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class="css-pdceuf"><div class="css-11egx89"><button class="icon-hl-close-thick css-1ik4tkj"></button><div data-empty="true" class="css-1fteite"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="mlb1__slot" data-adbridg-ad-class="mlb1" data-ad="true" class="css-bcus5s"></div></div></div></aside><div data-placement="subheader"></div><div><div class="css-m260rd"><div data-article-body="0" class="css-blwnmv"><div class="css-z468a2"><h1>Top Relapse Triggers for Depression & How to Prevent Them</h1><div data-preamp="social-proof-lessons"></div><div data-testid="byline"><section data-testid="byline" class="css-eoj89x"><div class="css-1q67gt9"><div class="css-xc63cd"><img src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Vara-Saripalli-500x500-Bio.png?w=105&h=105" alt=""/></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/reviewers/vara-saripalli-psyd">Vara Saripalli, Psy.D.</a></span></span> — <span><span><span><span>Written by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/authors/hope-gillette">Hope Gillette</a></span></span></span></span> — <span> Updated on April 19, 2021</span></div></section></div><div><nav id="tab-bar-0" data-testid="tab-bar" class="css-7u7i0a"><ul class="css-17ztj4b"><li class="css-t753mo"><a href="#symptoms" class="css-yn6ido">Symptoms</a></li><li class="css-t753mo"><a href="#triggers" class="css-yn6ido">Triggers</a></li><li class="css-t753mo"><a href="#managing-a-relapse" class="css-yn6ido">Managing a relapse</a></li><li class="css-t753mo"><a href="#preventive-steps" class="css-yn6ido">Preventive steps</a></li><li class="css-t753mo"><a href="#recap" class="css-yn6ido">Recap</a></li></ul></nav><article class="article-body css-d2znx6 undefined"><div class="css-12va8w7"><span style="font-size:0;line-height:0"></span><span style="font-size:0;line-height:0"></span><div><div><p class="css-w2pt6r">Feeling down from time to time is natural. Still, when sadness lingers, you may begin to wonder if something more is going on.</p></div></div><div><p>You’ve lived with depression before – could you be experiencing it again?</p></div><div><div data-preamp="serena-chatbot"></div></div><div><p>Everyone goes through ups and downs during life. Some days are good ones, and some days you can’t wait to get home and hide under the covers. </p></div><div><p>But when you’ve successfully overcome depression, you might always wonder if those “bad days” are the start of something more serious.</p></div><div><p>While <a href="https://psychcentral.com/depression/depression" class="content-link css-150s69f">depression</a> is one of the most treatable mental health conditions, the chances of relapse after your first major depressive episode are not uncommon. </p></div><div><p>In fact, people who have had a major depressive episode have a <hl-trusted-source source="PloS One" rationale="Highly respected journal,Expert written journal,Peer reviewed journal"><a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0230363#pone.0230363.ref002" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">60%</a></hl-trusted-source> chance of having another. If you’ve had two bouts of depression, those chances increase to about 70%. Three or more episodes of depression and that number jumps to about 90%.</p></div><div><p>But you don’t have to live every day wondering when depression will strike. </p></div><div><p>Understanding what might trigger a relapse and knowing what to do if it happens will help you navigate having depression. </p></div><div class="css-20w1gi"><aside class="css-0 css-0" data-testid="sticky-inline-ad" data-sticky="false"><div><div data-empty="true" class="css-1sq15os"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="inline2__slot" data-adbridg-ad-class="inline2__slot" data-ad="true" class="css-1t05dkn"></div></div></div></aside></div></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="symptoms">Symptoms of a relapse</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Worrying about a relapse can make it difficult to know when you are having a healthy emotional response. If you’re constantly on the lookout for depression symptoms, it can be easy to assume every negative feeling will lead down that road.</p></div><div><p>Relapse symptoms of depression are the same as those associated with <a href="https://psychcentral.com/depression/major-depressive-disorder" class="content-link css-150s69f">major depressive disorder</a> but recur once previous depression symptoms have been in remission for at least several months.</p></div><div><p>The symptoms you experience during a relapse may be different every time. These include:</p></div><div><ul><li>depressed mood</li><li>significant loss of interest in activities or pleasure</li><li>weight loss or weight gain unrelated to dieting; changes in appetite</li><li>difficulty concentrating, thinking, or trouble with decision-making</li><li>feelings of guilt or worthlessness</li><li>significant loss of interest in activities or pleasure</li><li>changes in sleep habits</li><li>increased fatigue or energy loss</li><li>slowed speech and movements that are visible to others</li><li>increased restlessness</li><li>irritability</li><li>physical aches and pains</li><li>thoughts of death or suicide or attempts of suicide</li></ul></div><div><p>These symptoms are usually present throughout the day, nearly every day, for at least 2 weeks. If symptoms go ignored or untreated, they can cause problems at work, home, and school.</p></div><span class="css-zya54r"></span></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="triggers">Triggers of a depression relapse</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Knowing what symptoms to watch for is only one part of recognizing a <a href="https://www.psychcentral.com/depression/depression-relapse" class="content-link css-150s69f">depression relapse</a>. Understanding your triggers, or those things, moments, and events in life that may cause a relapse, are also important.</p></div><div><p>Triggers can be different for everyone. For you, isolation may be a significant factor. Maybe you’ve noticed that you’d rather lie on the couch than be as active as you once were. Or maybe you may have a new family crisis you’re facing.</p></div><div><p>In some cases, there may not even be an obvious trigger. One day you may simply realize you don’t feel like yourself.</p></div><div><p>Here are some common relapse triggers.</p></div><div><h3>Family changes</h3></div><div><p>Divorce, death of a loved one, or children becoming independent can all be stressful family changes. </p></div><div><p>Sometimes, the addition of household members can put a strain on day-to-day life. Having an elderly family member move in for caretaking, for example, may be very emotionally and physically demanding.</p></div><div><h3>Hormonal shifts</h3></div><div><p>Puberty, pregnancy, and menopause can be some of the most stressful life-changing moments. </p></div><div><p>Not only do these phases represent significant hormonal changes in the body, the stigma around them can wear on you mentally.</p></div><div><h3>Professional or financial stress</h3></div><div><p>The <a href="https://www.psychcentral.com/depression/job-loss-depression" class="content-link css-150s69f">loss of a job</a> or inability to pay bills are stresses many people know. Job changes, supervisor critiques, and new responsibilities may contribute to the stress you feel every day.</p></div><div><h3>Medical issues</h3></div><div><p>Many chronic illnesses increase stress on the body and mind, including diabetes, obesity, and heart disease. These conditions require lifestyle changes that can be difficult to adjust to. </p></div><div><p>Even injuries can be a potential relapse trigger when you go from being active to needing prolonged recovery or to adjust to a complete routine change.</p></div><div><h3>Sleep disturbances</h3></div><div><p>Sleep is a critical function of the human body, and <a href="https://psychcentral.com/disorders/sleep" class="content-link css-150s69f">sleep disturbances</a> over time can cause stress levels to elevate. </p></div><div><p>You may have a new pet, a new baby in the house, or maybe your neighbors are disrupting your sleep.</p></div><div><h3>Incomplete recovery</h3></div><div><p>Complete treatment of your first depressive episode is key to prevent relapse. A <a href="https://bjgp.org/content/70/691/54" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">2020 study</a> suggests that not completing treatment between episodes may make a relapse of depression more likely.</p></div><div><h3>Stopping depression treatment early</h3></div><div><p>Just because you feel better after 3 weeks of treatment doesn’t mean you should stop your treatment. The longer you invest in your treatment, the better chances you have of avoiding a relapse.</p></div><div><h3>Not knowing personal triggers</h3></div><div><p>If you are unaware of your personal triggers, recognizing depression relapse might be a challenge.</p></div><div><p>Try to keep track of what, when, and who causes you to experience symptoms. Being mindful of dates, like holidays, where stress is naturally higher for families and individuals, can be helpful.</p></div><div><h3>Negative self-focus</h3></div><div><p>You don’t need to have depression to experience poor self-esteem. Still, constantly putting yourself down may contribute to chronic feelings of low self-worth associated with depression.</p></div><div class="css-20w1gi"><aside class="css-0 css-0" data-testid="sticky-inline-ad" data-sticky="false"><div><div data-empty="true" class="css-1sq15os"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="inline7__slot" data-adbridg-ad-class="inline7__slot" data-ad="true" class="css-1t05dkn"></div></div></div></aside></div></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="managing-a-relapse">How to manage a depression relapse</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Sometimes, depression relapse happens no matter what you do. Your mood may have been down for days, even though you’ve taken care to watch for triggers and keep up with treatments.</p></div><div><p>When depression relapse occurs, recognizing it and quickly seeking treatment can make a big difference in how much the episode impacts your daily life.</p></div><div><p>If you think you may be experiencing relapse symptoms, try to begin treatment immediately. Consider reaching out to your mental health professional to get a plan in place.</p></div><div><p> Treatment options for relapse are the same as for your first experience with depression and may include:</p></div><div><ul><li>restarting medications, such as antidepressants</li><li>restarting or adjusting schedules of interpersonal therapy</li><li>restarting or adjusting schedules of cognitive behavioral therapy</li><li>electroconvulsive therapy</li><li>being mindful of getting enough sleep</li><li>focusing on a healthy diet</li><li>getting enough exercise</li></ul></div><div><p>Since the symptoms you experience during a depression relapse can be different every time, the types and frequency of treatment options may change.</p></div><span class="css-zya54r"></span></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="preventive-steps">Steps you can take to prevent depression relapse</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Being proactive about depression relapse can help keep you from living in a state of constant worry. While you may not be able to prevent every episode, you can still give yourself the best chance possible to avoid relapse.</p></div><div><p>Here are some steps you can try.</p></div><div><h3>Keep a journal</h3></div><div><p>Tracking your daily routines and feelings is a great way to identify patterns. You may be able to pick out triggering events, or you may discover certain times during the day when you’re feeling down. </p></div><div><p>Keeping a journal would allow you to be mindful of symptoms and can help you catch them early.</p></div><div><h3>Mark the calendar</h3></div><div><p>Similar to keeping a journal, marking on the calendar when you feel down may help identify dates that are particularly stressful. </p></div><div><p>Maybe you feel your worst on Mondays heading back to work, or maybe the holidays are particularly stressful.</p></div><div><h3>Have friends and family look out for you</h3></div><div><p>It can be easy to get swept up in emotions and not realize how long you’ve been feeling a certain way. Family and friends may be able to see changes in your behaviors before you do and help you catch symptoms before they progress.</p></div><div><h3>Home therapies</h3></div><div><p>Self-care is important for overall mental health, and home therapies such as breathing techniques and meditation may help you be more aware of your symptoms. </p></div><div><p>A <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383597/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">2015 systematic review</a></hl-trusted-source> found mindfulness-based cognitive therapy decreased the risk of relapse for people who have had three or more previous depressive episodes.</p></div><div><h3>Keep a sleep routine</h3></div><div><p>Sleep problems, such as insomnia, can <hl-trusted-source source="Wiley" rationale="Peer reviewed journal"><a href="https://onlinelibrary.wiley.com/doi/full/10.1111/jcmm.14170" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">increase your risk of depression</a></hl-trusted-source>. Sleep is closely linked with overall health, so creating a sleep routine can benefit you physically and mentally, not solely in relapse prevention.</p></div><div><h3>Eat a healthy diet</h3></div><div><p>Having depression may make you crave unhealthy food options, but how you eat before relapse matters. </p></div><div><p>Recent research published in the <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084175/" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">International Journal of Environmental Research and Public Health</a></hl-trusted-source> found that eating a more healthy diet may help lower the risk of relapse. </p></div><div><p>In fact, women who improved their eating habits – cutting out trans fat and eating more fruits and vegetables — had a 65% lower chance of relapse than women who did not.</p></div><div><h3>Exercise regularly</h3></div><div><p>The benefits of exercise on depression are well documented. You will likely sleep better, have a more regulated appetite, feel a mood boost, and negate some of the negative effects of other chronic health issues.</p></div><div><p>A <a href="https://www.frontiersin.org/articles/10.3389/fpsyt.2018.00762/full" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">2020 review</a> found that 3 exercise sessions a week for 12–24 weeks resulted in a medium to a large reduction in the severity of depression for study participants.</p></div><div><h3>Keep up with your treatment</h3></div><div><p>If you received treatment for previous episodes of depression, sticking to the plan your doctor has in place may make a big difference in relapse prevention. </p></div><div><p>Remember: Just because you’re feeling better doesn’t mean you should stop any therapies early.</p></div><div class="css-20w1gi"><aside class="css-0 css-0" data-testid="sticky-inline-ad" data-sticky="false"><div><div data-empty="true" class="css-1sq15os"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="inline12__slot" data-adbridg-ad-class="inline12__slot" data-ad="true" class="css-1t05dkn"></div></div></div></aside></div></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="recap">Let’s recap</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Depression relapse affects more than half of people diagnosed with major depressive disorder.</p></div><div><p>During a relapse, you may experience multiple depression symptoms, and those symptoms can be different with every relapse event.</p></div><div><p>Recognizing your triggers, maintaining current treatments, and being proactive about relapse prevention can all help make the thought of an episode less intimidating. </p></div><div><p>If a relapse does occur, you’ll have plans in place to come through it with success.</p></div><div><div id="widget_call_out_8075feca-1ec9-4018-8921-3137f4c59a17" class="css-ubcbi5"><span style="font-size:0;line-height:0"></span><div class="css-14hk5xp"><div class="css-xqvouu"><h3 class="css-9zytxy"><div><span class="css-14sy2z4">Suicide prevention</span></div></h3><div class="css-slwzda"><p class="standout--body">Remember that you’re not alone and resources are available to you. If you need to talk to someone right away, you can:</p><ul id="block-0e75b193-be57-4e10-a9ff-c4c1396ced16"><li>Call or text the 988 Suicide and Crisis Lifeline at 988 or chat <a href="http://988Lifeline.org" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">988Lifeline.org</a>.</li><li>Text “HOME” to the <a href="https://www.crisistextline.org/?gclid=EAIaIQobChMIsPDQrdXH5wIVBRx9Ch1YdQjIEAAYASAAEgJ_1_D_BwE" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">Crisis Text Line</a> at 741741.</li></ul></div></div></div><div class="css-1uwjw6e"><div></div><div></div></div></div></div></div></article><span class="css-zya54r"></span></div><div><div class="css-w9ag5x"><div class="css-1xn3edc"><div aria-expanded="false" aria-controls="article-resources" class="css-1l48sh1" role="button"><p class="css-1dxissy"><span class="css-1p6d3md icon-hlvideo-minus"></span><span class="css-1p6d3md icon-hlvideo-plus"></span> <span class="css-1xdhyk6">14 sources</span><span class="sro">collapsed</span></p></div><div id="article-resources" role="region" class="css-1ugaz02"><ul class="css-1vedeqe"><li class="css-f6pdvi"><cite><span>Burcusa S, et al. (2007). Risk for recurrence in depression.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2169519/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2169519/</a></cite></li><li class="css-f6pdvi"><cite><span>Conradi, H, et al. (2012) Symptom profiles of DSM-IV defined remission, recovery, relapse, and recurrence of depression: The role of core symptoms.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://onlinelibrary.wiley.com/doi/full/10.1002/da.21960">https://onlinelibrary.wiley.com/doi/full/10.1002/da.21960</a></cite></li><li class="css-f6pdvi"><cite><span>Depression statistics. (n.d.).</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.dbsalliance.org/education/depression/statistics/">https://www.dbsalliance.org/education/depression/statistics/</a></cite></li><li class="css-f6pdvi"><cite><span>Fang H, et al. (2019). Depression in sleep disturbance: A review on a bidirectional relationship, mechanisms and treatment.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://onlinelibrary.wiley.com/doi/full/10.1111/jcmm.14170">https://onlinelibrary.wiley.com/doi/full/10.1111/jcmm.14170</a></cite></li><li class="css-f6pdvi"><cite><span>Jain FE, et al. (2015). Critical analysis of the efficacy of meditation therapies for acute and subacute phase treatment of depressive disorders: A systematic review.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383597/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383597/</a></cite></li><li class="css-f6pdvi"><cite><span>Ljungberg, T, et al. (2020). Evidence of the importance of dietary habits regarding depressive symptoms and depression. </span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084175/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084175/</a></cite></li><li class="css-f6pdvi"><cite><span>Lye, M, et al. (2020) Predictors of recurrence of major depressive disorder.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0230363">https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0230363</a></cite></li><li class="css-f6pdvi"><cite><span>Major depression. (2019).</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.nimh.nih.gov/health/statistics/major-depression.shtml">https://www.nimh.nih.gov/health/statistics/major-depression.shtml</a></cite></li><li class="css-f6pdvi"><cite><span>Moriarty AS, et al. (2020). Predicting and preventing relapse of depression in primary care.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://bjgp.org/content/70/691/54">https://bjgp.org/content/70/691/54</a></cite></li><li class="css-f6pdvi"><cite><span>Murri M, et al. (2019) Physical exercise in major depression: Reducing the mortality gap while improving clinical outcomes.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.frontiersin.org/articles/10.3389/fpsyt.2018.00762/full">https://www.frontiersin.org/articles/10.3389/fpsyt.2018.00762/full</a></cite></li><li class="css-f6pdvi"><cite><span>Nuggerud-Galeas S, et al. (2020). Analysis of depressive episodes, their recurrence and pharmacologic treatment in primary care patients: A retrospective descriptive study</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241802/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241802/</a></cite></li><li class="css-f6pdvi"><cite><span>Sim K, et al. (2015). Prevention of relapse and recurrence in adults with major depressive disorder: Systematic review and meta-analyses of controlled trials.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772815/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772815/</a></cite></li><li class="css-f6pdvi"><cite><span>The exercise effect. (2011).</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.apa.org/monitor/2011/12/exercise">https://www.apa.org/monitor/2011/12/exercise</a></cite></li><li class="css-f6pdvi"><cite><span>What is depression? (2020).</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.psychiatry.org/patients-families/depression/what-is-depression">https://www.psychiatry.org/patients-families/depression/what-is-depression</a></cite></li></ul></div></div><div class="css-1wkzy2"><div class="css-1ytasfq"><div class="button-wrapper print"><a class="css-1uhtj6l print button icon icon-hl-print" target="_blank" title="Print this page"></a></div><div class="button-wrapper facebook"><a class="css-1uhtj6l facebook button icon icon-hl-facebook" href="https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fpsychcentral.com%2Fdepression%2Ftop-relapse-triggers-for-depression-how-to-prevent-them%3Futm_medium%3Dsocial%26utm_source%3Dfacebook%26utm_campaign%3Dsocial-sharebar-referred-desktop" rel="noopener noreferrer nofollow" target="_blank" title="Share on Facebook"></a></div><div class="button-wrapper twitter"><a class="css-1uhtj6l twitter button icon 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href="https://www.psychcentral.com/depression/types-and-symptoms-of-depression?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">What Are the Types of Depression?</a><section data-testid="byline" class="css-ymf4ha"><div class="css-1pz7193"><div class="css-xc63cd"><lazy-image alt="" src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Nicole-Washington-500x500-Bio.png?w=73&h=73"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/medical-team">Nicole Washington, DO, MPH</a></span></span></div></section><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/depression/types-and-symptoms-of-depression;engagement|bottom page content promo click index|1" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What Are the Types of Depression?|rn0" href="https://www.psychcentral.com/depression/types-and-symptoms-of-depression?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Figuring out which type of depression you have can help you find the treatment that fits best. Learn about depression types, symptoms, and treatments.</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/depression/types-and-symptoms-of-depression;engagement|bottom page content promo click index|1" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What Are the Types of Depression?|rn0" href="https://www.psychcentral.com/depression/types-and-symptoms-of-depression?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"><div data-empty="true" class="css-vhteyv"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="DCMR1__slot" data-adbridg-ad-class="DCMR1" data-ad="true" class="css-prb4v6"></div></div></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><span class="css-zya54r"></span></div><section class="css-82r5pg css-1ub4i5m"><div data-empty="true" class="css-vhteyv"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="DCMR1__slot" data-adbridg-ad-class="DCMR1" data-ad="true" class="css-prb4v6"></div></div></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/depression/depression-causes;engagement|bottom page content promo click index|2" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What Causes Depression?|rn1" href="https://www.psychcentral.com/depression/depression-causes?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="What Causes Depression?" src="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/01/Female_Street_Portrait_732x549-thumbnail-732x549.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/01/Female_Street_Portrait_732x549-thumbnail-732x549.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/depression/depression-causes;engagement|bottom page content promo click index|2" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What Causes Depression?|rn1" href="https://www.psychcentral.com/depression/depression-causes?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">What Causes Depression?</a><section data-testid="byline" class="css-ymf4ha"><div class="css-1pz7193"><div class="css-xc63cd"><lazy-image alt="" src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Akilah-Reynolds-500x500-Bio.png?w=73&h=73"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/medical-team">Akilah Reynolds, PhD</a></span></span></div></section><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/depression/depression-causes;engagement|bottom page content promo click index|2" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What Causes Depression?|rn1" href="https://www.psychcentral.com/depression/depression-causes?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">What causes depression? Is it changes in your brain? Genes? Trauma? Hormones? Here's what research and experts say.</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/depression/depression-causes;engagement|bottom page content promo click index|2" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What Causes Depression?|rn1" href="https://www.psychcentral.com/depression/depression-causes?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/depression/depression-treatment;engagement|bottom page content promo click index|3" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Treating Depression: What Are My Options?|rn2" href="https://www.psychcentral.com/depression/depression-treatment?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="Treating Depression: What Are My Options?" src="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/03/Male_iPad_Coffee_732x549-thumbnail-732x549.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/03/Male_iPad_Coffee_732x549-thumbnail-732x549.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/depression/depression-treatment;engagement|bottom page content promo click index|3" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Treating Depression: What Are My Options?|rn2" href="https://www.psychcentral.com/depression/depression-treatment?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">Treating Depression: What Are My Options?</a><section data-testid="byline" class="css-ymf4ha"><div class="css-1pz7193"><div class="css-xc63cd"><lazy-image alt="" src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Marney-White-500x500-Bio.png?w=73&h=73"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/medical-team">Marney A. White, PhD, MS</a></span></span></div></section><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/depression/depression-treatment;engagement|bottom page content promo click index|3" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Treating Depression: What Are My Options?|rn2" href="https://www.psychcentral.com/depression/depression-treatment?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Your depression treatment options are almost limitless. Medication, therapy, brain stimulation techniques, or self-help strategies could work for you.</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/depression/depression-treatment;engagement|bottom page content promo click index|3" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Treating Depression: What Are My Options?|rn2" href="https://www.psychcentral.com/depression/depression-treatment?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"><div data-empty="true" class="css-vhteyv"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="DCMR2__slot" data-adbridg-ad-class="DCMR2" data-ad="true" class="css-prb4v6"></div></div></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/depression/treatment-resistant-depression;engagement|bottom page content promo click index|4" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What To Do When Your Antidepressant Isn’t Helping Enough|rn3" href="https://www.psychcentral.com/depression/treatment-resistant-depression?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="What To Do When Your Antidepressant Isn’t Helping Enough" src="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/03/PC_Female_Portrait_732x549-thumbnail.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/03/PC_Female_Portrait_732x549-thumbnail.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/depression/treatment-resistant-depression;engagement|bottom page content promo click index|4" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What To Do When Your Antidepressant Isn’t Helping Enough|rn3" href="https://www.psychcentral.com/depression/treatment-resistant-depression?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">What To Do When Your Antidepressant Isn’t Helping Enough</a><section data-testid="byline" class="css-ymf4ha"><div class="css-1pz7193"><div class="css-xc63cd"><lazy-image alt="" src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2024/07/New-Matthew-Boland-500x500-Bio.png?w=73&h=73"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/medical-team">Matthew Boland, PhD</a></span></span></div></section><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/depression/treatment-resistant-depression;engagement|bottom page content promo click index|4" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What To Do When Your Antidepressant Isn’t Helping Enough|rn3" href="https://www.psychcentral.com/depression/treatment-resistant-depression?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">If you're living with treatment-resistant depression, there are a few alternative treatments to consider.</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/depression/treatment-resistant-depression;engagement|bottom page content promo click index|4" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What To Do When Your Antidepressant Isn’t Helping Enough|rn3" href="https://www.psychcentral.com/depression/treatment-resistant-depression?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/blog/your-life/2012/08/is-it-sadness-or-depression-10-questions-to-ask-yourself;engagement|bottom page content promo click index|5" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Is it Sadness or Depression? 10 Questions to Ask Yourself|rn4" href="https://www.psychcentral.com/blog/your-life/2012/08/is-it-sadness-or-depression-10-questions-to-ask-yourself?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="Is it Sadness or Depression? 10 Questions to Ask Yourself" src="https://media.post.rvohealth.io/wp-content/uploads/2024/03/HL_Generic-Thumb.jpeg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/2024/03/HL_Generic-Thumb.jpeg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/blog/your-life/2012/08/is-it-sadness-or-depression-10-questions-to-ask-yourself;engagement|bottom page content promo click index|5" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Is it Sadness or Depression? 10 Questions to Ask Yourself|rn4" href="https://www.psychcentral.com/blog/your-life/2012/08/is-it-sadness-or-depression-10-questions-to-ask-yourself?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">Is it Sadness or Depression? 10 Questions to Ask Yourself</a><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/blog/your-life/2012/08/is-it-sadness-or-depression-10-questions-to-ask-yourself;engagement|bottom page content promo click index|5" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Is it Sadness or Depression? 10 Questions to Ask Yourself|rn4" href="https://www.psychcentral.com/blog/your-life/2012/08/is-it-sadness-or-depression-10-questions-to-ask-yourself?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Everyone has feelings of sadness. But how can you tell if it's merely sadness or depression? 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</script><script src="https://rvo-cohesion.psychcentral.com/cohesion/cohesion-tpo.min.js?cDomain=psychcentral.com" async=""></script><link href="https://c.aps.amazon-adsystem.com" rel="preconnect" crossorigin="true"/><script src="https://c.aps.amazon-adsystem.com/apstag.js" async=""></script><script>module={};__NEXT_DATA__={"buildId":"68871671-d63b-4bae-b972-3c02f92839ec","props":{"ga":{"k1":"depression","k2":"mentalhealth","kmeta":"depression,newborn","contentType":"Tabbed Article","author":"Hope Gillette","articleType":"regular","sponsoredProgramId":"","articleId":"psy-48817","mainContentCategoryTags":"","publishedDate":"2021-04-19","updatedDate":"2024-11-05","medReviewer":"Vara Saripalli, Psy.D.","category":"Uncategorized,lib","subcategory":"","trackingTerms":"","ek1":"2d55d6c778dae194bf8d","ekmeta":"2d55d6c778dae194bf8d,2755d1d772dbfc,","contentForm":"Non-Head Term","type":"healthfeature"},"lang":"en","data":{"k1":"depression","sideEffectsWidget":{},"livedExperience":{},"shareYourExperience":{},"drugSavingsData":null,"comments":[],"topComments":[],"id":"psy-48817","title":["Top Relapse Triggers for Depression \u0026 How to Prevent Them"],"articleHistory":{"2016-05-17":{"updateReason":[],"medicallyReviewedBy":"Scientific Advisory Board"},"2021-04-19":{"updateReason":[],"authors":"Hope Gillette","editor":"Christina Ward","copyEditor":"Copy Editors","medicallyReviewedBy":"Vara Saripalli, PsyD"}},"updateReason":[],"isFeature":false,"isPaidMedia":false,"isEditorialPaidMedia":false,"isTransactionalPaidMedia":false,"authors":[{"id":5038,"name":{"display":"Hope Gillette","first":"Hope","last":"Gillette"},"link":"/authors/hope-gillette","type":{"value":"author","label":"Author"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003eHope Gillette is a freelance writer and published novelist. 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She’s passionate about providing accurate, empathetic mental health content for readers, and…"]}}],"medicalReviewers":[{"id":162,"name":{"display":"Vara Saripalli, Psy.D.","first":"Vara","last":"Saripalli, PsyD"},"userLogin":"vara.saripalli","links":{"website":"https://www.varasaripalli.com/","facebook":"","linkedin":"https://www.linkedin.com/in/vara-saripalli/","twitter":"","instagram":"","tiktok":""},"link":"/reviewers/vara-saripalli-psyd","type":{"value":"medical_reviewer","label":"Medical Advisor"},"nid":"156000","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003e\u003cspan style=\"font-weight: 400;\"\u003eDr. Vara Saripalli is a licensed psychologist in Chicago at private practice where she offers therapy services with a focus on helping busy professionals get more control of their lives and careers.\u003c/span\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eEducation\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eIllinois School of Professional Psychology, PsyD\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eCertifications\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eLicensed Psychologist \u0026#8211; Chicago\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eAffiliations\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://illinoispsychology.org/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eIllinois Psychological Association (IPA)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://psypact.site-ym.com/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003ePsyPact\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://www.postpartum.net/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003ePostpartum Support International (PSI)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003c/ul\u003e\n"},"avatar":{"title":"","width":500,"height":500,"src":"https://post.psychcentral.com/wp-content/uploads/2022/01/Vara-Saripalli-500x500-Bio.png"},"bioBlurb":{"nodes":["Dr. Vara Saripalli is a licensed psychologist in Chicago at private practice where she offers therapy services with a focus on helping busy professionals get…"]}}],"editors":[{"role":"Editor","name":{"display":"Christina Ward"}}],"pinterestImage":{"path":"https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/02/portrait-serious-female-sad-home-732x549-thumbnail.jpg"},"hideFeedback":false,"isMedicare":false,"isBlog":false,"publishSource":"wordpress","isAmpSupported":false,"categories":[{"name":"Uncategorized","slug":"uncategorized","link":"/uncategorized","children":[]},{"name":"lib","slug":"lib","link":"/lib","children":[]}],"language":{"en":"https://psychcentral.com/depression/top-relapse-triggers-for-depression-how-to-prevent-them/","x-default":"https://psychcentral.com/depression/top-relapse-triggers-for-depression-how-to-prevent-them/","current":"en"},"lang":"en","links":[],"colorScheme":"default","isContentSeries":false,"brandCTAs":[],"clusterNavLinks":[],"clusterUrls":[],"clusterLinks":{},"pathingTilesData":{},"pathingCardsData":{},"inArticlePathingCardsData":[],"quantitativeTrustData":{},"isPrependRecipeH2":false,"recipes":[],"hideTabs":false,"tabs":[{"id":"_noHeaderPrefixedContent","title":null,"header":null,"body":[{"tagName":"div","source":"\u003cp class=\"css-w2pt6r\"\u003eFeeling down from time to time is natural. Still, when sadness lingers, you may begin to wonder if something more is going on.\u003c/p\u003e"},{"tagName":"p","source":"You’ve lived with depression before – could you be experiencing it again?"},{"tagName":"div","attributes":{"data-preamp":"serena-chatbot"},"source":""},{"tagName":"p","source":"Everyone goes through ups and downs during life. Some days are good ones, and some days you can’t wait to get home and hide under the covers. "},{"tagName":"p","source":"But when you’ve successfully overcome depression, you might always wonder if those “bad days” are the start of something more serious."},{"tagName":"p","source":"While \u003ca href=\"https://psychcentral.com/depression/depression\" class=\"content-link css-150s69f\"\u003edepression\u003c/a\u003e is one of the most treatable mental health conditions, the chances of relapse after your first major depressive episode are not uncommon. "},{"tagName":"p","source":"In fact, people who have had a major depressive episode have a \u003chl-trusted-source source=\"PloS One\" rationale=\"Highly respected journal,Expert written journal,Peer reviewed journal\"\u003e\u003ca href=\"https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0230363#pone.0230363.ref002\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003e60%\u003c/a\u003e\u003c/hl-trusted-source\u003e chance of having another. If you’ve had two bouts of depression, those chances increase to about 70%. Three or more episodes of depression and that number jumps to about 90%."},{"tagName":"p","source":"But you don’t have to live every day wondering when depression will strike. "},{"tagName":"p","source":"Understanding what might trigger a relapse and knowing what to do if it happens will help you navigate having depression. "}]},{"id":"symptoms","title":"Symptoms","isCollapsable":false,"header":["Symptoms of a relapse"],"body":[{"tagName":"p","source":"Worrying about a relapse can make it difficult to know when you are having a healthy emotional response. If you’re constantly on the lookout for depression symptoms, it can be easy to assume every negative feeling will lead down that road."},{"tagName":"p","source":"Relapse symptoms of depression are the same as those associated with \u003ca href=\"https://psychcentral.com/depression/major-depressive-disorder\" class=\"content-link css-150s69f\"\u003emajor depressive disorder\u003c/a\u003e but recur once previous depression symptoms have been in remission for at least several months."},{"tagName":"p","source":"The symptoms you experience during a relapse may be different every time. These include:"},{"tagName":"ul","source":"\u003cli\u003edepressed mood\u003c/li\u003e\u003cli\u003esignificant loss of interest in activities or pleasure\u003c/li\u003e\u003cli\u003eweight loss or weight gain unrelated to dieting; changes in appetite\u003c/li\u003e\u003cli\u003edifficulty concentrating, thinking, or trouble with decision-making\u003c/li\u003e\u003cli\u003efeelings of guilt or worthlessness\u003c/li\u003e\u003cli\u003esignificant loss of interest in activities or pleasure\u003c/li\u003e\u003cli\u003echanges in sleep habits\u003c/li\u003e\u003cli\u003eincreased fatigue or energy loss\u003c/li\u003e\u003cli\u003eslowed speech and movements that are visible to others\u003c/li\u003e\u003cli\u003eincreased restlessness\u003c/li\u003e\u003cli\u003eirritability\u003c/li\u003e\u003cli\u003ephysical aches and pains\u003c/li\u003e\u003cli\u003ethoughts of death or suicide or attempts of suicide\u003c/li\u003e"},{"tagName":"p","source":"These symptoms are usually present throughout the day, nearly every day, for at least 2 weeks. If symptoms go ignored or untreated, they can cause problems at work, home, and school."}]},{"id":"triggers","title":"Triggers","isCollapsable":false,"header":["Triggers of a depression relapse"],"body":[{"tagName":"p","source":"Knowing what symptoms to watch for is only one part of recognizing a \u003ca href=\"https://www.psychcentral.com/depression/depression-relapse\" class=\"content-link css-150s69f\"\u003edepression relapse\u003c/a\u003e. Understanding your triggers, or those things, moments, and events in life that may cause a relapse, are also important."},{"tagName":"p","source":"Triggers can be different for everyone. For you, isolation may be a significant factor. Maybe you’ve noticed that you’d rather lie on the couch than be as active as you once were. Or maybe you may have a new family crisis you’re facing."},{"tagName":"p","source":"In some cases, there may not even be an obvious trigger. One day you may simply realize you don’t feel like yourself."},{"tagName":"p","source":"Here are some common relapse triggers."},{"tagName":"h3","source":"Family changes"},{"tagName":"p","source":"Divorce, death of a loved one, or children becoming independent can all be stressful family changes. "},{"tagName":"p","source":"Sometimes, the addition of household members can put a strain on day-to-day life. Having an elderly family member move in for caretaking, for example, may be very emotionally and physically demanding."},{"tagName":"h3","source":"Hormonal shifts"},{"tagName":"p","source":"Puberty, pregnancy, and menopause can be some of the most stressful life-changing moments. "},{"tagName":"p","source":"Not only do these phases represent significant hormonal changes in the body, the stigma around them can wear on you mentally."},{"tagName":"h3","source":"Professional or financial stress"},{"tagName":"p","source":"The \u003ca href=\"https://www.psychcentral.com/depression/job-loss-depression\" class=\"content-link css-150s69f\"\u003eloss of a job\u003c/a\u003e or inability to pay bills are stresses many people know. Job changes, supervisor critiques, and new responsibilities may contribute to the stress you feel every day."},{"tagName":"h3","source":"Medical issues"},{"tagName":"p","source":"Many chronic illnesses increase stress on the body and mind, including diabetes, obesity, and heart disease. These conditions require lifestyle changes that can be difficult to adjust to. "},{"tagName":"p","source":"Even injuries can be a potential relapse trigger when you go from being active to needing prolonged recovery or to adjust to a complete routine change."},{"tagName":"h3","source":"Sleep disturbances"},{"tagName":"p","source":"Sleep is a critical function of the human body, and \u003ca href=\"https://psychcentral.com/disorders/sleep\" class=\"content-link css-150s69f\"\u003esleep disturbances\u003c/a\u003e over time can cause stress levels to elevate. "},{"tagName":"p","source":"You may have a new pet, a new baby in the house, or maybe your neighbors are disrupting your sleep."},{"tagName":"h3","source":"Incomplete recovery"},{"tagName":"p","source":"Complete treatment of your first depressive episode is key to prevent relapse. A \u003ca href=\"https://bjgp.org/content/70/691/54\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003e2020 study\u003c/a\u003e suggests that not completing treatment between episodes may make a relapse of depression more likely."},{"tagName":"h3","source":"Stopping depression treatment early"},{"tagName":"p","source":"Just because you feel better after 3 weeks of treatment doesn’t mean you should stop your treatment. The longer you invest in your treatment, the better chances you have of avoiding a relapse."},{"tagName":"h3","source":"Not knowing personal triggers"},{"tagName":"p","source":"If you are unaware of your personal triggers, recognizing depression relapse might be a challenge."},{"tagName":"p","source":"Try to keep track of what, when, and who causes you to experience symptoms. Being mindful of dates, like holidays, where stress is naturally higher for families and individuals, can be helpful."},{"tagName":"h3","source":"Negative self-focus"},{"tagName":"p","source":"You don’t need to have depression to experience poor self-esteem. Still, constantly putting yourself down may contribute to chronic feelings of low self-worth associated with depression."}]},{"id":"managing-a-relapse","title":"Managing a relapse","isCollapsable":false,"header":["How to manage a depression relapse"],"body":[{"tagName":"p","source":"Sometimes, depression relapse happens no matter what you do. Your mood may have been down for days, even though you’ve taken care to watch for triggers and keep up with treatments."},{"tagName":"p","source":"When depression relapse occurs, recognizing it and quickly seeking treatment can make a big difference in how much the episode impacts your daily life."},{"tagName":"p","source":"If you think you may be experiencing relapse symptoms, try to begin treatment immediately. Consider reaching out to your mental health professional to get a plan in place."},{"tagName":"p","source":" Treatment options for relapse are the same as for your first experience with depression and may include:"},{"tagName":"ul","source":"\u003cli\u003erestarting medications, such as antidepressants\u003c/li\u003e\u003cli\u003erestarting or adjusting schedules of interpersonal therapy\u003c/li\u003e\u003cli\u003erestarting or adjusting schedules of cognitive behavioral therapy\u003c/li\u003e\u003cli\u003eelectroconvulsive therapy\u003c/li\u003e\u003cli\u003ebeing mindful of getting enough sleep\u003c/li\u003e\u003cli\u003efocusing on a healthy diet\u003c/li\u003e\u003cli\u003egetting enough exercise\u003c/li\u003e"},{"tagName":"p","source":"Since the symptoms you experience during a depression relapse can be different every time, the types and frequency of treatment options may change."}]},{"id":"preventive-steps","title":"Preventive steps","isCollapsable":false,"header":["Steps you can take to prevent depression relapse"],"body":[{"tagName":"p","source":"Being proactive about depression relapse can help keep you from living in a state of constant worry. While you may not be able to prevent every episode, you can still give yourself the best chance possible to avoid relapse."},{"tagName":"p","source":"Here are some steps you can try."},{"tagName":"h3","source":"Keep a journal"},{"tagName":"p","source":"Tracking your daily routines and feelings is a great way to identify patterns. You may be able to pick out triggering events, or you may discover certain times during the day when you’re feeling down. "},{"tagName":"p","source":"Keeping a journal would allow you to be mindful of symptoms and can help you catch them early."},{"tagName":"h3","source":"Mark the calendar"},{"tagName":"p","source":"Similar to keeping a journal, marking on the calendar when you feel down may help identify dates that are particularly stressful. "},{"tagName":"p","source":"Maybe you feel your worst on Mondays heading back to work, or maybe the holidays are particularly stressful."},{"tagName":"h3","source":"Have friends and family look out for you"},{"tagName":"p","source":"It can be easy to get swept up in emotions and not realize how long you’ve been feeling a certain way. Family and friends may be able to see changes in your behaviors before you do and help you catch symptoms before they progress."},{"tagName":"h3","source":"Home therapies"},{"tagName":"p","source":"Self-care is important for overall mental health, and home therapies such as breathing techniques and meditation may help you be more aware of your symptoms. "},{"tagName":"p","source":"A \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383597/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003e2015 systematic review\u003c/a\u003e\u003c/hl-trusted-source\u003e found mindfulness-based cognitive therapy decreased the risk of relapse for people who have had three or more previous depressive episodes."},{"tagName":"h3","source":"Keep a sleep routine"},{"tagName":"p","source":"Sleep problems, such as insomnia, can \u003chl-trusted-source source=\"Wiley\" rationale=\"Peer reviewed journal\"\u003e\u003ca href=\"https://onlinelibrary.wiley.com/doi/full/10.1111/jcmm.14170\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eincrease your risk of depression\u003c/a\u003e\u003c/hl-trusted-source\u003e. Sleep is closely linked with overall health, so creating a sleep routine can benefit you physically and mentally, not solely in relapse prevention."},{"tagName":"h3","source":"Eat a healthy diet"},{"tagName":"p","source":"Having depression may make you crave unhealthy food options, but how you eat before relapse matters. "},{"tagName":"p","source":"Recent research published in the \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084175/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eInternational Journal of Environmental Research and Public Health\u003c/a\u003e\u003c/hl-trusted-source\u003e found that eating a more healthy diet may help lower the risk of relapse. "},{"tagName":"p","source":"In fact, women who improved their eating habits – cutting out trans fat and eating more fruits and vegetables — had a 65% lower chance of relapse than women who did not."},{"tagName":"h3","source":"Exercise regularly"},{"tagName":"p","source":"The benefits of exercise on depression are well documented. You will likely sleep better, have a more regulated appetite, feel a mood boost, and negate some of the negative effects of other chronic health issues."},{"tagName":"p","source":"A \u003ca href=\"https://www.frontiersin.org/articles/10.3389/fpsyt.2018.00762/full\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003e2020 review\u003c/a\u003e found that 3 exercise sessions a week for 12–24 weeks resulted in a medium to a large reduction in the severity of depression for study participants."},{"tagName":"h3","source":"Keep up with your treatment"},{"tagName":"p","source":"If you received treatment for previous episodes of depression, sticking to the plan your doctor has in place may make a big difference in relapse prevention. "},{"tagName":"p","source":"Remember: Just because you’re feeling better doesn’t mean you should stop any therapies early."}]},{"id":"recap","title":"Recap","isCollapsable":false,"header":["Let’s recap"],"body":[{"tagName":"p","source":"Depression relapse affects more than half of people diagnosed with major depressive disorder."},{"tagName":"p","source":"During a relapse, you may experience multiple depression symptoms, and those symptoms can be different with every relapse event."},{"tagName":"p","source":"Recognizing your triggers, maintaining current treatments, and being proactive about relapse prevention can all help make the thought of an episode less intimidating. "},{"tagName":"p","source":"If a relapse does occur, you’ll have plans in place to come through it with success."},{"widget":{"widgetFormat":"widget-call-out","items":[{"isBullets":true,"list":true,"headerTitle":["Suicide prevention"],"content":[{"tagName":"p","attributes":{"className":"standout--body"},"source":"Remember that you’re not alone and resources are available to you. If you need to talk to someone right away, you can:"},{"tagName":"ul","attributes":{"id":"block-0e75b193-be57-4e10-a9ff-c4c1396ced16"},"source":"\u003cli\u003eCall or text the 988 Suicide and Crisis Lifeline at 988 or chat \u003ca href=\"http://988Lifeline.org\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003e988Lifeline.org\u003c/a\u003e.\u003c/li\u003e\u003cli\u003eText “HOME” to the \u003ca href=\"https://www.crisistextline.org/?gclid=EAIaIQobChMIsPDQrdXH5wIVBRx9Ch1YdQjIEAAYASAAEgJ_1_D_BwE\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eCrisis Text Line\u003c/a\u003e at 741741.\u003c/li\u003e"}]}]},"brandPage":{}}]}],"hasAffiliateLinks":false,"affiliates":[],"propsFor":{"articleResources":[{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC2169519/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2169519/","title":{"tagName":"span","source":"Burcusa S, et al. (2007). Risk for recurrence in depression."}},{"displayLink":"onlinelibrary.wiley.com/doi/full/10.1002/da.21960","link":"https://onlinelibrary.wiley.com/doi/full/10.1002/da.21960","title":{"tagName":"span","source":"Conradi, H, et al. (2012) Symptom profiles of DSM-IV defined remission, recovery, relapse, and recurrence of depression: The role of core symptoms."}},{"displayLink":"dbsalliance.org/education/depression/statistics/","link":"https://www.dbsalliance.org/education/depression/statistics/","title":{"tagName":"span","source":"Depression statistics. (n.d.)."}},{"displayLink":"onlinelibrary.wiley.com/doi/full/10.1111/jcmm.14170","link":"https://onlinelibrary.wiley.com/doi/full/10.1111/jcmm.14170","title":{"tagName":"span","source":"Fang H, et al. (2019). Depression in sleep disturbance: A review on a bidirectional relationship, mechanisms and treatment."}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC4383597/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383597/","title":{"tagName":"span","source":"Jain FE, et al. (2015). Critical analysis of the efficacy of meditation therapies for acute and subacute phase treatment of depressive disorders: A systematic review."}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC7084175/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084175/","title":{"tagName":"span","source":"Ljungberg, T, et al. (2020). Evidence of the importance of dietary habits regarding depressive symptoms and depression.\u0026nbsp;"}},{"displayLink":"journals.plos.org/plosone/article?id=10.1371/journal.pone.0230363","link":"https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0230363","title":{"tagName":"span","source":"Lye, M, et al. (2020) Predictors of recurrence of major depressive disorder."}},{"displayLink":"nimh.nih.gov/health/statistics/major-depression.shtml","link":"https://www.nimh.nih.gov/health/statistics/major-depression.shtml","title":{"tagName":"span","source":"Major depression. (2019)."}},{"displayLink":"bjgp.org/content/70/691/54","link":"https://bjgp.org/content/70/691/54","title":{"tagName":"span","source":"Moriarty AS, et al. (2020). Predicting and preventing relapse of depression in primary care."}},{"displayLink":"frontiersin.org/articles/10.3389/fpsyt.2018.00762/full","link":"https://www.frontiersin.org/articles/10.3389/fpsyt.2018.00762/full","title":{"tagName":"span","source":"Murri M, et al. (2019) Physical exercise in major depression: Reducing the mortality gap while improving clinical outcomes."}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC7241802/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241802/","title":{"tagName":"span","source":"Nuggerud-Galeas S, et al. (2020). Analysis of depressive episodes, their recurrence and pharmacologic treatment in primary care patients: A retrospective descriptive study"}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC4772815/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772815/","title":{"tagName":"span","source":"Sim K, et al. (2015). Prevention of relapse and recurrence in adults with major depressive disorder: Systematic review and meta-analyses of controlled trials."}},{"displayLink":"apa.org/monitor/2011/12/exercise","link":"https://www.apa.org/monitor/2011/12/exercise","title":{"tagName":"span","source":"The exercise effect. (2011)."}},{"displayLink":"psychiatry.org/patients-families/depression/what-is-depression","link":"https://www.psychiatry.org/patients-families/depression/what-is-depression","title":{"tagName":"span","source":"What is depression? (2020)."}}],"byline":{"authors":[{"id":5038,"name":{"display":"Hope Gillette","first":"Hope","last":"Gillette"},"link":"/authors/hope-gillette","type":{"value":"author","label":"Author"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003eHope Gillette is a freelance writer and published novelist. She\u0026#8217;s passionate about providing accurate, empathetic mental health content for readers, and believes writing can help combat stigma and improve wellness outcomes. 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