Situational Depression vs. Clinical Depression

depression types

By: Alexandra DeWoskin

Depression is one of the most common types of mental disorders, affecting about 340 million people worldwide. Interestingly, about half of all cases of depression go undiagnosed and untreated, yet depression is the most treatable form of mental illness. Depression occurs in all age groups, social classes and cultures. It is far more common in women, affecting 25 percent of women versus about 10 percent of men. Additionally, depression also affects one out of every 20 teenagers.

It is very important to make a distinction between situational depression, which is a normal reaction to events around us, and clinical (also called endogenous) depression, which is triggered from within and is not related to external situations. Situational depression is quite common and normally follows stressful situations or losses. Rather than suppress these feelings, it is best to work through these periods with help from psychotherapists or counselors. Clinical depression is a medical diagnosis and often requires other forms of treatment.

Symptoms and Causes

The core symptoms of depression include:

  • A gloomy, sad, or empty mood
  • Feelings of hopelessness, pessimism, guilt and anxiety/irritability
  • Loss of interest in things that used to be pleasurable
  • Change in appetite
  • Change in sleeping patterns
  • Inability to concentrate
  • A lack of energy, motivation, or feeling run-down
  • Withdrawing from friends and loved ones
  • Aches and pains and digestive problems that don’t subside with treatment
  • Thoughts of suicide

Clinical depression can be triggered by a recent loss or other sad event, but then grows out of proportion to the situation and persists longer than appropriate. While there are many theories about mood disorders, the actual causes of depression remain unclear. Those with a family history of depression are much more likely to experience its effects at some point in their lives.

In addition, there are several factors that can precipitate depression:

  • A recent loss or sad event such as the loss of a job, bereavement or social isolation
  • Side effects of certain drugs
  • Infections such as AIDS, mononucleosis and viral hepatitis
  • Pre-menstrual syndrome
  • Rheumatoid arthritis
  • Certain types of cancer
  • Neurological disorders such as stroke, multiple sclerosis and Parkinson’s disease
  • Nutritional deficiencies of B12 or B6

Recommended Lifestyle Changes

In Buddhist philosophy, depression represents the inevitable consequence of seeking stimulation. The centuries old teachings suggest that we seek balance in our emotional lives, rather than continuously striving for the highs, and then complaining about the lows that follow.

Its basic recommendation encourages the daily practice of meditation, and this is perhaps the best way to address the root of depression and change it. This requires long-term commitment, however, as meditation does not produce immediate results.

  • Exercise. For more immediate, symptomatic treatment of depression, there is no better method than regular aerobic exercise. Numerous studies have demonstrated the efficacy of a daily workout for improving mood and boosting self confidence. Thirty minutes of continuous activity, at least five days a week will show great results.
  • Stay in Contact with your Support System.  Keep in contact with friends and family.  If you’re a pet lover, get some unconditional love your pet.  Volunteer to get your mind focused on others.
  • Check your Medications. Make sure you are not taking any over-the-counter or prescription medications that contribute to depression. Avoid all antihistamines, tranquilizers, sleeping pills and narcotics if you have any tendency toward depression. You should also be cautious about the use of recreational drugs, notably alcohol, cocaine, amphetamines, downers, marijuana and ecstasy. These substances may provide a temporary sense of relief, but are likely to intensify depression to dangerous levels if used regularly.
  • Cut caffeine. Addiction to coffee and other forms of caffeine often interferes with normal moods and can aggravate depression. Try acupuncture. This modality has proven itself to be very useful in treating several mood disorders, including depression.
  • Seek professional help. Find a psychotherapist, mental health professional or grief counselor who can help you explore the elements contributing to your depression and facilitate recovery. Cognitive behavioral and Mindfulness therapy can be especially helpful.
  • Anti-depressant medications. Speak to your physician to determine if you are a candidate for anti-depressant medication.

Nutrition and Supplements 

  • B vitamins. The B vitamins, especially folic acid and vitamin B6, can be helpful in mild depression, and you should know that B vitamins can increase the efficacy of prescription anti-depressants.
  • St. John’s wort. St. John’s wort is an herbal remedy that has long been used in Europe as a treatment for mood disorders. Standardized extracts have shown an effectiveness equaling Prozac in the treatment of mild to moderate forms of the disease. It should not be taken with anti-retroviral medications, birth control pills, or antidepressant medications, especially SSRIs like Prozac or Celexa. Try 300mg of an extract standardized to 0.3 percent hypericin, three times a day. It’s full effect will be felt in about eight weeks.
  • SAMe (S-adenosylmethionine). Has the adavantage of working more quickly than St John’s Wort. Use only the butanedisulfonate form in enteric-coated tablets, or in capsules. Try 400-1,600 mg a day on an empty stomach. Very safe, no known side effects.
  • Fish oil. Recent preliminary studies suggest that omega-3 fatty acids found in fish oil may be helpful in maintaining a healthy mind. I think that reasonable doses of fish-oil supplements (1,000 – 2,000 mg per day) might be useful in addressing mild depression. Fish oil is an excellent source of docosahexaenoic acid (DHA), an essential fatty acid found in nerve and brain tissue.
  • In addition, follow a well-balanced diet and include an antioxidant multi-vitamin/mineral supplement to ensure you are meeting your nutritional needs for all the essential nutrients.