Depression vs. Sadness

‘Tis the season to be jolly. Unless you are prone to Seasonal Affective Disorder like me. Don’t get me wrong–I still love the holidays. But there’s a better than average chance that I’ll be depressed in the midst of them.

Sometimes people ask me what the difference is between sadness and depression–especially if you have been depressed and are worried that you might be getting depressed again. In a previous post, I admitted that I don’t always know. It’s not like a pregnancy test that you can take and find out that you’re either depressed or “normal.” There are degrees of depression, and I have experienced almost every point on the continuum.

Last year after my breakup, I was alone for the first time since I was 14, and it was tough. I was sad that my phone rarely rang. That I did not automatically have plans for the weekend. That I was helpless when it came to things like changing my air filter.

My sadness turned into depression over the holidays because in addition to being alone, I had to be around my family, which stresses me out, tennis season was over so I wasn’t exercising and didn’t see friends, and my sleep was out of whack because I was off for 2 weeks. Still, it was nothing like the full-blown major depressive episode I had several years ago.

If sadness vs. depression were an SAT question, then sadness is to a cold as depression is to the flu. You can barely get out of bed. You do not have the energy to do simple tasks. You are in pain. You feel like you may die. But the difference is, when you have the flu, you may blame yourself somewhat for not getting your flu shot or for kissing a sick person, but you don’t hate yourself for being sick.

One of the ways I distinguish between depression and sadness is in how I respond to the “think of people who are worse off than you” strategy. When I was too exhausted to do anything the past few weekends, I would think about all of those people who are bedridden and how awful that must feel. And then I wanted to do something about it. So I said one of my neurotic prayers: God, if there’s any way that my praying for these people who are sick and bedridden can help them feel better, then please let that happen.

When I’m depressed, I think about people who live in war-torn countries, and how that’s far worse than being depressed. So who am I to complain? This is nothing. I don’t even have a good reason for being depressed. I’m just lazy and irresponsible. So get off the couch and do something, damn it!

Since this is the time of year when I am vulnerable to depression, I am hypervigilant of possible signs. So far I’m tired and stressed, but no self-loathing. And I haven’t missed any work (knock on wood). Maybe I’ll make it through this year unscathed.