Psychological makeup also plays a role in vulnerability to depression. People who have low self-esteem, who consistently view themselves and the world with pessimism, or who are readily overwhelmed by stress are prone to depression. A serious loss, chronic illness, difficult relationship, financial problem or any unwelcome change in life patterns can also trigger a depressive episode. Very often, a combination of genetic, psychological, and environmental factors is involved in the onset of depressive illness. A variety of antidepressant medications and psychotherapy can be used to treat depressive illness.
Some people do well with psychotherapy, some with antidepressants.
A few of these symptoms are a normal part of life's ups and downs. But the higher number of yes's, the more likely it is that depression is present. These questions aren't a substitute for professional evaluation, but they can be a first step in assessing depression. Questions such as these can open the door to communication and break the isolation a depressed person may feel. This is a confidential resource for you and your family members.