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Life has its ups and downs, but it could be a sign of something more severe if you're consistently low. Here, you can learn more about unipolar depression and how to seek help.

What is unipolar depression?

Unipolar depression is a condition where you experience periods of low mood and other depressive symptoms without experiencing manic or hypomanic episodes, as in bipolar depression. The term ‘unipolar’ is used to distinguish the conditions.

What is the difference between unipolar and bipolar depression?

Unipolar and bipolar depression are both affective disorders, but they differ mainly in the way they are expressed. People with unipolar depression experience periods of low mood, loss of interest or happiness, sleep disturbances, changes in appetite and other depressive symptoms, as do people with bipolar depression, but these are often interspersed with periods of increased energy, exaggerated moodiness and impulsive behaviour. Bipolar diagnosis also takes different forms, with type 1 being the more severe type with manic episodes and type 2 being the lighter form with more hypomanic symptoms. Read more below.

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Treatment for both unipolar and bipolar depression often involves both psychotherapy and medication, but the drugs used may be different. Depression is frequently treated with antidepressants, and bipolar disorder may also be treated with antidepressants, but medication also includes mood stabilizers and antipsychotics. Treatment for bipolar disorder is usually long-term, but it is possible to live an everyday life without symptoms with the proper treatment. At Lavendla, we do not treat bipolar disorder as more specialized interventions are needed.

You are not alone

One study conducted by WITS University showed that around 25.7% of South Africans suffer from depression, so there are many people affected. It is more common among women than men, although it may be under-reported as men may not be as likely to seek help. With the proper treatment, it is possible to feel better.

Symptoms of unipolar depression

The symptoms of unipolar depression are the same as the symptoms of depression in general. Depression is caused by several factors: genetic, biological, psychological and environmental. You may experience low mood, reduced desire to do things, tiredness, aches and pains and problems sleeping. If you are depressed, your concentration may be affected, and you may have issues studying or working. You may also start avoiding things and stop seeing people you usually associate with. The severity can be mild, moderate or severe, and it is essential to seek help if you need it. At Lavendla, we can help you with assessment and treatment based on your problems.

Treatment for unipolar depression

There are various treatment options for depression. Psychotherapy and lifestyle changes are common treatments, and sometimes, medication is also needed. Cognitive Behavioural Therapy (CBT) with Behavioural Activation and Interpersonal Psychotherapy (IPT) have proven effective treatment methods. Talking to a professional therapist or psychologist can help you develop concrete strategies to improve your well-being.


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Talking about mental health problems can be difficult, but seeking help is an essential step in improving your quality of life. The benefits include improved health, better workability, and improved relationships. By seeking professional help, you can make the difficulties a little easier. At Lavendla, we have therapists and psychologists who can help.

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12 FAQs about Unipolar Depression

What is unipolar depression?

Unipolar depression is a depression that, unlike bipolar depression, does not have manic or hypomanic periods.

What are the most common symptoms of unipolar depression?

As with normal depression, the most common symptoms include lack of energy, sleep problems and a reduced appetite. Consultation with a psychologist can help to make a diagnosis.

How is unipolar depression diagnosed?

Diagnosis of depression is usually done through interviews and questionnaires. Sometimes, blood tests may also be taken to rule out other medical causes.

Are there different types of depression?

Yes, there are several forms, such as unipolar and bipolar. Each type has its specific treatment methods and symptoms.

How is unipolar depression treated?

Treatment options are as for depression in general, often including a combination of medication, therapy and lifestyle changes. Cognitive Behavioural Therapy (CBT) or Interpersonal Psychotherapy (IPT) are standard forms of psychological treatment.

How long does depression treatment last?

The length of treatment can vary depending on the severity and individual needs. Depression can be mild, moderate, or severe, and the duration of treatment is adjusted accordingly. Some people can experience relief within a few weeks, while others need more prolonged treatment.

What is the difference between unipolar and bipolar depression?

People with unipolar depression experience depressive symptoms, and so do people with bipolar depression, but these are often interspersed with periods of manic or hypomanic symptoms.

Do you treat bipolar depression?

No, we don’t treat bipolar disorder, so you have to turn to the specialized psychiatry that has effective clinics. They offer longer treatments, and getting help for better health is possible.

What are the risk factors for depression?

Crisis, trauma, and lifestyle factors contribute to the development of depression. There may also be genetic factors.

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 seek help to overcome the condition.

Where can I get help?

If you are experiencing symptoms of depression, it is essential to seek professional help. Our psychologists and therapists are available for online or face-to-face consultations and can help you make the hard part easier.

What does treatment for unipolar depression involve?

Seeking help is a big step towards better health; deciding to control 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 an assessment 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.
It can define which areas of your life are most affected by your well-being and how you would like to change them.

Step 3: Treatment for depression

This is the start of the actual treatment phase, which may include treatment such as Cognitive Behavioural Therapy (CBT) or Interpersonal Psychotherapy (IPT). Talk therapy, exercises, and homework assignments aimed at giving you tools to overcome your depression.

Step 4: Monitoring and evaluation

The treatment is monitored regularly to assess its 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.


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.