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Published on August 23, 2021

Why Am I Depressed If My Life Is Fine?

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Why Am I Depressed If My Life Is Fine?

If you suffer from depression or suddenly experience bouts of sadness that seem to come out of nowhere, you probably wonder why this is happening. The truth is that there are several possibilities, and you aren’t alone. According to the World Health Organization, in January of 2020, more than 264 million people were diagnosed with depression and is the leading cause of disability worldwide.[1] In this article, I will answer the question: why am I depressed if my life is fine?” I will discuss what depression is and what the possible causes of depression are. Additionally, I will offer some solutions to consider as you navigate the depression you are experiencing.

The question of why you are depressed if your life is fine is one that I can personally identify with, as I can remember a time when I went through an intense depression even though, in many ways, my life couldn’t have been much better. I was financially secure, had a good family, lived in a beautiful place, had a pretty adventurous and exciting life, but none of that could have prevented a serious and prolonged battle with depression.

Given that you are here reading this article now, you will hopefully be able to identify the problem early and get the support you need to fend off any significant depressive episodes, as this can make a huge difference in your battle with depression.

Furthermore, you don’t have to live with depression! Despite the debilitating effects of depression, with the right treatment and support, it is also one of the more “curable” mental health disorders and you can overcome it.

What Is Depression?

Depression is a mood disorder characterized by feelings of sadness, guilt, worthlessness, hopelessness, irritability, and in the worst cases, despair and suicidality.

Depression from a clinical perspective is classified into a few distinctive categories, two of the more common categories are; major depression and dysthymia. According to the DSM 5, Diagnostic and Statistical Manual—which governs the diagnosis of psychiatric and mental health disorders—major depression is classified as experiencing five or more symptoms in the same two-week period and must include a loss in pleasure as well as a depressed mood most of the day, nearly every day.[2]

The criteria are:

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  • Loss of pleasure or joy
  • Intense feelings of sadness and depressed mood most of the day, almost every day
  • Difficulty sleeping or disturbed sleep
  • Change in appetite (increased or decreased appetite) and a 5% change in body weight
  • Difficulty focusing, poor concentration
  • Psychomotor agitation or slowing down
  • Excessive fatigue
  • Feelings of worthlessness or guilt
  • Persistent thoughts of death, dying, and suicide

Dysthymia is an ongoing or persistent depressed mood for a period of two years where you feel sadness more days than not. It will include at least two of the following symptoms when depressed:

  • Poor appetite or overeating
  • Insomnia or hypersomnia (having more sleep than usual)
  • Low energy or fatigue
  • Low self-esteem
  • Poor concentration
  • Feeling of hopelessness

The above symptoms of dysthymia can coincide with the symptoms of major depression.

Causes of Depression

Depression happens for several reasons that I categorize into three: biology, environment, and situation. Depression also tends to occur in more sensitive people, tend to overthink, and get stuck in their thoughts, which—more times than not—are negative.

Biological causes of depression are related to how your body produces neurotransmitters that impact your moods, such as serotonin, norepinephrine, and dopamine. Some people might have a biological predisposition for depression and never experience any significant symptoms but when confronted with a challenging life situation, such as a loss or disappointment, it can send them into a tailspin of despondency and intense feelings of low and sad mood.

Depression caused by one’s environment is more about those you might have grown up with, your family, and your home environment, which could also be connected to heredity. Regardless of your biological predisposition, you learn how to handle challenges in life by observing those around you.

Adults, in particular, are role models for children and will likely deal with life in similar ways as to what they observed. For example, a child who grows up witnessing partner abuse between their parents is at increased risk of either being a victim or perpetrator of violence in an intimate relationship as an adult.[3]

Situational depression, as I mentioned above, can be seen as more of a cause-and-effect relationship. When you are confronted with a particular life challenge or change, such as job loss, geographic relocation, or family and financial stress, these situations can cause you to fall into a temporary or prolonged depression.

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In some cases, depression can be a combination of all of the above.

Examples of Causes of Depression

Below are some examples of situations that might lead you to experience a prolonged period of depression.

Grief

The loss of a loved one, especially when sudden and traumatic, can bring about intense feelings of loss and sadness, which can lead to clinical depression. This includes the death of pets.

Medical Issue or Diagnosis

Being diagnosed with a medical issue, especially if chronic and progressive, is much like any other loss you might experience. It represents the loss of a life you had. Very often, there will need to be changes made in one’s life that will not allow for a lifestyle previously enjoyed.

A Feeling of Failure or Perceived Shortcomings

As I mentioned, people who experience depression tend to be sensitive and self-critical. You might be struggling with not getting a job promotion or failing to progress in the way you imagined for yourself, but this doesn’t mean that you are not progressing in some other way.

Sudden Life Change

Changes—even good changes and welcomed changes—are hard. Sometimes, these changes can have an impact on your role and status in society like marriage or parenthood, which are both wonderful changes yet fraught with many challenges and new social roles.

Feeling Trapped or With Limited Options

Having options is both a blessing and a curse. We know that the more options we have, the less happy we are and the more anxious we might tend to feel, wanting and needing to make the right decision. However, on the flip side, the idea that you don’t have any options can also lead to feeling trapped and feeling that your life circumstances are already written in stone.

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Burnout

Job stress, being overworked and underpaid, or the lack of fulfillment in your profession can lead to depression, which might also coincide with the feeling of being trapped and feeling as though you don’t have many options in your life and career.

What Can You Do If You Experience Depression?

It may sometimes feel as though, out of nowhere, that you are hit with depression, and this is true for many people who have a biologically based depression. However, I would argue that whenever there is something like depression or anxiety—which are defense mechanisms—there is something in your life that is not 100% congruent with who you are and where your life is at or going.

This essentially means that it’s time to take a step back and reassess a few things in life. It doesn’t mean that you will be able to wright the ship entirely. However, you might be able to make some small changes that will help you feel more in control of your life and the direction that you are going in.

1. Consider Therapy

Therapy will help you take stock and think about what is happening in your life and where you might be able to make some changes. Needless to say, you will also have the support you need to embark on making those changes. It could also be a chance to identify what it is in your life that is causing the depression. A therapist can also help you connect to other supports that might help you as you work through this period in your life.

2. Group Support Network

Processing hurt and pain through the group experience is a powerful method of connecting with yourself and others who might be experiencing similar challenges. Part of the value of group experience is knowing that you are not alone and that you have support not just from professionals but also from other people just like you.

3. Self Assessment

Self-assessment involves assessing where you are in your life in relation to your life goals, your relationships, and the direction that you are headed. Maybe it is time to make a pivot and change course, which could be a very scary thing. Bringing this kind of information to therapy will be very valuable and will assist you in the therapeutic process.

4. Take Some Time Off

Taking some time off will be and can be helpful in many ways. If you are experiencing burnout, this will give you more time for self-care and help you give yourself a break. Moreover, taking a time off gives you more time to do some of the things I described above in therapy, group work, and self-assessment.

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5. Are You Bored?

Sometimes, when we lack stimulation or work in a job for which we are overqualified, we might find ourselves feeling underutilized and as if we are not meeting our potential. This would, hopefully, come out in a self-assessment and could indicate the need to make a change in your work life.

Depression and Suicide

Depression is a serious mental health disorder. Thirty to seventy percent of deaths by suicide are attributed to major depression or bipolar disorder.[4] If you or someone you love is experiencing depression and expresses thoughts or statements about death and suicide, consult with your medical professional or mental health counselor. People who receive treatment for depression have an 80 to 90% rate of success from therapy and/or medication.

Suffice to say, if you get the treatment you need for depression, your chances of recovering skyrocket. Again, as I mentioned earlier, you don’t have to live with depression. Get the right treatment,[5] and you can have a whole new lease on life.

Final Thoughts

Depression is a mood disorder that is characterized by feelings of sadness for a long period of time. Many people throughout their lives will experience some depression in varying degrees. If you notice that what you are experiencing resembles any of what I have described above, please know that you can make changes and you can live a life free of depression. Getting help, support, and treatment is essential to addressing the depression or changes in your life that might need to be considered.

More Tips on Coping With Depression

Featured photo credit: Paola Chaaya via unsplash.com

Reference

[1] The World Health Organization: Depression
[2] NCBI: The DSM-5: Classification and Criteria Changes
[3] OASH: Office on women’s Health: Effects of domestic violence on children
[4] Mental Health America: Suicide
[5] Upside Down Flan: The Best Treatment for Depression

More by this author

Meredith Flanagan

Embracing a strengths-based approach to life, passionate about creating opportunity out of adversity.

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Published on October 15, 2021

Does Anxiety Make You Tired And Why?

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Does Anxiety Make You Tired And Why?

When you think of anxiety, several scenarios may come to mind: the endless tossing and turning of a restless night, dread over potential future events, pandemic-related overwhelm, or full-blown panic attacks. Even if you’re not diagnosed with an anxiety disorder, you’ve likely experienced anxiety symptoms at some point in your life. In these situations, you might feel a queasiness in your stomach, racing heartbeat, excessive sweating, chest tightness, some tension in your jaw/neck/shoulders, or worrisome thoughts as you prepare for the worst possible scenario. But does anxiety also make you tired?

After experiencing these symptoms, you may indeed feel fatigued. The sensation could fall anywhere on the exhaustion spectrum, from feeling like you just ran a marathon and need to sleep for two days, to just a little worn down and wanting a quick nap to recover.

Below are 7 ways anxiety zaps your energy and how to restore it.

1. Stress Hormone Overload

Anxiety can make you tired via overloading your body with stress hormones. The “fight or flight” response is a key connection between anxiety and fatigue. In fact, this process is made up of three stages: Alarm, Resistance, and Exhaustion. Anxiety triggers our body systems to go into high alert. This is a natural, involuntary reaction that developed in the human brain for survival.

When humans lived with the real, imminent threat of being attacked by a predator, it made sense for our bodies to spring into action without much preparatory thought. Such dangers are rare in modern times, but our brains continue to respond in the same way they did thousands of years ago.

The hormones and chemicals that flood our bodies to prepare us for safety can both affect and be affected by several body systems, and this interaction itself contributes to exhaustion. Adrenaline and cortisol are the two most notable hormones to address here. First, adrenaline is sent out, tensing the muscles and increasing heart rate and blood pressure in preparation to run. Later in the stress response, cortisol is released, enhancing the brain’s use of glucose. This is one of our main fuel sources, so it’s no wonder this contributes to fatigue (see #2).

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You can regulate baseline levels of these stress hormones by regularly practicing yoga, breathwork, meditation, and/or engaging in aerobic exercise.[1] It’s easier to lean into these routines for relief during stress when you’ve already mastered using them during times when you feel calm.

2. Elevated Blood Sugar Levels

Fatigue is one of the most common symptoms of hyperglycemia (high blood sugar), which is shown to be associated with anxiety in diabetic patients.[2] Many people who experience hyperglycemia report feeling tired all the time regardless of their quantity or quality of sleep, nutrition, or exercise.

Although this connection has shown more prevalent and prolonged effects in diabetics, it also occurs with nondiabetics exposed to psychiatric stress.[3] In fact, for all people, the natural stress response elevates blood pressure and heart rate as well as cortisol levels, all of which increase blood sugar levels.[4] This means that anxiety causes a double-hit of exhaustion related to blood sugar fluctuations.

Instead of reaching for comfort foods like chocolate during times of stress, take a calming walk around the block. Gentle movement alone is a great stress reliever that incidentally also helps to regulate blood sugars.[5]

3. Negative Mindset

Anxiety can also make you tired because of repetitive negative thinking (RNT), which is a common symptom of anxiety. RNT involves continuous thoughts via rumination (dwelling on sad or dark thoughts focused on the past) and worry (angst regarding the future). Some researchers argue that having a longtime habit of RNT can harm the brain’s capacity to think, reason, and form memories.[6] While the brain is busy using its energy stores to fuel negative thought patterns, the energy available for these other more productive endeavors is thereby reduced.

Negative thoughts can also disrupt or prevent healthy sleep patterns, keeping our minds racing at night and effectively wreaking havoc on daytime energy. (See #7)

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Reduce these patterns by reframing your feelings over anxious thoughts. Instead of staying stuck on “what if,” focus on what you can do in the here and now. What activity can you engage in for five minutes (or more) that brings you joy? What are you grateful for, no matter what’s going on around you?

4. Digestive Issues

It’s common for people to experience both intestinal and mental issues simultaneously. This suggests a strong connection between the central nervous system and the gastrointestinal (GI) tract, which is known as the gut-brain axis.[7] Simply put, what happens in our digestive tract (and as a result of what we eat) affects the brain and vice versa.

The gut microbiota is a complex population of GI tract microorganisms. When its balance is altered, the body can develop conditions that affect the gut-brain-endocrine relationship. The endocrine system produces and manages adrenaline, for starters. And the gut bacteria’s production of feel-good hormones (serotonin and dopamine—see #5) ties into this relationship as well.

GABA (gamma-aminobutyric acid) receptors are also found in gut bacteria. GABA is a natural brain relaxant that makes us feel good by helping the body to unwind after a stress-induced neurotransmitter release (e.g., cortisol and adrenaline). When GABA activity is low, it leads to anxiety, depression, insomnia, and mood disorders. These are just a few of the manifestations that demonstrate how gut bacteria influences behavior. All of these contribute to feeling both physically and mentally tired.

You can minimize the symptoms of depression and anxiety by keeping your gut microbiota balanced with probiotic-rich fermented foods. Yogurt with live cultures, sauerkraut, kombucha, kefir, kimchi, miso soup, and tempeh are great foods to include in your diet.[8]

5. Depression

Anxiety and depression often go hand in hand. Research continues to indicate a complex relationship between depression and decreased serotonin—a key neurotransmitter for regulating mood and feelings of wellbeing and happiness. Anxiety is also a direct symptom of serotonin deficiency. Serotonin helps with healthy sleep, mood, and digestion.

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Serotonin is produced in the gut, almost exclusively, at an estimated 90 percent. However, a small quantity is also produced in the hypothalamus, an area of the brain that is pivotal for transmitting energy balance signals. This small cone-shaped structure receives and relays signals transmitted via the vagus nerve from the gastrointestinal tract. It has a central role in mediating stress responses, regulating sleep, and establishing circadian rhythms. It senses and responds to a myriad of circulating hormones and nutrients, directly affecting our mood and energy.[9]

Dopamine is another mood-boosting neurochemical that is depleted in depression. It creates feelings of alertness and wakefulness and, when the body is operating normally, is released in higher amounts in the morning (allowing for daytime energy) and lower at night (preparing for healthy sleep). Stress is one factor that can deplete dopamine, thereby leading to depression, sleep disorders, and fatigue.

Studies show that dopamine levels in the brain can be elevated by increasing dietary intake of tyrosine and phenylalanine.[10] Both of these amino acids are naturally found in protein-rich foods like turkey, beef, eggs, dairy, soy, peas, lentils, and beans.

6. Breathing Problems

Breathlessness and anxiety are closely linked, and this is one of the ways anxiety can make you feel tired. Anxiety can lead to shallow breathing, which can cause shortness of breath while feeling breathless can exacerbate anxiety.[11] It’s a vicious cycle that often leads people to take rapid and shallow breaths, breathing into their upper chest and shoulders.

This type of breathing minimizes oxygen intake and usability. Despite comprising only two percent of the body, our brains consume 20 percent of the body’s oxygen supply. Oxygen is fuel for both mental and physical tasks. When breathing patterns compromise healthy oxygen levels, this can cause considerable fatigue.[12]

End the anxiety-fatigue cycle with focused breathing exercises. It’s important to practice this regularly while you’re not experiencing anxiety or stress, as this will help you to be prepared should a moment of breathless anxiety hit unexpectedly.

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There are several different styles of breathing exercises. There’s an easy one to try, called “Resonant Breathing.” Simply breathe in slowly through your nose as you count to five, then exhale for a count of five. Repeat this for a few minutes. It’s helpful to bring your awareness to any tension, deliberately relaxing your neck, shoulders, and jaw in particular.

7. Sleep Issues

Most of the elements we’ve already discussed inherently tie into sleep issues, which is often the reason why anxiety can make you feel tired. But it’s important to note that this is not always a directly linear cause-and-effect process. Much of it is cyclic. If we don’t get enough quality sleep, we increase our risk of excessive cortisol production, elevated blood pressure and blood sugar levels, depressed mood and mindset disorders, and dysregulation of appetite/craving hormones that affect our digestive health.

Sleep is obviously the number one antidote to feeling tired as a result of anxiety. But at the same time, many of these elements—including anxiety itself—lead to less-than-restorative sleep. We can improve our energy levels by addressing each element discussed here, as well as taking a proactive approach to our sleep health.

One simple habit to help recalibrate your circadian rhythm for healthy sleep patterns is to get outside in the morning. Sunlight exposure in the early hours of the day regulates melatonin production, helping us to feel sleepy at night.

You Don’t Have to Live Your Life Anxious and Exhausted

Times of extreme stress, like driving in heavy traffic or nerve-wracking situations like public speaking, can easily induce an anxiety response. Even “normal” everyday stressors, like feeling overwhelmed with work and home responsibilities, can build up to anxious feelings over time.

Our bodies’ response to stress and anxiety affects many of its functions in complex ways. When we unravel the interconnections of these processes, we can see how each part plays an intrinsic role in contributing to fatigue. By addressing each element individually, we can make simple lifestyle changes that resolve anxiety and diminish the ways it makes us tired as a result.

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More Tips on Coping With Anxiety

Featured photo credit: Joice Kelly via unsplash.com

Reference

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