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What sets severe depression signs apart from depression?

Question:
What sets severe depression apart from depression? I always thought that if it wasn't so severe that you wanted to off yourself, than it must not be depression. What could be worse than always feeling suicidal and how could someone be depressed and not be suicidal? Wouldn't they just be felling down or sad?


Answer:
Feeling down and sad for too long is a symptom of low-level depression. And if it's TOO long, it's called dysthymia. I have felt like I am a mistake on this planet, that I am taking up valuable space; that like Nixon, my father should have pulled out too. I have felt like I was a worthless piece of shit- absolutely convinced of it. I have been convinced that there was no hope to ever have a pleasant life. I have only had a couple times where I felt like I should actually off myself, and even then I did not make an attempt. Depressed, yes. Suicidal, no. If I ever find out...I'll let you know stay strong and take care orcan They sicken of the calm, Who know the storm. Clinical/endogenous depression is a chemical imbalance in the brain triggered sometimes by a tragic/traumatic event or sometimes by no external events at all. On top of feeling shitty, it is extremely incapacitating. A clinically depressed person will lose their ability to enjoy life (even activities that were once enjoyable), to maintain concentration and make decisions, will often be confused and disoriented, experience insomnia or restless sleep, may suffer anxiety/ panic attacks, lose all sense of control, feel physically and mentally exhausted...the list goes on. These symptoms breakdown the sufferer to the point where self-hatred and suicidal thoughts begin to surface. This renders them unemployable, alienated, withdrawn, and sometimes agoraphobic. Many depressives will cop to their patheticness but will be entirely helpless to anything about it. Many cannot even leave their own confines and deal with the outside world. If you need more info, download ASD's FAQ parts 1-5. When I was severly depressed (what drove me to pdoc for meds), I couldn't (not WOULDN'T) get outta bed. I just did not have the energy. Couldn't shower, couldn't turn the tv on, couldn't answer the phone. Could only sleep and cry. That was it. Somedays, I could get to the table to push some food around on my plate tho most days it didn't even matter. While there were thoughts of "when will this stop" "something HAS to change here" "damn, give me a break", there was NEVER a thought of suicide. I have never entertained that thought. I have thought "Damn, I wish this shit would start", "Damn, I wish I could get a break" "Damn, I really need a good, bend over, can't breath, make your throat and chest ache laugh" but never suicide. I have complete compassion for those that do ponder suicide, I know they are looking for the pain to stop also, but having been in recovery from alcoholism and drug addiction, I figure if I was supposed to die, I woulda then, and not now. Don't really know why I am here, but I am just waiting for the answer! Well, when I was diagnosed as depressed 3 years ago, I had no thoughts of suicide. I went to the pyschiatrist because I hadn't gotten out of bed to go to work for almost 8 weeks. I didn't feel sad or down....in fact, I didn't feel anything at all. I slept about 18 hours a day and had no energy to do anything more strenuous than use the TV remote. My diagnosis came as a complete surprise to me, but since then I've learned that my symptoms are quite common signs of clinical depression. It might not be "worse" than feeling suicidal, but being nonfunctional is certainly a sign of a serious illness. I am slowly learning that depression doesn't follow any rules. One reason I didn't seek treatment although I had suffered from depression for years
(as did my mother) was that I was highly functional. I went to work everyday and was thought of as a very "with it" person who had everything under control. Even on days when I felt so bad I had to hold onto a bench to keep from jumping in front of the subway I still turned up at work and did my job. Depression is different in everyone at various times. I have also found that those of us who suffer from longterm depression (sometimes called dysthymia) become accustomed to it and have trouble thinking that life could be any different. The more I read about depression, talk to other sufferers, and look for help from my family, the better I am able to judge if the low moods I feel are "normal" or depressive episodes.



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