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Recurring low mood is often indicative of depression. Life's challenges can be complex, and it's essential to recognize the significance of these feelings.

What is recurrent depression?

Recurrent depression means that you have one or more recurrent (relapsing) depressions after the first episode. You often experience difficulty concentrating, memory impairment or increased fatigue, and the severity can be mild, moderate or severe. If you are younger and become depressed, there is an increased risk of becoming depressed again, so it is essential to seek help. Episodes can also become more severe the more they occur, and recurrent depression can be part of bipolar disorder. Getting a thorough assessment and the right help is essential if you feel unwell.

Why do people get depressed?

Depression is the result of a combination of genetic, biological, psychological and environmental factors. It can vary from person to person, so some things may be more accurate or less. Here are some of the most common contributors to its development:

  1. Genetic factors: Certain genes and genetic variations are linked to increased vulnerability to depression.
  2. Biological factors: Imbalances in brain chemicals, particularly serotonin, norepinephrine and dopamine, can affect mood and contribute to depression. Brain regions such as the amygdala and prefrontal cortex, which regulate emotions and decision-making, may also play a role.
  3. 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.
  4. Life events and stress: Traumatic events, losses, life changes or prolonged stress can be triggers for depression.
  5. 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.
  6. 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.
  7. 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. Here are the symptoms:

  • Sadness
  • 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

What is the difference between recurrent depression and bipolar disorder?

With depression, you have symptoms that also make you passive and make it difficult for you to do things. You can fall into a negative pattern that makes the problems continue. If you have bipolar disorder, you often also have depression. Still, you also have periods of mania where you have a lot of energy and are excited and active in a way that causes problems. Bipolar disorder is divided into type 1 and type 2, with the latter being a milder form. It is essential to get a thorough assessment if you think you may have this problem. It is possible to get help and live a life like everyone else.


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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. It is also expected that you may need to take a period of sick leave if you are depressed. The length of the sick leave depends on the severity of the depression. It is essential to get the right help; we at Lavendla can help you.

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Experiencing difficult emotions is common, but sometimes, you may need support. Therapy is essential in improving your quality of life and can help you deal with different issues. At Lavendla, we have therapists and psychologists who can help you. We make the hard things easier.

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12 FAQs about Recurrent Depression

What is recurrent depression?

Recurrent depression means that you have one or more recurring (relapse) depressions after the first episode.

What are the most common symptoms?

Concentration difficulties, memory impairment or increased fatigue are some 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. You can also have bipolar disorder with multiple depressive episodes, but then you would also have manic periods, and that is a different diagnosis.

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. It is also expected that you may have to take a period of sick leave if you are depressed.

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 is a combination of genetic, biological, psychological and environmental factors. If you are younger when you get your first depression, it is essential to get the proper treatment because recurrent depression can become more severe over time.

Is depression more common in men or women?

Depression is more common in women, but men are less likely to seek help. Symptoms may also differ between the sexes.

How does depression affect relationships?

Depression can make it challenging to maintain healthy relationships and can lead to social isolation. It is essential to get the right help.

Where can I get help?

If you experience symptoms of depression, it is essential to seek professional help. Our psychologists and therapists are available for online or face-to-face sessions and can help you make the difficult part easier. If you or someone you know has thoughts of self-harm, call 0800 567 567 or seek emergency medical help immediately.

What help is available for recurrent depression?

Seeking help is a big step towards better health. It is a favourable decision to take control of how you feel. 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 a diagnostic evaluation to review your mental and physical health. You may be asked questions about your life situation, feelings, thoughts and behaviours. You may also be asked to 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.

Step 3: Treatment

This is the start of the treatment phase, which may involve treatment such as Cognitive Behavioral Therapy (CBT) and medication if necessary. The therapy may include exercises and homework assignments to give you tools to change how you feel.

Step 4: Monitoring and evaluation

Regular monitoring will be done to assess the therapy’s effectiveness. If necessary, the treatment plan can be adjusted or renewed.

Step 5: Ending and looking ahead

As the therapy ends, it is time to reflect on the progress. You will also receive a plan for using 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 feel terrible and have thoughts of harming yourself, contact the emergency psychiatric services or call 112.


Written by Samantha Pieterse

Sr. Samantha Pieterse is a registered psychiatric nurse who is deeply committed to mental health and well-being. Samantha brings a unique and valuable perspective to her role as an editor for Lavendla South Africa. She has worked in Government and Private mental healthcare institutions in Gauteng and her expertise ensures that the articles on our website are accurate and accessible. Samantha is dedicated to enhancing mental health awareness and education in South Africa.