According to Leo Tolstoy, “All happy families are alike; each unhappy family is unhappy in its own way.” As a clinician I find the same goes for depression, which may be what Tolstoy meant in the first place. We know depression hurts. It’s not good for us to try to function with a low mood as our effectivity is greatly diminished, not to mention our subjective well-being, overall health, and longevity. But what triggers a depression differs very much from person to person. Loss of a loved one, trauma, stress, childbirth, the feeling of not belonging to a social group or to this world, failure, drugs, a medical condition are just some of the causes. And the way depression unfolds also differs very much from person to person, that is how long and intense our depression is, whether or not it goes hand in hand with anxiety, feelings of helplessness, hopelessness, loneliness, sleeplessness, rumination, lack of focus and fulfillment, et cetera. (more…)