Depression (major depressive disorder) is a common and serious medical illness that negatively affects how you feel, the way you think and how you act. It can feel so powerful; making people believe that life is not worth experiencing.  When a person is living with depression, they often feel very alone.   It can be difficult to share with others and one can feel lost in the heaviness of their thoughts and moving through daily living tasks.  The effects of depression can result in diminished interest or pleasure in most daily activities, most days and over a period of time. 

The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) is the tool that clinicians use to diagnose all mental disorders, including depression.   Some of the symptoms of Major Depressive Disorder include:

• Depressed mood, most of the day, nearly every day.  This includes feelings of sadness, emptiness and hopelessness.
   
• Diminished interest of pleasure in all or almost activities, most of the day, every day.
   
• Significant weight gain or loss; decrease in appetite.
   
• Sleep issues.
   
• Fatigue or loss of energy.
   
• Psychomotor agitation.
   
• Concentration issues or indecisiveness.
   
• Recurrent thoughts of death, recurrent suicidal ideation, suicidal attempts or a suicidal plan.

Finding the courage to talk about depression can be extremely difficult, though talking about depression and naming its source can be quite helpful.  Several paths of treatments are available, and if you are feeling many of these symptoms, know that you are not alone.  New research from Boston University School of Public Health reveals that the elevated rate of depression has persisted into 2021, and even worsened, climbing to 32.8 percent and affecting 1 in every 3 American adults.   There are people available 24 hours a day, 7 days a week to talk with you if you are in crisis.  You can call 1 800 273 TALK or 800 SUICIDE, or text 741741.  

We too, are here to help.  Wehave competent and caring therapists in all four of our locations - River Counseling Services in Platte, Sioux Falls Psychological Services, and Stronghold Counseling Services in Sioux Falls and in Yankton - who will meet you where you are, offering hope. That is our mission. You may schedule an appointment at the Platte office at 605-337-3444 or meet with one of our Sioux Falls or Yankton-based therapists from your computer, smartphone, or in person at any of our clinics. To schedule an appointment, please call 605-334-2696.