Everyone has flat stretches. A hard month at work, a Calgary February that refuses to end, a loss that takes longer to absorb than expected. Feeling low is part of an ordinary life, and treating every difficult week as a clinical matter would not help anyone.
At the same time, a great many people spend a year or more waiting for something to lift that is not going to lift on its own. The distinction between a low patch and depression is genuinely useful, and it is less about how bad the feeling is than about how it behaves over time.
Low mood tends to be tied to something. You can usually point at the cause, the feeling moves around during the day, and good things still register even if they land more quietly than usual. A decent weekend, a walk in the sun, or an evening with friends provides some relief, and the mood follows the circumstances.
Depression behaves differently. It tends to persist for weeks regardless of what is happening around it, and it flattens the good along with the bad. People often describe it less as sadness than as an absence, where things that used to matter simply do not produce a response any more. That symptom has a clinical name, anhedonia, and it is one of the more reliable indicators that something beyond a difficult stretch is going on.
The other thing that separates the two is reach. Low mood usually leaves the machinery of daily life intact. Depression tends to reach into sleep, appetite, concentration, and energy, so that people find themselves rereading the same paragraph, waking at four in the morning, or losing interest in food they normally enjoy.
There is a common assumption that depression means being unable to function, and that assumption keeps a lot of people from seeking support.
Plenty of people with depression go to work every day, meet their deadlines, and give a convincing answer when asked how they are doing. The difficulty is not that the tasks stop, it is what the tasks now cost. Something that used to take ordinary effort takes everything available, and there is nothing left afterward for the parts of life that are not obligations.
Irritability is another version that gets missed, particularly in men, who are more likely to present with frustration and anger than with visible sadness. Physical complaints without a clear medical explanation, persistent headaches, digestive problems, or unexplained aches, are also common.
None of that fits the picture most people have in mind, which is precisely why it goes unaddressed for so long.
Several medical conditions produce symptoms that closely resemble depression, including thyroid problems, vitamin D deficiency, iron deficiency, and sleep apnea. Vitamin D is worth a particular mention at this latitude, given how little of it Albertans manufacture between October and April.
Because of that, a conversation with a family physician is worth having alongside anything else. It is also the route to discussing medication if that turns out to be appropriate. Counselling and medication are not competing options, and many people find that some combination of the two works better than either alone.
If things ever reach the point of thoughts about suicide, that is a moment to get support the same day rather than waiting for an appointment. In Canada, the 988 Suicide Crisis Helpline is available by call or text at any hour.
Therapy for depression is more practical than most people expect, and it does not consist mainly of discussing your childhood.
A significant part of the work involves the withdrawal loop. Depression reduces energy, reduced energy leads to doing less, doing less removes the sources of satisfaction and contact that would otherwise lift mood, and the loop tightens. Behavioural approaches work directly on that cycle, usually by rebuilding activity in very small increments rather than waiting for motivation to return first, since motivation tends to follow action rather than precede it.
Cognitive work addresses the thinking patterns that accompany depression, particularly the ones that present themselves as objective assessment rather than as symptoms. The conviction that you are a burden, that nothing will change, or that everyone would manage fine without you is characteristic of the condition itself, and examining those thoughts with someone else is considerably more effective than trying to argue with them alone at two in the morning.
Living Well Counselling has a page explaining how depression is treated and what the different approaches involve, which is a reasonable place to start reading.
The most common pattern is not refusal to get help. It is postponement. People decide to see how the next few weeks go, and then the next few, and a year passes.
Part of that is the nature of the condition, since depression is remarkably good at generating reasons why nothing would help. Part of it is the sense that the situation is not serious enough to justify taking up someone’s time, which is a judgment people are poorly placed to make about themselves.
A free consultation exists partly to settle that question. Living Well Counselling Services has three Calgary locations along with online appointments across Alberta, and a short conversation with a therapist will give you a far clearer answer than another month of waiting to see.
Kensington: 415 14th St NW, Calgary, AB
Inglewood: 39 – 35 Inglewood Park SE, Calgary, AB
Douglasdale: 11410 27 St SE, Calgary, AB
403.695.7911 (call) | 587.579.7911 (call or text)
intake@livingwellcounselling.ca
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