What are the Symptoms of Severe Depression?

Depression is a condition that touches the lives of millions, but severe depression is not just a matter of feeling sad or having bad days. Major depression can impact every aspect of life and have devastating repercussions affecting energy, focus, sleep, appetite, and so much more. For many, major depression can feel inescapable, isolating, and impossible to explain to others.

This article will help you understand the symptoms of severe depression and recognize when it’s time to get help. If you are worried about yourself or someone you love, recognizing the signs early can result in quick and efficient treatment.

What Is Considered Severe Depression?

Severe depression, or major depressive disorder with severe episodes, involves very intense and ongoing symptoms that greatly interfere with daily functioning. The symptoms of severe depression make it challenging to carry out basic tasks such as getting out of bed, going to work, or even showering. Major depressive disorder is referred to as severe when it contains symptoms that result in difficulties in everyday activities or maintaining relationships. Some forms of severe depression can also involve suicidal thoughts that require urgent medical attention.  

Emotional Symptoms of Severe Depression

Severe depression frequently causes emotional symptoms that are not just limited to sadness. They may last for several weeks or months and can be:

• Deep or sustained sadness: Feeling as if there is an emotional heaviness or emptiness that does not go away, even when it seems like things are going well.
• Hopelessness: A lot of people will say that they feel as if nothing will get better and that their situation will last forever.
• Loss of interest in activities: The loss of interest in hobbies, socializing, or anything that used to bring joy.
• Guilt or worthlessness: These feelings can feel overwhelming even when they do not match reality. A person may blame themselves for things that are out of their control.
• Irritability or emotional numbness: Some experience extreme sadness, while others will be completely detached from their emotions.

These emotional changes are very often the first indicators that something more serious is going on.

Physical Symptoms That Accompany Severe Depression

Depression does not just impact the mind, but it can affect the body as well, such as:

• Extreme fatigue: Even simple tasks can feel exhausting, and rest may not restore the lost energy.
• Alterations in sleep habits: For example, it could be excessive sleeping or not being able to sleep at all.
• Changes in appetite or weight: Some completely lose interest in eating, while some eat more than usual to comfort themselves.
• Physical pain: For example, if you start experiencing headaches, stomachaches, or muscle tension that doesn’t have any clear medical explanation.

Cognitive Symptoms: When Depression Affects the Mind

Severe depression can affect someone’s ability to think clearly or carry out routine activities. Some cognitive symptoms may involve:

• Impaired concentration: Staying focused at work, in conversations, or even watching TV can feel very tiring.
• Memory issues: Many people become more forgetful or find it more difficult to recall information.
• Difficulty in making decisions: Even deciding what to eat, for instance, can be an extremely difficult task.

These symptoms can resemble other illnesses, which is why it is important to have a professional assessment.

Severe and Suicidal Thoughts

One of the scariest symptoms of major depression is thoughts of death or suicide. If you or someone you know is experiencing suicidal thoughts, you should seek help immediately. You can call 988 to connect with the Suicide & Crisis Lifeline.

What Should You Do If You Recognize These Symptoms?

Major depression is treatable, but the majority of individuals will require professional support to recover. Most individuals find relief through a combination of therapy, medication, lifestyle changes, and newer treatments such as TMS therapy or Spravato (esketamine), particularly if the depressive disorder is resistant to conventional antidepressants. But first and foremost, obtaining an accurate diagnosis is an essential first step.

Finding The Right Help

If signs of depression are apparent in you or a loved one, you are not alone, and there are effective treatments available. At MDDCare, we help you locate reliable clinics that specialize in depression treatment. Visit MDDCare.com to find trusted depression professionals close to you.