This type of depression can occur once in a lifetime or, for many people, it can recur several times. People with a major depression need professional treatment. These states of extreme elation and unbounded energy are called mania. This disorder usually starts when people are in their early twenties. Though unusual for this type of depression to start for the first time in later life, it requires medical treatment, whatever the person's age.
Effective treatments are available.
But, if the feelings persist with no lifting mood, the person may need professional treatment. These symptoms may range from moderate to severe. When mania is moderate, only people close to the affected person may be able to spot the symptoms. Sometimes clinical depression can look like other illnesses with symptoms such as headaches, backaches, joint pain, stomach problems, or other physical discomforts. Older people, when depressed, often speak of these problems rather than of feeling anxious, tired, or sad.