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Depressive disorders
Depression (major depressive disorder)
Depression is much more than feeling sad: it is low mood or loss of interest lasting weeks that affects sleep, energy, concentration and how you see yourself.
If you're having thoughts of harming yourself, call 024 (suicide crisis line in Spain, free and 24 h) or 112 in an emergency.
Common signs
- Sadness or emptiness most of the day
- Loss of interest or pleasure
- Tiredness and lack of energy
- Changes in sleep or appetite
- Feelings of guilt or worthlessness
- Difficulty concentrating
Having some of these signs doesn't mean you have the disorder: only a professional can make a diagnosis.
Why does it happen?
A combination of biological, psychological and social factors: genetics, stress, loss, isolation or illness.
How is it diagnosed?
Clinical assessment of the symptoms, how long they've lasted and how severe they are, ruling out medical causes.
Treatment
Cognitive behavioural therapy and behavioural activation are effective. In moderate or severe depression, coordination with psychiatry is considered.
Want some guidance? Take the Depression test: free, 2-3 minutes.
We're here for you at Clínica Vivaldi
Registered psychologists at Calle Chiva 25 (Valencia) and online across Spain. First appointment with no waiting list; we work with psychiatry and nutrition when needed.
Educational content based on the DSM-5-TR classification. It does not replace a professional assessment. Reviewed by the Clínica Vivaldi team, November 2026.