How punk-ass can depression get?

In this article, it will be discussed the concept of depression and its spectrum, from the mild forms to the most severe ones that can make it hard for a person to even get out of bed. 

The article will also discuss what are ways that a person can cope with different types of depression, focusing mainly on how people with severe depression can do things.

What is depression?

Depression is a mental illness that causes the person to go through an intense sense of sadness that impacts every aspect of their life. It also causes the person to not feel pleasure in things they used to enjoy before, and make them feel empty.

Aside from that, depression leaves the person without hope for themselves and the future, as well as giving them a low sense of self-worth and self-esteem.

It can happen to anyone, at any moment of their lives, but some factors tend to make it easier for a person to develop depression. For example, women tend to have a higher chance of getting depressed than men.

Another factor that can make a person more susceptible to depression is having gone through a previous episode of it, as well as having, in their family history, a case of depression.

People that are going through a traumatic situation, such as the loss of a loved one or a divorce, can also experience depression. Aside from there, a person can get depressed when there is an imbalance of their brain’s chemistry.

Depression affects 5% of the world’s population, being that every person may experience it differently. The main factor to diagnose that someone is depressed is that they feel its symptoms intensely and constantly for more than two weeks.

These are the symptom of depression:

  • Change in sleeping pattern
  • Change in eating pattern
  • Lack of interest in things they used to enjoy
  • Excessive crying of difficulty crying even when they want to
  • Lack the ability to focus
  • Lack of energy
  • Isolation
  • Guilt
  • Irritability
  • Self-harm
  • Thoughts of death and suicidal ideas

What is the spectrum of depression?

Depression can show itself in a spectrum that is understood based on how long the person experiences its symptoms and how intense they can get.

Mild Depression

It can be a mild depression, meaning that it is one that, although the person is in intense suffering, and it has an impact on their life, might not impair their life in all ways. This type of depression, because it usually goes on for a smaller period, might be harder to diagnose.

Mild depression might show the symptoms referred to above. It might not require medication treatment, but it is important to have a professional supporting you. If your symptoms tend to last less than other forms of depression, so if you feel depressed for more than a few months, and more than 4 days at the period of a week, it might be important to talk to your doctor.

Moderate Depression

If depression is more severe than the mild one, it can be said that a person has moderate depression. It shares the same symptoms as mild depression although the sense of impairment in the person’s life is stronger than when a person with mild depression.

A person with moderate depression can have the same symptoms as the person with mild depression, adding to that a sense of constant worry, reduced productivity, and increased sensitivity. This form of depression can cause problems in the person’s social, work, and home life. 

To diagnose it might be easier than mild depression because it tends to last longer and its symptoms are more notable, it might not also be necessary medication to treat, but people can use it and also look for therapy as a form of treatment.

What is the highest punk-ass depression, when it is even hard to get out of bed?

The depression that can cause a person to have difficulty doing even the little things, like getting out of bed, is called Major Depression.

Major depression

It is a form of depression in which the person has the symptoms of mild and moderate depression but the symptoms are more intense to a point of being easily noticeable. 

An episode of major depression also lasts longer than the other types of depression and can go on for an average of 6 months. But it is also a type of depression that can be recurrent, meaning that a person can have more than one episode from it.

As for how major depression shows itself, it is a type of depression that can impair intensely the person’s life. They might become unable to work or study, and do the most simple things in life.

Aside from that, when we talk about crying, in people with major depression, we can see, in a more common way, people that are unable to cry even if they want to. This is because they tend to have a harder time showing their emotions.

They also can have a sense of lethargy, exhibiting slowed motor function, which can impact their fine motor skills, speech, and facial expressions.

Major depression can also lead to another set of specific symptoms. It can cause the person to develop psychosis, suicidal thoughts, and melancholia. Let’s understand a little more about those.


A person with major depression can develop psychosis, showing signs of being delusional, or hallucinations. This means that the person is going through a break from reality. It might make a person more agitated, highly anxious, have physical immobility, intellectual impairment, and have trouble sleeping.

Suicidal thoughts  

When the person is in intense suffering, it might be that they start to consider ending their life. This is not a simple thing, and people should be aware of signs and understand if the person is only considering death or if they are already planning on something.

People that are considering suicide tend to have a change in their sleeping pattern, may start giving away their belongings, they can also start showing risky behaviors, be more isolated, and present intense mood swings.

This person should not be left alone, and it might be extremely important to get in touch with the professionals that are treating them to understand what can be done.

What are ways to treat major depression?

Major depression can be treated in some ways. It is a condition that will need medication treatment, as a way to try and decrease the intensity of the depression symptoms of the person going through it.

Aside from that, talking therapy is another important way to treat it. Through it, the person can have a safe space to talk about their emotions as well as be in a place that will help you create strategies to deal with the recurrent depressive episodes that can happen when a person has major depression.

Brain stimulation treatment is another treatment that tries to reestablish again the balance in the person’s brain chemistry. Some people, when depression impairs their condition to live intensely, might need to be treated in a hospital to keep them in a controlled and safe space.

How can I cope with major depression?

Other ways are not medical treatments that can help a person cope with depression. Bringing those things to their day-to-day life can help a person with major depression to experience some sense of well-being.


Bringing meditation to your life can help you focus on your body and breathing, instead of all the thoughts going through your head. From it, a person can get a sense of relaxation that might also help

with their sleeping patterns.

Having a support network

Having people close to you that you can talk and share your feelings with. This can help you feel less alone, give you a sense of belonging, and give you a sense of being connected, which can be a great factor to prevent suicide.

Moving your body  

Although that might seem impossible at times, moving your body, even if just through a little walk, can help you focus on other things, as well as it will give you a little more energy, and after it, you might experience a sense of well-being from the endorphins coming from it.

Frequently Asked Question (FAQ): What is the highest punk-ass depression when you can’t get out of bed?   

Can opioids be good for depression?

Opioids are usually used for pain treatment, they can give you a sense of well-being while you have it, but it will not last, and they are highly addictive.

So they might make you feel better for a while, but they are not good for treating your depression.

 Can someone die from depression?  

A person can’t die from being depressed, but the symptoms of depression may cause intense problems to their health, which can lead to a more serious person.

Aside from that, a person with major depression can come to develop suicidal thoughts and act on them. In this sense, depression can cause a person’s death.

How can I know my friend is thinking of suicide?

They might start changing their behaviors. Became even more isolated, and they might start expressing curiosity about death, violent events, and dying. 

Aside from that, they can become more agitated, sleep less, and start saying their goodbyes and giving away their belongings.

It might be a good idea to ask them if they are thinking about it because it might authorize them to talk about this and with that, you might be able to look for help.

What can I do if I can’t even get out of bed?   

It might be a good idea to understand if there is a time of day when you feel more energetic, and if that’s the case, use that moment to do things you need to.

Also, try to set small goals, so you don’t get overwhelmed about what needs to be done. And once you manage to do something, reward yourself. This will motivate you to do things, as well as it will give you a sense of well-being.

Does major depression have a cure?

People usually say that major depression goes on remission. In all types of depression, it is impossible to affirm with all certainty that a person won’t develop depression again. 

With that, one can go through treatment for one episode of major depression, get better about it, but they might come to go through it again, making it hard to say someone gets cured of it.


This article, it was discussed the concept of depression and its spectrum, from mild depression to major depression. 

Along with that, the article showed how people can cope with different intensities of depression and what are important strategies for people in severe depression to try and do their activities.

If you have any questions or comments about this article, feel free to write it in the space below.


Paris J. The mistreatment of major depressive disorder. Can J Psychiatry. 2014 Mar; 59(3): 148–151.