Depression- Ups and Downs

Often when a person says that they are depressed they say when they are experiencing a depressive episode that I feel depressed all the time.  However, it is interesting that in therapy as we discuss in detail specific days, there are time periods where the depression is worse and better.  As a person recognizes that there are changes in depression during a typical day, and they start to recognize more readily time periods where they do not feel as depressed they often report being less depressed.  If a person also identifies what contributes to making the depression worse and better they can often decrease depressive symptoms.