Despite going through it first-hand I still do not really know how to define exactly what depression is. I assume, like most things in life, it is different for different people.
I always thought depression and a long period of sadness were essentially the same thing. When I first started seeking medical help, one of the reasons it took me a while to accept the diagnosis of depression was my complete lack of sadness. How could I possibly be depressed when I wasn't the least bit sad? Of course, I failed to notice I wasn't feeling much of any emotion.
The progression for me went as following;
1. A sudden inability to fall and stay asleep. I went four days without sleeping before I decided to go to the hospital to find out what was going on. Was prescribed sleeping pills, which did knock me out for about six hours a night, yet did not leave me feeling any more rested the following day.
2. A decline over about two months in my memory, ability to concentrate at work and make even simple decisions. There were a couple of times where I walked into a grocery store and left because I just could not decide what to buy.
3. Decrease in appetite. Went to eating one meal a day, usually lunch at the cafeteria at work. Didn't require any effort on my part to prepare.
4. Lack of interest in all aspects of life. Didn't really care about comics, statues, or the army.
5. Recurring and persistent thoughts about illness and dying. I couldn't be feeling this bad without something being seriously wrong physically. This developed over months to even more frequent, every hour or so, thoughts of ending my own life. Got to the point where I could not walk by an over pass, look at oncoming traffic, or handle a firearm without thinking of suicide. I recall being on a 9mm firing range with this young female instructor teaching the basic principles of marksmanship and imagining her reaction if I ate a bullet in front of her.
6. As it was becoming more and more difficult to function at work, I was given two weeks of time off to "rest". Worse move ever in my case. I spent most of the two weeks trying to sleep and isolated. As I had several pistols and rifles at home, it made the prospect of suicide simple. The only single reason I did not kill myself is because I could not figure out how to accomplish it without it affecting my friends, family and fellow military members.
I turned my weapons into the local police, a story in and of itself for another day.
7. Despite seeing a social worker through the military, it took a while before I could admit verbally that I had been having suicidal thoughts. When I finally did I was hospitalized for 15 days. There wasn't much in terms of special treatment, other than a complete and 100% break from my regular routine and a controlled schedule of medication and meals.
8. Continued to take the anti-depression medication for about 5 months after being released from the hospital. The dosage was stepped down as I felt more like myself. What was also very helpful was my work schedule gradually went from 3 days per week to full-time over the same time period.
For over a year now, I am back to being my old-self prior to the not only the depression, but before the causal events that led to the depression. What I have to be aware and vigilant about is the fact that once you have gone through a clinical depression, it sort of leaves you more vulnerable to another depression in the future. If I do have any changes in terms of sleeping, appetite, level of interest, or mental focus I will consider getting help earlier rather than later.
I added this link to a thread I started around this time:
http://www.statueforum.com/showthrea...ght=depression