Understanding depression: Signs, diagnosis, and coping strategies

Written by: Dr George Fieldman
Published:
Edited by: Kate Forristal

Depression is a pervasive experience touching nearly everyone to some degree. Beyond a simple low mood, it involves social withdrawal, diminished pleasure, and struggles with self-esteem. In his latest online article, Dr George Fieldman delves into the signs, diagnosis, and coping strategies, emphasising the role of cognitive therapy in reshaping distorted thinking and fostering a more positive outlook on oneself.

What is depression?

Depression is a common experience that nearly everyone encounters to some extent. It manifests as a mild low mood, often accompanied by social withdrawal and anhedonia, characterised by a lack of pleasure in life. Individuals may prefer staying at home, avoiding social interactions, and frequently struggle with low self-esteem.

 

This involves a belief that they are not proficient in their pursuits, lacking intelligence, attractiveness, and success—common characteristics associated with depression.

 

What are the signs and symptoms of depression?

Individuals with depression usually withdraw from others and become highly self-critical. They feel unworthy, undervalued, and think everyone else is better than them.

 

What is involved in diagnosing depression?

Depression commonly presents with characteristics such as withdrawal, self-criticism, dissatisfaction with life, and reduced social engagement. Individuals often experience a persistent low mood and tend to be highly self-critical.

 

How is depression treated?

In depression, individuals often exhibit cognitive distortions. When asked about their job proficiency or personal attractiveness, those experiencing depression tend to rate themselves lower than the average person. Instead of seeing themselves as reasonably average, as one would in a non-depressed state, they perceive themselves as significantly less competent or attractive. They express pessimistic views about their future, comparing unfavourably to others, and commonly harbour thoughts of inadequacy and gloomy prospects—a typical thought pattern in someone with depression.

 

What strategies can people use to cope with depression?

A key aspect of cognitive therapy involves recognising that our emotions are strongly influenced by our thoughts. Statements like "I'm not very good" or "I'm not up to much" are often inaccurate. By helping individuals understand these thinking errors or cognitive distortions, there is a noticeable improvement in their emotional well-being. They start to realise that their previous belief of being the worst at something is entirely mistaken. Recognising their true value and abilities leads to a more positive and optimistic outlook, as they begin to see themselves in a better light than they initially thought.

 

Dr George Fieldman is an esteemed chartered psychologist. You can schedule an appointment with Dr Fieldman on his Top Doctors profile.

By Dr George Fieldman
Psychology

Dr George Fieldman is a leading independent consultant chartered psychologist and cognitive behavioural psychotherapist, based in London. He is experienced in treating a wide range of psychological conditions and specialises in anxiety disorders, including panic disorder, depression, occupational stress, relationship problems and low self-esteem. He also has expertise in treating patients with Asperger syndrome and autistic spectrum disorders.

Dr Fieldman is also an experienced executive coach and mentor, and an advocate of positive psychology and the compassionate mind approach. He has worked with a wide range of very senior people in elevated positions. He is also an experienced expert witness.

Dr Fieldman has a BSc and a PhD from King’s College London and trained in cognitive behavioural psychotherapy at University College London. As a former academic psychologist, he researched the evolution of human altruism at the University of Oxford. As a research fellow at St George’s, University of London, he investigated the psychophysiological responses to occupational stress. Later, he was the principal doctoral supervisor to six successful PhD students in the fields of evolutionary psychology and occupational stress.

British Psychological Society 039674
HCPC: PYL27764

View Profile

Overall assessment of their patients


  • Related procedures
  • Psychological treatments
    Relationship counselling
    Paediatric psychology
    Neuropsychology
    Mental health assessment
    Toxic Addiction (alcoholism)
    Psychotic disorders
    Eating disorders
    Psychopharmacology
    Obsessive compulsive disorder (OCD)
    This website uses our own and third-party Cookies to compile information with the aim of improving our services, to show you advertising related to your preferences as well analysing your browsing habits. You can change your settings HERE.