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Writer's pictureDr. CK Bray

Understanding the Difference Between Being Sad and Being Depressed


Photo by Randy Jacob on Unsplash


Understanding the difference between feeling sad and being depressed can be challenging. Historically, what we now call "depression" was known as melancholy—a term that was less defined and more about temperament than a specific condition. It wasn't until the early 20th century that depression became recognized as a clinical diagnosis.

 

Today, the Diagnostic and Statistical Manual of Mental Disorders (DSM) helps distinguish normal sadness from clinical depression with specific criteria. For a diagnosis of Major Depressive Episode, symptoms must persist for at least two weeks and include at least five of the following: persistent low mood, loss of interest in activities, significant weight changes, sleep disturbances, psychomotor changes, fatigue, feelings of worthlessness, diminished concentration, and recurrent thoughts of death.

 

These clinical terms can be hard to relate to, so let's break them down into more everyday language. According to the Mayo Clinic, common signs of depression include feeling persistently sad or empty, irritability, losing interest in activities you once enjoyed, trouble sleeping or sleeping too much, feeling tired all the time, changes in appetite, anxiety, slow thinking, and trouble making decisions. These symptoms can severely disrupt daily life and are much more intense than occasional feelings of sadness.

 

Men often experience depression differently than women, which can make it harder to recognize. While women may frequently report feelings of sadness, men might turn to alcohol or drugs to cope. They might dive into work to escape their feelings, show increased irritability, withdraw from social activities, or engage in risky behaviors. Recognizing these signs is crucial, as men are more likely to commit suicide despite being less likely to report depression.

 

Understanding the symptoms and seeking help is vital, whether you're experiencing a temporary low mood or more severe symptoms. If you or someone you know might be struggling with depression, reaching out to a mental health professional is an essential step. Don't hesitate to talk to a friend, loved one, or professional—help is available, and you don't have to go through this alone.

 

 

I thought the Art of Manliness did an excellent job of creating a series on male depression from several different angles. 


 

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