Depression

Depression or just sadness? When to seek help

Everyone feels low sometimes. Here is how to tell ordinary sadness from depression — and what to do next.

Dr. Kuldeep Budania, MBBS, MD Psychiatry

Updated 11 October 2026 · 4 min read

Sadness is a normal reaction to loss, disappointment or stress. It usually eases within days and does not stop you from functioning. Depression is different: it lasts, it spreads into every part of life, and it does not lift just because something good happens.

The two-week rule

Doctors look for low mood or loss of interest on most days for at least two weeks, along with several of the following:

  • Sleep problems — too little or too much
  • Tiredness, slowed thinking, poor concentration
  • Appetite or weight change
  • Guilt, feeling worthless or hopeless
  • Thoughts that life is not worth living

Why people delay

Many people think they should 'be strong' or that medicines are addictive. In reality, depression is a medical condition, and antidepressants are not habit-forming. Early treatment shortens suffering and protects work, studies and relationships.

What you can do today

  • Take our free PHQ-9 self-check (2 minutes, private)
  • Talk to someone you trust
  • Keep a simple routine: wake time, a short walk, regular meals
  • If you have thoughts of self-harm, call Tele-MANAS 14416 today

Frequently asked questions

How long does depression treatment take?

Many people start feeling better within 4–8 weeks of starting treatment. Treatment usually continues for some months after recovery to prevent relapse.

Is depression a sign of weakness?

No. It is a medical condition linked to brain chemistry, stress and life events — not a character flaw.

Medical references

Guidelines and official sources used for this article.

  1. Depressive disorder (depression) — fact sheet. World Health Organization.
  2. Depression in adults: treatment and management (NG222). National Institute for Health and Care Excellence (NICE), UK, 2022.
  3. mhGAP Intervention Guide for mental, neurological and substance use disorders in non-specialized health settings, version 2.0. World Health Organization, 2016.
Author
Dr. Kuldeep Budania, MBBS, MD Psychiatry
Medical reviewer
Dr. Kuldeep Budania, MD Psychiatry
Last reviewed

This article is for general information and is not a substitute for personal medical advice.

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