. Here is an overview of the steps usually involved in therapy.
Step 1: An initial assessment session
The first meeting with your psychologist or therapist is usually an assessment to review your mental and physical health. Prepare for questions about your life situation, feelings, thoughts and behaviours. You may also complete assessment forms.
Step 2: Goal setting
This is where you and your therapist set concrete goals for the therapy, both short and long term.
It can define which areas of your life are most affected by your depression and how you would like to change them.
Step 4: Treatment for depression
This is the actual treatment phase, which may include treatment such as cognitive behavioural therapy (CBT). Talk therapy, exercises, and homework assignments aim to give you tools to overcome your depression.
Step 5: Monitoring and evaluation
Your therapist will regularly monitor treatment to see how well the therapy is working. If necessary, the treatment plan can be adjusted or renewed.
Step 6: Ending and looking ahead
As the therapy comes to an end, it is time to reflect on the progress made. You will also receive a plan on how to use the tools and strategies you have learned in the future.
If you or someone close to you is seeking professional help for depression, don’t hesitate to book a session with one of our qualified psychologists or therapists.
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