Home » Therapy » Depression » Melancholy

Experiencing a tough day is normal, but enduring a tough month or year may indicate a more serious issue. Take a self-test here to identify any symptoms that may require treatment.

What is melancholy?

Melancholy is a condition where you feel low and gloomy. It is a form of depression where you may have difficulty feeling joy and desire, and have loss of appetite and trouble sleeping.

It used to be called melancholy, but nowadays, it is called depression, with elements of melancholy in varying degrees of severity.

If you feel depressed and gloomy, seek medical attention so that you can be assessed and treated.

What set our therapist apart was her genuine empathy and personal insight. Not only did she possess a deep understanding of neurodiversity, but she also shared personal experiences that resonated with us, creating an instant connection and fostering a sense of trust!

Benedetta Osarenk


Our counsellors

Click here to view all psychologists, therapists, and coaches.

Melancholic depression

This is rarely a 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:

  1. Biological factors: Imbalances in brain chemicals, particularly serotonin, norepinephrine and dopamine may play a role in the development of melancholy.
  2. Genetic factors: There is an inherited component to many mental health conditions, including depression.
  3. Psychosocial factors: Life events and stresses, such as losing a loved one, divorce, unemployment or other difficult situations, can trigger or worsen the condition. Traumatic experiences in childhood can also have long-term effects on our health.
  4. Personality traits: Some people may be more likely to experience melancholy because of their personality structure. For example, people with a tendency towards perfectionism or self-criticism may be more vulnerable.
  5. Hormonal changes: Hormonal changes, such as those that occur during pregnancy, after childbirth or during menopause, can affect mood and increase the risk.
  6. Medication side effects: Some medications can affect mood as a side effect.
  7. 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.


Book a meeting

Fill in the form, choose a counsellor, and proceed to payment.

Identifying the symptoms of melancholic depression

The symptoms of melancholia are the same as those of ordinary depression, and it is essential that you seek help if you experience any of these:

  • 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

Why Lavendla?

4,7 of 5 in 5000+ reviews

Thousands of clients trust Lavendla Therapy for delivering exceptional service and support.

Choose your own counsellor

Browse and select a counsellor based on reviews, area of focus, and education, ensuring you find the perfect match.

45, 60 or 90 min sessions

Choose a 45, 60, or 90-minute session, or a package, providing flexibility and control over the duration and intensity.

What kind of treatment is available?

There are various treatment options for dealing with depression. Psychotherapy and lifestyle changes are expected, sometimes medication is also needed. 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

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

If you or someone you know has thoughts of self-harm, call 0800 567 567 or seek emergency medical help immediately.


12 FAQs about Melancholic Depression

What is melancholy?

Melancholia is a form of more severe depression in which people experience low mood and gloom.

What are the most common symptoms of melancholia?

The symptoms of melancholia are the same as those of ordinary depression, but you also feel gloomy.

How is melancholia diagnosed?

A medical professional, such as a doctor or psychologist, makes a diagnosis through interviews and questionnaires. Blood tests should also be taken to rule out other medical causes.

What is the difference between melancholy and depression?

There is no real difference, as melancholy is a type of depression, but it can be seen as a more severe condition.

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

How does melancholy 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 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 difficult part easier. If you or someone you know has thoughts of self-harm, call 112 or seek emergency medical help immediately.

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 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 include treatment such as Cognitive Behavioral Therapy (CBT) and medication if necessary. The therapy may consist of exercises and homework assignments to give you tools to change how you feel.

Step 4: Monitoring and evaluation

Treatment is monitored regularly to see how well the therapy is working. 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 0800 567 567.


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.