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 [Harvard Health Publishing ](https://www.health.harvard.edu/) [Harvard Health Publishing](https://www.health.harvard.edu/) [HarvardHealthOnline+](https://www.health.harvard.edu/hho-plus?utm_source=site&utm_medium=web&utm_campaign=top_button) Search [Customer Service](https://www.health.harvard.edu/customer-service) [Content Licensing](https://www.health.harvard.edu/licensing) [About Us](https://www.health.harvard.edu/about-us) [Log In](https://www.health.harvard.edu/login) Open mobile menu [Free HealthBeat Signup](https://www.health.harvard.edu/healthbeat) Shop [Subscriptions](https://www.health.harvard.edu/subscribe) [Special Health Reports](https://www.health.harvard.edu/special-health-reports) [Online Courses](https://www.harvardhealthonlinelearning.com/catalog) [Pay Subscription Bill](https://www.health.harvard.edu/pay-bill) [Common Conditions](https://www.health.harvard.edu/category/common-conditions) [Staying Healthy](https://www.health.harvard.edu/category/staying-healthy) [Resources](https://www.health.harvard.edu/resources) [Blog](https://www.health.harvard.edu/blog) [COVID-19 Updates](https://www.health.harvard.edu/diseases-and-conditions/coronavirus-resource-center) Close menu [HarvardHealthOnline+](https://www.health.harvard.edu/hho-plus?utm_source=site&utm_medium=web&utm_campaign=mobile_button) ## Main Content - [Common Conditions](https://www.health.harvard.edu/category/common-conditions) - [Staying Healthy](https://www.health.harvard.edu/category/staying-healthy) - [Resources](https://www.health.harvard.edu/resources) - [Blog](https://www.health.harvard.edu/blog) ## Helpful Links - [Customer Service](https://www.health.harvard.edu/customer-service) - [About Us](https://www.health.harvard.edu/about-us) - [Content Licensing](https://www.health.harvard.edu/licensing) - [Free Healthbeat Signup](https://www.health.harvard.edu/healthbeat) - [Subscriptions](https://www.health.harvard.edu/subscribe) - [Special Health Reports](https://www.health.harvard.edu/special-health-reports) - [Online Courses](https://www.harvardhealthonlinelearning.com/) - [Pay Subscription Bill](https://www.health.harvard.edu/pay-bill) Close Recent Articles [ Trying to lose weight? Be careful not to lose muscle](https://www.health.harvard.edu/staying-healthy/trying-to-lose-weight-be-careful-not-to-lose-muscle) [ Is your skin problem actually an autoimmune condition?](https://www.health.harvard.edu/diseases-and-conditions/is-your-skin-problem-actually-an-autoimmune-condition) [ People with diabetes face higher risk of hearing loss](https://www.health.harvard.edu/diseases-and-conditions/people-with-diabetes-face-higher-risk-of-hearing-loss) [ Antibiotic-free fixes for recurrent UTIs](https://www.health.harvard.edu/womens-health/antibiotic-free-fixes-for-recurrent-utis) [ Musculoskeletal syndrome of menopause: When menopause makes you ache all over](https://www.health.harvard.edu/womens-health/musculoskeletal-syndrome-of-menopause-when-menopause-makes-you-ache-all-over) [ When can older women stop getting mammograms?](https://www.health.harvard.edu/womens-health/when-can-older-women-stop-getting-mammograms) [ To lose weight, especially harmful belly fat, combine diet and exercise](https://www.health.harvard.edu/staying-healthy/to-lose-weight-especially-harmful-belly-fat-combine-diet-and-exercise) [ Can men hold off on treating recurring prostate cancer?](https://www.health.harvard.edu/blog/can-men-hold-off-on-treating-recurring-prostate-cancer-202512193108) [ The 7 types of rest and why we need them all](https://www.health.harvard.edu/mind-and-mood/the-7-types-of-rest-and-why-we-need-them-all) [ What are the early warning signs of cervical cancer?](https://www.health.harvard.edu/cancer/what-are-the-early-warning-signs-of-cervical-cancer) 1 / 10 [Mind & Mood](https://www.health.harvard.edu/topics/mind-and-mood) # Are you missing these signs of anxiety or depression? ## It's easy to overlook the clues that you may need help for one of these common conditions. September 27, 2024 - Reviewed by [Howard E. LeWine, MD](https://www.health.harvard.edu/authors/howard-lewine-md), Chief Medical Editor, Harvard Health Publishing; Editorial Advisory Board Member, Harvard Health Publishing Share [Share this page to Facebook](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fwww.health.harvard.edu%2Fmind-and-mood%2Fare-you-missing-these-signs-of-anxiety-or-depression&display=popup) [Share this page to X](https://twitter.com/intent/tweet?original_referer=https%3A%2F%2Fwww.health.harvard.edu%2Fmind-and-mood%2Fare-you-missing-these-signs-of-anxiety-or-depression&text=Are%20you%20missing%20these%20signs%20of%20anxiety%20or%20depression?%20-%20Harvard%20Health&tw_p=tweetbutton&url=https%3A%2F%2Fwww.health.harvard.edu%2Fmind-and-mood%2Fare-you-missing-these-signs-of-anxiety-or-depression) [Share this page via Email](<mailto:?subject=Great health news for you from the experts at Harvard&body=Check out this link from Harvard Health: Are you missing these signs of anxiety or depression? - https://www.health.harvard.edu/mind-and-mood/are-you-missing-these-signs-of-anxiety-or-depression>) Copy this page to clipboard Print This Page Click to Print  The signs of mental illness aren't always obvious. Subtle changes in mood or behavior are often attributed to aging, just like weaker muscles and fuzzy thinking. There's a tendency to dismiss it as, 'Well, of course I'm worried, I have heart disease,' or, 'Of course I'm sad, I'm not as relevant as I once was. But depression (extreme sadness, worthlessness, or hopelessness) and anxiety (debilitating worry and agitation) do not need to be routine parts of aging. Getting help for these feelings can help you maintain your health and enjoy life to the fullest. ## Symptoms Sometimes recognizing depression and anxiety takes a little honest reflection about your behaviors, feelings, and habits. Here are some signposts: You may be interested in...  ## Understanding Depression Depression is more than a passing bout of sadness or dejection, or feeling down in the dumps. It can leave you feeling continuously burdened and can sap the joy out of once-pleasurable activities. In Understanding Depression, find out how effective treatment can lighten your mood, strengthen your connections with loved ones, allow you to find satisfaction in interests and hobbies, and make you feel more like yourself again. [Learn More](https://servedbyadbutler.com/redirect.spark?MID=186626&plid=2650436&setID=812675&channelID=0&CID=862911&banID=523844620&PID=0&textadID=0&tc=1&rnd=5594654564&scheduleID=3357412&adSize=0x0&matches=%5B%22anxiety%22%5D&mt=1770423306311441&spr=1&referrer=https%3A%2F%2Fwww.health.harvard.edu%2Fmind-and-mood%2Fare-you-missing-these-signs-of-anxiety-or-depression&request_uuid=cfd727a4-6b23-4781-bd8a-71b46d771396&hc=18ffaf5ee578082eaad665d218a7b40e191e8970&location=) - **Apathy.** Have you lost interest in the activities that used to bring you joy? Has life lost so much meaning that you feel empty? Those are classic signs of depression. - **Helplessness or hopelessness.** Do you feel there is little you or anyone can do to improve your life? Helplessness and hopelessness also are classic signs of depression. - **Changes in habits.** Sleeping or eating too much or too little can be a sign of depression. So can drinking more alcohol than usual or engaging in risky behavior. - **Persistent fatigue.** It's normal to be tired at the end of the day. But if you're tired all the time, it could be due to depression or anxiety. Or it may be related to an underlying medical condition, such as an underactive thyroid or heart failure. - **Difficulty focusing or making decisions.** People who are depressed and anxious have difficulty making decisions because they worry whatever they do will be wrong. Or you may have trouble concentrating or paying attention to others. - **Mood swings.** If you're easily irritated (or extremely impatient or overly self-critical), or if you experience frequent mood swings, it could be a sign of depression or anxiety. - **Unending worry.** Are you anticipating every possible problem and focusing on it rather than looking at the lake or sky or enjoying being with your grandchild? He says that kind of worry could be due to an anxiety disorder. - **Wanting to be alone.** If you enjoy solitude because you like the time to read or meditate, that's fine. But that's different from staying home because it takes too much energy to interact with others. That can be a sign of depression. ## What you should do Just because you're experiencing one of those symptoms doesn't mean you'll be diagnosed with an anxiety disorder or depression. But if you're too caught up in one feeling or another, having less pleasure in life or having trouble doing what you need to do, then certainly get help. Reaching out to family and friends may be a good way to start the process. Talk to people who might be understanding, compassionate, and helpful. If you feel embarrassed to share your feelings or worries with those close to you, make an appointment with your doctor. ## Treatment Help for depression and anxiety can come in a variety of forms, such as treating underlying conditions that may be causing depression, taking anti-depressant medications, or taking part in talk therapy. There are also plenty of pill-free approaches that can help. Exercise is an important one. A daily walk can help you maintain your overall mood, energy, and positivity. Activating your muscles increases blood flow to the brain and releases substances that stimulate the growth of brain cells and their connections. Another strategy is staying connected socially. Social connections are associated with reduced stress, improved immune system function, and longer life. People with more social connections also have lower levels of anxiety and depression, higher self-esteem, and a better overall sense of well-being. ## The takeaway You don't have to suffer with depression or anxiety, no matter what your age. It's useful to find a way to manage it better so you can live your life fully and experience being alive. You want to feel like every day that you wake up is a good day. For more information, check out the Harvard Special Health Report [*Understanding Depression*](https://www.health.harvard.edu/ud). **Image: © davidf/Getty Images** ## About the Reviewer  Howard E. LeWine, MD, Chief Medical Editor, Harvard Health Publishing; Editorial Advisory Board Member, Harvard Health Publishing Dr. Howard LeWine is a practicing internist at Brigham and Women’s Hospital in Boston, Chief Medical Editor at Harvard Health Publishing, and editor in chief of Harvard Men’s Health Watch. [See Full Bio](https://www.health.harvard.edu/authors/howard-lewine-md) [View all posts by Howard E. LeWine, MD](https://www.health.harvard.edu/authors/howard-lewine-md) Share [Share this page to Facebook](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fwww.health.harvard.edu%2Fmind-and-mood%2Fare-you-missing-these-signs-of-anxiety-or-depression&display=popup) [Share this page to X](https://twitter.com/intent/tweet?original_referer=https%3A%2F%2Fwww.health.harvard.edu%2Fmind-and-mood%2Fare-you-missing-these-signs-of-anxiety-or-depression&text=Are%20you%20missing%20these%20signs%20of%20anxiety%20or%20depression?%20-%20Harvard%20Health&tw_p=tweetbutton&url=https%3A%2F%2Fwww.health.harvard.edu%2Fmind-and-mood%2Fare-you-missing-these-signs-of-anxiety-or-depression) [Share this page via Email](<mailto:?subject=Great health news for you from the experts at Harvard&body=Check out this link from Harvard Health: Are you missing these signs of anxiety or depression? - https://www.health.harvard.edu/mind-and-mood/are-you-missing-these-signs-of-anxiety-or-depression>) Copy this page to clipboard Print This Page Click to Print ## Disclaimer: As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician. Recent Articles [ Trying to lose weight? Be careful not to lose muscle](https://www.health.harvard.edu/staying-healthy/trying-to-lose-weight-be-careful-not-to-lose-muscle) [ Is your skin problem actually an autoimmune condition?](https://www.health.harvard.edu/diseases-and-conditions/is-your-skin-problem-actually-an-autoimmune-condition) [ People with diabetes face higher risk of hearing loss](https://www.health.harvard.edu/diseases-and-conditions/people-with-diabetes-face-higher-risk-of-hearing-loss) [ Antibiotic-free fixes for recurrent UTIs](https://www.health.harvard.edu/womens-health/antibiotic-free-fixes-for-recurrent-utis) [ Musculoskeletal syndrome of menopause: When menopause makes you ache all over](https://www.health.harvard.edu/womens-health/musculoskeletal-syndrome-of-menopause-when-menopause-makes-you-ache-all-over) [ When can older women stop getting mammograms?](https://www.health.harvard.edu/womens-health/when-can-older-women-stop-getting-mammograms) [ To lose weight, especially harmful belly fat, combine diet and exercise](https://www.health.harvard.edu/staying-healthy/to-lose-weight-especially-harmful-belly-fat-combine-diet-and-exercise) [ Can men hold off on treating recurring prostate cancer?](https://www.health.harvard.edu/blog/can-men-hold-off-on-treating-recurring-prostate-cancer-202512193108) [ The 7 types of rest and why we need them all](https://www.health.harvard.edu/mind-and-mood/the-7-types-of-rest-and-why-we-need-them-all) [ What are the early warning signs of cervical cancer?](https://www.health.harvard.edu/cancer/what-are-the-early-warning-signs-of-cervical-cancer) 1 / 10 ## Related Topics [ Heart Health Psychological distress common in heart attack survivors](https://www.health.harvard.edu/heart-health/psychological-distress-common-in-heart-attack-survivors) [ Mind & Mood Advancing age and mental health disorders](https://www.health.harvard.edu/mind-and-mood/advancing-age-and-mental-health-disorders) [ Pain Sleeping better when you have pain](https://www.health.harvard.edu/pain/sleeping-better-when-you-have-pain) [Anxiety](https://www.health.harvard.edu/topics/anxiety) [Depression](https://www.health.harvard.edu/topics/depression) [Mental Health](https://www.health.harvard.edu/topics/mental-health) ## Free Healthbeat Signup Get the latest in health news delivered to your inbox\! 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 The signs of mental illness aren't always obvious. Subtle changes in mood or behavior are often attributed to aging, just like weaker muscles and fuzzy thinking. There's a tendency to dismiss it as, 'Well, of course I'm worried, I have heart disease,' or, 'Of course I'm sad, I'm not as relevant as I once was. But depression (extreme sadness, worthlessness, or hopelessness) and anxiety (debilitating worry and agitation) do not need to be routine parts of aging. Getting help for these feelings can help you maintain your health and enjoy life to the fullest. ## Symptoms Sometimes recognizing depression and anxiety takes a little honest reflection about your behaviors, feelings, and habits. Here are some signposts: You may be interested in...  Depression is more than a passing bout of sadness or dejection, or feeling down in the dumps. It can leave you feeling continuously burdened and can sap the joy out of once-pleasurable activities. In Understanding Depression, find out how effective treatment can lighten your mood, strengthen your connections with loved ones, allow you to find satisfaction in interests and hobbies, and make you feel more like yourself again. [Learn More](https://servedbyadbutler.com/redirect.spark?MID=186626&plid=2650436&setID=812675&channelID=0&CID=862911&banID=523844620&PID=0&textadID=0&tc=1&rnd=5594654564&scheduleID=3357412&adSize=0x0&matches=%5B%22anxiety%22%5D&mt=1770423306311441&spr=1&referrer=https%3A%2F%2Fwww.health.harvard.edu%2Fmind-and-mood%2Fare-you-missing-these-signs-of-anxiety-or-depression&request_uuid=cfd727a4-6b23-4781-bd8a-71b46d771396&hc=18ffaf5ee578082eaad665d218a7b40e191e8970&location=) - **Apathy.** Have you lost interest in the activities that used to bring you joy? Has life lost so much meaning that you feel empty? Those are classic signs of depression. - **Helplessness or hopelessness.** Do you feel there is little you or anyone can do to improve your life? Helplessness and hopelessness also are classic signs of depression. - **Changes in habits.** Sleeping or eating too much or too little can be a sign of depression. So can drinking more alcohol than usual or engaging in risky behavior. - **Persistent fatigue.** It's normal to be tired at the end of the day. But if you're tired all the time, it could be due to depression or anxiety. Or it may be related to an underlying medical condition, such as an underactive thyroid or heart failure. - **Difficulty focusing or making decisions.** People who are depressed and anxious have difficulty making decisions because they worry whatever they do will be wrong. Or you may have trouble concentrating or paying attention to others. - **Mood swings.** If you're easily irritated (or extremely impatient or overly self-critical), or if you experience frequent mood swings, it could be a sign of depression or anxiety. - **Unending worry.** Are you anticipating every possible problem and focusing on it rather than looking at the lake or sky or enjoying being with your grandchild? He says that kind of worry could be due to an anxiety disorder. - **Wanting to be alone.** If you enjoy solitude because you like the time to read or meditate, that's fine. But that's different from staying home because it takes too much energy to interact with others. That can be a sign of depression. ## What you should do Just because you're experiencing one of those symptoms doesn't mean you'll be diagnosed with an anxiety disorder or depression. But if you're too caught up in one feeling or another, having less pleasure in life or having trouble doing what you need to do, then certainly get help. Reaching out to family and friends may be a good way to start the process. Talk to people who might be understanding, compassionate, and helpful. If you feel embarrassed to share your feelings or worries with those close to you, make an appointment with your doctor. ## Treatment Help for depression and anxiety can come in a variety of forms, such as treating underlying conditions that may be causing depression, taking anti-depressant medications, or taking part in talk therapy. There are also plenty of pill-free approaches that can help. Exercise is an important one. A daily walk can help you maintain your overall mood, energy, and positivity. Activating your muscles increases blood flow to the brain and releases substances that stimulate the growth of brain cells and their connections. Another strategy is staying connected socially. Social connections are associated with reduced stress, improved immune system function, and longer life. People with more social connections also have lower levels of anxiety and depression, higher self-esteem, and a better overall sense of well-being. ## The takeaway You don't have to suffer with depression or anxiety, no matter what your age. It's useful to find a way to manage it better so you can live your life fully and experience being alive. You want to feel like every day that you wake up is a good day. For more information, check out the Harvard Special Health Report [*Understanding Depression*](https://www.health.harvard.edu/ud). **Image: © davidf/Getty Images**