Columbia Associates is dedicated to supporting your mental health. If you are experiencing suicidal thoughts, we encourage you to reach out for immediate support through your local crisis services by dialing 988, contacting your local emergency services, or visiting your local emergency room. 

Severe depression can feel overwhelming, both for those experiencing it and their loved ones. Also known as major depressive disorder (MDD), this condition involves persistent feelings of sadness, hopelessness, and a loss of interest in activities that once brought joy.  

If you’re seeking effective solutions for severe depression, there are various options available, including Spravato® treatment services. Columbia Associates offers this treatment as well as others, working to help you find the mental well-being you deserve. Call 703.682.8208 today to learn more about our services. 

What Is Severe Depression? 

Severe depression, or major depressive disorder, is much more than just feeling sad from time to time. It is a mental health condition that affects a person’s ability to function in their daily life. Severe depression makes it challenging to carry out even the most basic activities like getting out of bed, getting dressed, going to work, or interacting socially. 

It’s important to understand that severe depression is not a choice or something that someone can “snap out of.” It is a medical condition that often requires treatment and support, much like any other health issue. 

Signs and Symptoms of Major Depressive Disorder 

Major depressive disorder may look different in everyone, but there are common signs and symptoms that most people experience. These include: 

• Persistent sadness – Feeling sad or empty for most of the day over a long period of time 

• Loss of interest – A lack of interest or pleasure in activities that were once enjoyed 

• Fatigue – Experiencing tiredness or a lack of energy, even with plenty of sleep 

• Changes in sleep patterns – Difficulty sleeping or sleeping too much 

• Feelings of worthlessness – Persistent thoughts of guilt, hopelessness, or uselessness 

• Difficulty concentrating – Trouble making decisions or staying focused  

• Physical symptoms – Unexplained aches and pains or changes in appetite and weight 

• Thoughts of suicide – If thoughts of death or suicide should occur, seek immediate support. 

If you or someone you know is experiencing these symptoms, it is important to reach out for help. Columbia Associates can offer solutions, including Spravato®, for treatment-resistant depression. 

Causes of Severe Depression 

The causes of severe depression are complex and often involve a variety of factors. Genetics can play a role, as a family history of depression can increase the likelihood of developing the condition. Other factors that can trigger severe depression include life events such as:  

• Trauma 

• Loss 

• Significant stress 

• Imbalances in brain chemistry 

• Serious medical conditions 

While there is no single cause, understanding the contributing factors can help in developing a unique treatment plan. At Columbia Associates, we respect your story, take the time to understand your circumstances, and offer custom care.  

What Does Addressing Severe Depression Look Like? 

Addressing severe depression often requires a combination of treatments, including therapy, medication, and sometimes interventional treatments like Spravato® (esketamine nasal spray). Though every client is different, here are some of the ways we may treat severe depression Columbia Associates:

1. Therapy

Talk therapy is a common approach to treating severe depression. Therapists will work with individuals to identify negative thought patterns and replace them with healthier ones. Other therapeutic modalities may also be considered based on individual needs. 

2. Medication

Antidepressant medications can help regulate brain chemistry and reduce the symptoms of depression. Medications are prescribed in combination with therapy when additional support is needed. It can sometimes take time to find the right medication and dosage for each individual, but when the right combination is found, clients typically experience a significant lessening of symptoms. 

3. Spravato® (Esketamine)

If traditional antidepressants don’t work, Spravato® is an FDA-approved nasal spray that often provides fast relief. Spravato® is used in conjunction with an oral antidepressant and administered under the supervision of a healthcare professional. Many people who have not had success with other treatments have found great relief with this option. 

If you are interested in learning more about Spravato® or finding out if it may be right for you, we’re happy to answer any of your questions. 

4. Lifestyle Changes

Lifestyle changes are an important part of managing severe depression. Doing your best to maintain physical activity, eating a healthy diet even when you may not have an appetite, and getting adequate sleep each night can help improve mood and reduce symptoms. Establishing a daily routine and setting small, achievable goals can also provide structure and a sense of accomplishment. Many people tend to overlook these, but they are essential in maintaining and proactively supporting your mental well-being.  

Supporting a Loved One with Severe Depression 

Supporting someone with severe depression can be challenging, but your support is incredibly valuable and appreciated. Often, people experiencing severe depression struggle with feelings of loneliness. Here are some ways to help: 

• Create a judgment-free zone – Simply listening to someone can make a big difference in how they feel. Let your loved one share their feelings without offering immediate solutions, advice, or judgment.  

• Encourage treatment – Gently encourage your loved one to seek professional help if they haven’t already. Remind them that it is okay to ask for support and that everyone needs it sometimes.  

• Be patient – Healing from severe depression takes time, and there may be setbacks along the way. Offer patience and understanding during this process. 

• Take care of yourself – Supporting someone with severe depression can be emotionally exhausting. Make sure you also take care of your own mental health needs and seek the support of a professional if you need it.  

If you or someone you know is experiencing thoughts of suicide or self-harm, seek immediate help. You can reach your local crisis services by dialing 988. 

Call Columbia Today for Support  

You don’t have to endure severe depression alone. Though very challenging, it’s also treatable. Understanding what major depressive disorder is and the various treatment options available can help you take the first steps toward recovery. Whether through therapy, medication, or treatments like Spravato®, there is hope. Call 703.682.8208 today for more information on how we can help. 

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