Everyone has low days. Depression is different. It tends to last, it colours how you see yourself and the future, and it can make ordinary things feel like a lot of effort. Knowing the signs can help you decide when it's time to get support.
Emotional symptoms
- persistent sadness, emptiness or numbness
- hopelessness, or feeling that nothing will get better
- irritability or frustration over small things
- guilt or a sense of worthlessness
- losing interest or pleasure in things you used to enjoy
Physical symptoms
- sleeping much more or much less than usual
- changes in appetite or weight
- tiredness and low energy, even after rest
- aches and pains without a clear cause
- feeling slowed down, or restless and unable to settle
Changes in thinking
- trouble concentrating or following conversations
- forgetfulness
- difficulty making decisions, even small ones
- going over the same negative thoughts again and again
You don't need to have all of these. Clinicians usually look at how many symptoms you have, how long they've lasted (often two weeks or more) and how much they affect daily life.
Depression or a rough patch?
Grief, stress and disappointment can bring many of the same feelings. A rough patch usually eases as circumstances change or with time and support. Depression tends to hang on, or to show up even when life looks fine from the outside. If you aren't sure which it is, that's a good reason to talk to someone.
When to talk to a therapist
Consider reaching out if:
- symptoms have lasted more than two weeks
- work, school, relationships or parenting are getting harder to manage
- you're using alcohol or other substances to cope
- people close to you are worried
- you just feel you can't keep going the way things are
It's also worth seeing your doctor. Some physical health conditions and medications can cause similar symptoms, and your doctor can talk with you about medical options.
If you're thinking about suicide or feel unsafe, please don't wait. Call or text 9-8-8 any time, go to your nearest emergency department or call 9-1-1.
What therapy for depression looks like
Psychotherapy is a well-established treatment for depression. At P.A.T.H., you meet online with a qualified therapist who gets to know you and what's been happening. Depending on your needs and their training, they might use approaches such as:
- cognitive behavioural therapy (CBT), to notice and test unhelpful thought patterns
- behavioural activation, to rebuild routines and contact with things that matter to you
- emotionally focused or relational work, when depression is tangled up with relationships
- somatic or trauma-informed approaches, when past experiences are part of the picture
Progress is often gradual. Many people notice small shifts first, like sleeping a little better or finding one thing easier, before the bigger picture changes.
Getting started with P.A.T.H.
P.A.T.H. provides accessible online therapy across Canada. Wherever you live, we'll work to connect you with a therapist who can practise in your province or territory.
$175 per session ($220 in Alberta). Free 20-minute consultation. Receipts for extended health benefits.
