Depression Types What Is Unipolar Depression? By Wendy Wisner Wendy Wisner Wendy Wisner is a health and parenting writer, lactation consultant (IBCLC), and mom to two awesome sons. Learn about our editorial process Updated on July 22, 2022 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Daniel B. Block, MD Medically reviewed by Daniel B. Block, MD LinkedIn Twitter Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Print Gawrav / Getty Images Table of Contents View All Table of Contents What Is Unipolar Depression? Characteristics & Symptoms Diagnosis Causes Treatment Coping What Is Unipolar Depression? Unipolar Depression Unipolar depression is a term used interchangeably with major depressive order, and is characterized by continuous feelings of sadness, low mood, feelings of worthlessness, lack of interest in activities you used to enjoy, as well as suicidal ideation. Unipolar disorder is a serious mental health disorder affecting 8.4% of the U.S. population. The disorder is more prevalent among women than men, and among younger people (aged 18-25) than older people. In 2020, 14.8 million adults had a severe episode of unipolar disorder, and 66% of people with the disorder were treated. Unipolar vs. Bipolar Depression The term unipolar depression is used to distinguish major depressive disorder from bipolar disorder, which is characterized by alternating periods of mania and depression. Sometimes bipolar disorder is misdiagnosed as unipolar depression. In these cases, treatment is not successful, as treatment for the two disorders differs. Unipolar depression has distinct differences from bipolar disorder, including lack of manic/hypomanic episodes; however, depression is also a symptom of bipolar disorder. It’s important that if you are having signs of depression, you receive a proper diagnosis from a medical professional, who will determine if you are experiencing unipolar depression or bipolar depression. Differences Between Sadness and Clinical Depression Characteristics and Symptoms of Unipolar Depression Experiencing unipolar depression, or major depressive disorder, is different from feeling sad and down from time to time. Unipolar depression is characterized by feelings of depression that are persistent, intense, and that make it challenging for you to function normally or relate to others. Some of the main characteristics of unipolar depression include: Feeling sad most days or having a chronic low mood Not enjoying activities that used to bring you pleasure Finding it difficult to experience joy or happiness Feeling emotionally numb Having trouble concentrating Lack of energy Noticeable changes in hunger Trouble sleeping Feeling agitated Having trouble completing tasks Feeling like you don’t matter Feeling guilty Experiencing thoughts of suicide or self-harm If you or a loved one are having thoughts of suicide, call 911 immediately or call the National Suicide Prevention Lifeline at 988. For more mental health resources, see our National Helpline Database. How Many People Are Actually Affected by Depression Every Year? Diagnosis of Unipolar Depression In order to receive a diagnosis of unipolar depression, you will need to be evaluated by a doctor or psychiatrist. Evaluations for depression often include a physical exam, a medical and family history questionnaire, and bloodwork to look for markers of disease. Sometimes other medical conditions are confused with unipolar depression, including thyroid or hormonal disorders, so it’s important to rule those out. According to the DSM-5-TR, in order to be diagnosed with unipolar depression (major depressive disorder), you need to have had symptoms of a depressive episode for two weeks or more, and experience five or more of the following symptoms: Depressed mood (or irritable mood in children) Little to no interest in activities that used to give you pleasure A noticeable change in appetite or weight Challenging sleep issues An inability to stop moving (agitation) or acting extremely sluggish Low energy, inability to concentrate, and fatigue Feelings of intense worthlessness, self-blame, and guilt Trouble thinking clearly or making everyday decisions Thoughts of death or suicide 7 Facts Everyone Should Know About Depression Causes of Unipolar Depression There are several factors that contribute to unipolar depression. Usually it’s not just one factor that causes the condition, but several taken together—a perfect storm of causes, so to speak. Some of the most common causes of unipolar depression include: Having a family member with depression (heredity is a contributor in 35% of cases) A history of childhood abuse, including physical, sexual, and mental abuse Differences in brain chemistry and neurology Additionally, certain risks factors may make you more prone to developing unipolar depression, such as: Being divorced, separated, or widowedA history of substance abuseHaving other mental health conditions, including social anxiety disorder and panic disorderBeing a woman (women are two times as likely to be diagnosed with depression)Having other medical conditions, especially if you are an older person Common Signs of Depression in Women Treatment for Unipolar Depression It is difficult to live with unipolar depression, and you may find the diagnosis upsetting. But the silver lining is that unipolar depression is treatable. If you are experiencing symptoms, especially if you are having thoughts of self-harm or suicide, it’s imperative that you receive prompt treatment. Usually treatment works best if you combine common treatments such as therapy and medication. Here’s what to know about the most common ways of treating unipolar depression. Therapy Psychotherapy is an effective way to treat unipolar depression. It’s best to find a therapist who has experience treating the condition. Importantly, you want to find a therapist you feel comfortable with—someone who validates your feelings and makes you feel emotionally safe. Types of therapy used to treat unipolar depression include interpersonal therapy and cognitive-behavioral therapy. Medication Medication is often the first line of defense for unipolar depression, and is especially important in cases of severe depression or suicidal ideation. Types of medication used to treat unipolar depression include: Selective serotonin reuptake inhibitors (SSRIs) Serotonin-norepinephrine reuptake inhibitors (SNRIs) Tricyclic antidepressants (TCAs) Monoamine oxidase inhibitors (MAOIs) Serotonin modulators Atypical antidepressants (bupropion or mirtazapine) The 5 Major Classes of Antidepressants Coping With Unipolar Depression In addition to therapy and medication, certain lifestyle changes can help you manage unipolar depression and lessen its symptoms. For example, studies have found that adding exercise into your daily routine can help mitigate and treat your symptoms. In addition, practicing mindfulness and meditation, decreasing your use of drugs and alcohol, taking time each day to relax, and ensuring that you are getting enough sleep, can all help with unipolar depression. There is also immense value in having a strong social support network, and connecting with others who struggle with similar mental health challenges. Mindfulness Meditation Techniques for Stress Relief A Word From Verywell If you are someone who has unipolar depression, you might feel shame or discomfort with your diagnosis. But unipolar depression is one of the most common mental illnesses out there, and you are not alone. The most important thing is that you get help. Unipolar depression is challenging, but treatment is effective and can allow you to find happiness and thrive. Do You Know About All the Treatment Options for Depression? 8 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. APA Dictionary of Psychology. Unipolar Disorder. Bains N, Abdijadid S. Major Depressive Disorder. StatPearls Publishing. National Institute of Mental Health. Major Depression. Rolin D, Whelan J, Montano C. Is it depression or is it bipolar depression? Journal of the American Association of Nurse Practitioners. 2020;32(10):703-713 doi: 10.1097/JXX.0000000000000499 Substance Abuse and Mental Health Services Administration. DSM-5 Changes: Implications for Child Serious Emotional Disturbance. Otte C, Gold S, Penninx B, et al. Major depressive disorder. Nature Reviews Disease Primers. 2016;2(16065). doi:10.1038/nrdp.2016.65 Schuch F, Stubbs B. The Role of Exercise in Preventing and Treating Depression. Current Sports Medicine Reports. 2019;18(8):299-304. doi:10.1249/JSR.0000000000000620 Sarris J, O’Neil A, Coulson C, Schweitzer I, Berk M. Lifestyle medicine for depression. BMC Psychiatry. 2014;14:107. doi:10.1186/1471-244X-14-107 Additional Reading Cuellar A, Johnson S, Winters R. Distinctions between bipolar and unipolar depression. Clinical Psychology Review. 2005;25(3):307-339. doi:10.1016/j.cpr.2004.12.002 Substance Abuse and Mental Health Services Administration. DSM-5 Changes: Implications for Child Serious Emotional Disturbance. By Wendy Wisner Wendy Wisner is a health and parenting writer, lactation consultant (IBCLC), and mom to two awesome sons. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for Depression Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.