Depression

MICHELLE WAMBACH, M.A.
Licensed Marriage Family Therapist
San Jose, California


	Individual & Couples Therapy How I Practice Specialities • Anxiety • Trauma • Depression > Biography Contact Resources Home	DEPRESSION Depression can result from a specific life event such as a change or a loss. Called external depression, this can come from a relationship ending, a job transition, or an unexpected event. Sometimes, even events that seem happy such as friends wedding, retirement, or birth of a child can trigger a depression. Negative or positive change often brings loss--and loss can trigger depression. This type of depression is often helped by therapy. Internal depression is a type of depression where you might struggle with feeling down for years, off and on from an early age. People who have this usually state they have felt down most of their lives. This kind of depression has been linked to chemical imbalances, early trauma, thinking patterns, and genetics. Long-term therapy and sometimes medication help it. Symptoms of DEPRESSION Feeling so down its difficult to do anything, even handle life's necessities Feeling hopeless about the future, relationships, friends, family or job Diminished interest or pleasure in the activities that once gave life meaning Significant weight change and/or change in appetite Dramatic change in sleep such as trouble falling asleep or waking up during the night Feeling restless or slowed down Fatigue that makes it hard to make decisions or enjoy time with significant others Diminished ability to think and concentrate Irritability that seems unreasonable to events Guilt for things that seems out of proportion to the actual event Michelle Wambach, LMFT (408) 535-0435
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