Featuring Dr. David Gross, MD, DLFAPA of The Center for Treatment of Anxiety and Mood Disorders
Depression is a common and treatable mental health condition. However, it can be difficult for some people to begin treatment, especially if they have lived with their symptoms for years.
We sat down with Dr. David Gross, a board-certified psychiatrist, Medical Director at The Center for Treatment of Anxiety and Mood Disorders, and Co-founder of The Children’s Center for Psychiatry, Psychology, & Related Services in Delray Beach, Florida to ask about when treatment may be needed and what options are available.
Q: How do you differentiate pathological depression from life unhappiness?
Dr. Gross: Sadness is a normal response to life’s challenges, but clinical depression goes beyond that. It’s persistent, lasting at least two weeks, and often includes fatigue, hopelessness, sleep or appetite changes, and difficulty functioning. Depression doesn’t always have an obvious cause and doesn’t improve with time or positive events alone.
Q: When should someone see a therapist or psychiatrist?
Dr. Gross: If symptoms like sadness, irritability, or low motivation last more than two weeks or interfere with daily life, it’s time to seek help. Therapists offer talk therapy, while psychiatrists can also prescribe medications. Oftentimes, a consultation with a family doctor can be a helpful first step in determining if a therapist or psychiatrist would be most helpful.
Q: Are there different types of depressive disorders?
Dr. Gross: Yes. Common types include major depressive disorder, persistent depressive disorder, seasonal affective disorder, and postpartum depression. Some people also experience depression as part of bipolar disorder. Understanding the type helps guide appropriate treatment.
Q: How is an antidepressant chosen?
Dr. Gross: The choice depends on your symptoms, health history, other medications, and possible side effects. SSRIs are often a first step due to their safety and effectiveness, but treatment is individualized and may involve trying different options to find the best fit.
Q: Is depression hereditary?
Dr. Gross: Genetics can increase the risk of depression, especially if a close family member has been affected. However, environment, stress, and life experiences also play a big role. A family history doesn’t guarantee you’ll develop depression.
Q: How long does depression last?
Dr. Gross: Some episodes last a few months, while others can be chronic or recurrent. With early treatment through therapy, medication, or both, most people improve significantly, even if symptoms have lasted a long time.
Q: How can you tell the difference between anxiety and depression?
Dr. Gross: Depression often brings low mood and loss of interest, while anxiety involves constant worry and physical symptoms like restlessness or tension. They can co-occur, so a professional evaluation is helpful to clarify what’s happening and guide treatment.
Final Thoughts from Dr. Gross
Dr. Gross: While we all feel down from time to time, it’s important to seek help if you or a loved one has been feeling low for an extended period of time. There are many proven tools for managing depression that can greatly improve your quality of life or that of a loved one.
Are you looking for support for depression? Contact us today to start your journey toward healing in a welcoming, supportive environment.