Depression, a mental health disorder that’s been shadowing humanity for eons, isn’t merely a fleeting feeling of sadness. It’s a profound, multifaceted condition that affects millions worldwide. Yet, while depression is widely recognized, the journey through it is deeply personal and often misunderstood. Breaking down this intricate experience into stages can offer clarity for those grappling with the disorder and the loved ones supporting them. 

In this article, we will delve into the 6 stages of Depression, providing a roadmap to better comprehend the ebbs and flows of this condition. Armed with this knowledge, we can foster empathy, enhance therapeutic approaches, and navigate the recovery process more effectively.

What is Depression?

What is Depression

Depression is more than just a fleeting feeling of sadness. It’s a persistent state of low mood and aversion to activity that affects a person’s thoughts, behavior, feelings, and overall sense of well-being. While everyone might experience feelings of sadness occasionally, depression lasts for longer periods, typically for at least two weeks or more.

What Are the 6 Stages of Depression?

  1. Wellness
  2. Distress
  3. Depressive Disorder
  4. Refractory or Recurrent Depressive Disorder
  5. Bipolar Disorder
  6. Psychotic Depression


In the wellness stage, individuals typically function without any discernible signs of depression. They feel emotionally balanced, and their day-to-day activities remain unaffected. However, this state of equilibrium doesn’t mean one is immune; it simply indicates the absence of depressive symptoms.


Moving to the distress phase, individuals start experiencing heightened levels of stress and emotional unrest. Whether due to external factors like job pressures or personal triggers like relationship issues, the distress phase is a warning sign that shouldn’t be overlooked. However, it doesn’t always translate to clinical depression.

Depressive Disorder

When distress escalates, it may pave the way for the depressive disorder stage. This stage is characterized by persistent sadness, loss of interest in activities, and other symptoms that disrupt daily life. It’s more than just occasional blues; it’s a significant shift in mood and behavior that requires attention.

Refractory or Recurrent Depressive Disorder

In the refractory stage, depression becomes stubborn. It might not respond effectively to first-line treatments, necessitating a deeper look into therapeutic options. For some, depression becomes recurrent, with episodes returning even after initial relief.

Bipolar Disorder

While many consider bipolar disorder as a separate entity, it does have depressive episodes, which is why it’s mentioned here. In the bipolar stage, individuals oscillate between highs (mania or hypomania) and lows (depression). Recognizing this stage is vital since treatment for bipolar disorder varies from typical depression therapies.

Psychotic Depression

The most severe on the spectrum is psychotic depression. Here, the depressive symptoms are coupled with psychosis, which might manifest as hallucinations or delusions. It’s crucial to differentiate this stage from others as it requires specialized treatment approaches.

Symptoms of Depression

Symptoms of Depression
  1. Sleep Changes
  2. Reduced Attention and Concentration
  3. Weight and Appetite Changes
  4. Suicidal Thoughts
  5. Feeling Worthless or Guilty
  6. Energy Changes
  7. Psychomotor Changes

Sleep Changes

Sleep disturbances are one of the most commonly associated symptoms of depression. Whether it’s insomnia—struggling to fall or stay asleep—or hypersomnia, sleeping excessively, these changes can significantly disrupt one’s daily rhythm. A consistent sleep routine is not just about rest; it’s central to our overall well-being.

Reduced Attention and Concentration

A clouded mind is often a telltale sign of depression. Those affected may find it challenging to concentrate, make decisions, or stay attentive to tasks. It’s not just about feeling distracted; it’s about a significant reduction in cognitive performance, making even simple tasks seem daunting.

Weight and Appetite Changes

Depression doesn’t just affect the mind; it has tangible physical symptoms. Shifts in weight and appetite—either an increased appetite leading to weight gain or a decreased appetite leading to weight loss—are often indicative of underlying emotional turmoil. It’s essential to note that these changes are unintentional and might occur even when one’s diet or exercise routine hasn’t changed.

Suicidal Thoughts

Perhaps the most alarming symptom of depression is the emergence of suicidal thoughts. It signifies an intense feeling of hopelessness, where life might seem unbearable. If someone expresses such thoughts or intentions, it’s crucial to seek professional help immediately.

Feeling Worthless or Guilty

Depression often magnifies feelings of guilt or worthlessness out of proportion. Affected individuals might fixate on past mistakes or perceive themselves as a burden. These persistent negative self-evaluations can deeply impact one’s self-esteem and outlook.

Energy Changes

It’s not just about feeling tired. Depression can lead to a pervasive lack of energy, making even the simplest activities feel like impossible tasks. This fatigue isn’t necessarily linked to physical exertion and doesn’t always improve with rest.

Psychomotor Changes

Lastly, depression may bring about observable psychomotor changes. This could manifest as either agitation—where one might become restless or fidgety—or retardation, where speech and movements may slow down. It’s a reflection of how deeply depression can affect one’s entire being.

How to Get Out of Depression?

Engage in Social Connections

Building and maintaining social connections can act as a lifeline for those grappling with depression. Human beings are inherently social creatures, and meaningful interactions can offer solace, understanding, and support. Engaging with friends, joining support groups, or simply talking to someone can provide a sense of belonging. Sharing feelings and experiences not only lightens the emotional load but also helps in gaining perspectives and realizing that one is not alone in one’s struggle.

Maintain a Routine

Depression can throw life’s rhythm off balance, but creating and adhering to a daily schedule can provide stability and predictability. A well-structured day offers a renewed sense of direction and diminishes overwhelming feelings. Be it waking up at the same time daily, planning meals, or setting aside time for personal interests, consistency helps navigate the uncertainties of Depression.

Prioritize Physical Well-being

There’s a deep link between our physical and mental states. Prioritizing physical well-being can directly enhance emotional health. Activities like regular walks can trigger the release of endorphins, our body’s natural mood enhancers. Eating nutritious meals fuels the body with essential nutrients, which in turn benefits the mind. The body’s health is often reflected in our mental state.

Engage in Counseling or Psychotherapy

Seeking help through counseling or psychotherapy can be pivotal in managing depression. Professionals in various therapeutic disciplines, including Reiki healing that Melbourne offers, provide tailored techniques, insights, and advice. For example, Cognitive Behavioral Therapy (CBT) has proven its effectiveness in addressing detrimental thinking patterns. While CBT focuses on the mind, alternative therapies like Reiki concentrate on energy healing. Regardless of the approach, a therapy session offers a confidential environment to share emotions, tackle underlying issues, and learn coping skills.

Practice Mindfulness and Relaxation Techniques

Mindfulness and relaxation techniques can be powerful allies against depression. Practices like meditation, deep breathing exercises, and progressive muscle relaxation can help ground individuals, bringing them to the present moment. These techniques not only provide a respite from ruminating thoughts but also train the mind to respond, rather than react, to distressing situations.

Who does Depression Affect?

Depression is a pervasive mental health condition that doesn’t discriminate by age. It can affect anyone, from the young and growing minds of children to the matured perspectives of adults. Regardless of age, its grip can be profound and life-altering. It’s a condition that is often shaped by a complex interplay of biological, environmental, and personal factors.

Of particular interest is the noticeable gender disparity in the prevalence of depression. Women and those assigned female at birth exhibit a heightened vulnerability to this condition when compared to their male counterparts. This disparity is not merely anecdotal; numerous studies have confirmed that females are statistically more likely to experience episodes of depression than males.

What are the Reasons for Depression?

Reasons for Depression

Brain Chemistry

The human brain uses various chemicals known as neurotransmitters to facilitate communication between different nerve cells. Some of these neurotransmitters, like serotonin, norepinephrine, and dopamine, play crucial roles in mood regulation. Individuals with depression might have imbalances in the levels of these neurotransmitters. An imbalance can hinder communication between neurons, leading to the symptoms of depression.


Depression tends to run in families, suggesting a genetic link. Studies on twins and families have indicated that individuals with a family history of depression are more likely to experience it themselves. However, not everyone with a genetic predisposition develops depression. Environmental factors can trigger the onset or protect against it.

Stressful Life Events

Life stressors such as the death of a loved one, divorce, financial problems, or high levels of general stress can trigger or exacerbate depression in some individuals. Chronic stress can lead to lasting changes in the brain, making an individual more susceptible to depression and anxiety.

Medical Conditions

Certain illnesses can heighten the risk of depression. This includes conditions such as hypothyroidism, chronic pain, chronic fatigue syndrome, and other long-term health problems. The stress and physical strain of coping with a chronic illness can contribute to depression. Conversely, depression can exacerbate the symptoms of these illnesses, creating a vicious cycle.

Also Read: How To Identify Gifted Children 


Some drugs, especially when taken long-term or in high doses, can cause depression as a side effect. Examples include certain antihypertensive medications, hormones like oral contraceptives, certain antiviral drugs, and isotretinoin (used to treat severe acne), among others. Individuals must discuss the potential side effects of any medication with their healthcare providers. Adjusting the dose or switching to a different medication might alleviate depressive symptoms.

Final Verdict

Depression is far more than a fleeting feeling or a passing phase. It’s a deep emotional and psychological storm that can touch every corner of a person’s life. But as overwhelming as it might seem, there’s hope. By recognizing its stages and symptoms and learning how to manage it, both the ones suffering and their dear ones can find a path toward healing.

Walking through the shadows of depression is tough, no doubt, but it’s not a journey one has to take alone. With the right knowledge, a caring support system, and a well-rounded approach, brighter days are within reach. As we grow more understanding and kind towards mental health as a society, the aim is to shed the unwarranted shame around depression, enabling everyone to reach out and grasp the support they rightfully need.