By: CECILY AGCAOILI, M.D.

In recent months, I’ve seen an increased number of patients with symptoms of depression. The Covid pandemic, inflation, war and political turmoil, increased work and home responsibilities — it’s enough to upset anyone’s emotional balance.

Often, my patients report an upsetting life event, like the death of a loved one, a relationship breakup, problems on the job or in school, or trouble with friends or family. As unpleasant as those feelings are, they are normal and usually improve with time.

However, if a person experiences negative emotional symptoms that last for more than two weeks, they may be dealing with depression, a serious but treatable medical condition. In addition to upsetting events, It can be brought on by physical illness or hormonal changes such as found in childbirth, weaning or menopause, but often there may be no direct cause. Some people may have genetic predispositions that make them prone to depression.

Signs of depression in adults

Not everyone experiences depression the same way. However, if you have several of these symptoms for two weeks or more, you may be affected:

• Feeling sad or having a depressed mood
• Loss of interest or pleasure in activities you once enjoyed
• Changes in appetite — weight loss or gain unrelated to dieting
• Changes in sleep patterns — trouble sleeping or sleeping too much
• Loss of energy or increased fatigue
• Ongoing headaches, back or neck pain, or stomach discomfort
• Increase in purposeless physical activity (e.g., hand-wringing or pacing) or slowed movements and speech
• Feeling worthless or guilty
• Difficulty thinking, concentrating, or making decisions
• Irritability
• Anxiety or panic attacks
• Thoughts of death or suicide

Symptoms in men

Men and women can have the same signs of depression, but men with depression are more likely than women to report these symptoms:

• Anger
• Aggression
• Drug and alcohol abuse
• Risk-taking behaviors

Symptoms in women

Depression is diagnosed twice as often in women as it is in men. Women with depression are more likely to display these symptoms:

• Stress
• Indecisiveness
• Anxiety
• Feeling pathetic
• Sleep problems
• Depressed mood

Symptoms in teens

Depression has become common in young people between the ages of 12 and 17, and the rates of teen depression are rising fast. Teenagers have many of the same symptoms as adults, but sometimes parents think their child is just “acting out” or “being difficult” and don’t suspect depression. Symptoms in teens can include:

• Sadness and crying spells that happen without much cause
• Anger or frustration, even over small issues
• Irritability
• Extreme guilt, self-blame, or self-criticism
• Sensitivity to rejection
• Social withdrawal
• Angry outbursts or other acting-out behaviors
• Having bad grades in school or skipping school
• Conflicts with friends and family
• Self-harm

Time for help

If you or someone you know has been experiencing symptoms for at least two weeks without improvement, it’s important to get professional help. Your MPCP doctor or mental health professional can guide you through evaluation and treatment.

Most people with depression respond well to treatment. Talking to a counselor or therapist can help them understand their depression and how to work toward recovery. In some cases, antidepressant medications can help and may be added to treatment.

Getting help can make a big difference in how quickly a person recovers. If you think you or someone you know is suffering from depression, seek help soon and start the healing process.

Dr. Agcaoili is a Maryland Primary Care Physicians, LLC partner and is certified by the American Board of Internal Medicine. She earned her medical degree at the University of Pittsburgh School of Medicine. Dr. Agaciolli cares for patients at the Columbia office.

By Cecily Agcaoili, MD

Sadness can be confused with depression. You may feel sad after something bad has happened, like a relationship breakup, problems on the job or in school, or trouble with friends or family, but the feelings are normal and usually pass with time.

Depression is a medical condition with symptoms that last longer than two weeks. There is no simple answer for why depression happens. It can be brought on by unhappy events, illness or emotional stress, childbirth or weaning, but often there is no direct cause. Some people have genetic predispositions that make them prone to depression.

When it doesn’t go away

You may be suffering from depression if you continue to experience any of these symptoms for an extended time:

• Feeling sad or having a depressed mood
• Loss of interest or pleasure in activities you once enjoyed
• Changes in appetite — weight loss or gain unrelated to dieting
• Changes in sleep patterns – trouble sleeping or sleeping too much
• Loss of energy or increased fatigue
• Increase in purposeless physical activity (e.g., hand-wringing or pacing) or slowed movements and speech
• Feeling worthless or guilty
• Difficulty thinking, concentrating, or making decisions
• Thoughts of death or suicide

People with depression may also experience other problems, such as anxiety or panic attacks. They may also experience increased headaches, back or neck pain, or stomach discomfort.

Unfortunately, people who don’t understand that depression is a medical condition may treat it as a personal failure. They may tell you to “snap out of it” “or “pull yourself up.” Comments like that may cause a person who is depressed to feel worse. They may try to treat their symptoms with alcohol or drugs. These can help you feel better for a while but leave you feeling worse in the long term.

Take this quick quiz to see if you may be affected by depression.

 

Time for help

If you have been experiencing symptoms for at least two weeks without improvement, it’s important to get professional help. Your MPCP doctor or mental health professional can guide you through evaluation and treatment.

For many people, talking to a counselor or therapist helps them understand their depression and how to work toward recovery. In some cases, antidepressant medications can help and may be added to treatment.

Getting help can make a big difference in how quickly a person recovers. If you or someone you know is suffering from depression, seek help soon and take back control of your life.

 

Dr. Agcaoili is certified by the American Board of Internal Medicine and sees patients in MPCP’s Columbia office.