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1. Shard Calculation

Query:

Response:

Calculated Shard: 135 (from laksa058)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa135.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://www.summithealth.com/health-wellness/how-identify-signs-depression-someone-you-love\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.summithealth.com/health-wellness/how-identify-signs-depression-someone-you-love\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.summithealth.com\/health-wellness\/how-identify-signs-depression-someone-you-love","crawl_time":1775849396,"first_indexed_time":1682914311,"http_code":200,"src_unparsed":"com,summithealth!www,\/health-wellness\/how-identify-signs-depression-someone-you-love s443","src_root_hash":"15074774327777408135","history_drop_reason":null,"meta_title":"How to Identify Signs of Depression in Someone You Love | Summit Health","meta_descriptions":["Do you suspect that a loved one may be struggling with depression? Learn more about the telltale signs and symptoms of depression and how you can help."],"attrs_boilerpipe_text":"May 1, 2023\nEditor’s note: This article contains references to depression and suicide, which some may find triggering. If you, or someone you know, are at risk for suicide call or text the Suicide and Crisis Lifeline at 988, visit your Summit Health provider, or go the hospital emergency room for help.\nEveryone has bad days or feels down at times, but clinical depression is a serious mood disorder that can have a major impact on someone’s life and those around them. If you or someone you love suffers from depression, it is important to know that there is help and treatment available. \nMany people hide feelings of depression, are in denial of the impact the symptoms are having on them, or are not even aware they are suffering from depression. This can make it difficult to recognize the condition in a friend, family member, coworker, or even yourself. Summit Health’s\n James Korman, PsyD, ACT,\n chief of behavioral health at Summit Health, explains how to pick up on the warning signs of depression and \nwhat you can do to help. \nWhat is clinical depression? \n“Some of the symptoms someone with major depression may experience include sadness, depressed mood, tearfulness, emptiness, hopelessness, and anhedonia, which is the inability to experience pleasure,” explained Dr. Korman. “Additional symptoms of depression may involve weight gain, weight loss, excessive or lack of sleep, inappropriate excessive guilt, and worthlessness.”\nIf you have these symptoms for a span of two weeks, you may be suffering from a major depressive disorder. Major depression can be mild, moderate, or severe. People may still be able to function with mild and moderate depression, but in most cases, a person may find the symptoms are negatively impacting their family, social, and work lives.\n“When it comes to trying to determine if somebody suffers from depression, it’s not always easy for the average person to notice — people can put on a pretty good face when they're out in public so they can get away with not appearing outwardly depressed,” said Dr. Korman.\nHow to spot signs of depression  \nDepression is more evident when it’s in the home or to those close to the person suffering. Family members or friends can usually see that there’s a serious problem when their loved one: \nHas a marked change in their behavior \nExhibits sadness \nLoses enjoyment\nExhibits risky behaviors\nDisengages from hobbies \nBecomes easily agitated \nStarts isolating themselves\nComplains frequently of feeling physically ill\nWhen a depressed person is planning on taking their own life, there may be potential warning signs. The individual may begin giving away their belongings and appear to magically swing from being depressed to being very happy. \n“It’s important to know that death is not the goal of suicide, but a person commits suicide to escape the pain they are feeling,” said Dr. Korman. “When I work with people who are suicidal, it's not that they want to die. They don't want to feel bad anymore and they don't feel that they have any other options.” \nIf you or someone you know is at risk for suicide, call or text the Suicide and Crisis Lifeline at 988, see your Summit Health provider, or go to the hospital emergency room near you for help immediately. \nThe dangers of untreated depression \nWhen depression is treated, the likelihood of suicide decreases greatly. If left untreated, one of the major consequences of depression can be death at the person’s own hand. \n“We do know that women are twice as likely as men to attempt suicide but are less likely to accomplish it. The reason for this is because women often use less lethal means like pills or cut themselves, which gives them time to change their minds and get help,” said Dr. Korman. “Men often rely on more lethal methods such as guns, which often, unfortunately, is successful with the initial attempt.” \nSigns of depression in the workplace \nIn the workplace if a person is disengaged, not performing their job well, or calling out sick frequently they might be exhibiting signs of depression. In addition, if a person begins seeing the doctor frequently with aches and pains that don’t seem to have a medical cause, they should be screened for depression. \nHow to approach someone with depression \nIf you sense that someone might be depressed, what's the best way to approach them? Dr. Korman advises that being direct is the best option. “If you are concerned that somebody might be depressed, ask them directly: “Listen, I’ve noticed that you don’t seem to be as happy anymore. You seem sad and you're not as engaged as you once were. What's going on?” \nTalking is a good first step. Next, recommend that the person who is suffering from depression see their primary care physician or make an appointment with a mental health professional. Depression is a very treatable disorder and talking to a professional can help. \nTreatment options\nIt is important to know that treatment options are available, and they have been found to be extremely effective in helping people manage depression.\nBefore prescribing medication, cognitive behavioral therapy (CBT) is considered the first-line treatment for mild to moderate depression. “CBT focuses on correcting the negative thoughts and ideas that people suffering from depression often have. The goal is to repair their negative self-worth and view of the world by giving them the tools to modify their behavior, negative ideas, thoughts, and perceptions, with the goal of reducing and eliminating symptoms,” explained Dr. Korman. \nIf you or someone you know is hesitant about going to therapy, you can make an appointment with a Summit Health primary care physician first. They can help guide you with a diagnosis and recommend treatment or next steps. \nDepression can also be treated with medications or a combination of medication and therapy. Your doctor will work closely with you to find a medication that works best for you. \nSummit Health can help you.\nIf you think you may have depression, do not suffer in silence. Depression is highly treatable. \nMake an appointment with a behavioral therapist\n at Summit Health or visit your primary care physician. And if you or someone you know is at risk for suicide, call or text the Suicide and Crisis Lifeline at 988, see your doctor or \nwalk right into a CityMD location\n or hospital emergency room near you for help immediately. \nTags:\ndepression\n,\ndepression management\n,\nantidepressants\n,\nmood disorders\n,\nclinical depression\n,\nsadness\n,\nJames Korman, PsyD, ACT\n,\nbehavioral health\n,\nbehavioral health clinician\n,\nsigns of depression\n,\ncognitive behavioral therapy\n,\nmental health\n,\nmental health support","attrs_markdown":"[Skip to main content](https:\/\/www.summithealth.com\/health-wellness\/how-identify-signs-depression-someone-you-love#main-content)\n\nWe’ve updated our Notice of Privacy Practices (“NPPs”). These updates include information on how we use Artificial Intelligence (AI) enabled tools to support our providers, and to provide more detail about your rights regarding Part 2 treatment records. 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[Patient portal](https:\/\/www.summithealth.com\/patient-portal)\n  - [Accepted insurances](https:\/\/www.summithealth.com\/accepted-insurance-plans)\n  - [Pay bills](https:\/\/www.summithealth.com\/our-patients\/pay-bills)\n  - [Request medical records](https:\/\/www.summithealth.com\/request-medical-records)\n  - [Patient referral services](https:\/\/www.summithealth.com\/refer)\n  - [Educational webinars](https:\/\/www.summithealth.com\/educationalwebinars)\n  - [Patient relations](https:\/\/www.summithealth.com\/patient-relations)\n  - [Health & wellness](https:\/\/www.summithealth.com\/health-wellness)\n  \n  ![An icon portraying personal records](https:\/\/www.summithealth.com\/sites\/default\/files\/2026-04\/mm-icon-patient-resources.png)\n  \n  Access patient portal\n  \n  Sign in to manage appointments, review test results, and communicate with your care team\n  \n  [Login to portal](https:\/\/www.summithealth.com\/patient-portal)\n\n- [Pay bills](https:\/\/www.summithealth.com\/our-patients\/pay-bills)\n- [Patient portal](https:\/\/www.summithealth.com\/patient-portal)\n\n[Schedule an appointment](https:\/\/www.summithealth.com\/doctors?searching=1)\n\nSearch\n\n## Breadcrumb\n- [Home](https:\/\/www.summithealth.com\/)\n- [Health & Wellness](https:\/\/www.summithealth.com\/health-wellness)\n- How to Identify Signs of Depression in Someone You Love\n# How to Identify Signs of Depression in Someone You Love\n\n![Person holding hands and comforting family member with depression](https:\/\/www.summithealth.com\/sites\/default\/files\/2023-04\/depression.jpg)\n\nMay 1, 2023\n\n*Editor’s note: This article contains references to depression and suicide, which some may find triggering. If you, or someone you know, are at risk for suicide call or text the Suicide and Crisis Lifeline at 988, visit your Summit Health provider, or go the hospital emergency room for help.*\n\nEveryone has bad days or feels down at times, but clinical depression is a serious mood disorder that can have a major impact on someone’s life and those around them. If you or someone you love suffers from depression, it is important to know that there is help and treatment available.\n\nMany people hide feelings of depression, are in denial of the impact the symptoms are having on them, or are not even aware they are suffering from depression. This can make it difficult to recognize the condition in a friend, family member, coworker, or even yourself. Summit Health’s [James Korman, PsyD, ACT,](https:\/\/www.summithealth.com\/doctors\/james-korman-psyd-act) chief of behavioral health at Summit Health, explains how to pick up on the warning signs of depression and [what you can do to help.](https:\/\/www.summithealth.com\/services\/behavioral-health)\n\n**What is clinical depression?**\n\n“Some of the symptoms someone with major depression may experience include sadness, depressed mood, tearfulness, emptiness, hopelessness, and anhedonia, which is the inability to experience pleasure,” explained Dr. Korman. “Additional symptoms of depression may involve weight gain, weight loss, excessive or lack of sleep, inappropriate excessive guilt, and worthlessness.”\n\nIf you have these symptoms for a span of two weeks, you may be suffering from a major depressive disorder. Major depression can be mild, moderate, or severe. People may still be able to function with mild and moderate depression, but in most cases, a person may find the symptoms are negatively impacting their family, social, and work lives.\n\n“When it comes to trying to determine if somebody suffers from depression, it’s not always easy for the average person to notice — people can put on a pretty good face when they're out in public so they can get away with not appearing outwardly depressed,” said Dr. Korman.\n\n**How to spot signs of depression**\n\nDepression is more evident when it’s in the home or to those close to the person suffering. Family members or friends can usually see that there’s a serious problem when their loved one:\n\n- Has a marked change in their behavior\n- Exhibits sadness\n- Loses enjoyment\n- Exhibits risky behaviors\n- Disengages from hobbies\n- Becomes easily agitated\n- Starts isolating themselves\n- Complains frequently of feeling physically ill\n\nWhen a depressed person is planning on taking their own life, there may be potential warning signs. The individual may begin giving away their belongings and appear to magically swing from being depressed to being very happy.\n\n“It’s important to know that death is not the goal of suicide, but a person commits suicide to escape the pain they are feeling,” said Dr. Korman. “When I work with people who are suicidal, it's not that they want to die. They don't want to feel bad anymore and they don't feel that they have any other options.”\n\nIf you or someone you know is at risk for suicide, call or text the Suicide and Crisis Lifeline at 988, see your Summit Health provider, or go to the hospital emergency room near you for help immediately.\n\n**The dangers of untreated depression**\n\nWhen depression is treated, the likelihood of suicide decreases greatly. If left untreated, one of the major consequences of depression can be death at the person’s own hand.\n\n“We do know that women are twice as likely as men to attempt suicide but are less likely to accomplish it. The reason for this is because women often use less lethal means like pills or cut themselves, which gives them time to change their minds and get help,” said Dr. Korman. “Men often rely on more lethal methods such as guns, which often, unfortunately, is successful with the initial attempt.”\n\n**Signs of depression in the workplace**\n\nIn the workplace if a person is disengaged, not performing their job well, or calling out sick frequently they might be exhibiting signs of depression. In addition, if a person begins seeing the doctor frequently with aches and pains that don’t seem to have a medical cause, they should be screened for depression.\n\n**How to approach someone with depression**\n\nIf you sense that someone might be depressed, what's the best way to approach them? Dr. Korman advises that being direct is the best option. “If you are concerned that somebody might be depressed, ask them directly: “Listen, I’ve noticed that you don’t seem to be as happy anymore. You seem sad and you're not as engaged as you once were. What's going on?”\n\nTalking is a good first step. Next, recommend that the person who is suffering from depression see their primary care physician or make an appointment with a mental health professional. Depression is a very treatable disorder and talking to a professional can help.\n\n**Treatment options**\n\nIt is important to know that treatment options are available, and they have been found to be extremely effective in helping people manage depression.\n\nBefore prescribing medication, cognitive behavioral therapy (CBT) is considered the first-line treatment for mild to moderate depression. “CBT focuses on correcting the negative thoughts and ideas that people suffering from depression often have. The goal is to repair their negative self-worth and view of the world by giving them the tools to modify their behavior, negative ideas, thoughts, and perceptions, with the goal of reducing and eliminating symptoms,” explained Dr. Korman.\n\nIf you or someone you know is hesitant about going to therapy, you can make an appointment with a Summit Health primary care physician first. They can help guide you with a diagnosis and recommend treatment or next steps.\n\nDepression can also be treated with medications or a combination of medication and therapy. Your doctor will work closely with you to find a medication that works best for you.\n\n**Summit Health can help you.**\n\nIf you think you may have depression, do not suffer in silence. Depression is highly treatable. [Make an appointment with a behavioral therapist](https:\/\/www.summithealth.com\/services\/behavioral-health) at Summit Health or visit your primary care physician. And if you or someone you know is at risk for suicide, call or text the Suicide and Crisis Lifeline at 988, see your doctor or [walk right into a CityMD location](https:\/\/www.citymd.com\/urgent-care-locations) or hospital emergency room near you for help immediately.\n\nTags: [depression](https:\/\/www.summithealth.com\/health-wellness?tag=16431), [depression management](https:\/\/www.summithealth.com\/health-wellness?tag=28586), [antidepressants](https:\/\/www.summithealth.com\/health-wellness?tag=29196), [mood disorders](https:\/\/www.summithealth.com\/health-wellness?tag=26216), [clinical depression](https:\/\/www.summithealth.com\/health-wellness?tag=39866), [sadness](https:\/\/www.summithealth.com\/health-wellness?tag=39871), [James Korman, PsyD, ACT](https:\/\/www.summithealth.com\/health-wellness?tag=28881), [behavioral health](https:\/\/www.summithealth.com\/health-wellness?tag=16416), [behavioral health clinician](https:\/\/www.summithealth.com\/health-wellness?tag=36491), [signs of depression](https:\/\/www.summithealth.com\/health-wellness?tag=39876), [cognitive behavioral therapy](https:\/\/www.summithealth.com\/health-wellness?tag=23751), [mental health](https:\/\/www.summithealth.com\/health-wellness?tag=16421), [mental health support](https:\/\/www.summithealth.com\/health-wellness?tag=39881)\n\n## Related Stories\n[![Seasonal Affective Disorder](https:\/\/www.summithealth.com\/sites\/default\/files\/styles\/300x200\/public\/2020-11\/SAD%20%28Woman%20Looking%20Out%20Window%29.jpg?itok=REfo08Rt)](https:\/\/www.summithealth.com\/health-wellness\/how-recognize-and-deal-seasonal-affective-disorder)\n\n### [How to Recognize and Deal with Seasonal Affective Disorder](https:\/\/www.summithealth.com\/health-wellness\/how-recognize-and-deal-seasonal-affective-disorder)\nNovember 4, 2020\n\n[![Woman in brown speaking with her doctor about mental health](https:\/\/www.summithealth.com\/sites\/default\/files\/styles\/300x200\/public\/2021-05\/Mental%20Health.jpg?itok=qZlkE7NW)](https:\/\/www.summithealth.com\/health-wellness\/erasing-stigma-may-mental-health-awareness-month)\n\n### [Erasing the Stigma: May is Mental Health Awareness Month](https:\/\/www.summithealth.com\/health-wellness\/erasing-stigma-may-mental-health-awareness-month)\nMay 20, 2021\n\n[![June is Pride Month: Summit Health Shines a Light on Health and the LGBTQ+ Community](https:\/\/www.summithealth.com\/sites\/default\/files\/styles\/300x200\/public\/2021-06\/Pride-month-article.jpg?itok=S4m9ukwj)](https:\/\/www.summithealth.com\/health-wellness\/june-pride-month-summit-health-shines-light-health-and-lgbtq-community)\n\n### [June is Pride Month: Summit Health Shines a Light on Health and the LGBTQ+ Community](https:\/\/www.summithealth.com\/health-wellness\/june-pride-month-summit-health-shines-light-health-and-lgbtq-community)\nJune 16, 2021\n\n[![Summit 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estimate](https:\/\/www.summithealth.com\/sites\/default\/files\/2022-06\/Notice_of_Right_to_GFE_Final_v4.0_3.1.22.pdf)\n- [Non-discrimination Statement - NY & NJ](https:\/\/www.summithealth.com\/sites\/default\/files\/2024-08\/summit_health-nondiscrimination-ny-nj.pdf)\n\n© 2026 - Summit Health","attrs_readable_markdown":"![Person holding hands and comforting family member with depression](https:\/\/www.summithealth.com\/sites\/default\/files\/2023-04\/depression.jpg)\n\nMay 1, 2023\n\n*Editor’s note: This article contains references to depression and suicide, which some may find triggering. If you, or someone you know, are at risk for suicide call or text the Suicide and Crisis Lifeline at 988, visit your Summit Health provider, or go the hospital emergency room for help.*\n\nEveryone has bad days or feels down at times, but clinical depression is a serious mood disorder that can have a major impact on someone’s life and those around them. If you or someone you love suffers from depression, it is important to know that there is help and treatment available.\n\nMany people hide feelings of depression, are in denial of the impact the symptoms are having on them, or are not even aware they are suffering from depression. This can make it difficult to recognize the condition in a friend, family member, coworker, or even yourself. Summit Health’s [James Korman, PsyD, ACT,](https:\/\/www.summithealth.com\/doctors\/james-korman-psyd-act) chief of behavioral health at Summit Health, explains how to pick up on the warning signs of depression and [what you can do to help.](https:\/\/www.summithealth.com\/services\/behavioral-health)\n\n**What is clinical depression?**\n\n“Some of the symptoms someone with major depression may experience include sadness, depressed mood, tearfulness, emptiness, hopelessness, and anhedonia, which is the inability to experience pleasure,” explained Dr. Korman. “Additional symptoms of depression may involve weight gain, weight loss, excessive or lack of sleep, inappropriate excessive guilt, and worthlessness.”\n\nIf you have these symptoms for a span of two weeks, you may be suffering from a major depressive disorder. Major depression can be mild, moderate, or severe. People may still be able to function with mild and moderate depression, but in most cases, a person may find the symptoms are negatively impacting their family, social, and work lives.\n\n“When it comes to trying to determine if somebody suffers from depression, it’s not always easy for the average person to notice — people can put on a pretty good face when they're out in public so they can get away with not appearing outwardly depressed,” said Dr. Korman.\n\n**How to spot signs of depression**\n\nDepression is more evident when it’s in the home or to those close to the person suffering. Family members or friends can usually see that there’s a serious problem when their loved one:\n\n- Has a marked change in their behavior\n- Exhibits sadness\n- Loses enjoyment\n- Exhibits risky behaviors\n- Disengages from hobbies\n- Becomes easily agitated\n- Starts isolating themselves\n- Complains frequently of feeling physically ill\n\nWhen a depressed person is planning on taking their own life, there may be potential warning signs. The individual may begin giving away their belongings and appear to magically swing from being depressed to being very happy.\n\n“It’s important to know that death is not the goal of suicide, but a person commits suicide to escape the pain they are feeling,” said Dr. Korman. “When I work with people who are suicidal, it's not that they want to die. They don't want to feel bad anymore and they don't feel that they have any other options.”\n\nIf you or someone you know is at risk for suicide, call or text the Suicide and Crisis Lifeline at 988, see your Summit Health provider, or go to the hospital emergency room near you for help immediately.\n\n**The dangers of untreated depression**\n\nWhen depression is treated, the likelihood of suicide decreases greatly. If left untreated, one of the major consequences of depression can be death at the person’s own hand.\n\n“We do know that women are twice as likely as men to attempt suicide but are less likely to accomplish it. The reason for this is because women often use less lethal means like pills or cut themselves, which gives them time to change their minds and get help,” said Dr. Korman. “Men often rely on more lethal methods such as guns, which often, unfortunately, is successful with the initial attempt.”\n\n**Signs of depression in the workplace**\n\nIn the workplace if a person is disengaged, not performing their job well, or calling out sick frequently they might be exhibiting signs of depression. In addition, if a person begins seeing the doctor frequently with aches and pains that don’t seem to have a medical cause, they should be screened for depression.\n\n**How to approach someone with depression**\n\nIf you sense that someone might be depressed, what's the best way to approach them? Dr. Korman advises that being direct is the best option. “If you are concerned that somebody might be depressed, ask them directly: “Listen, I’ve noticed that you don’t seem to be as happy anymore. You seem sad and you're not as engaged as you once were. What's going on?”\n\nTalking is a good first step. Next, recommend that the person who is suffering from depression see their primary care physician or make an appointment with a mental health professional. Depression is a very treatable disorder and talking to a professional can help.\n\n**Treatment options**\n\nIt is important to know that treatment options are available, and they have been found to be extremely effective in helping people manage depression.\n\nBefore prescribing medication, cognitive behavioral therapy (CBT) is considered the first-line treatment for mild to moderate depression. “CBT focuses on correcting the negative thoughts and ideas that people suffering from depression often have. The goal is to repair their negative self-worth and view of the world by giving them the tools to modify their behavior, negative ideas, thoughts, and perceptions, with the goal of reducing and eliminating symptoms,” explained Dr. Korman.\n\nIf you or someone you know is hesitant about going to therapy, you can make an appointment with a Summit Health primary care physician first. They can help guide you with a diagnosis and recommend treatment or next steps.\n\nDepression can also be treated with medications or a combination of medication and therapy. Your doctor will work closely with you to find a medication that works best for you.\n\n**Summit Health can help you.**\n\nIf you think you may have depression, do not suffer in silence. Depression is highly treatable. [Make an appointment with a behavioral therapist](https:\/\/www.summithealth.com\/services\/behavioral-health) at Summit Health or visit your primary care physician. And if you or someone you know is at risk for suicide, call or text the Suicide and Crisis Lifeline at 988, see your doctor or [walk right into a CityMD location](https:\/\/www.citymd.com\/urgent-care-locations) or hospital emergency room near you for help immediately.\n\nTags: [depression](https:\/\/www.summithealth.com\/health-wellness?tag=16431), [depression management](https:\/\/www.summithealth.com\/health-wellness?tag=28586), [antidepressants](https:\/\/www.summithealth.com\/health-wellness?tag=29196), [mood disorders](https:\/\/www.summithealth.com\/health-wellness?tag=26216), [clinical depression](https:\/\/www.summithealth.com\/health-wellness?tag=39866), [sadness](https:\/\/www.summithealth.com\/health-wellness?tag=39871), [James Korman, PsyD, ACT](https:\/\/www.summithealth.com\/health-wellness?tag=28881), [behavioral health](https:\/\/www.summithealth.com\/health-wellness?tag=16416), [behavioral health clinician](https:\/\/www.summithealth.com\/health-wellness?tag=36491), [signs of depression](https:\/\/www.summithealth.com\/health-wellness?tag=39876), [cognitive behavioral therapy](https:\/\/www.summithealth.com\/health-wellness?tag=23751), [mental health](https:\/\/www.summithealth.com\/health-wellness?tag=16421), [mental health support](https:\/\/www.summithealth.com\/health-wellness?tag=39881)","meta_canonical":null}

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Boilerpipe Text	May 1, 2023 Editor’s note: This article contains references to depression and suicide, which some may find triggering. If you, or someone you know, are at risk for suicide call or text the Suicide and Crisis Lifeline at 988, visit your Summit Health provider, or go the hospital emergency room for help. Everyone has bad days or feels down at times, but clinical depression is a serious mood disorder that can have a major impact on someone’s life and those around them. If you or someone you love suffers from depression, it is important to know that there is help and treatment available. Many people hide feelings of depression, are in denial of the impact the symptoms are having on them, or are not even aware they are suffering from depression. This can make it difficult to recognize the condition in a friend, family member, coworker, or even yourself. Summit Health’s James Korman, PsyD, ACT, chief of behavioral health at Summit Health, explains how to pick up on the warning signs of depression and what you can do to help. What is clinical depression? “Some of the symptoms someone with major depression may experience include sadness, depressed mood, tearfulness, emptiness, hopelessness, and anhedonia, which is the inability to experience pleasure,” explained Dr. Korman. “Additional symptoms of depression may involve weight gain, weight loss, excessive or lack of sleep, inappropriate excessive guilt, and worthlessness.” If you have these symptoms for a span of two weeks, you may be suffering from a major depressive disorder. Major depression can be mild, moderate, or severe. People may still be able to function with mild and moderate depression, but in most cases, a person may find the symptoms are negatively impacting their family, social, and work lives. “When it comes to trying to determine if somebody suffers from depression, it’s not always easy for the average person to notice — people can put on a pretty good face when they're out in public so they can get away with not appearing outwardly depressed,” said Dr. Korman. How to spot signs of depression Depression is more evident when it’s in the home or to those close to the person suffering. Family members or friends can usually see that there’s a serious problem when their loved one: Has a marked change in their behavior Exhibits sadness Loses enjoyment Exhibits risky behaviors Disengages from hobbies Becomes easily agitated Starts isolating themselves Complains frequently of feeling physically ill When a depressed person is planning on taking their own life, there may be potential warning signs. The individual may begin giving away their belongings and appear to magically swing from being depressed to being very happy. “It’s important to know that death is not the goal of suicide, but a person commits suicide to escape the pain they are feeling,” said Dr. Korman. “When I work with people who are suicidal, it's not that they want to die. They don't want to feel bad anymore and they don't feel that they have any other options.” If you or someone you know is at risk for suicide, call or text the Suicide and Crisis Lifeline at 988, see your Summit Health provider, or go to the hospital emergency room near you for help immediately. The dangers of untreated depression When depression is treated, the likelihood of suicide decreases greatly. If left untreated, one of the major consequences of depression can be death at the person’s own hand. “We do know that women are twice as likely as men to attempt suicide but are less likely to accomplish it. The reason for this is because women often use less lethal means like pills or cut themselves, which gives them time to change their minds and get help,” said Dr. Korman. “Men often rely on more lethal methods such as guns, which often, unfortunately, is successful with the initial attempt.” Signs of depression in the workplace In the workplace if a person is disengaged, not performing their job well, or calling out sick frequently they might be exhibiting signs of depression. In addition, if a person begins seeing the doctor frequently with aches and pains that don’t seem to have a medical cause, they should be screened for depression. How to approach someone with depression If you sense that someone might be depressed, what's the best way to approach them? Dr. Korman advises that being direct is the best option. “If you are concerned that somebody might be depressed, ask them directly: “Listen, I’ve noticed that you don’t seem to be as happy anymore. You seem sad and you're not as engaged as you once were. What's going on?” Talking is a good first step. Next, recommend that the person who is suffering from depression see their primary care physician or make an appointment with a mental health professional. Depression is a very treatable disorder and talking to a professional can help. Treatment options It is important to know that treatment options are available, and they have been found to be extremely effective in helping people manage depression. Before prescribing medication, cognitive behavioral therapy (CBT) is considered the first-line treatment for mild to moderate depression. “CBT focuses on correcting the negative thoughts and ideas that people suffering from depression often have. The goal is to repair their negative self-worth and view of the world by giving them the tools to modify their behavior, negative ideas, thoughts, and perceptions, with the goal of reducing and eliminating symptoms,” explained Dr. Korman. If you or someone you know is hesitant about going to therapy, you can make an appointment with a Summit Health primary care physician first. They can help guide you with a diagnosis and recommend treatment or next steps. Depression can also be treated with medications or a combination of medication and therapy. Your doctor will work closely with you to find a medication that works best for you. Summit Health can help you. If you think you may have depression, do not suffer in silence. Depression is highly treatable. Make an appointment with a behavioral therapist at Summit Health or visit your primary care physician. And if you or someone you know is at risk for suicide, call or text the Suicide and Crisis Lifeline at 988, see your doctor or walk right into a CityMD location or hospital emergency room near you for help immediately. Tags: depression , depression management , antidepressants , mood disorders , clinical depression , sadness , James Korman, PsyD, ACT , behavioral health , behavioral health clinician , signs of depression , cognitive behavioral therapy , mental health , mental health support
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If you, or someone you know, are at risk for suicide call or text the Suicide and Crisis Lifeline at 988, visit your Summit Health provider, or go the hospital emergency room for help. Everyone has bad days or feels down at times, but clinical depression is a serious mood disorder that can have a major impact on someone’s life and those around them. If you or someone you love suffers from depression, it is important to know that there is help and treatment available. Many people hide feelings of depression, are in denial of the impact the symptoms are having on them, or are not even aware they are suffering from depression. This can make it difficult to recognize the condition in a friend, family member, coworker, or even yourself. Summit Health’s [James Korman, PsyD, ACT,](https://www.summithealth.com/doctors/james-korman-psyd-act) chief of behavioral health at Summit Health, explains how to pick up on the warning signs of depression and [what you can do to help.](https://www.summithealth.com/services/behavioral-health) What is clinical depression? “Some of the symptoms someone with major depression may experience include sadness, depressed mood, tearfulness, emptiness, hopelessness, and anhedonia, which is the inability to experience pleasure,” explained Dr. Korman. “Additional symptoms of depression may involve weight gain, weight loss, excessive or lack of sleep, inappropriate excessive guilt, and worthlessness.” If you have these symptoms for a span of two weeks, you may be suffering from a major depressive disorder. Major depression can be mild, moderate, or severe. People may still be able to function with mild and moderate depression, but in most cases, a person may find the symptoms are negatively impacting their family, social, and work lives. “When it comes to trying to determine if somebody suffers from depression, it’s not always easy for the average person to notice — people can put on a pretty good face when they're out in public so they can get away with not appearing outwardly depressed,” said Dr. Korman. How to spot signs of depression Depression is more evident when it’s in the home or to those close to the person suffering. Family members or friends can usually see that there’s a serious problem when their loved one: - Has a marked change in their behavior - Exhibits sadness - Loses enjoyment - Exhibits risky behaviors - Disengages from hobbies - Becomes easily agitated - Starts isolating themselves - Complains frequently of feeling physically ill When a depressed person is planning on taking their own life, there may be potential warning signs. The individual may begin giving away their belongings and appear to magically swing from being depressed to being very happy. “It’s important to know that death is not the goal of suicide, but a person commits suicide to escape the pain they are feeling,” said Dr. Korman. “When I work with people who are suicidal, it's not that they want to die. They don't want to feel bad anymore and they don't feel that they have any other options.” If you or someone you know is at risk for suicide, call or text the Suicide and Crisis Lifeline at 988, see your Summit Health provider, or go to the hospital emergency room near you for help immediately. The dangers of untreated depression When depression is treated, the likelihood of suicide decreases greatly. If left untreated, one of the major consequences of depression can be death at the person’s own hand. “We do know that women are twice as likely as men to attempt suicide but are less likely to accomplish it. The reason for this is because women often use less lethal means like pills or cut themselves, which gives them time to change their minds and get help,” said Dr. Korman. “Men often rely on more lethal methods such as guns, which often, unfortunately, is successful with the initial attempt.” Signs of depression in the workplace In the workplace if a person is disengaged, not performing their job well, or calling out sick frequently they might be exhibiting signs of depression. In addition, if a person begins seeing the doctor frequently with aches and pains that don’t seem to have a medical cause, they should be screened for depression. How to approach someone with depression If you sense that someone might be depressed, what's the best way to approach them? Dr. Korman advises that being direct is the best option. “If you are concerned that somebody might be depressed, ask them directly: “Listen, I’ve noticed that you don’t seem to be as happy anymore. You seem sad and you're not as engaged as you once were. What's going on?” Talking is a good first step. Next, recommend that the person who is suffering from depression see their primary care physician or make an appointment with a mental health professional. Depression is a very treatable disorder and talking to a professional can help. Treatment options It is important to know that treatment options are available, and they have been found to be extremely effective in helping people manage depression. Before prescribing medication, cognitive behavioral therapy (CBT) is considered the first-line treatment for mild to moderate depression. “CBT focuses on correcting the negative thoughts and ideas that people suffering from depression often have. The goal is to repair their negative self-worth and view of the world by giving them the tools to modify their behavior, negative ideas, thoughts, and perceptions, with the goal of reducing and eliminating symptoms,” explained Dr. Korman. If you or someone you know is hesitant about going to therapy, you can make an appointment with a Summit Health primary care physician first. They can help guide you with a diagnosis and recommend treatment or next steps. Depression can also be treated with medications or a combination of medication and therapy. Your doctor will work closely with you to find a medication that works best for you. Summit Health can help you. If you think you may have depression, do not suffer in silence. Depression is highly treatable. [Make an appointment with a behavioral therapist](https://www.summithealth.com/services/behavioral-health) at Summit Health or visit your primary care physician. And if you or someone you know is at risk for suicide, call or text the Suicide and Crisis Lifeline at 988, see your doctor or [walk right into a CityMD location](https://www.citymd.com/urgent-care-locations) or hospital emergency room near you for help immediately. Tags: [depression](https://www.summithealth.com/health-wellness?tag=16431), [depression management](https://www.summithealth.com/health-wellness?tag=28586), [antidepressants](https://www.summithealth.com/health-wellness?tag=29196), [mood disorders](https://www.summithealth.com/health-wellness?tag=26216), [clinical depression](https://www.summithealth.com/health-wellness?tag=39866), [sadness](https://www.summithealth.com/health-wellness?tag=39871), [James Korman, PsyD, ACT](https://www.summithealth.com/health-wellness?tag=28881), [behavioral health](https://www.summithealth.com/health-wellness?tag=16416), [behavioral health clinician](https://www.summithealth.com/health-wellness?tag=36491), [signs of depression](https://www.summithealth.com/health-wellness?tag=39876), [cognitive behavioral therapy](https://www.summithealth.com/health-wellness?tag=23751), [mental health](https://www.summithealth.com/health-wellness?tag=16421), [mental health support](https://www.summithealth.com/health-wellness?tag=39881) ## Related Stories [![Seasonal Affective Disorder](https://www.summithealth.com/sites/default/files/styles/300x200/public/2020-11/SAD%20%28Woman%20Looking%20Out%20Window%29.jpg?itok=REfo08Rt)](https://www.summithealth.com/health-wellness/how-recognize-and-deal-seasonal-affective-disorder) ### [How to Recognize and Deal with Seasonal Affective Disorder](https://www.summithealth.com/health-wellness/how-recognize-and-deal-seasonal-affective-disorder) November 4, 2020 [![Woman in brown speaking with her doctor about mental health](https://www.summithealth.com/sites/default/files/styles/300x200/public/2021-05/Mental%20Health.jpg?itok=qZlkE7NW)](https://www.summithealth.com/health-wellness/erasing-stigma-may-mental-health-awareness-month) ### [Erasing the Stigma: May is Mental Health Awareness Month](https://www.summithealth.com/health-wellness/erasing-stigma-may-mental-health-awareness-month) May 20, 2021 [![June is Pride Month: Summit Health Shines a Light on Health and the LGBTQ+ Community](https://www.summithealth.com/sites/default/files/styles/300x200/public/2021-06/Pride-month-article.jpg?itok=S4m9ukwj)](https://www.summithealth.com/health-wellness/june-pride-month-summit-health-shines-light-health-and-lgbtq-community) ### [June is Pride Month: Summit Health Shines a Light on Health and the LGBTQ+ Community](https://www.summithealth.com/health-wellness/june-pride-month-summit-health-shines-light-health-and-lgbtq-community) June 16, 2021 [![Summit Health](https://www.summithealth.com/themes/summit_theme/public/images/logos/2025-v2/footer.png)](https://www.summithealth.com/) - 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Readable Markdown	![Person holding hands and comforting family member with depression](https://www.summithealth.com/sites/default/files/2023-04/depression.jpg) May 1, 2023 Editor’s note: This article contains references to depression and suicide, which some may find triggering. If you, or someone you know, are at risk for suicide call or text the Suicide and Crisis Lifeline at 988, visit your Summit Health provider, or go the hospital emergency room for help. Everyone has bad days or feels down at times, but clinical depression is a serious mood disorder that can have a major impact on someone’s life and those around them. If you or someone you love suffers from depression, it is important to know that there is help and treatment available. Many people hide feelings of depression, are in denial of the impact the symptoms are having on them, or are not even aware they are suffering from depression. This can make it difficult to recognize the condition in a friend, family member, coworker, or even yourself. Summit Health’s [James Korman, PsyD, ACT,](https://www.summithealth.com/doctors/james-korman-psyd-act) chief of behavioral health at Summit Health, explains how to pick up on the warning signs of depression and [what you can do to help.](https://www.summithealth.com/services/behavioral-health) What is clinical depression? “Some of the symptoms someone with major depression may experience include sadness, depressed mood, tearfulness, emptiness, hopelessness, and anhedonia, which is the inability to experience pleasure,” explained Dr. Korman. “Additional symptoms of depression may involve weight gain, weight loss, excessive or lack of sleep, inappropriate excessive guilt, and worthlessness.” If you have these symptoms for a span of two weeks, you may be suffering from a major depressive disorder. Major depression can be mild, moderate, or severe. People may still be able to function with mild and moderate depression, but in most cases, a person may find the symptoms are negatively impacting their family, social, and work lives. “When it comes to trying to determine if somebody suffers from depression, it’s not always easy for the average person to notice — people can put on a pretty good face when they're out in public so they can get away with not appearing outwardly depressed,” said Dr. Korman. How to spot signs of depression Depression is more evident when it’s in the home or to those close to the person suffering. Family members or friends can usually see that there’s a serious problem when their loved one: - Has a marked change in their behavior - Exhibits sadness - Loses enjoyment - Exhibits risky behaviors - Disengages from hobbies - Becomes easily agitated - Starts isolating themselves - Complains frequently of feeling physically ill When a depressed person is planning on taking their own life, there may be potential warning signs. The individual may begin giving away their belongings and appear to magically swing from being depressed to being very happy. “It’s important to know that death is not the goal of suicide, but a person commits suicide to escape the pain they are feeling,” said Dr. Korman. “When I work with people who are suicidal, it's not that they want to die. They don't want to feel bad anymore and they don't feel that they have any other options.” If you or someone you know is at risk for suicide, call or text the Suicide and Crisis Lifeline at 988, see your Summit Health provider, or go to the hospital emergency room near you for help immediately. The dangers of untreated depression When depression is treated, the likelihood of suicide decreases greatly. If left untreated, one of the major consequences of depression can be death at the person’s own hand. “We do know that women are twice as likely as men to attempt suicide but are less likely to accomplish it. The reason for this is because women often use less lethal means like pills or cut themselves, which gives them time to change their minds and get help,” said Dr. Korman. “Men often rely on more lethal methods such as guns, which often, unfortunately, is successful with the initial attempt.” Signs of depression in the workplace In the workplace if a person is disengaged, not performing their job well, or calling out sick frequently they might be exhibiting signs of depression. In addition, if a person begins seeing the doctor frequently with aches and pains that don’t seem to have a medical cause, they should be screened for depression. How to approach someone with depression If you sense that someone might be depressed, what's the best way to approach them? Dr. Korman advises that being direct is the best option. “If you are concerned that somebody might be depressed, ask them directly: “Listen, I’ve noticed that you don’t seem to be as happy anymore. You seem sad and you're not as engaged as you once were. What's going on?” Talking is a good first step. Next, recommend that the person who is suffering from depression see their primary care physician or make an appointment with a mental health professional. Depression is a very treatable disorder and talking to a professional can help. Treatment options It is important to know that treatment options are available, and they have been found to be extremely effective in helping people manage depression. Before prescribing medication, cognitive behavioral therapy (CBT) is considered the first-line treatment for mild to moderate depression. “CBT focuses on correcting the negative thoughts and ideas that people suffering from depression often have. The goal is to repair their negative self-worth and view of the world by giving them the tools to modify their behavior, negative ideas, thoughts, and perceptions, with the goal of reducing and eliminating symptoms,” explained Dr. Korman. If you or someone you know is hesitant about going to therapy, you can make an appointment with a Summit Health primary care physician first. They can help guide you with a diagnosis and recommend treatment or next steps. Depression can also be treated with medications or a combination of medication and therapy. Your doctor will work closely with you to find a medication that works best for you. Summit Health can help you. If you think you may have depression, do not suffer in silence. Depression is highly treatable. [Make an appointment with a behavioral therapist](https://www.summithealth.com/services/behavioral-health) at Summit Health or visit your primary care physician. And if you or someone you know is at risk for suicide, call or text the Suicide and Crisis Lifeline at 988, see your doctor or [walk right into a CityMD location](https://www.citymd.com/urgent-care-locations) or hospital emergency room near you for help immediately. Tags: [depression](https://www.summithealth.com/health-wellness?tag=16431), [depression management](https://www.summithealth.com/health-wellness?tag=28586), [antidepressants](https://www.summithealth.com/health-wellness?tag=29196), [mood disorders](https://www.summithealth.com/health-wellness?tag=26216), [clinical depression](https://www.summithealth.com/health-wellness?tag=39866), [sadness](https://www.summithealth.com/health-wellness?tag=39871), [James Korman, PsyD, ACT](https://www.summithealth.com/health-wellness?tag=28881), [behavioral health](https://www.summithealth.com/health-wellness?tag=16416), [behavioral health clinician](https://www.summithealth.com/health-wellness?tag=36491), [signs of depression](https://www.summithealth.com/health-wellness?tag=39876), [cognitive behavioral therapy](https://www.summithealth.com/health-wellness?tag=23751), [mental health](https://www.summithealth.com/health-wellness?tag=16421), [mental health support](https://www.summithealth.com/health-wellness?tag=39881)
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