WELLBEING → FAMILY REFLECTIONS Issue 990 · December 13, 2023

Irritable Depression

Depression comes in other forms

Irritable Depression

WEtend to think of depression as a condition of sadness. The depressed person has low energy, sleeps a lot, and may tear up easily. The condition leads to a joyless, unmotivated existence — even the will to live may dwindle. What we may not always recognize is that depression can take a very different form.

Unhappiness

Depression can also be characterized by a state of active agitation. In this form, the depressed person has plenty of energy, but it’s mostly negative in nature.

Depression can manifest as an inefficient thinking process where the sufferer has trouble making decisions, understanding information, learning new skills, sustaining attention, and remembering. We routinely see these deficits in the “shutdown” forms of depression.

In agitated depression, the person has trouble concentrating as well, but rather than being caused by slowness and fog, the difficulty is brought on by an overactive or racing mind, frustrating rumination, or mental hyperactivity (the mind is flitting all over the place in an agitated, distractible, scattered, or overwhelmed state).

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