Depression is more than passing sadness. It changes the way we think, sleep and function — and there is effective treatment for it.
Depression doesn’t always look like crying. Sometimes it shows up as ongoing fatigue, a loss of interest in things that used to bring joy, irritability or a sense of emptiness. At the clinic we work together to understand what feeds your depression, and to build a practical way back to yourself.
What is depression?
Depression affects three areas at once: mood, body and thinking. People describe a sense of heaviness, difficulty getting up in the morning, reduced concentration and memory, changes in appetite and sleep, and sometimes harsh self-criticism. It’s important to know that depression is not a weakness of character, nor a matter of “pulling yourself together”. It is a recognised, treatable condition, influenced by biological, psychological and environmental factors alike.
When to seek help
Recognising the signs and knowing when help can make a difference
If a low mood persists for most of the day for two weeks or more, if you are struggling to function at work, in your studies or with your family, or if you find yourself withdrawing from people — this is the time to reach out. If thoughts of self-harm come up, don’t wait: you can contact ERAN on 1201, call emergency services on 101, or go to the nearest emergency room.
Types of depression
Major depression (MDD)
Major depression is characterised by a period of at least two weeks with low mood or a loss of interest and pleasure in almost all activities. This is accompanied by changes in sleep and appetite, reduced energy and concentration, feelings of guilt or worthlessness, and sometimes thoughts of death. It is the most common type, and it responds well to psychotherapy.
Dysthymia — persistent depression
Dysthymia, or persistent depressive disorder, is a low mood lasting two years or more at a lower intensity. Many people describe it as “that’s just how I am”, and so they don’t seek help for years. Treatment focuses on identifying the patterns that have become the constant background of life, and on changing them gradually.
Postpartum depression
Postpartum depression appears in the weeks and months after giving birth and differs from the passing “baby blues” in its intensity and duration. It may include crying, anxiety about the baby, a sense of detachment or guilt. In Israel, Tipat Halav family health centres use a dedicated screening questionnaire, and treatment is effective and relatively quick when sought in time.
Bipolar disorder
Alongside periods of depression, bipolar disorder also includes periods of elevated mood, increased energy, a reduced need for sleep and sometimes impulsive behaviour. The diagnosis is especially important because it changes how treatment is approached, and it usually requires psychiatric follow-up alongside psychotherapy.
Seasonal depression
Seasonal depression appears in a recurring pattern at certain times of the year, usually in the winter months when daylight hours get shorter. Symptoms include fatigue, sleepiness, increased appetite and a feeling of heaviness. A combination of emotional therapy, a stable routine and exposure to light can bring significant relief.
Depression following loss or crisis
Sometimes depression develops following an identifiable event — a loss, a job loss, divorce, illness or a security crisis. Here treatment focuses on processing the event and the meaning it has taken on, alongside rebuilding a sense of control and belonging.