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The Sneaky Signs of Depression: It’s Not Just About Feeling Sad

Vinay Saranga • January 2, 2025

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Depression is often misunderstood.


Many people think of depression as simply feeling sad all the time, but it’s so much more than that. For some, depression can feel like a heavy fog that’s hard to shake off, a feeling of being stuck in place even when everything around you is moving forward. It can show up in ways that are sneaky, making you wonder if something’s wrong with you or if you’re just not trying hard enough. If you’ve been feeling like this, you’re not alone, and there’s hope for feeling better.


A Relatable Story: The Weight of the World


Let us share a story about Julie’s journey to overcome depression. Julie was always the life of the party, always had something to say, and was the first one to jump into any challenge. But over time, things started to change.


She wasn’t interested in hanging out with friends anymore. Even though she knew she had plenty to be grateful for, she couldn’t shake the sense that something was missing. She felt exhausted—like she couldn’t get enough rest, no matter how much sleep she got. Her appetite changed, and she found herself overeating or sometimes forgetting to eat altogether.


Work, which she once loved, started to feel like a burden. It wasn’t that she was sad—she wasn’t crying all the time or feeling like she was in a constant state of despair. It was more subtle. But this low energy and lack of enthusiasm, the absence of joy, was starting to weigh on her.


Julie was experiencing depression, but in a way that many people do, in ways that aren’t as obvious as tears and sadness. Over time, these feelings built up until they affected her work, her relationships, and her overall well-being.

She wasn’t necessarily aware of it at first, and maybe that’s been your experience too.


What Does Depression Feel Like?


The thing about depression is that it often doesn’t look the way we think it should. It doesn’t always look like someone crying or feeling hopeless. For many, it can show up as:


Fatigue that never seems to end: You’re tired all the time, even after a full night’s sleep. No matter what you do, the exhaustion sticks with you. It’s hard to get excited about doing anything, and even the smallest tasks feel like they take a huge effort.


Loss of interest: Things that once brought you joy, like hobbies, socializing, or even spending time with loved ones, start to feel unimportant. You might find yourself canceling plans or pulling away from others because you just don’t feel like being around anyone.


Changes in appetite: Depression can make you either lose your appetite or overeat to try and cope. You might not even realize it at first, but your eating habits start to shift. You eat because it’s a way to fill the emptiness, or you stop eating because you just don’t care anymore.


Feeling disconnected or detached: It’s as if you’re watching your life from a distance, but you’re not really participating. You might feel numb, as though everything is dull or gray, even though you know that shouldn’t be the case.


Negative thinking and self-doubt: One of the sneakiest aspects of depression is how it distorts your thinking. You might start doubting your worth, questioning whether you’re doing enough, or feeling like a failure even though that’s not true. It’s easy to get caught in a negative spiral, where every thought feels like another weight added to your shoulders.


Physical aches and pains: Depression can affect your body in ways you might not expect. Back pain, headaches, stomach problems, and other physical issues can become more intense or harder to ignore. This can make you feel like your body is fighting against you, too.


The point is, depression is not always about feeling sad—it’s about feeling off or feeling like something is wrong, but not being able to put your finger on it. Depression can sometimes look like fatigue, irritability, or even physical symptoms that seem unrelated to mental health. It’s tricky and sneaky, and it’s easy to feel like you’re just not handling life the way you should.


But there’s something important to remember: Depression isn’t your fault. It’s a complex condition that can happen for many reasons, and you don’t have to fight through it alone.


Breaking Through Depression with TMS and Spravato


The good news is that there are effective treatments available to help you break through the fog of depression. Two options that have shown significant promise for people struggling with depression are TMS (Transcranial Magnetic Stimulation) and Spravato (Esketamine). These treatments are non-invasive and have helped many people regain their clarity and wellness.


How TMS Reboots Your Brain for Better Mental Health


TMS is a treatment that uses magnetic pulses to stimulate specific areas of the brain that are underactive in people with depression. Think of it like a tune-up for your brain. The treatment is done in a series of sessions, each lasting about 20-30 minutes, where the magnetic pulses are delivered to the prefrontal cortex, an area of the brain involved in mood regulation.


It might sound a bit unusual, but many people have experienced profound relief from their depression symptoms with TMS in Apex, NC, especially if other treatments haven’t worked as well. It’s safe, doesn’t require anesthesia, and most people go back to their normal routine right after a session.


Breaking Through Depression with Spravato


Spravato is a nasal spray that contains esketamine, a medication that works differently from traditional antidepressants. It’s often used for people with treatment-resistant depression, meaning those who haven’t found relief from other antidepressant medications. Spravato works by targeting glutamate, a neurotransmitter that plays a role in mood regulation. It’s typically administered under the supervision of a healthcare provider in a clinic setting.


Spravato is a great option for those who need more immediate relief, and it has been shown to help people feel better faster, which is key when you’re struggling with depression and need a breakthrough.


Moving Forward with Clarity and Wellness


With treatments like TMS and Spravato, many people are able to break free from the overwhelming weight of depression and regain clarity, energy, and joy. These treatments don’t just mask the symptoms—they help you rebuild your mental health from the ground up. They give you the tools you need to move forward with renewed wellness, so you can focus on what truly matters in your life.


If you’re feeling stuck or if depression has been stealing your energy and joy, don’t wait to reach out. Treatment is available, and you don’t have to go through this alone. Whether it’s through TMS, Spravato, or other therapies, there is a path forward. You deserve to feel like yourself again.


Remember Julie? After starting TMS treatment, she began to see a shift. The fog started to lift, and she felt more like her old self. Her energy came back, and she could focus again. It wasn’t an overnight miracle, but with the right treatment, she felt empowered to take her life back.


So, if you’ve been struggling with depression, don’t wait for it to get worse. Seek help and find the treatment that works for you. 2025 can be your year to break through and move forward with clarity, strength, and a renewed sense of wellness.


You don’t have to stay stuck—there is a way out. Let's take that first step together. Reach out to our team at the North Carolina Institute of Advanced NeuroHealth and begin your healing journey. 


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