Hi, I have been diagnosed with depression but don’t feel sad? How is this possible. I take anti depressants now and don’t feel I need them
Dr. Stephen Paul Davies
Dr. Stephen Paul Davies
Psychiatrist
Swansea
In everyday speech people use the word "depressed" to mean feeling sad. Clinical Depression (or Major Depression) is not the same as sadness. Persistent low mood is one feature of Major Depression. But surprisingly, low mood is not a requirement for the diagnosis. Depression can be diagnosed if other key features are present - such as loss of ability to enjoy things, tiredness, problems with sleep, concentration and appetite, feeling hopeless etc. Sometimes Depression can present with mainly physical symptoms, such as pain. Or sometimes anxiety can be more prominent than low mood.

If you feel you don't have any of these symptoms, why not discuss it with your prescriber, or ask for a second opinion?

We advise people to continue antidepressants for a year or longer after they start to feel better. This helps to stop it coming back.

 Usman Anjum
Usman Anjum
Psychiatrist
I agree with Stephen but also want to emphasize that antidepressants are not just prescribed for Depression. They are indicated for array of conditions for example anxiety disorders, PTSD, etc. I would suggest to discuss this with prescriber and explore if there is a need to continue the treatment.

Dr. Sue Lamerton
Dr. Sue Lamerton
Psychiatrist
Hereford
All of the above I agree with- just to say that often people actually feel no emotion at all rather than sadness. So no real feeling. You could have the best thing happen to you and you would remain unmoved.
Also if the AD you are usinf now hasnt helped over 4-6 weeks go back to GP/psychiatrist and discuss your options- there are many! Plus look at the psychological approachs you might access

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