Effects Of Long-Term Depression

Updated March 17, 2021

For people struggling with long-term depression, they may also face accompanying physical, emotional, social, and economic side effects. These conditions are serious, and if you’re concerned with the problems that long-term depression may bring, your concerns are valid and deserving of care. This article will help clarify the effects of long-term depression, and outline potential paths you can explore to find the best type of treatment that meets your needs.

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What Is Long-Term Depression?

There is no one definition or model for long-term depression. Several different diagnoses may be given depending on your situation. The diagnosis you receive for your long-term depression often depends on how long you have had depression, and the symptoms of depression with which your body and mind present. There are four main types of long-term depression:

Dysthymia

Dysthymia, also called persistent depressive disorder, is depression that lasts for two years or more even with treatment. With dysthymia, symptoms of depression may not be as severe as with major depressive disorder, but they are consistently present for a long period regardless of treatment.

Double Depression

Double depression is defined as a bout of major depressive disorder soon after a diagnosis of dysthymia. In other words, with double depression, you go from one milder but long-term depression into a more severe major depression. While this can be difficult to treat at the start, there are options such as therapy and counseling that can help improve your quality of life.

Chronic Major Depressive Disorder

Major depressive disorder is clinical depression that lasts for at least two weeks. For some people, major depression can last much longer than two weeks. Some people experience long-term depression that is extremely debilitating and can cause major problems for them in their lives. This is the most common form of long-term depression that leads to the most serious effects. Like double depression, there are ways to learn how to address this condition in a healthy manner.

Partial Recovery

It is not uncommon for relapses into major depression or lingering mild depressive symptoms to occur even after the depression is "in remission.” For many people, partial recovery may allow them to function better in society and the workplace, but it may not be enough of a recovery to stop the effects of long-term depression. However, depression is still a very treatable condition, and you are not alone in your search for solutions.

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Effects on the Brain

There are many ways that long-term depression affects the brain. It is commonly believed that depression is the result of a chemical imbalance in the brain. However, this chemical imbalance, or side effects from the long-term depression itself, can cause additional changes to the brain and how it functions. Much research has been done as to how long-term depression affects the brain, some effects of which are outlined below in relation to its associated brain part:

Hippocampus

The hippocampus is the part of the brain that is responsible for memory, among other things. People who are struggling with long-term depression can frequently encounter problems with memory loss and short-term memory problems. This is due to the chemicals that are produced in the hippocampus and how they affect its function.

One of the chemicals produced in the hippocampus is cortisol. In times of physical or mental stress, such as the stress of depression, the hippocampus produces more cortisol than necessary. This excess cortisol in the hippocampus leads to the production of new neurons slowing down. This can further cause neurons in the hippocampus to shrink. This pathway is what leads to memory problems.

Amygdala

This is the part of the brain responsible for emotional responses. The excess production of cortisol during long-term depression affects this part of the brain as well. The result is that the amygdala becomes enlarged, which can lead to sleep disturbances and changes in activity.

Prefrontal Cortex

The prefrontal cortex also shrinks when there is an overproduction of cortisol. When the prefrontal cortex shrinks, it may stop people from being able to form new memories, make important decisions, or regulate emotions.

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Risks of Long-Term Depression

For those who are experiencing the effects of long-term depression, there are some additional risks that are not associated with brain changes or other physical factors. The longer a person is exposed to these effects, the higher the risk of these effects becoming acute. This means that it is important to seek options for proper care to prevent these effects from happening more frequently.  

If you are having suicidal thoughts, it is important that you immediately reach out to National Suicide Prevention Lifeline (1-800-273-8255), a licensed therapist, or other professional emergency help.

There are ways to reduce the symptoms of depression, or lessen their impact on your life. If treatments such as medications and psychotherapy have not worked to reduce your symptoms, other inpatient treatments such as ECT* are available.

*Please consult with your doctor or primary care physician before considering any medication options or inpatient medical treatments.

Substance Abuse

Another common risk for people living with long-term depression is substance use. Sometimes when medications and therapy do not work, people may turn to illegal drugs or alcohol to try to alleviate their symptoms. If such substances turn out to be successful the first time, they may soon become dependent on them to continue with their daily lives.

Substance use comes with its own physical and mental problems. Substance use can cause severe physical limitations and illnesses, even leading to a high risk of death. It is important that if you have depression, you do not try to self-medicate, but instead work to find other options with a licensed physician, therapist, or psychiatrist.

Effects of Long-term Depression on Physical Health

People with long-term depression may often find themselves thinking about the thoughts and emotions that their depression is sponsoring. It is not unusual to think that depression is mainly a mental and psychological issue. The effects of long-term depression on physical health are perhaps the ones that are not often considered by those with depression.

However, living with depression increases the risks of these impacts on physical health. While not everyone shares the same effects, there are some common issues that people may face while dealing with long-term depression:

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Cardiovascular Deterioration

One of the things that researchers have found is that people with long-term depression are at risk for cardiovascular deterioration. People who experience depression for longer periods of time are at higher risk for heart attack. Also, once a heart attack or other heart problem has occurred, those with major depression find it much more difficult to recover.

Malnourishment

Depression can often cause changes in appetite. People living with long-term depression may find it difficult to eat anything at all, or you may find that you are eating too much of the wrong foods. If an individual’s diet is inconsistent in terms of both nutrition and schedule, it can be very easy to become malnourished over time. Long bouts of depression that go without treatment often increases the risk of malnourishment.

Obesity

Appetite changes from depression can also cause obesity. Long-term depression can lead to inadequate eating behaviors that can cause people to gain a large amount of weight over time. Long-term use of antidepressants can also cause weight gain. Many doctors recommend regular exercise to those experiencing depression as part of a holistic approach to health, not just to improve mood, but also to counteract the risk of obesity.

Socioeconomic Effects of Long-term Depression

There are a few socioeconomic effects of long-term depression that may affect your way of life. These social and economic effects of long-term depression are frequently common in people who suffer from depression for many months or years. Like many of the aforementioned issues, the risk for these effects increases as exposure to the stresses of depression continues without care.

Social Isolation

If you are living with long-term depression and feel socially isolated, you are not alone. Many people who have long-term depression report losing interest in activities and things that they once enjoyed. Both a lack of interest and a lack of energy can contribute to a disinterest in going out to social engagements. For example, you may tire of talking to your friends and having them ask you what wrong all the time is, so you may be tempted to disconnect. A common line of thinking is that you are doing them a favor. But there are healthy and effective strategies to counteract this type of thinking, including reaching out to a trained mental health professional.

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Workplace Performance

Long-term depression can also impact your finances by affecting your workplace performance. Many studies have been done showing that workplace performance often decreases significantly when an individual is severely depressed. Reciprocally, workplace performance often goes up with just a few weeks of treatment. If you feel are unable to handle the stress and pressure of work, your workplace performance may take a direct impact. You may also be thinking about the financial repercussions of missing work. But you don’t have to bear this burden alone. Sessions with therapists who are trained in helping people handle depression can provide you with guidance to work through these difficult times.

Getting Help

If you have been living with depression for a long time without relief, you may consider reaching out to professional help. If you are unsure about where to start, you can contact an online therapist or psychiatrist to discuss treatment options. While online counseling is relatively new in the field of psychological care, it may benefit you greatly. Online therapy is usually more flexible and accommodating of busy schedules than in-person therapy. Most online therapists are available not only during the business week, but also weekends and nights. Additionally, online therapy platforms such as BetterHelp are generally more affordable than traditional therapy sessions. BetterHelp offers different models of cost while providing a diverse of high-quality resources, such as video conferencing and live chatting options.

The symptoms and conditions associated with long-term depression are very treatable. For example, one study by the Berkeley Well-Being Institute found that online therapy is as effective as in-person therapy, when it comes to treating depression. 98% of study participants made significant progress, and 70% reduced depressive symptoms. You may not be able to relieve all symptoms with medication and psychotherapy completely, but there are many treatment plans available. Also, even lessening your depressive symptoms so that they go from severe to mild can make a big difference in how long-term depression affects your life.

Read below for just a few user testimonials from those who used BetterHelp to help manage feelings of depression:

“Kristi was the best and exactly who I needed right now. She was very focused in giving me manageable steps to overcome personal challenges and overwhelm that were causing me to freeze and be depressed. She was also great at commenting on my journal entries promptly and working with me to find solutions. I highly recommend her!”


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