7 Most Common Types of Depression (2024)

Depression

Types

Depression Guide

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ByNancy Schimelpfening

Updated on June 16, 2023

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bySteven Gans, MD

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7 Most Common Types of Depression (1)

If you or a loved one are struggling with depression, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area.

For more mental health resources, see our National Helpline Database.

When people think about depression, they often divide it into one of two things—either clinical depression which requires treatment or "regular" depression that pretty much anyone can go through. As a condition, depression can be a difficult concept to grasp since we refer to it asboth the symptom of a condition and a condition itself.

From a medical standpoint, depression is defined​ as a mood disorderthat causes a persistent feeling of depressed mood or sadness and the often profound loss of interest in things that usually bring you pleasure. It's estimated that 1 in 5 U.S. adults have been diagnosed with depression in their lifetime.

Depressionaffects how you feel, think, and behave and can interfere with your ability to function and carry on with daily life. There are many different causes of depression, some of which we don't fully understand. Seven of the more common types of depression include the following.

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1

Major Depressive Disorder (MDD)

When people use the termclinical depression, they are generally referring to major depressive disorder (MDD). Major depressive disorder is a mood disorder characterized by a number of keyfeatures:

  • Depressed mood
  • Lack of interest in activities normally enjoyed
  • Changes in weight
  • Changes in sleep
  • Fatigue
  • Feelings of worthlessness and guilt
  • Difficulty concentrating
  • Thoughts of death and suicide

If your teen is having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. If your teen is in immediate danger, call 911.

If a person experiences the majority of these symptoms for longer than a two-week period, they will often be diagnosed with MDD.

The Best Online Help Resources for Depression

2

Persistent Depressive Disorder (PDD)

Dysthymia, now known as persistent depressive disorder, refers to a type of chronic depression present for more days than not for at least two years. It can be mild, moderate, or severe.

People might experience brief periods of not feeling depressed, but this relief of symptoms lasts for two months or less. While the symptoms are not as severe as major depressive disorder, they are pervasive and long-lasting.

PDD symptoms include:

  • Feelings of sadness
  • Loss of interest and pleasure
  • Anger and irritability
  • Feelings of guilt
  • Low self-esteem
  • Difficulty falling or staying asleep
  • Sleeping too much
  • Feelings of hopelessness
  • Fatigue and lack of energy
  • Changes in appetite
  • Trouble concentrating

Treatment for persistent depressive disorder often involves the use of medications and psychotherapy.

According to the National Institute of Mental Health, 1.5% of adults in the United States had persistent depressive disorder in the past year. The disorder affects women (1.9%) more than men (1%), and researchers estimate that around 1.3% of all U.S. adults will have the disorder at some point during their lives.

Can You Have 'High-Functioning' Depression?

3

Bipolar Disorder

Bipolar disorder is a mood disorder characterized by periods of abnormally elevated mood known as mania. These periods can be mild (hypomania) or they can be so extreme as to cause marked impairment with a person's life, require hospitalization, or affect a person's sense of reality. The vast majority of those with bipolar disorder also have episodes of major depression.

In addition to depressed mood and markedly diminished interest in activities, people with depression often have a range of physical and emotional symptomswhich may include:

  • Fatigue, insomnia, and lethargy
  • Unexplained aches, pains, and psychom*otor agitation
  • Hopelessness and loss of self-esteem
  • Irritability and anxiety
  • Indecision and disorganization

The risk of suicide in bipolar illness is about 15 times greater than in the general population.Psychosis(including hallucinations and delusions) can also occur in more extreme cases.

4

Postpartum Depression (PPD)

Pregnancy can bring about significanthormonal shifts that can often affect a woman's moods. Depression can have its onset during pregnancy or following the birth of a child.

Currently classified as depression with peripartum onset, postpartum depression(PPD) is more than that just the "baby blues."

Mood changes, anxiety, irritability, and other symptoms are not uncommon after giving birth and often last up to two weeks. PPD symptoms are more severe and longer-lasting.

Such symptoms can include:

  • Low mood, feelings of sadness
  • Severe mood swings
  • Social withdrawal
  • Trouble bonding with your baby
  • Appetite changes
  • Feeling helpless and hopeless
  • Loss of interest in things you used to enjoy
  • Feeling inadequate or worthless
  • Anxiety and panic attacks
  • Thoughts of hurting yourself or your baby
  • Thoughts of suicide

PPD can range from a persistent lethargy and sadness that requires medical treatmentall the way up topostpartum psychosis, a condition in which the mood episode is accompanied by confusion,hallucinations, or delusions.

If left untreated, the condition can last up to a year. Fortunately, research has found that treatments such as antidepressants, counseling, and hormone therapy can be effective.

5

Premenstrual Dysphoric Disorder (PMDD)

Among the most common symptoms of premenstrual syndrome (PMS) are irritability, fatigue, anxiety, moodiness, bloating, increased appetite, food cravings, aches, and breast tenderness.

Premenstrual dysphoric disorder (PMDD) produces similar symptoms, but those related to mood are more pronounced.

PMDD symptoms may include:

  • Extreme fatigue
  • Feeling sad, hopeless, or self-critical
  • Severe feelings of stress or anxiety
  • Mood swings, often with bouts of crying
  • Irritability
  • Inability to concentrate
  • Food cravings or binging

How Premenstrual Dysphoric Disorder Differs From PMS

6

Seasonal Affective Disorder (SAD)

If you experience depression, sleepiness, and weight gain during the winter months but feel perfectly fine in spring, you may have a condition known asseasonal affective disorder (SAD), currently called major depressive disorder with seasonal pattern.

SAD is believed to be triggered by a disturbance in the normal circadian rhythm of the body. Light entering through the eyes influences this rhythm, and any seasonal variation in night/day pattern can cause a disruption leading to depression.

Prevalence rates for SAD can be difficult to pinpoint because the condition often goes undiagnosed and unreported. It is more common in areas further from the equator. For example, estimates suggest that SAD impacts 1% of the population of Florida; that number increases to 9% in Alaska.

SAD is more common in far northern or far southern regions of the planet and can often be treated with light therapy to offset the seasonal loss the daylight.

7

Atypical Depression

Do you experience signs of depression (such as overeating, sleeping too much, or extreme sensitivity to rejection) but find yourself suddenly perking up in face of a positive event?

Based on these symptoms, you may be diagnosed withatypical depression (current terminology refers to this as depressive disorder with atypical features), a type of depression that doesn't follow what was thought to be the "typical" presentation of the disorder. Atypical depression is characterized by a specific set of symptoms related to:

Atypical depression is actually more common than the name might imply. Unlike other forms of depression, people with atypical depression may respond better to a type of antidepressant known as amonoamine oxidase inhibitor (MAOI).

  • Excessive eating or weight gain
  • Excessive sleep
  • Fatigue, weakness, and feeling "weighed down"
  • Intense sensitivity to rejection
  • Strongly reactive moods

Press Play for Advice on Healing From Existential Depression

This episode of The Verywell Mind Podcast shares what it means to have 'existential depression,' featuring Melissa & Doug's co-founder Melissa Bernstein.

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7 Sources

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Centers for Disease Control and Prevention.National, State-Level, and County-Level Prevalence Estimates of Adults Aged ≥18 Years Self-Reporting a Lifetime Diagnosis of Depression — United States, 2020.

  2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC.

  3. Goodwin GM, Haddad PM, Ferrier IN, et al. Evidence-based guidelines for treating bipolar disorder: Revised third edition recommendations from the British Association for Psychopharmacology. J Psychopharmacol. 2016;30(6):495–553. doi:10.1177/0269881116636545

  4. Fitelson E, Kim S, Baker AS, Leight K. Treatment of postpartum depression: clinical, psychological and pharmacological options.Int J Womens Health. 2010;3:1-14. doi:10.2147/IJWH.S6938

  5. Vadnie CA, McClung CA. Circadian rhythm disturbances in mood disorders: Insights into the role of the suprachiasmatic nucleus.Neural Plast. 2017;2017:1504507. doi:10.1155/2017/1504507

  6. Horowitz S. Shedding light on seasonal affective disorder.Alternative and Complementary Therapies.2008;14(6):282-287. doi:10.1089/act.2008.14608

  7. Asnis GM, Henderson MA. EMSAM (deprenyl patch): How a promising antidepressant was underutilized.Neuropsychiatr Dis Treat. 2014;10:1911-1923. doi:10.2147/NDT.S59107

Additional Reading

By Nancy Schimelpfening
Nancy Schimelpfening, MS is the administrator for the non-profit depression support group Depression Sanctuary. Nancy has a lifetime of experience with depression, experiencing firsthand how devastating this illness can be.

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