How to Help a Friend With Depression
Helping a friend with depression can be a challenge. If someone in your life has depression, you may feel helpless and wonder what to do. Learn how to offer support and understanding and help your loved one get the resources to cope with depression. Here’s what you can do.
Depression Signs and Symptoms vary from person to person. They can include:
- Feelings of sadness, tearfulness, emptiness, or hopelessness
- Angry outbursts, irritability or frustration, even over small matters
- Loss of interest or pleasure in most or all normal activities, such as sex, hobbies, or sports
- Insomnia or sleeping too much
- Tiredness and lack of energy, so even small tasks take extra effort
- Changes in appetite — reduced appetite and weight loss or increased cravings for food and weight gain
- Anxiety, agitation, or restlessness
- Slowed thinking, speaking, or body movements
- Feelings of worthlessness or guilt, fixating on past failures or blaming yourself for things that aren’t your responsibility
- Trouble thinking, concentrating, making decisions, and remembering things
- Frequent or recurrent mention of death, suicidal thoughts, suicide attempts, or suicide
- Unexplained physical problems, such as back pain or headaches
For many people with depression, symptoms usually are severe enough to cause noticeable problems in day-to-day activities, such as work, social activities, or relationships with others. Other people may generally feel miserable without knowing why. Adults may show depression by being irritable or cranky rather than sad.
People with depression may not recognize or acknowledge that they’re depressed. In addition, they may not be aware of the signs and symptoms of depression, so they may think their feelings are normal.
All too often, people feel ashamed about their depression and mistakenly believe they should overcome it with willpower alone. But depression seldom gets better without treatment and may get worse. The person you care about can get better with the proper treatment approach.
Here’s what you can do to help:
- Talk to the person about what you’ve noticed and why you’re concerned.
- Explain that depression is a medical condition, not a personal flaw or weakness — and that it usually gets better with treatment.
- Suggest seeking help from a professional — a medical doctor or a mental health provider, such as a licensed counselor or psychologist.
- Offer to help prepare a list of questions to discuss in an initial appointment with a doctor or mental health provider.
- Express your willingness to help by setting up appointments, going along to them, and attending family therapy sessions.
If your loved one’s illness is severe or potentially life-threatening, contact a doctor, a hospital, or emergency medical services.
Identify Warning Signs of Worsening Depression
Everyone experiences depression differently. Observe your loved one. Learn how depression affects your family member or friend — and learn what to do when it gets worse.
Consider these issues:
- What are the typical signs and symptoms of depression in your relative or friend?
- What behaviors or language do you observe when depression is worse?
- What behaviors or language do you observe when they are doing well?
- What circumstances trigger episodes of more severe depression?
- What activities are most helpful when depression worsens?
Worsening depression needs to be treated as soon as possible. Encourage your loved one to work with their doctor or mental health provider to develop a plan for what to do when signs and symptoms reach a certain point. As part of this plan, your loved one may need to:
- Contact the doctor to see about adjusting or changing medications
- See a psychotherapist, such as a licensed counselor or psychologist
- Take self-care steps, such as being sure to eat healthy meals, get an appropriate amount of sleep and be physically active
Understand Suicide Risk
People with depression are at an increased risk of suicide. If your loved one is severely depressed, prepare yourself for the possibility that at some point, they may feel suicidal. Take all signs of suicidal behavior seriously and act immediately.
Take action if necessary:
- Talk to the person about your concern. Ask if they have been thinking about attempting suicide or has a plan for how to do it. Having an actual plan indicates a higher likelihood of attempting suicide.
- Seek help. Contact the person’s doctor, mental health provider, or other health care professional. Let other family members or close friends know what’s going on.
- Call a suicide hotline number or your local emergency helpline.
- Make sure the person is in a safe environment. If possible, eliminate things that could be used to attempt suicide. For example, remove or lock up firearms, other weapons, and medications.
- Call 911 or your local emergency number immediately if the person is in danger of self-harm or suicide. Make sure someone stays with that person at all times.
Stay alert for warning signs of suicide
Common warning signs of suicide or suicidal thoughts:
- Talking about suicide — for example, making statements such as “I’m going to kill myself,” “I wish I were dead,” or “I wish I hadn’t been born”
- Getting the means to attempt suicide, such as buying a gun or stockpiling pills
- Withdrawing from social contact and wanting to be left alone
- Developing personality changes or being severely anxious or agitated, particularly when experiencing some of the warning signs listed above
- Being preoccupied with death, dying, or violence
- Feeling trapped or hopeless about a situation
- Increasing use of alcohol or drugs
- Changing routine, including eating or sleeping patterns
- Doing risky or self-destructive things, such as using drugs or driving recklessly
- Giving away belongings or getting affairs in order when there’s no other logical explanation for why this is being done
- Saying goodbye to people as if they won’t be seen again
- Having mood swings, such as being emotionally high one day and deeply discouraged the next
Remember that your loved one’s depression isn’t anyone’s fault. You can’t fix the person’s depression — but your support and understanding can help.
What you can do for your loved one:
- Encourage sticking with treatment: If your relative or friend is in treatment for depression, help them remember to take prescribed medications and keep appointments.
- Be willing to listen: Let your loved ones know that you want to understand how they feel. When the person wants to talk, listen carefully, avoid giving advice or opinions or make judgments. Just listening and being understanding can be a powerful healing tool.
- Give positive reinforcement: People with depression may judge themselves harshly and find fault with everything they do. Remind your loved ones about their positive qualities and how much the person means to you and others.
- Offer assistance: Your relative or friend may not be able to take care of certain tasks well. Give suggestions about specific tasks you’d be willing to do or ask if there is a particular task that you could take on.
- Help create a low-stress environment: Creating a routine may help a person with depression feel more in control. Offer to make a schedule for meals, medication, physical activity, sleep, and help organize household chores.
- Locate helpful organizations: Several organizations offer support groups, counseling, and other resources for depression.
- Encourage participation in spiritual practice, if appropriate: Faith is essential in recovery from depression for many people, whether involved in an organized religious community or personal spiritual beliefs and practices.
- Make plans together: Ask your loved one to join you on a walk, see a movie with you, or work with you on a hobby or other activity they previously enjoyed. But don’t try to force the person into doing something.
What You Can Do For Yourself
- Learn about depression: The better you understand what causes depression, how it affects people, and how it can be treated, the better you’ll be able to talk to and help the person you care about.
- Take care of yourself: Supporting someone with depression isn’t easy. Ask other relatives or friends to help, and take steps to prevent becoming frustrated or burned out. Find your own time for hobbies, physical activity, friends, and spiritual renewal.
- Finally, be patient: Depression symptoms do improve with treatment, but it can take time. Finding the best cure may require trying more than one type of medication or treatment approach. For some people, symptoms quickly improve after starting treatment. For others, it will take longer.
At We Level Up Treatment Center provides world-class care with round-the-clock medical professionals available to help you cope. In addition, we work as an integrated team providing information about How to Help a Friend With Depression and other aspects of treatment. Make this your opportunity to reclaim your life. Call today to speak with one of our treatment specialists. Our specialists know what you are going through and will answer any of your questions.
Your call is private and confidential, and there is never any obligation.
 What is major depression? U.S. Department of Veterans Affairs. http://www.mentalhealth.va.gov/depression.asp. Accessed July 9, 2015.
 FYI: Understanding depression and effective treatment. American Psychological Association. http://www.apa.org/helpcenter/understanding-depression.aspx. Accessed July 9, 2015.
 Suicide warning signs. American Foundation for Suicide Prevention. https://www.afsp.org/understanding-suicide/suicide-warning-signs. Accessed July 9, 2015.
 Depression. National Institute of Mental Health. http://www.nimh.nih.gov/health/topics/depression/index.shtml. Accessed July 9, 2015.