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Experiencing low mood or depression is not uncommon and can be temporary. However, if it comes back again, it can be a sign of recurrent depression. Help is available.
What is recurrent depression?
Recurrent depression means that you have one or more periods of depression after the initial episode. You may often experience difficulty concentrating, memory impairment or increased fatigue. If you are younger and become depressed, there is an increased risk of having recurrent episodes, so it is important to seek help. Episodes can also become more severe the more they occur and could be a sign of other underlying mental health disorders. Therefore, it is important to get a thorough assessment.
Why do people get depressed?
Depression is the result of a combination of genetic, biological, psychological and environmental factors. Here are some of the most common contributors to its development:
- Genetic factors: Certain genes and genetic variations are linked to increased vulnerability to depression.
- Biological factors: Imbalances in brain chemicals, particularly serotonin, norepinephrine and dopamine, can affect mood and may contribute to depression. Brain regions such as the amygdala and prefrontal cortex, which regulate emotions and decision-making, may also play a role.
- Psychological factors: Personal characteristics and psychological factors, such as negative thinking patterns, low self-esteem and difficulties in coping with stress can increase the risk of depression.
- Life events and stress: Traumatic events, losses, life changes or prolonged stress can be triggers for depression.
- Hormonal changes: Hormonal changes, such as those that occur during puberty, pregnancy or transitional periods such as menopause, can affect mood and increase the risk of depression.
- Disease and medical conditions: Certain medical conditions, such as chronic diseases or neurological disorders, can increase the risk of depression. Some medications may also have depression as a side effect.
- Environmental factors: An unfavourable environment, including lack of social support, negative family relationships or work-related stress, can affect mental health and contribute to depression.
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Symptoms of depression
In recurrent depression, the symptoms are the same as for regular depression but there is a break between episodes. Symptoms include:
- Sadness and loss of interest in activities
- Apathy
- Sleep problems or sleeping too much
- Physical symptoms such as fatigue or pain
- Feelings of hopelessness or worthlessness
- Loss of zest for life
What is the difference between recurrent depression and bipolar disorder?
With recurrent depression, you have periods of persistent low mood and a lack of interest in previously enjoyable activities. Between these episodes, your mood will return to your baseline. If you have bipolar disorder, you also have periods of mania in addition to depressive periods. During manic episodes, you may have a lot of energy and a decrease in inhibitions. Bipolar disorder is divided into type 1 and type 2, with the latter having less intense manic symptoms. It is important to get a thorough assessment if you think you may have this condition. Help is available.
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Treatment for recurrent depression
Treatment for recurrent depression can include various forms of therapy, such as cognitive behavioural therapy (CBT) or pharmacological treatment with antidepressant medication. Lifestyle changes, including regular exercise, sleep and social support, may also be part of the treatment plan. For severe cases, you may need to consider a period of sick leave to effectively manage your symptoms. It is important to get the right help.
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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.
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12 frequently asked questions about recurrent depression
What is recurrent depression?
Recurrent depression means that you have one or more periods of depression after the first episode.
What are the most common symptoms?
Concentration difficulties, persistent sadness and increased fatigue are common symptoms. Consultation with a psychologist or psychiatrist can help make a diagnosis.
How is depression diagnosed?
Diagnosis of depression is usually done through interviews and questionnaires. Sometimes blood tests can also be taken to rule out other medical causes.
Are there different types of recurrent depression?
There are different levels of depression, including mild, moderate and severe depression, but what makes the diagnosis of recurrent depression specific is that you have multiple episodes of depression.
How is recurrent depression 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 does depression treatment last?
The length of treatment can vary depending on the severity and individual needs. Some people can experience relief within a few weeks, while others need long-term treatment.
Is depression 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 depression?
Yes, lifestyle factors such as exercise can affect your mental health. However, it should not replace professional care and medication.
What are the risk factors for recurrent depression?
Depression occurs due to a combination of genetic, biological, psychological and environmental factors. If you are younger when you experience your first episode of depression, it is important to get the right treatment because the chances of developing recurrent depression increase.
Is depression 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 depression 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 depression, 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 recurrent 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. 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.
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