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5 Ways Your Body Tells You That You Have Anxiety or Depression

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Anxiety and depression are best known for causing mental distress are also associated with a host of physical symptoms.

Headaches, a queasy stomach, muscle pain—is it time to reach for the aspirin or ibuprofen? Or is it anxiety or depression causing your symptoms?

Anxiety and depression are best known for causing mental distress—making you feel nervous, worried, sad, or numb. But these common mental health conditions—anxiety disorders affect an estimated 40 million Americans and major depressive disorder affects approximately 17 million—are also associated with a host of physical symptoms.

According to Amen Clinics, a global leader in brain health that has treated tens of thousands of people with mental health issues over the past 30-plus years, here are five of the most common physical signs of anxiety and depression.

5 COMMON PHYSICAL SYMPTOMS OF ANXIETY AND DEPRESSION

  1. Headaches

Research has found that chronic daily headaches are common in people with clinical depression and anxiety, especially in people with generalized anxiety disorder or panic disorder.

Some people experience tension headaches that can cause mild to moderate pain and may involve stiffness in the neck and shoulders. Others suffer from migraine headaches, which are associated with more severe pain and can interfere with daily activities.

A 2018 study in the journal Headache found that people with frequent migraine headaches are more likely to experience anxiety and depression.

  1. Muscle Tension, Soreness, or Chronic Pain

Muscle tension is often seen in people with anxiety disorders, such as panic disorder, and chronic pain is frequently seen in depressed people. Research in the Journal of the Neurological Sciences shows that people with depression tend to have a lower tolerance for pain.

At Amen Clinics, brain imaging studies using single photon emission computed tomography (SPECT) scans show that people who experience chronic pain often have too much activity in an area of the brain called the thalamus.

This brain region is part of the deep limbic system, which is the brain’s emotional centers. On brain scans, overactivity in the limbic system is often associated with depression. This suggests that chronic pain and depression may activate the same brain systems.

  1. Nausea, Upset Stomach, And Digestive Distress 

Everyone knows that anxiety about a big life event can trigger a nervous stomach, but the connection between the digestive tract and mental health goes even deeper. Feeling nauseous, having stomach cramps, or experiencing constipation or diarrhea are all associated with anxiety and depression.

Findings from a study appearing in Advanced Biomedical Research showed that people with irritable bowel syndrome (IBS) have higher anxiety and depression symptoms compared with people who don’t have IBS.

Researchers have also found that people with anxiety or mood disorders are more likely to have constipation compared with the general population.

  1. Fatigue or Lack of Energy

When you have anxiety, you may worry incessantly, which can be exhausting. Similarly, having depression is strongly linked to fatigue. Being depressed can lead to a physical lethargy, a sense of apathy, and a loss of mental energy.

However, the fatigue you feel may also be related to sleep troubles. Anxious thoughts may make it difficult to fall asleep or may cause you to wake up in the middle of the night when worries start spinning in your mind. According to scientific evidence, over half of all people with anxiety have trouble sleeping.

 

Depression and poor sleep also go hand in hand. Research in Dialogues in Clinical Neuroscience shows that about 75% of people with depression also have insomnia. Early awakening is also common among depressed people.

A smaller percentage of people with depression sleep more than usual but still feel daytime sleepiness. If you aren’t sleeping well, get an evaluation before taking sleeping pills, which may be hard to stop.

  1. Chest Pain or Rapid Heartbeat

Feeling your heart start to race or experiencing tightness in the chest can be symptoms of panic attacks. After the panic attack subsides, heart rate usually returns to normal levels and any chest pain goes away.

In some people with depression or anxiety, however, chest pain can become chronic. A 2023 study explores the bidirectional relationship between heart disease and depression and anxiety.

According to this study, the prevalence of people with depression who have cardiovascular disease is 20%–40%, far higher than the rate among healthy individuals. At the same time, people with heart disease are more likely to develop depression compared to the general population.

These findings also indicate that people with cardiovascular disease are more likely to have anxiety. In fact, they have a 26% increased risk of anxiety.

Because of this, if you’re experiencing any form of chest pain, it’s critical to see a doctor to determine what’s causing it.

WHAT TO DO WHEN PHYSICAL SYMPTOMS PERSIST

You may not realize that the recurring aches and pains, digestive issues, or fatigue you experience are related to mental health problems. Many people simply head to their primary care physician or another traditional medical professional in an effort to treat the physical issues without considering the possibility of underlying anxiety and depression.

However, this can lead to treatments that don’t solve the underlying issue. For example, taking medication for physical symptoms without treating the anxiety and depression won’t provide the lasting relief you want. Getting to the root cause of your physical symptoms is the key to feeling better.

To help you understand what’s causing your issues, pay attention to when your physical symptoms arise. Is it during times of increased stress, nervousness, or sadness?

Becoming aware of an increase in pain, more frequent headaches, or an uptick in digestive problems or other physical symptoms may be a clue that anxiety or depression may be to blame.

If you aren’t getting relief, it may be time to seek help from a mental health professional who understands the connection between the brain, body, and mind.

Getting a brain SPECT scan allows psychiatrists to identify brain activity patterns associated with anxiety and depression, as well as other brain and mental health issues. With a more accurate diagnosis, you’ll be on your way more quickly to feeling better both mentally and physically.

We Are Here For You

Anxiety, depression, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here.
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Amen Clinics

Founded in 1989 by double-board certified psychiatrist and neuroscientist Daniel G. Amen, MD, Amen Clinics Inc. (ACI) is known as the best brain and mental health company in the world. Our clinical staff includes over 50 healthcare specialists, including adult and child psychiatrists, integrative (functional) medicine physicians, naturopaths, addiction specialists, forensic psychiatrists, geriatric psychiatrists, nutritionists, licensed therapists, and more. Our clinicians have all been hand-selected and personally trained by Dr. Amen, whose mission is to end mental illness by creating a revolution in brain health. Over the last 35-plus years, ACI has built the world’s largest database of functional brain scans—over 250,000 SPECT scans on patients from 155 countries—related to how people think, feel, and behave.

Wei, Cui-Bai et al. “Overlap between Headache, Depression, and Anxiety in General Neurological Clinics: A Cross-sectional Study.” Chinese Medical Journal vol. 129,12 (2016): 1394-9. doi:10.4103/0366-6999.183410

Chu HT, Liang CS, Lee JT, et al. “Associations Between Depression/Anxiety, Headache Frequency In Migraineurs: A Cross-Sectional Study.” Headache. 2018, 58(3):407-415. doi: 10.1111/head.13215.

Zambito Marsala, Sandro et al. “Pain perception in major depressive disorder: a neurophysiological case-control study.” Journal of the neurological sciences vol. 357,1-2 (2015): 19-21. doi:10.1016/j.jns.2015.06.051

Roohafza, Hamidreza et al. “Anxiety, depression and distress among irritable bowel syndrome and their subtypes: An epidemiological population based study.” Advanced biomedical research vol. 5 183. 28 Nov. 2016, doi:10.4103/2277-9175.190938

Hosseinzadeh, Sahar Tahbaz et al. “Psychological disorders in patients with chronic constipation.” Gastroenterology and hepatology from bed to bench vol. 4,3 (2011): 159-63.

Nutt, David et al. “Sleep disorders as core symptoms of depression.” Dialogues in clinical neuroscience vol. 10,3 (2008): 329-36. doi:10.31887/DCNS.2008.10.3/dnutt

Harvard Health Publishing. “Sleep deprivation can affect your mental health,” August 17, 2021, https://www.health.harvard.edu/newsletter_article/sleep-and-mental-health

Li, Xinzhong et al. “Cardiovascular disease and depression: a narrative review.” Frontiers in cardiovascular medicine vol. 10 1274595. 21 Nov. 2023, doi:10.3389/fcvm.2023.1274595

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Do you come home from work or have the day off and still feel utterly drained with no energy to do anything? You may be wondering if it’s just burnout from a demanding job or something more serious like clinical depression. In many cases, it can be difficult to know which one you’re dealing with. Oftentimes, terms like burnout and depression are used interchangeably, but these issues are not the same. And they require very different treatment plans. Terms like burnout and depression are used interchangeably, but these issues are not the same. And they require very different treatment plans.
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Understanding the nuances between them can be crucial for obtaining proper help. According to the National Institute of Mental Health, 8.3% of all U.S. adults have experienced a depressive episode. Meanwhile, a 2022 survey shows that 42% of the global workforce report burnout. How can you tell which one you have and how to overcome it? In this post, we’ll explore the differences, symptoms, and solutions associated with both burnout and major depressive disorder to help you identify and heal from whichever one you might be experiencing.

IS THERE A DIFFERENCE BETWEEN BURNOUT VS. DEPRESSION?

In short, yes. However, understanding which one you have may take a bit of digging. While burnout and depression are associated with similar symptoms, they stem from different causes that require distinct treatment. Here’s a breakdown of what causes burnout vs. depression, according to an international team of researchers: This can include unrealistic job demands, lack of control over your work, insufficient return on investment (of time and effort), and a lack of community or support. What follows are feelings of exhaustion, cynicism, and reduced professional or personal performance. Now, let’s dive into the symptoms of burnout vs. depression so you can get on the road to recovery.

IDENTIFYING SYMPTOMS OF BURNOUT

If you’re feeling mentally, emotionally, and physically exhausted from dealing with repeated stress for too long, you may be experiencing burnout. Plus, it’s not just about work—parents, relationships, and caregiver burnout may leave you feeling endlessly tired, overwhelmed by responsibilities, or worried you’re not doing a good job. Burnout symptoms often include overwhelming fatigue, detachment from work, and a sense of ineffectiveness. These symptoms are more often directly related to prolonged workplace stress which can significantly impact job performance and satisfaction. Here are five symptoms of burnout to keep in check:

RECOGNIZING SYMPTOMS OF DEPRESSION

Depression symptoms extend beyond interpersonal circumstances to permeate every aspect of your life. These symptoms include persistent sadness, loss of interest in previously enjoyed activities, changes in appetite or sleep patterns, and feelings of worthlessness or guilt. It’s important to know that you are not your thoughts. Here are five symptoms of depression to be mindful of when checking in on yourself:

SOLUTIONS TO HEAL BURNOUT SYMPTOMS

To overcome symptoms of burnout, you need to address the external factors that may be triggering an internal response. This may look like workplace changes, stress management strategies, and sometimes taking time off to recuperate. It’s not just about restoring your energy levels so you can get back to work. It’s about healing the mind-body connection, so you can prevent burnout symptoms in the future. Additional healing strategies include:

SOLUTIONS TO HEAL DEPRESSION SYMPTOMS

For depressive symptoms, it’s about treating the root cause, which requires treatment from a mental health professional. A holistic brain-body approach is a powerful way to heal from clinical depression. It’s important to acknowledge that depression takes more professional support due to a multitude of causes. These may include genetic factors, biochemical imbalances, significant life changes, emotional trauma, and prolonged stress. Unlike burnout, depression is not limited to the external effects of how much work you take on in your professional or personal life. Additionally, burnout can lead to feelings of hopelessness about certain circumstances in your life while depression involves persistent feelings of worthlessness extending beyond the reality of your life.

EFFECTIVE TREATMENT FOR BURNOUT AND DEPRESSION

Treatments for burnout and depression must be tailored to an individual’s specific condition. While there are overlapping strategies, recognizing the primary condition is crucial for effective treatment. The brain-imaging work at Amen Clinics can help identify types of depression by revealing abnormalities in brain function. Brain scan technology called single photon emission computed tomography (SPECT) helps pinpoint depression causes and provide a more accurate diagnosis. This leads to a better outcome in your depression treatment. According to a 2021 study, people experiencing burnout are prone to symptoms of depression, but that doesn’t result in a direct clinical depression diagnosis. Knowing the difference is key to finding the right treatment and support. Depression, burnout, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here. If you have a loved one with depression or you’ve experienced depressive episodes yourself, you probably know that a lot of misconceptions persist around this relatively common mental health condition. And as the number of Americans with depression continues to rise, more people than ever will be impacted by false information. According to a 2023 Gallup poll that surveyed more than 5,000 U.S. adults, clinical depression has reached a new high, with 29% of respondents having been diagnosed and 17.8% having been treated for it. This reflects a 10% and 7% increase, respectively, since 2015. While numerous factors are influencing such a surge, there’s one thing all people with major depressive disorder have in common. They—and their loved ones—will benefit when we fight the stigma, shame, and confusion surrounding this growing mental health concern. Based on our clinical work at Amen Clinics with tens of thousands of depressed patients, these are the top 5 things people with depression want you to know. Regularly checking in with someone who has depression can make a difference in their day—and their health.
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BUSTING DEPRESSION MYTHS

Learning more about depression and offering informed support to those affected will ensure you’re part of the solution. Here, we’ll examine some of the most important, and most often misunderstood, points to keep in mind—the top 5 things depressed people wish you knew.

  1. Depression is a legitimate mental health symptom.

Depression can be minimized among those who have never had it. They may say, “Cheer up,” “Think of all you have to be grateful for,” or even “Snap out of it.” These statements wrongly assume that depressive episodes are a state of mind or a mood, rather than sources of legitimate symptoms. But depression can’t be wished away or snapped out of. When their experiences are invalidated, people with depression inevitably feel even more alone, disconnected, and frustrated. Most people with depression would love to “snap out of it.” But depression describes feelings like sadness, emptiness, and hopelessness that don’t simply go away. Instead, they persist over time and interfere with daily life and functioning. In addition, without treatment for major depressive disorder, it’s easy to make daily choices that worsen symptoms rather than improve them. That’s why it’s important for those with depression, as well as their loved ones, to recognize it as a legitimate concern that requires evaluation and a targeted treatment plan.

  1. Depression is NOT a single condition.

We now know that depression is a symptom, not a diagnosis. But depression can be accompanied by myriad additional symptoms, some of which can be embarrassing or difficult to discuss. Signs of depression include brain fog, difficulty concentrating, irritability, anger, sexual dysfunction, weight gain, and many more. Meanwhile, the more well-known effects of the mood disorder—fatigue, difficulty sleeping, anxiety, and loss of interest in activities that were previously enjoyed—also hinder well-being and performance. With such a range of symptoms, depression can look different in different people (or in the same person at different periods). Amen Clinics has determined that there are 7 types of depression, each with its own unique symptoms and underlying brain activity patterns. Brain scans using advanced technology called single photon emission computed tomography (SPECT) help pinpoint those patterns to help design the most effective treatment for each individual.

  1. People with depression need your support.

Like any mental health symptom, depression can feel isolating. Many people are afraid of sharing their struggles. They might hesitate to reach out for help when they need it, not wanting to feel like a burden or a bother to the people they love. If you know someone with major depressive disorder, be proactive. Regularly checking in with someone who has depression can make a difference in their day—and their health. One meta-analysis of 64 studies found a significant correlation between social support and better mental health. When you check in with them and spend time together, ask gentle questions when appropriate and practice active listening. Show encouragement for their victories, big and small. After all, sometimes just getting out of bed and showering can be a major win for someone with depression. They’re also likely to benefit from additional assistance, such as a mental health support group, either in person or online. And numerous organizations provide helpful information for those with depression and their loved ones. When sharing resources, remember to be tactful, not pushy or judgmental.

  1. Depression is not a weakness or character flaw.

Even though people with depression should never be viewed as a homogeneous mass, they do share one uniting factor: They’re strong, not weak. Incorrectly equating depression with weakness can be particularly pervasive among men, who are often raised to be “tough” and to avoid discussing their feelings. This may be one devastating reason why, according to the American Foundation for Suicide Prevention, men are almost 4 times as likely to die by suicide than women. (If you or a loved one is in danger of self-harming, call or text 988, the Suicide and Crisis Lifeline.) However, mental health problems can generate significant shame and stigma among all genders. By opening the national and global conversation to different perspectives on depression, we can all help eradicate these negative views over time. Depressed brains simply work differently—no value judgments are needed. Still, people with depression are often misunderstood or mislabeled by their loved ones. For example, their behavior may make them appear lazy or unreliable to those who don’t understand their symptoms. Remember that, in the throes of depression, even small tasks can require a huge effort. By exercising understanding and patience, you’ll help ensure you’re not adding to feelings of guilt, shame, and worthlessness. For example, if they cancel plans, rather than getting angry, inquire about how they’re feeling. They simply may not be able to perform routine tasks right now, even if they want to.

  1. Depression isn’t always debilitating.

Some people assume that those with depression can’t live normal lives, have fun, or laugh. But just like with any mental health condition, symptoms (and their severity) can fluctuate. People can have bad days and good days. Others have high-functioning depression, meaning they appear “normal” on the outside, with successful careers and family lives, but they’re inwardly struggling. Some people develop symptoms as a result of a particular life challenge, such as postpartum depression or in the aftermath of COVID or a physical injury. Depression can strike anyone, anywhere, anytime, but symptoms fall on a spectrum, from mild to severe, at a given time. Don’t assume that if someone is experiencing a long stretch of good days that they have “gotten over it.” Many non-medication, all-natural lifestyle changes can help mitigate the symptoms that accompany depression. But depression symptoms are often chronic and will return.

SUPPORTING LOVED ONES WITH MAJOR DEPRESSIVE DISORDER

When someone is struggling with a mental health disorder, life can feel overwhelming—for them and for the people who love them. The good news is that we have more options than ever before to treat and manage depressive symptoms. And, when they’re given understanding, acknowledgment, validation, patience, and support, people with depression have a much better chance of success. If you or a loved one have depression, make sure you’re offering all of the above to help pave a smoother road to recovery. Depression and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here. Does your child seem persistently hopeless or helpless? Do they lack motivation or interest in hobbies and activities they once enjoyed? Are they isolating from peers, more tired than usual, or experiencing changes in their sleeping or eating patterns? Every parent knows that children’s moods can shift quickly, especially in the tumultuous adolescent and teen years. But sometimes their behavior signals more than simple mood swings. It may be pointing to a deeper mental health concern such as depression. It’s not uncommon for depression to be misdiagnosed as a different mood disorder, such as bipolar disorder, or for other conditions, such as ADD/ADHD.
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THE RISE OF CHILDHOOD DEPRESSION

According to a 2019 study published in The Journal of Pediatrics, among children 3-17 years old, 7.1% had current anxiety problems, 7.4% had a current behavioral/conduct problem, and 3.2% had current depression. Youngsters diagnosed with clinical depression were the most likely to have received treatment in the previous year (almost 80%). However, the pandemic elevated mental health concerns, including major depressive disorder, among our vulnerable youth. A 2020 study noted a significant increase in depression symptoms among children during the period of pandemic-related lockdowns, for example. Another study in JAMA Network Open cited stats that, by 2021, 41% of U.S. adolescents reported persistently feeling sad or hopeless and demonstrated higher rates of stress and anxiety. Meanwhile, rates of suicidal ideation in adolescents increased from 17% in 2017 to 37% during the pandemic. Teen girls in particular are suffering from record levels of sadness and suicidality, according to research from 2021. Factors like trauma, puberty-related hormonal changes, social media, substance abuse, and lack of social connectedness—any of which can also affect boys—can contribute to these effects.

5 CHILDHOOD DEPRESSION SYMPTOMS

Do you suspect your child is struggling with their mental health? Keep an eye out for these 5 warning signs of depression:

  1. Mood and attention changes

According to the Child Mind Institute, the most noticeable symptoms of depression relate to changes in mood. You may find that your child is sadder or more irritable than usual. Younger children can be more prone to throwing temper tantrums. Kids can also feel lonely or be more likely to cry. While adolescent mood changes are normal, it’s important to recognize when your child displays low or irritated moods more often, or even most of the time. You may also notice your child lacks focus or is having more difficulty paying attention.

  1. Loss of interest and/or motivation

Low energy levels, lethargy, tiredness/fatigue, and lack of motivation are just some ways depression can manifest in kids and teens. Perhaps your child has lost interest in activities they previously enjoyed. Or they may withdraw from social activities and isolate. These symptoms can start to interfere with their social lives and school performance. If you suspect childhood depression, it’s helpful to talk to your child’s teachers and ask if they’ve also noticed any noteworthy changes.

  1. Self-destructive behaviors

Self-harm can include everything from cutting and hair pulling to substance abuse. Other children may gain or lose weight as they engage in overeating or skipping meals. Meanwhile, teens can show an increase in risk-taking behaviors, such as unprotected sex or reckless driving. They may skip school, drop out of school altogether, or run away from home. And, in cases of childhood and teen depression, tactics like “tough love” and harsh punishments often backfire.

  1. Physical symptoms

We know that mental health conditions can manifest through physical ailments. For example, aches and pains that occur frequently and without a clear cause may point to depression. Additional physical symptoms can include gastrointestinal issues, sleeping too much or too little (especially when there have been changes in sleep patterns), restlessness, muscle tension, headaches, and more.

  1. Negative thinking patterns

Automatic negative thoughts (ANTs) are common in those with depression. As a result, your child can experience feelings of guilt, helplessness, hopelessness, fear, or self-loathing. For example, children with depression may engage in all-or-nothing thinking or catastrophizing. They may feel less-than compared to their peers or struggle with maintaining healthy self-esteem. Treatments like cognitive behavioral therapy (CBT) can be effective in helping reframe their thoughts.

DIAGNOSING CHILDHOOD DEPRESSION

In both children and adults, many factors can contribute to depression. Stressful societal changes such as the pandemic are widespread issues that affect everyone to varying degrees. But there are also numerous biological factors, from head injuries to toxin exposure, that can trigger signs of depression. Other youngsters may have a genetic predisposition, with depression present in their family. However, it’s important to note that depression is not a diagnosis, but a symptom. Finding the root cause(s) why they feel depressed is the first step toward healing. This is especially important for young people, as an incorrect diagnosis can set them up for years—or a lifetime—of ineffective treatment. It’s not uncommon for depression to be misdiagnosed as a different mood disorder, such as bipolar disorder, or for other conditions, such as attention-deficit/hyperactivity disorder (ADHD) also called attention-deficit disorder (ADD). The dangers of not treating or improperly treating depression include: Also keep in mind that not all depression is the same. At Amen Clinics, neuroimaging with single photon emission computed tomography (SPECT) has identified 7 types of depression based on brain activity patterns. Pure depression, for example, may correlate to persistent sad or negative mood, low self-esteem, and difficulty concentrating. It often results from excessive activity in the deep limbic system. Other lesser-known depression types include: Ultimately, brain scans shows that the appropriate treatment for one type may be ineffective or even detrimental when used on another type.

HOW TO HELP YOUR CHILD WITH SIGNS OF DEPRESSION

As a parent, you may feel powerless when faced with your child’s mental health struggles. But you can take several steps to help them if you suspect they’re experiencing depression. First, keep the lines of communication open and ask questions. They may not have the words to express what they’re dealing with, but being familiar with the above symptoms will help you establish if there’s a problem. When needed, don’t hesitate to seek help. If the telltale signs are persistent (lasting for weeks at a time) and/or interfering with everyday life, it’s important to test for depression and determine which type is affecting your child. Keep in mind that antidepressant medication should never be considered the only depression treatment option. There are numerous natural depression treatments that can help with depressive symptoms, including changes in diet and getting more exercise. Therapy or counseling can help, allowing your child to talk through their problems with a mental health professional. And mindfulness and relaxation techniques, such as meditation and breathing exercises, can also be beneficial for those with depression.

OVERCOMING CHILDHOOD DEPRESSION

Too many kids, adolescents, and teens with depression are dismissed or disparaged as lazy, unmotivated, low-performing, difficult, or troublemaking. But when parents and other adults in a child’s life look behind troublesome behavior to determine its root causes, they may find a problem that runs deeper than simple youthful rebellion. Fortunately, depression in children and adolescents is treatable. An accurate diagnosis, healthy lifestyle habits, and support from caring adults can make a world of difference. In fact, by introducing kids to healthier coping strategies, treatment has the potential to transform childhood depression from life-disrupting to life-enriching. Depression and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here. Are you someone who struggles with anxiety and depression inwardly, but outwardly presents a happy persona to the world? Do you worry that your anxiety symptoms or depressive symptoms will scare people away or jeopardize your career? Do you feel there’s something weak or shameful about having mental health issues? If you answered yes to any of these questions, you’re not alone. It’s not uncommon for individuals with anxiety disorders and clinical depression to hide their conditions from others. In fact, a recent survey by Kantar research, commissioned by the mental health organization See Change, found that more than half (53%) of young people would contemplate hiding a mental health disorder from family or friends. More than half (53%) of young people would contemplate hiding a mental health disorder from family or friends.
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Sometimes an individual struggling with depression symptoms will appear outwardly cheerful, smiling often, thus masking the condition from others. This is termed “smiling depression,” which can exacerbate depression and associated anxiety and even lead to suicidality. Indeed, the cost for hiding anxiety and depression is great. Mental health experts have found that there are significant reasons why people conceal mental health disorders. Here’s what may be driving smiling depression and hidden anxiety in you or a loved one.

ABOUT ANXIETY AND DEPRESSION

Not everyone who has depression fits the stereotype of being sad, isolated, and unable to get out of bed. In fact, brain scans using a technology called single photon emission computed tomography (SPECT) at Amen Clinics have revealed there are 7 types of depression. Smiling depression may be considered a form of “high-functioning depression.” Individuals who exhibit smiling depression may inwardly experience some of the core symptoms of depression, such as: Despite their internal symptoms, these people appear “normal” to the outside world. Often co-occurring with depression, an individual hiding anxiety may inwardly experience some of the less visible symptoms of anxiety: Outwardly, they try to appear calm, although that can be difficult if they experience more visible core symptoms of anxiety such as being easily startled, rapid breathing, sweating, or trembling.

7 REASONS WHY PEOPLE HIDE ANXIETY AND DEPRESSION

There are many understandable reasons why you might hide symptoms of anxiety and depression. Gaining insight, empathy, and acceptance about what drives this behavior will help you or your loved ones seek help and treatment.

1. Fear of burdening others

Guilt is a major feature of depression. This tends to create a feeling of being burdensome in those who are struggling inwardly with the pain of depressive or anxious symptoms. If you have a caretaking personality, it can feel especially wrong to ask for help. If you appear to have a great life, you may additionally feel guilty about not being happy. Instead, you silently struggle while outwardly acting as if everything is okay or by appearing happy.

2. Shame or embarrassment

Internalized stigma about mental illness, called “self-stigma,” may lead some individuals to think depression and anxiety are signs of weakness or a moral failing. This is very common for people who grew up in a family that did not talk about mental health openly or maintained a “stiff upper lip” approach to psychological pain. This type of individual may feel tremendous shame about not being able to handle their depression and/or anxiety. Pretending they are okay and appearing outwardly “normal” is their solution. Additionally, perfectionists—often driven by shame—may find a mental health disorder intolerable and unacceptable, preferring to appear fine at all costs.

3. Denial

We all have a psychological defense mechanism called denial. It’s a protective tool the mind reverts to when things get difficult or overwhelming. On the one hand, it allows us to have time to adjust to a difficult or disturbing change in our reality. With depression and anxiety, smiling or acting calm serves to keep the reality of potentially having a mental health condition at bay. Yet, it also inhibits us from acknowledging there’s a problem and making a needed change by getting treatment. Some people struggle to admit that there might be something wrong with them. Pretending like they’re fine is a better choice than being vulnerable and opening up about how they really feel. The protective shield of denial may be strong in individuals who came from families where denial was modeled. Mental health issues can be a big trigger for denial, experts report. Denial can also stem from fear about side effects of medication, cost of treatment, or mistrust of medical doctors due to past experiences.

4. Negative feedback

Mental health experts have observed that individuals who struggle with anxiety and/or depression may unconsciously learn to hide their symptoms when they receive negative feedback from others in response to their depressive symptoms, negative thinking, or anxious thoughts and behaviors. Sometimes it’s a conscious decision to smile and act “okay” to protect themselves from rejection or pain. People with anxiety and depression may worry that they’ll overwhelm friends, partners, or family members or they will be judged The negative thoughts and paranoia that are symptomatic of depression and anxiety can make you feel hypersensitive to criticism from others furthering the desire to conceal your inner struggle.

5. Stigma

Although public understanding of mood disorders like anxiety and depression has increased in recent years, stigma still exists. Mental health stigma has existed for centuries and has been reinforced by Influences such as inaccurate portrayals of mental health disorders in media, our country’s history of institutionalizing individuals with mental illness, our former criminalization of suicidality, and more. Too often, public stigma causes individuals with mental health conditions to think of themselves as defective or having caused their illness. The cultural stigma becomes self-stigma, as mentioned above, where an individual carries a negative perception and internalized shame about their own mental health disorder. Unfortunately, our culture doesn’t fully understand that depression and anxiety are illnesses with neurobiological underpinnings caused by a number of factors, including brain function and genetic predisposition. As a result, you may hide your depression and anxiety symptoms from others or yourself, or both.

6. Fear of discrimination

People with anxiety and depression will go to great lengths to keep their symptoms hidden in the workplace out of fear of being passed over for a promotion or worse, being fired. Of course, this causes tremendous stress as they struggle to focus and perform while privately grappling with low energy, fatigue, concentration, worries, low mood, and other symptoms. These fears are not unfounded. Even though people with mental health disorders are supposed to be protected under the law, discrimination does exist.  Recent data shows that complaints in workplace discrimination based on mental health disorders have increased. A large portion of these complaints are related to anxiety disorders. That said, disclosing a mental health disorder with an understanding employer or supervisor can be very beneficial. Many informed employers/bosses will readily make accommodations to support the well-being of employees struggling with depression and/or anxiety.

7. Unaware of being anxious/depressed

Here’s a surprising reason: Some people don’t realize that they’re anxious or depressed! They may have less recognizable symptoms of depression or anxiety. Or, in some cases, their symptoms may increase slowly over time, making them harder to notice. According to a report from the National Alliance on Mental Illness, there are hard-to-identify symptoms of depression, such as: There are some surprising physical signs of anxiety too, including dental health issues, poor libido, brittle nails, inflammation, and a more pronounced stress response.

ANXIETY AND DEPRESSION TREATMENT

Smiling and pretending to be fine are ultimately a risky way to respond to feelings of depression and anxiety. Untreated depression and anxiety increase your chances of developing other mental disorders and health issues, substance abuse, eating disorders, panic attacks, relationship problems, work problems, suicide, and more. The great news is that anxiety and depression are treatable with psychotherapy, medication (when necessary), and lifestyle changes such as meditation, healthy diet, nutritional supplementation, restorative sleep, exercise, and social connections. If you suspect you or a loved one might be hiding depression or anxiety, don’t continue to suffer. Reach out to a qualified mental health professional for help. Anxiety, depression, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here. Imagine you’re experiencing chest pains. You aren’t sure of the underlying cause, but they’re starting to interfere with your daily life. You visit a cardiologist, and the diagnosis finally arrives: chest pains. Would you be satisfied with that answer? This might sound ludicrous, but similar situations happen every day in the realm of mental health. According to the World Health Organization, an estimated 5% of the global population has depression. But when they seek help, instead of being thoroughly tested to find the root of their mental health problems, they’re too often told what they already know: They have depression. Getting diagnosed with clinical depression is simply not good enough. Instead, it’s crucial to determine what exactly is causing it, so you can get the most effective treatment plan. In this blog, you’ll discover 6 common depression causes and targeted treatment tips to help you feel better faster. Getting diagnosed with clinical depression is simply not good enough. Instead, it’s crucial to determine what exactly is causing it, so you can get the most effective treatment plan.
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VIEWING DEPRESSION AS A SYMPTOM

It’s important to think of depression as a symptom. Unless you know what’s causing your depression symptoms, you won’t get the targeted treatment you need. Furthermore, treatment should never consist only of antidepressant medications. One randomized controlled trial reported that more than half of those who report depression don’t experience relief from their symptoms simply by taking prescription antidepressants. And a significant number of people—about 1 in 3—don’t achieve remission even after four courses of antidepressant treatment. Treatment-resistant depression is all too common. These are just a few reasons why it’s important for mental health professionals and patients alike to start seeing depression as a symptom, not a diagnosis.

6 COMMON DEPRESSION CAUSES

If failing to properly diagnose and treat clinical depression is a too-common phenomenon, how can practitioners and patients improve? First, avoid assuming that depression is a single or straightforward disorder. Brain-imaging studies using SPECT scans at Amen Clinics clearly show that there are several types of depression. With so many possible contributing factors and causes of depression, it’s important to take a holistic view of each individual, as well as their environment. Depression is not only psychological. It can have biological roots, which are often overlooked by both traditional psychiatrists and mental health professionals. Let’s review some of the most common biological risk factors for depression—and how to address them:

  1. Head injuries

Mild traumatic brain injuries (mTBIs) can interfere with your mental health, even if you never blacked out or were diagnosed with a concussion. A 2020 study published in Frontiers in Neurology found that people who receive a mild head injury are more than 3 times more likely to have depression, compared to those without these injuries. Using SPECT brain imaging technology, which measures blood flow and activity, Amen Clinics has detected previous head trauma in roughly 40% of patients. Moreover, these clients are often completely unaware of the injury. So-called minor incidents, such as falling off a bike or being in a car accident, can cause a TBI—thus raising the risk for depression. Treatment tips: When a TBI is influencing the onset of clinical depression, it’s important to heal the underlying injury. Hyperbaric oxygen therapy (HBOT) may help accelerate the healing of brain trauma. One study reported that a single HBOT session helped increase blood flow in the brains of individuals with a mild to moderate TBI.

  1. Low thyroid levels

According to a 2022 review, hypothyroidism (an underactive thyroid) is a common underlying issue for those with treatment-resistant depression. That’s not surprising, since low thyroid activity impacts brain function and creates a sluggish feeling. In fact, research has shown for decades that hypothyroidism is linked to depression. On brain SPECT scans, low thyroid levels tend to coincide with overall low activity in the brain—also seen in patients who complain of symptoms like brain fog and depression. Treatment tips: Check your thyroid levels and optimize them if necessary. Natural strategies can help balance thyroid function, which also boosts mood. Cut sugar out of your diet and consume more foods with high selenium levels, such as tuna, turkey, and Brazil nuts. Take a vitamin B-12 supplement for extra support.

  1. Inflammation

Unfortunately, many modern lifestyle choices—eating processed foods, drinking alcohol, or enduring constant stress—can lead to chronic inflammation in the body. Inflammation is a known risk factor for depression. Inflammation has been called a “silent killer,” because it’s often undetected but leads to life-threatening physical ailments. Numerous studies have also linked high levels of inflammation with a long list of mental health issues, including mood disorders like depression and bipolar disorder, anxiety disorders, and more. Treatment tips: Poor gut health is strongly associated with elevated levels of inflammation in the body. Take care of your gut by adding a high-quality probiotic supplement to your daily routine. Certain nutritional supplements with anti-inflammatory properties—including omega-3 fatty acids and curcumin—have been found to decrease depression symptoms in those with chronic inflammation.

  1. Mold exposure

A home or workplace with toxic mold may trigger a host of issues, from depressive symptoms to memory loss and sleep disorders. And one large public health study, conducted among almost 6,000 adults by Brown University, found connections between depression and living in damp, moldy environments. Meanwhile, humans are exposed to toxic elements every day that can damage the body and brain. Chemicals, fumes, pesticides, and other products may contribute to mood swings and psychological distress. Unfortunately, such cases are prone to misdiagnosis. Treatment tips: Fix the source of the problem to promote better health. Stay away from moldy environments, install air purifiers, and take steps to eliminate mold. Discourage mold activity by preventing water leaks and fixing plumbing issues whenever they occur. If mold has already caused toxicity in the brain, numerous treatments are available. These may include medications, binding agents, metabolic support supplements, and more.

  1. COVID

Years after the first COVID-19 outbreaks, experts are still examining its widespread effects. One important finding from Amen Clinics’ brain-imaging work is that post-COVID brains can show increased activity in the limbic system, also known as the brain’s emotional center. This pattern is associated with depression. Many people remain unaware that infections like COVID are a major cause of mental health disorders, including depression. But a 2021 study in JAMA Network Open noted that, after being infected with COVID, more than half (52.4%) of patients met the criteria for major depressive disorder just several months later. Treatment tips: To help ward off infections, strengthen your immune system. Consume immune-boosting foods like garlic and onion, plus nutritional supplements like vitamin D, and therapeutic mushrooms like lion’s mane and reishi. In cases of long COVID, a holistic brain-body approach, from lifestyle changes to psychological strategies, can be effective in reducing symptoms. Meanwhile, studies have discovered potential in other treatments, such as infrared sauna therapy and HBOT, for accelerating post-COVID healing.

  1. Heart disease

The link between heart disease and depression is bidirectional: People with depression are more likely to develop heart disease and are more likely to die following a heart attack than those without depression. But research also shows that depression is 3 times more common in people who have already had a heart attack. Treatment tips: Many Americans are unaware that heart disease is the leading cause of death in the U.S.—despite that being the case for over 100 years! If you have heart disease, be vigilant about monitoring your mental health. If you don’t have heart disease, take steps now to prevent cardiovascular issues. Stick to a healthy diet and physical activity routine. Avoid smoking and drinking alcohol. Join a support group to create strong social bonds, which can have a positive impact on depression symptoms.

A BETTER WAY TO DIAGNOSE AND TREAT DEPRESSION

With so many possible causes and contributing factors, depression should never be viewed as a simple, straightforward mental health diagnosis. However, comprehensive testing, including functional brain scans such as SPECT, can help determine its root causes. Pinpointing and then addressing these underlying issues are the first steps toward truly healing. With the proper diagnosis and treatment plan, depression transforms from a potentially debilitating disorder to a symptom that can be minimized and managed in healthy, holistic ways. Depression and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here. Are you a high achiever who inwardly struggles with feelings of worthlessness? Do you experience persistent low mood but still manage to show up for all of your responsibilities? Do you seem to be going through the motions of life, but no longer find pleasure in activities that used to bring you joy? People with high-functioning depression may appear to be OK, but they are not. They silently, invisibly, and persistently struggle internally with depressive symptoms.
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If you answered yes to any of these questions, it’s possible you have high-functioning depression. Indeed, you can show up to life, achieve, and appear “normal” but still suffer from depressed moods, repressed emotions, and negative thought patterns. Many of us have believed depression to be the one-dimensional depiction we see in the media. We imagine a depressed person being a sad, isolated individual, who may have trouble with hygiene, getting out of bed, and participating in activities. The truth is depression takes many forms, and it can look vastly different from this pervasive stereotype. People with high-functioning depression may appear to be OK, but they are not. They silently, invisibly, and persistently struggle internally with depressive symptoms. Here’s what you need to know about high-functioning depression, including symptoms, causes, and treatments.

WHAT IS HIGH-FUNCTIONING DEPRESSION?

High-functioning depression is a term used in some medical circles to describe depression that is hidden and allows people to perform daily, routine tasks. It’s typically less debilitating than clinical depression, also called major depressive disorder. In addition, it allows a person to live what appears to be a normal life, including maintaining relationships, performing at work, and more. Because individuals with high-functioning depression don’t appear “sick,” their depressive symptoms (ranging from mild to severe) can fly under the radar. Loved ones and even people who have the disorder may have a hard time identifying signs of depression. They may think some of their milder symptoms are simply character traits. The symptoms can persist for a long time, even years. There’s a kind of slow daily emotional suffering with high-functioning depression, not unlike living with a low-grade fever. An individual can show up to life and push through or even do well with a low-grade fever, but they are always struggling internally. It’s important to note that the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) does not recognize high-functioning depression as a clinical mental health disorder. But if it were to be classified as an official type of mood disorder, it most closely resembles the diagnostic criteria for persistent depressive disorder (PDD), formerly called dysthymia disorder. People with PDD typically have depressed symptoms regularly for two years or more. In comparison, the symptoms for major depressive disorder (MDD) generally last for two weeks or more and can be more pronounced than with PDD. MDD is more episodic in nature, which makes symptoms easier to identify. Some mental health professionals consider high-functioning depression and PDD to be the same thing, while others reject this notion. They argue PDD symptoms can negatively affect a person’s well-being, job, social interactions, or other important areas of their life, which does not indicate “high functioning.” Other mental health professionals consider high-functioning depression to be episodes of depression that don’t rigidly fit into certain diagnostic signs and symptoms. There’s no way to know exactly how many U.S. adults may be dealing with high-functioning depression, but we can look to MDD and PDD statistics to get an idea. The National Alliance on Mental Illness reports that 8.3% of U.S. adults have a depressive episode annually. Statistics from the National Institute of Mental Health show that 1.5% of U.S. adults live with PDD (more than 3 million people).

 SIGNS OF HIGH-FUNCTIONING DEPRESSION

Although challenging to detect, the signs and symptoms of high-functioning depression are generally the same diagnostic symptoms of MDD and PDD, which include: Mental health professionals have observed these additional signs in many cases of high-functioning depression: To cope with internal distress, people with high-functioning depression may also exhibit the following behaviors:

CAUSES AND CONTRIBUTING FACTORS OF HIGH-FUNCTIONING DEPRESSION

There’s no one cause of this form of depression, but rather an amalgam of many factors contributing to its development. It can be triggered by a life situation or develop spontaneously. Common triggers include: There are a number of risk factors that increase the chances of developing this form of depression, including: If you were raised with certain messages or if you have certain personality traits, they may predispose you to develop high-functioning depression. Some examples include:

TREATMENT FOR HIGH-FUNCTIONING DEPRESSION

On a positive note, once depression is recognized in a high-functioning person, it can be addressed. Thankfully, depression is highly treatable. Knowing which of the 7 types of depression you have is one of the keys to getting the most effective treatment. Typically, a treatment plan includes a combination of strategies, such as: The first step is getting a psychiatric evaluation from a qualified mental health professional. High-functioning depression, depressive disorders, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here. When you have depression, life feels like a constant struggle. In addition to dealing with internal feelings of hopelessness, helplessness, worthlessness, and emptiness, you may experience some “embarrassing” symptoms of depression. Maybe you haven’t showered in days. Maybe you’re late to work every day because you can’t motivate yourself to get out of bed. Maybe you’re more forgetful. These are some of the outward signs of depression that the people around you tend to notice. The problem is most of those people are unaware that these issues are associated with your underlying mental health condition. As a result, you may end up being labeled in unkind ways. At Amen Clinics, patients with major depressive disorder often open up about their most “embarrassing” symptoms, behaviors, and traits. If you’ve experienced some of these same issues, it’s helpful to know that you aren’t alone. To help break the stigma and shame that comes with depression and other mental disorders, it’s important to be open about these cringe-inducing symptoms. In addition to dealing with internal feelings of hopelessness, helplessness, worthlessness, and emptiness, you may experience some “embarrassing” symptoms of depression.
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7 EMBARRASSING SIGNS OF DEPRESSION

Based on tens of thousands of patients at Amen Clinics, here are 7 of the most common bad habits and unwanted behaviors depressed people say they experience.

  1. Not bathing.

If you’re like many of the depressed patients at Amen Clinics, you may not be able to muster the energy to bathe on a daily basis. You might prefer to stay in your pajamas all day—especially if you’re working from home. You may also skip washing your hair or shaving, which can make you look unkempt. When Shelly, a 47-year-old attorney, visited Amen Clinics, she said, “I can go for days on end without even thinking about taking a shower. But then when I have to meet a client at the office, I realize how unprofessional I look, and I get embarrassed about my body odor.”

  1. Gaining weight.

For some people, weight gain is the most mortifying side effect of depression. Among women, increased body mass index (BMI) is actually linked to a rise in suicidal thoughts, according to research in the American Journal of Public Health. Statistics from the CDC show that 43% of people with depression are obese, and adults who are depressed are at increased risk for obesity. What’s the connection? For 23-year-old Terra, eating was a way to try to fill the emptiness she felt inside, but it backfired. “All this extra weight makes me feel awful about myself. I don’t want to see any of my friends or family because I’m ashamed of the way I look, and I’m worried about what they might say to me,” she said. Treating clinical depression with antidepressants can make things worse as antidepressant medications list weight gain as a possible side effect. Being able to maintain a healthy weight is another reason why it is so important to look for natural ways to promote healthy moods.

  1. Brain fog.

Do you find yourself forgetting what your spouse said to you 5 minutes ago? Do you have trouble following conversations? Do you feel mentally confused? Brain fog is a frustrating complaint among people with affective disorders. For Amen Clinics patient Jill, 43, brain fog was the most embarrassing aspect of depression. “Everything seems all mixed up in my head, and I can’t remember anything,” she said. “I feel stupid and don’t want to open my mouth for fear of saying something wrong.”

  1. Sexual dysfunction.

Men and women both complain that depression causes a host of sexual problems. Even worse, commonly prescribed antidepressants can sabotage your sex life. You may have low or no sex drive, and it may take longer to achieve an orgasm if you are able to climax at all. Depression is also associated with erectile dysfunction, which can be a major source of embarrassment for men. “Having problems in the bedroom makes me feel so inadequate,” said 42-year-old Robbie, who sought help for his anxiety and depressive symptoms. “It’s so humiliating.”

  1. Appearing flaky.

With depressed moods, it’s common to isolate yourself from other people. When asked if you want to join family or friends for an event, you may say “yes” and genuinely mean it. But when the time comes to get ready and head out the door, a sense of dread may descend over you, and you cancel your plans. “Bailing on plans at the last minute makes me seem flaky and unreliable,” said 50-year-old Blaine, a pilot who had always prided himself on being punctual and dependable. “I hate this version of myself.”

  1. Being a bad employee.

Do you zone out on Zoom meetings? Are you always showing up late to work because you overslept or didn’t have the energy to get out of bed in the morning? Do you get irritated with your coworkers? Depression can wreak havoc with your ability to be productive and creative in your work. Jason, 25, sought treatment at Amen Clinics for clinical depression that had started when he was in college. He said, “I should have been excited about getting my first promotion at work after graduating from college. But my depression made it really hard for me to concentrate so I would miss my deadlines.” In addition, Jason said, “I felt so exhausted all the time that I would arrive late, then I started skipping work altogether. Eventually, I got demoted, which was so embarrassing.”

  1. Snapping at my kids.

Irritability and anger are some of the most unrecognized depression symptoms of depression. However, research shows that about one-third of depressed people also experience moments of rage. Many Amen Clinics patients with mood disorders admit that they are quick to lose their temper and tend to yell, throw things, or slam the door. Anton, a 38-year-old computer programmer with two toddlers under the age of 5, didn’t realize that his depressive disorder was tied to his anger. “I get so irritated at the kids and I snap at them in front of other people,” he said. “Then I instantly regret it and feel so ashamed, like I’m a bad parent.”

OVERCOMING EMBARRASSING DEPRESSION SYMPTOMS

As these patients learned, you don’t have to continue suffering from embarrassing signs of depression. Understanding that your unwanted behaviors are, in fact, related to depression is one of the first steps to healing. In addition, the brain SPECT imaging work at Amen Clinics shows that depression is a brain-based disorder. It isn’t a character flaw, and it isn’t your fault. One of the biggest lessons from over 225,000 SPECT scans in the Amen Clinics database is the fact that depression is not just one thing. In fact, there are 7 types of depression. Knowing your depression type is one of the keys to getting the most effective treatment. Discovering this helped each of the Amen Clinics patients mentioned in this blog to overcome feelings of shame associated with their habits. That’s why it’s so important to seek help from mental health professionals who utilize brain imaging as a tool to help diagnose and treat mental health conditions. Targeted treatment for depression that involves natural solutions whenever possible can be the key to overcoming those embarrassing behaviors and feeling good about yourself again. Depression, brain fog, aggression, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here. Brain fog. It’s one of the most common—and frustrating—symptoms associated with long COVID. That’s the lingering condition affecting nearly 1 in 5 people who get infected with SARS-CoV-2, the virus that causes COVID-19. For several years now, experts have been trying to discover the elusive causes of brain fog and other neurocognitive and mental health symptoms associated with long COVID. Exciting new research may provide some answers. A 2023 study published in the journal Cell has found a link between brain fog in long COVID and low serotonin levels. Let’s explore what this means for the millions of people struggling with long COVID. Click to Tweet Emerging research has found a link between low serotonin levels and long COVID.

WHAT IS LONG COVID?

Also called post COVID-19 syndrome, long COVID is defined as symptoms lasting months or years after being infected with the virus. Long COVID has been associated with over 200 symptoms, including neurocognitive issues and mental health problems, such as: These effects have earned the notorious syndrome the names “COVID brain” and “neuro COVID.” Brain fog has emerged as one of the top long COVID symptoms. Statistics about its prevalence range from 45% to 70% of all COVID long-haulers, according to findings in JAMA Open Network and Frontiers in Aging Neuroscience. People who have been infected with the virus that causes COVID-19 are also at dramatically increased risk of developing mental health conditions. These COVID-related mental disorders have also been tied to the rising use of alcohol, prescription medications, and recreational drugs. Brain-imaging studies including those at Amen Clinics using SPECT scans show that long COVID harms the brain in many ways. Among the damaging effects seen in long COVID are: Getting a functional brain scan with SPECT helps identify COVID-related brain changes.

SEROTONIN AND LONG COVID

Serotonin is a neurotransmitter that enables signaling between the body’s nerve cells. This feel-good brain chemical is involved in regulating moods, memory, sleep, stress, cognitive flexibility, sexual desire, and more. The 2023 study in Cell has linked decreased serotonin levels to the brain fog symptoms seen in post-COVID. Based on a combination of animal studies and human studies, the research found lower levels of serotonin in people with long COVID. In this study, having decreased serotonin levels post-COVID was also associated with a higher number of neurocognitive symptoms, such as brain fog, memory loss, and confusion. The research reveals how inflammation that persists post-COVID negatively impacts serotonin levels. According to the paper, inflammation reduces the neurotransmitter in several ways, including: The researchers suggest that the decreased levels of serotonin may reduce signaling to a region of the brain called the hippocampus. The hippocampus plays a vital role in memory formation, moods, and learning. Other research, also published in 2023, has found that COVID-19 triggers functional and structural changes in the hippocampus. Reduced serotonin signaling to this area may be causing these changes.

POST-COVID INFLAMMATION AND GUT HEALTH

The researchers of the paper in Cell also investigated the impact of long COVID in stool samples that came from previous studies. They found that in some people with long COVID, traces of the SARS-CoV-2 virus remains in the stool months after the infection. This indicates that in these individuals, some elements of the virus continue to be stored in the gut. The residual virus, called a viral reservoir, sparks immune system activity that triggers inflammation. It’s this inflammation that decreases the absorption of tryptophan.

LONG COVID TREATMENT

Overall, this research has implications for the treatment of long COVID. The scientists suggest that low serotonin levels may be a biomarker for long COVID. The researchers also sought to determine if boosting serotonin levels could effectively treat symptoms of long COVID. Using animal research, they found that restoring serotonin levels reversed memory loss in mice. In these trials, they used treatments involving the serotonin precursor tryptophan or selective serotonin reuptake inhibitors (SSRIs), which are common antidepressants. Experts are now exploring if SSRIs may be an effective treatment for long COVID in certain individuals. This is promising, however, people with long COVID need to be aware that like all antidepressants, SSRIs come with some unwanted side effects. Some of the side effects associated with antidepressants include weight gain, sexual dysfunction (desire, arousal, and ability to orgasm), sleep issues, constipation, dry mouth, and more. The two most common complaints among patients at Amen Clinics who are taking antidepressants are weight gain and sexual issues. To overcome long COVID brain fog and other symptoms, consider taking a natural approach first.

3 NATURAL SEROTONIN BOOSTERS

Because prescription antidepressants are likely to cause side effects, it’s a good idea for people with long COVID to try to boost serotonin naturally. Here are 3 natural ways to increase serotonin levels.

5 WAYS TO LOWER INFLAMMATION AND IMPROVE GUT HEALTH

Considering the role of inflammation and the gut in the recent findings about long COVID symptoms, it’s also important to reduce inflammation and heal the gut. Natural strategies that may help include: Long COVID can be debilitating, so it’s important to be pro-active about your brain health to minimize symptoms. Incorporating these natural brain boosters can help. Brain fog, memory loss, and other mental health issues related to long COVID can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here. Depression, already one of the country’s most common mental health conditions, has hit a new high in the United States. According to a 2023 Gallup poll, 29% of adults in America have been diagnosed with depression at one time in their lives. And 17.8% currently have the condition or are undergoing depression treatment. These numbers reflect a 10% and 7% increase, respectively, over the organization’s 2015 stats. Based on tens of thousands of depressed patients treated at Amen Clinics, it’s clear that far too many people with depression are engaging in habits that make the problem worse. Here, you’ll discover the worst depression habits and how to put a stop to them, so you can accelerate the healing process. Prescription medications should be considered only one option in treating depressive symptoms—not as the first line of defense or as a single solution.
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7 DEPRESSION DON’TS

Depression causes are numerous and multifaceted, and treatments are never one-size-fits-all. But there are certain steps anyone can take when facing the signs of depression. In fact, many of them center around things to avoid—from not drinking alcohol to limiting social media exposure. Here are 7 of the most impactful depression don’ts.

  1. Stop reaching for substances to help you cope.

Drugs (including alcohol), cigarettes, sugar—Americans with and without depression often reach for substances to self-soothe. Unfortunately, these “solutions” are actually new problems waiting to happen. They can lead to addiction, hamper brain function, or lead to long-term brain damage. Even in the short term, you’ll feel worse after using them, not better. For example, cannabis, cigarettes, and alcohol have all been associated with lower cerebral blood flow in brain SPECT scans, which can have a negative effect on mood. Cannabis has been tied to everything from psychosis to depression and suicidal thoughts. Drinking in excess, meanwhile, tends to exacerbate mental health conditions like depression and anxiety. And research has linked smoking with a higher likelihood of depression. Ultraprocessed foods, also fit the criteria of causing addiction—a scary fact, since they’re a key feature of the Standard American Diet. Numerous research studies have shown the link between processed foods and symptoms of anxiety and depression. To all of the above harmful substances: Just say no. Instead, fuel your body and brain—while reducing depression symptoms—with a well-balanced diet that incorporates fruits and vegetables, fish, lean meats, healthy fats, and whole grains.

  1. Stop hiding out.

When depression strikes, it’s tempting to hibernate under the covers, isolating from others and not venturing outdoors. But these avoidance tactics actually make matters worse. First, lack of sunlight can overstimulate melatonin production. This may lead to a sluggish or sleepy feeling while also reducing production of serotonin and vitamin D, associated with lower moods. In addition, avoiding social activities can be detrimental to mental health, as many of us discovered during the COVID-19 pandemic. Positive social relationships can help lift mood, while loneliness and isolation have been strongly associated with depressed mood, low energy, and even feelings of worthlessness. Finally, lounging in bed all day typically worsens, not helps, depressive symptoms. Looping and negative thought patterns can spiral out of control when we’re inactive. Instead, distract yourself with something that gets you up and moving, like a walk outside, a phone call, or a gardening session. Such activities can move negative feelings to the back burner and give you a sense of accomplishment and purpose.

  1. Stop over-relying on meds.

When it comes to mental health conditions like depression, a customized treatment plan is crucial. The brain-imaging work at Amen Clinics using SPECT scans has helped identified 7 types of depression. You need to know your type to get the most effective treatment. In addition, everyone experiences depression differently. Antidepressants that are helpful to one patient may be useless to another. In fact, commonly prescribed medications, including Prozac and Zoloft, may actually aggravate symptoms for certain types of depression. In other cases, prescription drugs may lead to unwanted side effects. Other cases of depression are biologically based, related to factors like brain injury, obesity, or chronic insomnia. That means they may not respond to antidepressants. Brain SPECT imaging can assist in determining the type of depression, so that treatment can be helpful, not harmful. In addition, prescription medications should be considered only one option in treating depressive symptoms—not as the first line of defense or as a single solution. Numerous natural solutions can help combat the symptoms of depression. Ultimately, depression treatment must be individualized and then monitored for maximum benefit.

  1. Stop indulging your negative thoughts.

Even those without depressive symptoms can struggle with automatic negative thoughts (ANTs). These destructive inner voices transmit skewed perspectives in the form of catastrophic thinking, guilt, fortune telling, mind reading, all-or-nothing thinking, blaming yourself or others…the list goes on. Here’s the good news: You don’t have to believe any of them. In the throes of clinical depression, it’s easy for thoughts to take a serious downturn, so ANTs are a typical feature of this condition. But that doesn’t mean they are true. Use this simple method for taking a closer look at these insidious invaders: Practice this form of cognitive behavioral therapy (CBT) regularly, and you’ll start to see the faulty logic and repeating patterns behind your thoughts. They will shift as you greet them with more scrutiny.

  1. Stop comparing yourself to others.

In the age of social media, comparison can feel inevitable. But it’s especially demoralizing for those who struggle with major depressive disorder. One study, published in a 2022 issue of the Journal of Behavioral Addictions, cited various previous research linking problematic social media use with depression, including a bidirectional association. This means that problem usage may lead to depression, while depression may increase problematic use. The study concluded that female study participants were more likely to use social media in a problematic way, including comparing themselves more negatively to others. And higher problematic social media use scores were associated with depression, low self-esteem, and more negative comparisons to other social media users. Therefore, those with depression should limit social media use. It’s both potentially addictive and harmful, particularly to young adults. One study even linked the increase in mental health crises—including higher rates of depression and suicide—among teen girls with the rise of electronic usage. Ultimately, researchers found, more screen time was associated with worse mental health outcomes.

  1. Stop allowing stresses to pile up without processing them.

Stress happens—to everyone. But for those with depression, it’s especially important to find healthy ways of processing it. When your body is constantly in fight-or-flight mode, it’s releasing stress hormones like cortisol around the clock. Over time, you can find yourself fighting physical symptoms as a result—everything from sleep disturbances to depression. In fact, one study from 2018 noted that chronic stress and depression may be closely linked. Feeling stressed? Try one of these effective, natural ways to work through your feelings:

  1. Stop feeling hopeless about your depression.

Depression often makes it difficult to see the light at the end of the tunnel. And though the stigma around mental health issues has significantly decreased as more people step forward, some still hesitate to ask for help. If you or a loved one is struggling with this common condition, remember that depression is treatable. Left untreated, depression can lead to additional problems, such as substance abuse, chronic health conditions, or suicide. The sooner you act, the better your outcome may be, so reach out for help immediately. Be sure to visit a mental health professional who understands that mental health is tied to brain health. When you start the journey of healing, you’ll find that there is hope. Depression and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-401-2910 or visit our contact page here.