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Understanding The Different Types of Depression

March 10th, 2026

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A Guide for Chicago Residents

If you’re living in Chicago and wondering what type of depression you may be experiencing and where to get treatment, keep reading.

Depression is one of the most common mental health conditions in the United States, and Chicago is no exception. From long winters with limited sunlight, work stress, academic pressure, and the fast pace of city life, many factors can impact mental health. Yet despite how common depression is, there are still many misunderstandings and myths surrounding it.

One common misunderstanding is that there is only one type of depression and it always looks the same. The reality is that depression can take many different forms. In fact, there are different types of depressive disorders, each of which is characterized by distinct criteria.

Although a diagnosis can only be made by a licensed mental health professional, learning about the different types of depression can help you recognize symptoms that may be linked to a depressive disorder. Being informed allows you to notice potential warning signs and better understand what you may be experiencing.

No matter the cause, the most important first step is talking to a professional about how you’re feeling. Below, we’ll outline the different types of depression and how they can show up, so you can gain clarity around your symptoms and know when it may be time to seek support.

Key Takeaways:

  • Depression isn’t one-size-fits-all. There are several different types, and understanding them can help you make sense of your symptoms.
  • Treatment isn’t the same for everyone. The type and cause of depression often influence the most effective approach to care.
  • Specifiers matter. Descriptions like “with anxious distress” provide important detail about how depression shows up for you, helping guide more personalized and effective treatment decisions.

Types of Depression

Like we previously mentioned, when people talk about depression, they often think of it as one single condition. In reality, depression can show up in several different ways, and the symptoms can vary from person to person.

Different types of depressive disorders come with distinct symptoms, which set them apart from one another. Here are the current depressive disorders listed in the most up-to-date version of the Diagnostic and Statistical Manual of Mental Disorders (DSM).[1]

Major Depressive Disorder (MDD)

Major depressive disorder (MDD) is the most commonly diagnosed depressive disorder. Also called major depression, MDD is marked by depressive episodes lasting for at least two weeks, with symptoms occurring on all or most days. During that time, one must experience five or more of the following symptoms, one of which must be either persistent low mood or anhedonia.

  • Persistently, low, or depressed mood (can present as irritability in children and adolescents).
  • Changes in psychomotor activity (moving more slowly than usual or restlessness).
  • Diminished ability to think, concentrate, or make decisions.
  • Changes in appetite (eating less or more than usual).
  • Sleep disturbances (sleeping too much or too little).
  • Anhedonia (loss of interest in activities).
  • Feelings of guilt or worthlessness.
  • Suicidal thoughts.

Largely, MDD is what people think about when they say “clinical depression.” While they’re often used interchangeably, clinical depression is a general, non-diagnostic term for impairing symptoms.

Persistent Depressive Disorder (PDD)

Persistent depressive disorder (PDD) is characterized by chronic, low-grade depression lasting for at least two years in adults or one year in children and adolescents.[2] During this timeframe, people with PDD have a persistently down, low, or depressed mood most of the day, more often than not, as well as at least two of the following symptoms.

  • Hypersomnia (sleeping too much) or insomnia (sleeping too little).
  • Difficulty concentrating or making decisions.
  • Poor appetite or overeating.
  • Feelings of hopelessness.
  • Low energy or fatigue.
  • Low self-esteem.

As with other disorders, there are additional criteria one must meet. For example, symptoms must not be better attributed to another condition for a diagnosis of Persistent Depressive Disorder to occur.

Premenstrual Dysphoric Disorder (PMDD)

Premenstrual dysphoric disorder, or PMDD, causes serious symptoms that begin 1-2 weeks prior to menstruation and end within a few days of your period starting. It is not “just PMS.” Symptoms of PMDD are associated with clinically significant distress or interference with relationships, work, school, or usual social activities.

People with PMDD experience symptoms all or most months before their period. These include at least one of the following:

  • Marked affective lability (e.g., mood swings, increased sensitivity to rejection, or feeling suddenly sad or tearful).
  • Markedly depressed mood, feelings of hopelessness, or self-deprecating thoughts.
  • Marked irritability, anger, or increased interpersonal conflicts.
  • Marked anxiety, tension, or feeling “keyed up” or “on edge.”

As well as at least one of the following, making for a total of five or more symptoms.

  • Physical symptoms (e.g., breast tenderness, bloating, or muscle and joint pain).
  • Changes in appetite (e.g., food cravings, overeating).
  • A sense of being overwhelmed or out of control.
  • Decreased interest in usual activities.
  • Lethargy, fatigue, or lack of energy.
  • Hypersomnia or insomnia.
  • Trouble concentrating.

About 10% of people who menstruate have PMDD.[3] Tracking your symptoms with a menstrual log is one of the best ways to help a provider accurately diagnose PMDD.

Disruptive Mood Dysregulation Disorder (DMDD)

Disruptive mood dysregulation disorder, or DMDD, is a childhood mental health condition. It causes ongoing irritability, anger, and frequent, intense temper outbursts. Criteria for DMDD include:

  • Severe, recurrent temper outbursts that are disproportionate to the situation and inconsistent with the child's developmental level.
  • A persistently angry or irritable mood lasting most of the day, almost every day, observable by others.
  • Symptoms last for at least 12 months, with no more than three consecutive months symptom-free.
  • Symptoms or behaviors are present in at least two of three settings (e.g., home, school, with peers) and are severe in at least one.
  • Diagnosis must not be made before age 6 or after age 18.
  • Age of onset before age 10 (by history or observation).

If left untreated, kids with DMDD are at a high risk of developing depressive or anxiety disorders in adulthood.[4]

Other Depressive Disorders

Other depressive disorders listed in the DSM include:

  • Depressive disorder due to another medical condition. This refers to depression symptoms caused by a physical health condition, like Parkinson's disease or a thyroid disorder.
  • Other specified or unspecified depressive disorder, which is diagnosed when a person has clinically significant symptoms that don’t meet full criteria for a disorder like MDD or PDD.
  • Substance/medication-induced depressive disorder, a type of depression caused by substance use or medication side effects.

Ruling out other causes is an important part of the diagnostic process.

Like depression, bipolar disorder is a type of mood disorder. However, it is classified separately because it involves alternating mood episodes. People with bipolar disorder experience periods of depression along with episodes of hypomania or mania.

Bipolar disorder is not a single diagnosis, but a category that includes Bipolar I disorder, Bipolar II disorder, and cyclothymic disorder (cyclothymia). Each has its own pattern and severity of mood changes.

Treatment for bipolar disorder differs from treatment for major depressive disorder (which involves depression without episodes of mania or hypomania). Because bipolar disorder is sometimes misdiagnosed as depression, understanding the signs of mania and hypomania is important. Recognizing these differences can help ensure an accurate diagnosis and the most appropriate treatment plan.

Depressive Specifiers

In addition to the main depression diagnoses in the DSM-5, such as Major Depressive Disorder (MDD), clinicians also use something called specifiers. The role of depression specifiers is to illustrate the “flavor” of depression a person has. In other words, specifiers help describe the specific way depression is showing up for an individual.

Even when two people share the same diagnosis, their experiences with depression can look very different. Some individuals may feel constantly slowed down and low in energy, while others may experience intense anxiety, agitation, or difficulty sleeping. Specifiers help mental health professionals capture these differences.

By identifying these patterns, psychiatrists and other providers can better understand a person’s symptoms and choose treatments that are more closely tailored to their needs. Core depressive specifiers described in the DSM-5 include the following:

  • With catatonia: Also called catatonic depression, depression with catatonia involves a lack of response to one’s environment. Symptoms include lack of movement, inability to speak, wavy flexibility (the body stays in the position someone else put it in), holding awkward or rigid poses for long periods, or excited, purposeless motor activity.
  • With psychotic features: Depression with psychotic features is also called psychotic depression. It happens when symptoms of psychosis (e.g., hallucinations, delusions) present alongside depression symptoms.
  • With anxious distress: At least two of the following symptoms are present during a depressive episode: feeling keyed up or tense, restlessness, difficulty concentrating, fear that something awful might happen, and/or fear of losing control.
  • With seasonal pattern: Seasonal affective disorder (SAD) is a subtype of mood disorder characterized by episodes with a seasonal pattern.[5]
  • With peripartum onset: Widely known as postpartum depression, peripartum onset is a depression specifier indicating the onset of symptoms either during pregnancy or within 4 weeks of delivery.[6]
  • With atypical features: Depression with atypical features is primarily characterized by mood improvement in response to positive events. Other symptoms include overeating, hypersomnia, feelings of heaviness or fatigue in the limbs, and rejection sensitivity.
  • With melancholic features: Depression with melancholic features is marked by either an inability to experience pleasure or no mood reactivity (no mood improvement in response to positive events). People may experience a persistently “heavy mood,” excessive or disproportionate guilt, weight loss, early morning waking, depression that is at its worst in the morning, or changes in psychomotor activity.
  • With mixed features: Depressive episodes accompanied by at least three symptoms of hypomania or mania (e.g., reduced need to sleep, high energy, racing thoughts, pressured speech, risky behavior, grandiosity).

When you are speaking to your doctor or mental health care provider, make sure to give them all of the information you can, even if it seems like unnecessary details. This can help your provider better tailor their treatment approaches and provide an accurate diagnosis.

Why an Accurate Depression Diagnosis Matters

Many people don’t realize that depression can take different forms. It’s common to hear someone say “depression is depression,” but in reality, there are several types of depressive disorders, and each can show up a little differently.

Understanding the specific type of depression a person is experiencing can make an important difference when it comes to treatment. Different symptoms and patterns often respond better to different treatment approaches.

For example, someone experiencing depression with catatonia may need treatment that addresses both depressive symptoms and the physical symptoms associated with catatonia. Similarly, conditions like Premenstrual Dysphoric Disorder (PMDD) involve unique hormonal patterns that may require a different treatment approach than Major Depressive Disorder (MDD).

This is why getting a proper evaluation from a mental health professional can be so helpful. A psychiatrist or qualified clinician will typically ask detailed questions about your symptoms, experiences, and medical history. You may also complete a short questionnaire to help identify patterns in mood, sleep, energy levels, and other symptoms.

Online depression screenings, like the one available on our website, can be a helpful starting point for understanding your symptoms. However, they are not a substitute for a full clinical evaluation and cannot provide a formal diagnosis.

Depression Screenings & Treatment in Chicago

If you’re looking for a depression specialist in Chicago who will take the time to listen and provide a thoughtful, accurate diagnosis, Clarity Clinic is here to help. Our team offers comprehensive evaluation and treatment services for depression in children, teens, and adults.

Chicago is home to an incredibly diverse and vibrant community, and we believe mental health care should reflect that. At Clarity Clinic, you’ll find a wide range of therapists, psychiatrists, and mental health professionals from different backgrounds, allowing you to find a provider who feels like the right fit for you.

We offer a full range of depression treatment services, including psychiatry, therapy, structured programs such as PHP and IOP, and advanced treatments like TMS therapy. To make care as accessible as possible, we provide both in-person and online appointments.

You can visit us at one of our convenient Chicagoland locations:

If you’re ready to take the next step toward feeling better, our team is here to support you. Call Clarity Clinic at (312) 815-9660 or book an appointment online today. We accept most major insurance plans and are committed to helping you access compassionate, high-quality mental health care.

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Related Readings:

Types of Depression FAQs

References

[1] DSM. Psychiatry.org - DSM. (n.d.). https://www.psychiatry.org/psychiatrists/practice/dsm

[2] Patel, R. K. (2024a, August 11). Persistent depressive disorder. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK541052/

[3] Premenstrual dysphoric disorder (PMDD). Cleveland Clinic. (2026, February 12). https://my.clevelandclinic.org/health/diseases/9132-premenstrual-dysphoric-disorder-pmdd

[4] Disruptive mood dysregulation disorder (DMDD): Symptoms. Cleveland Clinic. (2025e, September 17). https://my.clevelandclinic.org/health/diseases/24394-disruptive-mood-dysregulation-disorder-dmdd

[5] Munir, S. (2024, April 20). Seasonal affective disorder. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK568745/

[6] Carlson, K. (2025, January 22). Perinatal depression. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK519070/

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