12 Warning Signs of Depression

12 Warning Signs of Depression

This article presents the top 12 warning signs and symptoms of Major Depression Episode.  Depression caught in the earliest presenting stages (signs & symptoms) has the best response to treatment (psychotherapy and/or prescriptions) and with treatment the fastest rate of recovery. There is no time to waste. Therefore, it is important to to see a Doctor (i.e. Psychiatrist or Clinical Psychologist) who specialize in mental illness and mental health for an evaluation.  

Depression is treatable. Depression is also preventable. Do not postpone or put off seeking assessment and treatment due to fear of stigma or naively thinking that the depression will just go away on its own.  Your life matters. Your mental health affects your physical health, brain health, relationships, quality of life. 

12 Warning Signs & Symptoms of Depression 

How do you know when feeling down, sad, blue, or in the dumps has crossed over into full-blown depression?  Here are the 12 basic warning signs and symptoms of depression that warrant and evaluation and treatment.  The best advice is to seek a specialist who is licensed mental health doctor: Psychiatrist and Clinical Psychologist.    

1. and 2:  Hall Mark Criterions of Depression: When it’s more than just the temporary sadness or lack of interest. 

If you’re feeling sad or hopeless for at least 2-weeks and you find it difficult doing your usual routine, or no longer want to engage in previously enjoyable activities (i.e. Anhedonia), then it is time to pay attention. This is the hallmark criterion of clinical depression. Even with either of these 2 hallmark signs, it can be difficult for a someone  to know for sure because almost all of the signs and symptoms (see below) of depression separately may be experienced by any one at one time or another. 

If you have been dealing with four or more of the following symptoms every day for two weeks, and they impair or interfere with the way you usually function (e.g. decreased productivity, decrease motivation, being a responsible parent, or seeing friends). Then, it is very important to visit with a qualified mental health doctor:  a MD Psychiatrist and a PhD Clinical Psychologist .

3. Changes in Appetite or Eating

Depression can make you isolate, feel disconnected or lonely. Connection is more important than food. That is why when someone is depressed they often have loss of appetite.   However, sometimes depression drives you to emotionally binge eat with food binges

4. Changes in Sleep Quality and Sleep Quantity 

If there is a change in the quality of  sleep or if you’re sleeping too much or not enough sleep .   Some people with depression feel fatigued even though they had enough sleep.  It is also common that sleeping more is an escape for people with depression.  Others with depression experience interrupted sleep or even insomnia—they’re engaged in obsessive thoughts or ruminations “binge thinking”.  Sleep changes can be a tipoff to the depression, but also make it worse. When you’re not getting the proper amount of sleep, your brain’s internal clock gets out of sync ~ Circadian rthymn 

5.  Agitation or Irritability, on Edge

Depression may present as irritability.  You might feel cranky and on edge; little things that normally wouldn’t bother you set you off. Part of the agitation  may be the way depression exacerbates normal hormonal swings. But it could also be triggered by the weight of so many heavy emotions. When people are in physical pain, they often get angry and irritated easily, and it’s the same with psychological / emotional pain—you don’t feel like your usual self. 

6. Loss of Concentration or Focus or Memory 

Feel like your mind is in a brain fog,  Problems concentrating or losing your focus. Forgetting leaving the stove on, losing your keys when they are in your hand. Depression can affect attention, concentration, new learning, working memory, encoding of new information, decision making and problem solving.  That’s your brain on depression.   Unfocused thinking can lead you to make poor choices. 

7. You Don’t Enjoy the Things That Once Made You Happy (i.e. anhendonia) 

You used meet up with your friends or a group of coworkers, but for the last few weeks, you’ve been skipping out or making excuses. Or you always looked forward to your nightly run, but these days, you can’t muster the motivation or the interest. Not taking part in things you once enjoyed because they no longer give you pleasure is a telltale sign of depression. It is called anhedonia. A person who is simply sad might skip a few outings, but then get back in the swing of things. However, depression makes you apathetic about activities and hobbies that once gave you joy, and that makes you isolate yourself.  It sets up that vicious cycle: depression robs you of your ability to derive pleasure from experiences, so you stop doing the very things that could brighten your mood.

8. You Feel Down on Yourself and Worthless~ Negative Binge Thinking

If you’re constantly putting yourself down, or you feel worthless or inconsequential.  Binge thinking repetitive thoughts such as, ‘I’m not good enough’ or ‘I don’t matter’ are dangerous because they can fuel self-harming behavior.  When you think this way, you tend to find ways to verify the negativity, and that in turn makes you more depressed and more at risk. Extreme guilt for things you aren’t solely responsible for—such as a relationship loss or  breakup or sudden job loss—low self-esteem and is a tip-off to depression.


9. You’re Preoccupied with Thoughts of Death

Persistent thoughts about ending your life, or wishing you would go to sleep and not wake up, or wondering how friends and family would feel if you died, thinking about different ways to carry out the act, and even general thoughts about death are all strong indicators that it’s time to reach out for mental health doctor for help. These thoughts of suicide pose such a direct threat to your life, it’s important to seek help immediately if you experience them, even if you don’t recognize any other symptoms of depression in yourself.  Suicide Hotline USA    Suicide Hotline by Country 

10. You’re Anxious or Feeling Panicky 

Overwhelming feelings of fear are usually thought to signify an anxiety disorder. And while that’s often true, they can also be a clue to depression. Anxious feelings often coincide with depression, and some depressed people have panic attacks.  

Anxiety is more than just the normal apprehension most of us feel when we’re challenged; it’s a constant feeling of panic and obsessive thoughts that often show up in physical symptoms such as rapid heartbeat, excessive perspiration, and sleep problems. 

 It’s possible that a person with depression also has an anxiety disorder as well. If you feel overwhelming anxiety, consider it another crucial reason to seek help.


11. Warning Sign of Depression: Your energy level is depleted

Depression-related lethargy or fatigue may be simply the consequence of not eating enough or sleeping too much. But it’s also the result of having a black cloud of sadness or hopelessness over you all the time. Dealing with chronic emotional pain sucks your vitality or energy. Everything or almost everything feels fatiguing, even routine tasks are hard, not to mention work and family responsibilities. You feel overwhelmed by day to day life; even getting out of bed and taking a shower becomes exhausting. When you’re always tired and that fatigue impairs your life, it’s time to seek help.

12. Warning Sign of Depression: You have unexplained physical aches and pains

A person with depression may also experience many physical symptoms, such as aches or pains, headaches, cramps, or digestive problems. Emotional pain from depression that you aren’t getting help for can be channeled throughout your body and show up as physical ailments, like headaches, stomach problems, neck and back pain, cramps, digestive problems, even nausea.  I see this with many of my patients; they’re holding so much sadness and distress inside, these feelings end up playing out in other ways.  If you’re suffering from a chronic ailment you can’t attribute to another cause that isn’t clearing up on its own, see a physician to get it checked out, but also consider it a possible symptom of depression too.

I know it may seem overwhelming to reach out for help, particularly when depression feels so dark and heavy.  

Your existence matters whether you believe it or not.  There is no one else like you, not now, before, or after.  

Your mental health, your physical health, your quality of life depends upon you making that call or appointment.  I hope you will reach out.  You can do this.

According to the National Institute of Mental Health (NIMH) depression is one of the most common mental health problems in the United States and world wide according to the World Health Organization (WHO).  Depression is treatable and the sooner you seek treatment the higher chances of faster recovery and getting back to yourself again.  

Silence isn’t strength. I have presented the 12 Warning Signs and Symptoms of Depression. Seek help for Depression. AND Don’t keep suicidal thoughts to yourself. 

Suicide Hotline USA: 

Suicide Hotlines by Country.  

In hope, Dr. Shawna Freshwater
Licensed Clinical Psychologist and Neuropsychologist. 

Shawna Freshwater, PhD

Shawna Freshwater, PhD

Hi, I am Dr. Shawna Freshwater, a PhD licensed Clinical Psychologist, Neuropsychologist, and Holistic Practitioner. ** I provide Psychotherapy, Coaching, Healing, Diagnostic testing & Mental Health Check-ups. ** I meet the needs of my patients and clients that are confidential and convenient to their schedule. ** I offer Remote / Online secure interactive video conferencing to USA residents and International clients. ** I also provide Concierge services at your home, office, or private location of your choice if you reside in South Florida Major Cities. ***Please see my website for more information about my credentials and areas of expertise. www.SpaciousTherapy.com Thank you. Dr. Freshwater


  1. California Behavioral Health on November 2, 2021 at 5:59 am

    Thanks for sharing such an amazing and informative blog. Depression is such a bad thing because it destroys a person’s life very badly. If someone wants to get overcome their depression then I think a therapist is the best choice to get rid of it.

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