What Are the Warning Signs That My Depression Is Getting Worse?

Depression can change over time. Some days are manageable but other days can feel heavier. But sometimes, symptoms can get worse, and it’s important to spot those changes as early as possible. If you are starting to feel worse or more withdrawn than usual, your depression may be getting harder to manage. This does not mean that you’re failing or that nothing will help, it just means your body is asking for more support. Being aware of these signs can help you determine the best treatment option before symptoms become too overwhelming. Here are some warning signs to watch for and steps that you can take if things feel like they are getting worse.

You Feel Numb Instead of Sad

Depression does not always translate to sadness. Sometimes it can feel like nothing at all. You might start to feel disconnected from everything. You may stop reacting to things that used to make you feel something, whether it’s joy, anger, or grief. The feeling of numbness is a sign that your depression may be deepening.

You’re Pulling Away from People

You may be withdrawn from others, or stop reaching out. Maybe you’ve started ignoring texts or canceling plans. You may start avoiding close friends or family and feel it’s easier to be alone. Isolating yourself from others often makes depression worse.

Your Sleep and Appetite Have Changed

Depression affects your body just as much as your mind. You may notice yourself sleeping more than usual, having trouble falling asleep, or not being able to stay asleep at all. It can cause a loss of appetite or you may be eating more to cope. Noticing any change in these patterns can be a sign that your depression is worsening.

Trouble Focusing or Making Simple Choices

Depression can make it harder to concentrate, remember things, or follow tasks. You may find yourself staring at screens, rereading things, or having difficulty making decisions you used to handle with ease.

You Are Experiencing Stronger Negative Thoughts

As depression worsens, negative thoughts often get stronger and louder. You may have feelings of hopelessness for the future or feel like a burden. If any of these thoughts start to include ideas of self-harm or suicide, get help right away. You are not alone, and support is available.

You Start Experiencing Physical Pain Without a Clear Cause

Depression can cause people to have real physical pain. The most common symptoms are headaches, stomach issues, fatigue, or muscle tension. If you notice these symptoms appear or get worse, they may be connected to your mental health and deserve attention.

You’ve Lost Motivation for Everything

One of the worst symptoms of depression is the loss of motivation or drive. You may struggle to leave your bed, brush your teeth, or complete simple tasks that used to be automatic. You also may lose interest in hobbies you once enjoyed. This lack of motivation is one of the biggest signs that you may need a different treatment approach. 

What Can You Do

If you notice any of these signs apply to you, talk to someone you trust. That may be a doctor, a therapist, or a close friend. You may need to adjust your treatment or try something new. Remember this isn’t a setback, it is a moment to reassess and get the care you need.

When Medication and Talk Therapy Aren’t Enough

Some people suffer from treatment-resistant depression (TRD). This means they have tried at least two antidepressants without feeling better. In these cases, it may be time to look into other treatment approaches:

• TMS (Transcranial Magnetic Stimulation): TMS is a non-invasive and drug-free treatment that uses magnetic pulses to stimulate areas of the brain associated with mood regulation. It is FDA-approved and has had promising results for those who have not responded to medication.
• Spravato (esketamine): Spravato is a fast-acting nasal spray given in a clinic, and is FDA-approved to treat TRD. Unlike traditional medication that can take weeks to see changes, Spravato often provides relief within hours or days.

How MDDCare Can Help

If you are experiencing worsening symptoms, you don’t need to figure it out on your own. MDDCare makes it easy to find trusted clinics that offer advanced treatments like TMS and Spravato. With more clinics offering these options and insurance coverage expanding, now is a good time to learn what’s available near you. Find a clinic and explore your options at MDDCare.com.