How to identify and overcome hidden signs of depression
Written in association with:
Psychiatrist
Published: 18/10/2024
Edited by: Aoife Maguire
Depression is a serious mental health condition that often goes unnoticed. While some people may openly show distress, others may mask their struggles, making it difficult for loved ones to recognise what’s going on. If you're worried that someone close to you may be suffering from depression, it is important to know what to look for beyond the obvious signs.
In this article, we'll explore some of the hidden indicators of depression, helping you to recognise when someone may need support.
How can you identify hidden signs of depression in others?
Depression is a common mental health condition, but it often goes unnoticed, particularly when the signs are subtle or hidden. Many people with depression may not openly express their struggles, either because they are not aware of them or because they are trying to conceal their feelings. There are some less obvious signs of depression that you can look for if you are concerned about someone’s mental well-being.
Are there changes in their mood or behaviour?
While most people associate depression with sadness, the emotional experience of the condition can vary widely. Someone suffering from depression may not outwardly appear tearful or downcast but might instead show signs of irritability, frustration, or anger. It’s important to recognise that sudden or sustained mood changes, such as becoming more short-tempered or easily upset, could be a sign that something is wrong.
Depression also affects behaviour. People who are usually social and engaged may start withdrawing from activities they once enjoyed. They may cancel plans frequently or seem less enthusiastic about socialising. If someone is withdrawing from their usual routine or seems disengaged, it could be a red flag for underlying depression.
Is there a noticeable change in sleep patterns?
Sleep disturbances are one of the most common symptoms of depression. You might notice that someone is complaining about struggling to sleep (insomnia) or, conversely, sleeping too much (hypersomnia). These changes in sleep patterns can be hard to spot, but if a friend or loved one is consistently mentioning fatigue, being tired all the time, or staying in bed for long periods, it could point to depression.
People with depression often find it difficult to fall asleep, may wake up early, or struggle to stay asleep throughout the night. On the other hand, they may also sleep excessively, using sleep as a way to escape from their feelings. Both extremes should be taken seriously.
Are they struggling to concentrate?
Depression can make it harder for people to focus or concentrate, which can manifest in day-to-day conversations and tasks. If you notice someone frequently losing track of conversations, forgetting details, or struggling to make decisions, this could be a sign of mental fatigue linked to depression. This cognitive slowing may be subtle at first, but over time, it can become more apparent.
You might also observe that someone is more indecisive than usual or takes longer to complete tasks that previously wouldn’t have been an issue. If they often seem distracted or unable to focus, it’s worth considering whether depression might be a factor.
Have they expressed feelings of worthlessness or guilt?
People with depression often struggle with feelings of low self-worth or guilt, even when these feelings are not justified by external circumstances. If someone close to you begins to express that they feel like a burden, or if they are overly critical of themselves, this could indicate that they are battling negative thoughts.
Listen for language that reflects self-blame or hopelessness. Comments such as “I’m not good enough,” “Nothing I do matters,” or “I feel like a failure” should not be ignored. These negative thoughts are common in depression and can be deeply damaging over time.
Are there physical symptoms?
Depression doesn’t only affect the mind; it can also affect the body. Complaints of headaches, stomach issues, and general aches and pains are frequently reported by those suffering from depression. These physical symptoms often don’t have a clear medical cause, and they tend to persist despite treatment for other conditions.
If someone is frequently experiencing unexplained physical discomfort alongside other behavioural or emotional changes, it could be a hidden sign of depression. Sometimes, people may focus on physical ailments rather than acknowledging the emotional difficulties they are facing, making these symptoms easy to overlook.
Depression can be complex and challenging to detect, especially when the signs are not immediately obvious. Paying attention to subtle changes in mood, behaviour, sleep patterns, and physical health can help you identify whether someone might be suffering from this condition. The earlier it is recognised, the sooner help can be sought.
If you would like to book a consultation with Dr Bonaccorso, do not hesitate to do so by visiting her Top Doctors profile today.