Recognize the Subtle Signs of Depression

Depression is a complex and personal experience that affects millions, yet it often goes undiscussed. Heather Allen, PsyD, a psychologist at Samaritan Health Clinic – West Devils Lake, said depression doesn’t always look the same and can be triggered by many different events.

“Experiencing sadness, mood changes and irritability in response to tough life experiences is something worth talking about,” Allen said. “Our context plays such a big role. When discussing depression, we must acknowledge systemic disparities and painful current events in the conversation.”

Depression may stem from life changes such as having a baby, divorce, job transitions or retirement. Seasonal shifts can also play a role, and while many associate seasonal affective disorder with winter, Allen notes it isn’t limited to colder months.

Sometimes, depression arises without a clear cause and can show up in many ways, including irritability, anxiety, sleep disturbances, difficulty concentrating and persistent physical discomfort. While feeling down or losing interest in favorite activities are common signs, depression often goes deeper and can interfere with daily life if left untreated.

It can begin at any age, though it’s most commonly seen in late adolescence or early adulthood and tends to affect women more frequently. Some people may not experience symptoms until later in life. Early recognition and treatment can make the condition easier to manage and help prevent it from worsening.

If symptoms last more than two weeks, it may be time to talk to a primary care provider. They can rule out physical causes like low iron or thyroid issues and help connect you with support.

“One of the most powerful and courageous choices a person can make is to start sharing their thoughts and feelings by reaching out,” Allen said. “Often, the first place someone has that conversation is with their primary care provider. I’m grateful that in my work I get to be right next door and can even join that visit and start a conversation about options.”

Treatment may include counseling, medication or both. “Even if there are parts of our situation we can’t completely change today, there are ways to address the symptoms of depression and move you back toward the life you love,” Allen said.

Allen sees both clinical depression and subclinical sadness in her work. “These symptoms can affect daily activities, functioning at work, home or school and show up in our relationships,” she said. “Depression can make our world feel smaller and lead us away from living in a values-congruent way.”

“Behavioral Activation: doing values-congruent activities that are meaningful or enjoyable can be a powerful tool when feeling low,” she said. “Picking even one small thing each day that used to bring you joy and doing that for a couple of minutes can begin to rewrite the narrative that depression has been writing.” Allen also highlights the importance of lifestyle factors such as sleep and physical activity. “Exercise and adequate rest can be key to our mood.”

She encourages taking meaningful steps toward healing. “Talk to someone, recognize you’re not alone, return to activities that bring you joy, try something new, be physically active as you’re able, rest and practice self-compassion,” Allen said.

“I’m forever in awe of my patients,” Allen said. “They have such inspiring wisdom and insight.”

Learn more about depression.