Coping With Birthday Depression: Mental Health Perspectives and Support

Experiencing depression around your birthday is a more common occurrence than one may expect. For some, it's a temporary feeling that fades with time. However, it can be long-lasting for others. 

In some cases, birthday depression is considered an invalid emotional experience by peers and family members. This might occur for many reasons, including the social expectation that a birthday is a pleasant event. However, your feelings of birthday depression are valid, and you're not alone. 

It may help to pay attention if you're experiencing birthday depression, as this may indicate chronic depression or anxiety. For some, birthdays are a trigger for past trauma, and for others living with chronic depression, these days can incite symptom relapse.

What causes the birthday blues or birthday depression?

There are a few potential causes of birthday depression, including the following:

Clinical depression and how a mental health professional can help

Although the term "birthday depression" uses the word "depression", it isn't an existing condition in the diagnostic manual used by professionals (DSM-5). However, depression can be a cause for experiencing more severe symptoms during special events like birthdays. Seeking support from a mental health professional can help manage these symptoms.

With over 280 million people worldwide living with depression, it is a common and treatable mental illness. You might be experiencing depression if you live with many of the following symptoms for most days spanning more than two weeks: 

If you or someone you know is struggling or in crisis, help is available. Text or call 988 or chat 988lifeline.org. Support is available 24/7. If you are experiencing trauma, support is available.

Anxiety disorders and how they can contribute to birthday sadness

Anxiety disorders may increase feelings of sadness during a special event, such as birthdays. Depending on the circumstances and the level of anxiety present, a birthday celebration can be exhausting and lead to depression. Anxiety disorders in the DSM-5 include the following: 

• Panic disorder
• Generalized anxiety disorder (GAD)
• Specific phobias
• Social anxiety disorder
• Separation anxiety disorder
• Selective mutism
• Agoraphobia
• Substance or medication-induced anxiety disorder
• Anxiety disorder due to another medical condition
• Other specified anxiety disorder

An introverted personality

If a birthday summons an uncomfortable level of socializing (for instance, a surprise party), it can leave some feeling burned out. In addition, the anticipation of the birthday might feel anxiety-inducing. For many introverts, an intimate birthday party may be more enjoyable. 

Illness

Whether you're experiencing a mental illness or a physical illness, any state of being that presents a challenge to celebrating your birthday might cause you to experience feelings of depression. It can be frustrating when you want to participate in your birthday as usual, but can't.  

Discomfort about aging and gerascophobia

For various reasons, some people don't want to accept the physical and mental changes accompanying aging. However, beyond mild discomfort or aversion lies a condition known as gerascophobia, a specific phobia of growing older. This affects adults and children and can cause depression and anxiety during your birthday.  

Expectations and pressure around "milestones"

Many societies recognize “milestone birthdays” for specific achievements. From taking your first steps to reaching adulthood to hitting retirement, pressure to achieve these benchmarks might bring significant feelings of depression and anxiety. 

Along with societal expectations, your expectations might be a source of depression around your birthday. For example, plans to own a home or cross items off a "bucket list" by a certain age might occur, pressuring you to feel you've met your goals by the time your birthday arrives.

Reviewing your life's progress to find that you haven't achieved everything you planned up to that point may be disappointing, and if you are unkind to yourself, it might lead to intensely negative feelings. In addition, a birthday can increase feelings of despair if you struggle with finding your life's purpose or meaning, or worry about your own mortality. 

Social dynamics 

Depending on the nature of your relationships, gatherings can be a source of stress. If you're worried about how your family and friends will behave when they're together or how they'll treat you, you might feel depressed when your birthday comes around. 

Feelings of isolation

It can be challenging to make friends as an adult. Perhaps you've lost close friends or family as time has passed and haven't been socially inclined since. Whatever the reason, birthdays can be difficult to celebrate without friends. The same feelings can arise when you don't get attention or recognition from your loved ones on your birthday. If the day passes unnoticed, you might feel lonely and unappreciated. In addition, if you planned a large party and no one showed up, you might feel that others don't consider you.   

Faulty nostalgia and its role in birthday depression

You might recall happy, carefree times when you reflect on your childhood birthdays. However, nostalgia and memory can be unreliable, and people may sometimes long for an event or feelings that didn't exist the way they remember. Nostalgia can increase feelings of sadness or depression if your current situation fails to bring happiness to your memories. This kind of longing can worsen birthday depression, especially with the fear of social situations.

Coping with birthday depression, such as speaking to a mental health professional

The best ways to cope with birthday depression may vary between individuals, and what works for you may not work for someone else. Often, the goal is to cultivate a positive experience for yourself in your own way without denying or ignoring your feelings. A few ways to do so may include the following: 

• Speak to a mental health professional about your feelings about your birthday.
• Keep your daily routine on your birthday if you don't want to celebrate.
• Change up your routine if you want to make the day unique.
• Practice self-kindness and compassion.
• Partake in activities that bring you joy.
• Congratulate yourself on your accomplishments, and ponder potential future accomplishments.
• Treat yourself.
• Arrange a small, informal social gathering to celebrate.
• Don't celebrate at all if you don't want to.
• Foster healthier relationships in your life if you feel that your family and friends are acting unhealthy on your birthday or not showing you love.

Mental health counseling options for birthday sadness 

Birthday sadness may be indicative of a more encompassing concern. Many people living with generalized anxiety or major depressive disorder find that significant events like a birthday can incite a spike in their condition and a decline in their mental health. If you're not used to experiencing birthday depression, explore why you think it might be a factor this year. Writing down your feelings or confiding in a trusted loved one can help. If you find the depression lingers or deepens into more intense feelings, speaking to a therapist might also be beneficial.