How to Identify Depression

Depression can often be recognized through a pattern known as the "three lows," "three selves," and "three noes." The "three lows" refer to a persistently low mood, loss of interest in activities once enjoyed, and a general lack of energy or motivation. These emotional and physical symptoms are central to the experience of many individuals struggling with depression.

Understanding the "Three Selves"

The "three selves" describe a set of negative self-perceptions that can occur in depression. These include feelings of guilt (self-blame), a deep sense of regret or responsibility for perceived failures (self-reproach), and in more severe cases, thoughts of ending one's own life (suicidal ideation). These internal struggles can significantly impact a person's mental state and daily functioning.

The "Three Noes" and Emotional Impact

Many individuals with depression also experience what is referred to as the "three noes" — a sense of hopelessness, helplessness, and feeling worthless. People may begin to believe they have no value, that they are a burden to loved ones, or that they don't contribute meaningfully to society. These thoughts can deepen the emotional weight of the condition and make it even harder for someone to seek help.

Why Professional Diagnosis Matters

While the "three lows, three selves, and three noes" can be helpful indicators, they should not be used as the sole method for diagnosing depression. Other medical conditions, such as hypothyroidism or anemia, can mimic the symptoms of depression, including fatigue, low mood, and loss of pleasure. This is why a comprehensive medical evaluation is essential.

Proper diagnosis often requires both psychological assessment and physical testing. Relying solely on self-assessment tools or checklists can lead to misdiagnosis or delay in receiving appropriate care. If you or someone you know is showing signs of depression, it's important to consult a qualified healthcare provider. A mental health professional can determine whether the symptoms are due to depression, another medical condition, or a combination of both, and recommend the most effective treatment plan.