Recognizing the Symptoms of Depression
Common Causes of Depression
If you're depressed, it might not be easy to figure out why. In most cases, depression doesn't have a single cause. Instead, it results from a mix of things -- your genes, events in your past, your current circumstances, and other risk factors.
Here are a few of the things that can play a role in depression.
Electroconvulsive Therapy (ECT) for Depression
For some people with severe or hard-to-treat depression, electroconvulsive therapy (ECT) is the best treatment. This treatment (sometimes referred to as "electroshock therapy") has a bad reputation and is incorrectly viewed as a harsh, cruel treatment. However, it can be effective and sometimes lifesaving. ECT works quickly, which is why it's ideal for people with particularly intense or suicidal depressions. In these cases, waiting for antidepressants or therapy to work might be dangerous...
Read the Electroconvulsive Therapy (ECT) for Depression article > >
- Biology. We still don't know exactly what happens in the brain when people become depressed. But studies show that certain parts of the brain don't seem to be working normally. Depression might also be affected by changes in the levels of certain chemicals in the brain, called neurotransmitters.
- Genetics. Researchers know that if depression runs in your family, you have a higher chance of becoming depressed.
- Gender. Studies show that women are about twice as likely as men to become depressed. No one's sure why. The hormonal changes that women go through at different times of their lives may be a factor.
- Age. People who are elderly are at higher risk of depression. That can be compounded by other factors -- living alone and having a lack of social support.
- Health conditions. Conditions such as cancer, heart disease, thyroid problems, chronic pain, and many others increase your risk of becoming depressed.
- Trauma and grief. Trauma, such as violence or physical or emotional abuse -- whether it's early in life or more recent -- can trigger depression. Grief after the death of a friend or loved one is in itself a normal emotion, but like all forms of loss can sometimes lead to depression.
- Changes and stressful events. It's not surprising that people might become depressed during stressful times -- such as during a divorce or while caring for a sick relative. Yet even positive changes -- like getting married or starting a new job -- can sometimes trigger depression.
- Medications and substances. Many prescription drugs can cause symptoms of depression. Alcohol or substance abuse is common in depressed people. It often makes their condition worse.
Some people have a clear sense of why they become depressed. Others don't. The most important thing to remember is that depression is not your fault. It's not a flaw in your character. It's a disease that can affect anyone -- and regardless of the cause, there are many good ways to treat it.
WebMD Medical Reference
Important Safety Information About Cymbalta
The most important information you should know about Cymbalta:
Antidepressants can increase suicidal thoughts and behaviors in children, teens, and young adults. Suicide is a known risk of depression and some other psychiatric disorders. Call your doctor right away if you have new or worsening depression symptoms, unusual changes in behavior, or thoughts of suicide. Be especially observant within the first few months of treatment or after a change in dose. Approved only for adults 18 and over.
Cymbalta® (duloxetine HCl) is not for everyone. Do not take Cymbalta if you:
- have recently taken a type of antidepressant called a monoamine oxidase inhibitor (MAOI) or Mellaril® (thioridazine)
- have uncontrolled narrow-angle glaucoma (increased eye pressure)
Before taking Cymbalta, talk with your healthcare provider:
- about all your medical conditions, including kidney or liver problems, glaucoma, diabetes, seizures, or if you have bipolar disorder. Cymbalta may worsen a type of glaucoma or diabetes
- about all your prescription and nonprescription medicines. A potentially life-threatening condition has been reported when Cymbalta was taken with certain drugs for migraine, mood, or psychotic disorders
- if you are taking NSAID pain relievers, aspirin, or blood thinners. Use with Cymbalta may increase bleeding risk
- about your alcohol use
- about your blood pressure. Cymbalta can increase your blood pressure. Your healthcare provider should check your blood pressure prior to and while taking Cymbalta
- if you are pregnant or plan to become pregnant during therapy, or are breast-feeding
While taking Cymbalta, talk to your healthcare provider right away:
- if you have itching, right upper-belly pain, dark urine, yellow skin/eyes, or unexplained flu-like symptoms, which may be signs of liver problems. Severe liver problems, sometimes fatal, have been reported
- if you have high fever, confusion and stiff muscles, which may be symptoms of a potentially life-threatening condition
- if you have skin blisters, serious or peeling rash, hives, mouth sores, or any other allergic reaction. These may be serious, possibly life-threatening, skin reactions
- if you experience dizziness or fainting upon standing. This tends to occur in the first week or when increasing the dose, but may occur at any time during treatment
- before you stop Cymbalta or change your dose
- if you experience headache, weakness, confusion, problems concentrating, memory problems, or feel unsteady, which may be signs of low sodium levels
- if you develop problems with urine flow
Most common side effects of Cymbalta (this is not a complete list):
- nausea, dry mouth, sleepiness, fatigue, constipation, dizziness, decreased appetite, and increased sweating
You are encouraged to report negative side effects of Prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Other safety information about Cymbalta:
- Cymbalta may cause sleepiness and dizziness. Until you know how Cymbalta affects you, you should not drive a car or operate hazardous machinery.
- People age 65 and older who took Cymbalta reported more falls, some resulting in serious injuries.
How to take Cymbalta:
Take Cymbalta exactly as directed by your healthcare provider. Cymbalta should be taken by mouth. Do not open, break or chew capsule; it must be swallowed whole. Cymbalta can be taken with or without food.
Cymbalta is available by prescription only.
See Prescribing Information, including Boxed Warning about antidepressants and risk of suicide, and Medication Guide.
DD CON ISI 28NOV2011
©Lilly USA, LLC 2012. All rights reserved.
Cymbalta is a registered trademark of Eli Lilly and Company.
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Depression Glossary
- Antidepressant: Drugs to be used to treat depression...
- Dysphoria: An emotional state marked by anxiety, depression, and restlessness ...
- Dysthymia: Chronic depression that is less severe than major depression ...
- Major Depression: Depression that lasts for at least two weeks and interferes with daily life ...
- Psychotherapy: Treatment by talking about emotional problems ...
- View All Terms


