Depression It’s normal to feel sad or blue when you have a long-term illness. If the sadness is severe or lasts a long time, you may have clinical depression along with your physical illness. Clinical depression is a serious illness. It is also treatable. Depression is more common when you have other medical illnesses and conditions like these: • cancer • heart disease • Parkinson's disease • Alzheimer's disease • diabetes • hormonal disorders • after a stroke Symptoms of depression • sad, anxious or "empty" mood that lasts for weeks or months • sleeping too much or too little • appetite changes and weight changes, either up or down • loss of pleasure and interest in activities once enjoyed, including sex • irritability, restlessness • physical symptoms that do not respond to treatment, such as chronic pain or digestive disorders • difficulty concentrating, remembering or making decisions • feeling tired, not enough energy • feeling guilty, hopeless or worthless • thoughts of death or suicide Most people with depression, however, do not seek the professional help they need. Why? • They don't know the symptoms. • They think depression will just go away. • They are embarrassed to talk about how they're feeling. • They don’t want people to think they are crazy. What you can do The good news is that depression can respond to treatment. Certain medicines and also talk therapy are effective treatments for depression. Most people do best by using both. Tell your doctor your symptoms. Explain that you may have a clinical depression. Call the Mental Health America Help Desk for services in your community and more information. It was formerly known as the National Mental Health Association. SOURCES www.depression-screening.org sponsored by the National Mental Health Association This is for education only. Ask your own doctor any questions you have about your health. © 2008 by Vanderbilt University. All rights reserved. Vanderbilt Medical Center Patient & Family Centered Care HC-0250 06/09