This is a common misconception about depression. I’ve been diagnosed with and have suffered with depression nearly all my life, but those who don’t know me intimately (of which there are none, by choice), I’m a always happy, smiling, though introverted guy. I’m able to perform full time work and hang out with friends (though by choice, I have none right now), but fall into my inner pain when I’m alone.
Janis Joplin summed up my feelings, though not on her scale: “On stage, I make love to 25,000 different people, then I go home alone.”
One or two of my medications also have anti-depressive properties, but for personal reasons, I sometimes skip them.
I won’t disclose which of the following I experience, but it’s a good number of them. Keep in mind that self or online diagnosis, including this and other forums, isn’t a substitute for professional help.
## Symptoms
Although depression may occur only once during your life, people typically have multiple episodes. During these episodes, symptoms occur most of the day, nearly every day and may include:
** Feelings of sadness, tearfulness, emptiness or hopelessness*
** Angry outbursts, irritability or frustration, even over small matters*
** Loss of interest or pleasure in most or all normal activities, such as sex, hobbies or sports*
** Sleep disturbances, including insomnia or sleeping too much*
** Tiredness and lack of energy, so even small tasks take extra effort*
** Reduced appetite and weight loss or increased cravings for food and weight gain*
** Anxiety, agitation or restlessness*
** Slowed thinking, speaking or body movements*
** Feelings of worthlessness or guilt, fixating on past failures or self-blame*
** Trouble thinking, concentrating, making decisions and remembering things*
** Frequent or recurrent thoughts of death, suicidal thoughts, suicide attempts or suicide*
** Unexplained physical problems, such as back pain or headaches*
For many people with depression, symptoms usually are severe enough to cause noticeable problems in day-to-day activities, such as work, school, social activities or relationships with others. Some people may feel generally miserable or unhappy without really knowing why.