Depression & Mood · Dr. Prerna Kohli
Signs of Depression — and How to Tell It Apart From Sadness
Everyone feels low sometimes — that is part of being human. Depression is different: a persistent low mood or loss of interest that reaches into how you feel, think, sleep, and function. It is common, it is not a weakness, and it is very treatable. Recognising the signs and reaching out is the most powerful step you can take.
Clinical Psychologist · 30+ years · 6 min read · Written 13 October 2016 · Reviewed by Dr. Prerna Kohli · 6 July 2026
Quick answer
Everyone feels low sometimes — that is part of being human. Depression is different: a persistent low mood or loss of interest that lasts most of the day, nearly every day, for at least two weeks, alongside other changes in how you feel, think, sleep, and function. It is common, it is not a weakness, and — importantly — it is very treatable. Recognising the signs and reaching out for professional help is the most powerful step you can take.
Who's writing this. Dr. Prerna Kohli is a clinical psychologist with a PhD and M.Phil in Clinical Psychology from Aligarh Muslim University and over 30 years in practice — a TEDx speaker, published author, and recipient of the "100 Women Achievers of India" award from the President of India. She has worked with many people living with depression and low mood.
Low mood, or depression?
The difference is not the feeling itself, but its depth, duration, and reach into your life:
Ordinary low mood
- Comes and goes
- Often has a clear trigger
- Lifts within days
- You can still enjoy things
- Daily life carries on
Depression
- Persistent, most of the day
- Lasts two weeks or more
- May have no obvious cause
- Joy and interest fade
- Work, sleep, and relationships suffer
Depression, in context
Source: World Health Organization — definition, symptoms, and global prevalence of depression. Full source below.
Common signs of depression
Depression shows up across how you feel, your body, and your thoughts. A cluster of these, lasting two weeks or more, is worth taking seriously:
How you feel
- Persistent sadness or emptiness
- Feeling hopeless or helpless
- Loss of interest or pleasure
- Irritability
Your body
- Tired and low in energy
- Sleeping too much or too little
- Changes in appetite or weight
- Aches with no clear cause
Thoughts & behaviour
- Trouble concentrating
- Relentless negative thoughts
- Pulling away from people
- Turning to alcohol to cope
The two-week mark is the clinical signpost: when these changes persist most of the day, nearly every day, for two weeks or longer, it is time to speak to a professional — not to wait and hope it passes.
If you ever have thoughts of death, of harming yourself, or that life is not worth living, please treat this as urgent. Reach out right away — to a doctor, a mental health professional, or someone you trust, and to your local emergency services if you are in immediate danger. You do not have to carry these thoughts alone, and with support they can and do ease.
The most important thing to know
Depression is treatable. With the right professional support — talking therapy, and where appropriate, medical treatment a doctor can discuss with you — the great majority of people recover. Just as you would not try to perform surgery on yourself, depression is not something to treat alone; it calls for skilled, compassionate help. Reaching out is not a sign of weakness but one of the strongest and wisest things a person can do.
Depression lies to you — it whispers that nothing will change and that reaching out is pointless. That hopelessness is a symptom, not the truth. Recovery is the rule, not the exception, once the right help is in place.
You don't have to face it alone
If you recognise yourself in these signs, you do not have to face it alone — support is here whenever you are ready. (If you are in immediate danger, please contact emergency services first.)
Book a session Message on WhatsAppFrequently asked questions
What's the difference between sadness and depression?
Sadness is a normal, passing emotion, usually with a clear cause, that comes and goes and lets you still enjoy things. Depression is deeper and more persistent: a low mood or loss of interest that lasts most of the day, nearly every day, for two weeks or more, and reaches into your sleep, energy, appetite, concentration, and relationships. The key differences are depth, duration, and how much it disrupts your life — not the feeling alone.
How do I know if I'm depressed?
Look for a cluster of changes lasting two weeks or more: persistent sadness or emptiness, loss of interest or pleasure, hopelessness, low energy, disturbed sleep or appetite, trouble concentrating, and pulling away from people. If several of these have been present most days for a fortnight and are affecting your life, it is worth speaking to a professional. Only a qualified professional can diagnose depression, but recognising the pattern is the first step toward getting help.
Is depression a sign of weakness?
No — this is one of the most harmful myths about depression. Depression is a common health condition involving real changes in the brain and body, not a character flaw or a failure of willpower. People cannot simply "snap out of it," any more than they could will away another illness. Reaching out for help takes genuine courage and wisdom. If anything, recognising you are struggling and seeking support is a sign of strength.
How long does depression last?
It varies. Without treatment, an episode can last many months or longer; with the right support, recovery is often much quicker, and treatment can also reduce the chance of it returning. Some people experience a single episode, others recurring ones. The important message is that depression is not a permanent state — the hopelessness it creates is itself a symptom, and with help, the great majority of people recover.
Can depression go away on its own?
Milder low mood sometimes lifts by itself, but genuine depression that has persisted for weeks usually needs support to resolve, and waiting and hoping can allow it to deepen. You would not leave another health condition untreated in the hope it passes. If low mood has lasted two weeks or more and is affecting your life, reaching out to a professional is far wiser than waiting — and it tends to lead to faster, fuller recovery.
Is depression treatable?
Yes — very. Well-established treatments, including talking therapies such as cognitive behavioural therapy and, where appropriate, medication a doctor can discuss with you, help the great majority of people recover. Treatment is usually tailored to how severe the depression is and to you as an individual. The main barrier to recovery is not a lack of effective treatment but people not reaching out — often because depression itself convinces them nothing will help. It can, and it does.
What kind of help should I seek for depression?
A good starting point is a clinical psychologist or your doctor, who can assess what you are experiencing and guide you toward the right support — often talking therapy, and where appropriate, medication discussed with a doctor or psychiatrist. Psychologists provide therapy; psychiatrists are medical doctors who can also prescribe. Many people benefit from a combination. The essential step is simply to reach out to a qualified professional rather than trying to manage it alone.
Should I take medication for depression?
That is a decision to make with a doctor, based on how severe your depression is and your individual situation. For some people, particularly with moderate to severe depression, medication can be an important and effective part of recovery; for others, therapy alone is enough. Medication and therapy are often combined. This article is general information, not medical advice — a doctor or psychiatrist can talk you through whether medication is right for you.
What should I do if I'm having thoughts of suicide or self-harm?
Please treat this as urgent, and reach out right away — to a doctor, a mental health professional, or someone you trust — and to your local emergency services if you are in immediate danger. These thoughts are a symptom of severe distress, not a fact about your future, and you do not have to carry them alone. With support, they can and do ease. You deserve help, and reaching out for it now is the most important thing you can do.
How can I support someone who is depressed?
Listen without judgement, take what they share seriously, and avoid telling them to "cheer up" or "snap out of it." Gently encourage them to seek professional help, and offer practical support — even sitting with them while they make a call. Stay in touch, be patient, and remind them that depression is treatable and not their fault. Look after yourself too. Your steady, caring presence genuinely matters, though it is not a substitute for professional care.
Can lifestyle changes help with depression?
They can support recovery, alongside — not instead of — professional treatment. Regular movement, decent sleep, connection with others, reducing alcohol, and managing stress all help mood and are worth tending. But for genuine depression, these are complements to therapy and, where needed, medical care, not replacements. If you are depressed, please seek professional support first, and let healthy habits work alongside it as part of a fuller recovery.
Depression is common, it is not your fault, and it is very treatable — reaching out is the strongest step you can take. You may also find it helpful to read about managing everyday stress, meditation for calm, grief and when it becomes depression, the role of nutrition in mood and wellbeing, and how anxiety is understood and treated. If you would like support, a clinical psychologist in Gurugram can help.
Source: World Health Organization — definition, symptoms, and global prevalence of depression (WHO, Depression).
Dr. Prerna Kohli
Clinical Psychologist · PhD & M.Phil, Clinical Psychology (Aligarh Muslim University)
Dr. Prerna Kohli is a clinical psychologist with more than three decades of experience in private practice in Gurugram, working with individuals and families across India and the Indian diaspora, including many living with depression, anxiety, and low mood. A TEDx speaker and published author, she was honoured with the "100 Women Achievers of India" award (2016) by the President of India, and is recognised as a notable subject on Wikipedia and Wikidata.
This article is for general information and is not a substitute for individual professional assessment or treatment. If you are struggling, please reach out to a professional; if you are in immediate danger, contact your local emergency services.