Overcoming Depression
By Dr Marcus Tan, Consultant Psychiatrist, Nobel Psychological Wellness Clinic (Healthway Medical Group)
Understanding Sadness and Depression
Everyone experiences sadness after life’s challenges, such as losing a loved one, facing a breakup, or changes at work. Usually, these emotions ease with time. But when sadness lingers without reason or feels overwhelming, it might be more than just a passing mood. Recognising this difference is key to overcoming depression early and effectively.
What is Depression?
Depression is not simply “feeling down.” It is a medical condition that affects how we think, feel, and behave. It can cause fatigue, hopelessness, and loss of interest in daily life. With professional care and support, overcoming depression is achievable — and most people recover fully with the right treatment plan.
Types of Depression
Depression can take several forms, each with its own features and level of severity:
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Major Depressive Disorder
The most common form, marked by a low mood and loss of interest in almost all activities, often accompanied by poor sleep, appetite changes, and low self-esteem. -
Dysthymia (Persistent Depressive Disorder)
A milder but long-lasting form of depression where symptoms persist for years, often unnoticed but still draining. -
Bipolar Depression
Occurs as part of bipolar disorder, where episodes of depression alternate with periods of elevated or irritable mood. People may experience increased sleep or appetite during the low phases.
Recognising the Signs
Depression can look different from person to person. Common signs include:
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Persistent sadness or tearfulness
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Loss of interest in activities once enjoyed
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Changes in appetite or weight (unrelated to diet)
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Difficulty sleeping or sleeping too much
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Low energy or constant fatigue
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Feeling irritable, restless, or anxious
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Trouble concentrating or making decisions
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Feelings of guilt, worthlessness, or hopelessness
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Thoughts of death or suicide
If several of these symptoms last for more than two weeks, it may be time to seek professional help.
Who Can Experience Depression?
Depression can affect anyone — regardless of age, gender, background, or success in life. Many people living with depression may seem outwardly “fine” or even accomplished but struggle internally.
A combination of genetic, biological, and environmental factors often contributes to depression. Sometimes, there is no clear trigger at all.
Getting a Diagnosis
Diagnosing depression involves a thorough consultation with a doctor or mental health professional. This typically includes a detailed discussion about mood, medical history, and life circumstances.
Sometimes, blood tests or imaging studies are done to rule out medical conditions (such as thyroid problems or diabetes) that can mimic depressive symptoms. Understanding the root causes helps create a holistic treatment plan tailored to the individual.
Treatment Options
Depression is one of the most treatable mental health conditions — nearly 9 out of 10 people respond positively to proper treatment.
A combination of the following approaches is often most effective:
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Psychotherapy (Talk Therapy)
Speaking with a trained therapist helps individuals understand their emotions, develop coping strategies, and rebuild confidence. -
Antidepressant Medication
These medicines balance brain chemistry and improve mood. They are not addictive, not sedatives, and are prescribed only when clinically indicated. -
Physical Treatments (e.g., Electroconvulsive Therapy)
Used for severe or treatment-resistant cases, this evidence-based procedure can be highly effective under medical supervision.
Supporting Recovery
Medical care is crucial, but lifestyle and self-care also play an important role in recovery. People living with depression can support their wellbeing by:
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Exercising regularly
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Getting enough rest
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Eating balanced meals
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Avoiding alcohol and other mood-altering substances
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Reaching out to supportive friends, family, or community resources
Even small steps can make a difference. Healing takes time, but it is absolutely possible.
A Message from Dr Marcus Tan
“Depression is like any other medical illness — it deserves timely care and understanding. Seeking help early can reduce unnecessary suffering. If you or someone you know may be struggling, don’t wait. Reach out to a doctor, psychologist, or counsellor. The first step toward recovery often begins with that one conversation.”
If You Need Help
If you or someone you know is having suicidal thoughts, seek help immediately. In Singapore, you can contact:
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Samaritans of Singapore (SOS): 1767 (24-hour hotline)
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Institute of Mental Health’s Helpline: 6389 2222
Remember — depression is not a sign of weakness. With the right support, you can feel better and thrive again. PRIME
