People with depression often report low energy, a diminished interest in or enjoyment of activities, and difficulty completing tasks or solving problems. Avoiding potentially enjoyable or rewarding activities can make these symptoms worse. This can create a vicious cycle where a person’s reduced participation in fulfilling activities leads to even less interest, lower mood (feelings of sadness and despair), and heightened feelings of helplessness or worthlessness. As a result, the person becomes even more disengaged from activities they once found pleasurable or productive, which further worsens depressive symptoms. Over time, this downward spiral can continue until the person believes they are incapable of experiencing pleasure, finishing tasks, or solving problems. In the most severe cases, individuals may lose all hope and abandon any efforts to change. Fortunately, depression is treatable with a combination of therapy, lifestyle changes, nutritional medicine, sometimes medication, and ongoing support. Seeking help is an important step toward recovery and improving quality of life.
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