Common Causes of Depression

Some people think they have a clear sense of why they become depressed. Others don't. It might not be easy to figure out. 

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 more.

The most important thing to remember is that, unlike with normal sadness, there doesn't need to be a "reason" to have clinical depression. It's not anyone's 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.

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 functioning of certain chemicals in the brain.

Genetics

Researchers know that if depression runs in your family, you have a higher chance of becoming depressed. But genetics don't fully explain why clinical depression occurs.

Gender

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 play a role.

Age

People who are elderly are at higher risk of depression.

That can be compounded by other factors, such as living alone and having a lack of social support.

Health Conditions

Chronic and disabling medical conditions that may have no cure can raise your risk of becoming depressed. These include:

Trauma and Grief

Trauma such as violence or physical or emotional abuse -- whether it's early in life or more recent -- can trigger depression in people who are biologically vulnerable to it.

Grief after the death of a friend or loved one is a normal emotion, but like all forms of loss, it can sometimes lead to clinical depression.

Changes and Stressful Events

It's not surprising that people might feel sad or down 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 a clinical depressive syndrome that is more than just normal sadness.

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 by causing or worsening mood symptoms or interfering with the effects of medications prescribed to treat depression.

WebMD Medical Reference Reviewed by Joseph Goldberg, MD on October 13, 2017

Sources

SOURCES:

National Mental Health Association: "Depression: What You Need to Know."

National Institute of Mental Health.

Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision.

NAMI: "Depression Symptoms, Causes, and Diagnosis."

American Psychiatric Association: "Practice Guideline for the Treatment of Patients With Major Depression," 2000.

Fochtmann, L. and Gelenberg, A. Guideline Watch: Practice Guideline for the Treatment of Patients With Major Depressive Disorder, 2nd Edition.

Focus, Winter 2005: vol 3: pp 34-42.

Compton M. "Depression and Bipolar Disorder," ACP Medicine, Psychiatry II, 2003.

Depression and Bipolar Support Alliance: "Coping with Unexpected Events: Depression and Trauma."

Helpguide.org web site.

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