Diagnosis of Depression
Depression is diagnosed through a detailed evaluation of your symptoms, emotional state, and daily functioning by a mental health professional. The process often includes clinical interviews, psychological assessments, and ruling out medical conditions that may mimic depressive symptoms.

Option #1. Start with a Psychiatrist
Recommended if you are unsure whether you are experiencing clinical depression, depression along with another condition, a different mental health concern, or no diagnosable condition
Process:
- Choose a Psychiatrist of your preference and schedule an initial evaluation session.
- The Psychiatrist will conduct a comprehensive clinical assessment to understand your mood, energy levels, sleep, appetite, concentration, and overall mental health history.
- Based on this evaluation, the Psychiatrist may:
- Provide a diagnosis of clinical depression and discuss treatment and management options (which may include medication), or
- Recommend follow-up sessions for further evaluation, or
- Refer you to a Clinical Psychologist for additional psychological assessments, if required.
Any additional sessions or referrals are aimed at arriving at an accurate and well-informed diagnosis.
Outcome:
By the end of this process, you will either:
- Receive a confirmed diagnosis of clinical depression, along with clarity on next steps for treatment, or
- Learn that you do not meet the diagnostic criteria for clinical depression, with professional insight into other possible explanations for your symptoms.
Option#1. Consult a Psychiatrist
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Psychiatrist
Prerna Maheshwari
Specializing in diagnosing and managing addiction, depression, anxiety, ADHD, autism, OCD
Prerna Maheshwari -
Psychiatrist
Dr Milan Nathvani
Compassionate psychiatrist with expertise in CBT for depression, OCD, and substance use disorders
Dr Milan Nathvani -
Dr Miller
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Psychiatrist
Amruta Indurkar
Compassionate psychiatrist specializing in child, adolescent, geriatric, and sexual health.
Amruta Indurkar

Option #2. Start with a Clinical Psychologist
Recommended if you suspect you may be experiencing clinical depression
Process:
- Book a Depression Diagnosis Package with a Clinical Psychologist of your choice.
- The Clinical Psychologist will conduct 1–3 assessment sessions, which may include detailed clinical interviews and standardised, evidence-based assessments for depression.
- These sessions focus on understanding the nature, severity, and duration of depressive symptoms, as well as how they impact daily functioning.
- Based on the evaluation, the Clinical Psychologist will determine whether the criteria for clinical depression are met.
- A comprehensive assessment report will be shared and discussed with you.
- The cost of the Depression Diagnosis Package covers the entire diagnostic process, including assessment and feedback.
Outcome:
At the end of the process, you will either:
- Receive a confirmed diagnosis of clinical depression, or
- Gain clarity that you do not meet the criteria for clinical depression, along with professional insight into what else may be contributing to how you are feeling.
Common Questions around Diagnosis
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What if I’m not actually depressed and I’m just lazy or seeking attention?
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Can I be misdiagnosed with depression? Especially if I have been diagnosed with anxiety, bipolar or ADHD.
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Is it normal to doubt my diagnosis?
Therapist Response -
What is the process of diagnosis for Depression?
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What if I’m scared of being judged or stigmatised?
Therapist Response -
Is depression a real condition or just sadness?
Therapist Response -
What are some early or subtle signs of depression that people ignore?
Therapist Response -
Who can diagnose Depression (psychiatrist, therapist, clinical psychologist), and when should one seek professional help?
Therapist Response -
What if I don’t feel “sad enough” to have depression?
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Will a diagnosis affect my job, insurance, or relationships?
Therapist Response
What if I’m not actually depressed and I’m just lazy or seeking attention?
Therapist Response:
This can be a tough thought to sit with, but you’re not alone in thinking that way. A lot of people who are experiencing depression question themselves like this, often because depression itself makes you doubt your own feelings.
What often looks like ‘laziness’ from the outside or even to yourself is actually something much deeper. When you’re depressed, things that used to feel simple can start to feel almost impossible. Your energy, motivation, and focus drop not because you don’t care, but because your mind and body are genuinely exhausted. Depression can make the smallest task feel like climbing a mountain, and that’s not a character flaw; it’s a symptom.
And about ‘seeking attention’ – you wanting care or understanding when you’re hurting isn’t a bad thing. It’s human. If someone were physically injured, we wouldn’t accuse them of seeking attention for asking for help. Emotional pain deserves that same kindness.
Instead of judging yourself for feeling this way, try to see it as your mind’s way of saying, “Something doesn’t feel right, and I need some help with this.” Talking with a therapist can really help you untangle whether what you’re feeling fits with depression, burnout, or something else entirely. But either way, the answer is compassion, not blame.
Can I be misdiagnosed with depression? Especially if I have been diagnosed with anxiety, bipolar or ADHD.
Therapist Response:
Yes, misdiagnosis can happen, especially when someone already has conditions like anxiety, bipolar disorder, or ADHD. These conditions share overlapping symptoms with depression, like low mood, fatigue, or difficulty concentrating, so it gets tricky to separate what’s coming from depression and what’s part of another condition. That’s why thorough assessments, detailed history, and sometimes repeated observations over time are crucial.
For example, ADHD and anxiety can indeed make you look depressed even if you aren’t. Anxiety can cause fatigue, low motivation, and irritability, while ADHD can lead to difficulties with focus, organisation, and emotional regulation. Both can create patterns that mimic depression, but the underlying cause is different so the treatment approach may change.
Burnout and depression can also feel similar, but burnout is often tied to prolonged stress, particularly work-related, and usually improves with rest, boundaries, and self-care. Depression, on the other hand, can affect all areas of life and doesn’t always improve simply by taking a break.
Also, it’s quite common to get different inputs on diagnosis from different therapists because mental health is complex, and different clinicians may prioritise different aspects of your experiences. One therapist might focus on your anxiety, another on your mood, and another on patterns over time. It doesn’t mean your experiences aren’t real, but it just highlights the complexity of mental health and the importance of collaboration and ongoing assessment.
Depression isn’t one-size-fits-all. It can vary in intensity, duration, and the specific ways it shows up in your thoughts, energy, and behaviours. That’s why ongoing self-awareness and open communication with a trusted clinician are key to understanding and managing it effectively.

Is it normal to doubt my diagnosis?
Therapist Response:
It’s completely normal to doubt your diagnosis. Mental health is complicated, and symptoms of depression often overlap with conditions like anxiety, depression, ADHD, or bipolar disorder. So it’s okay to think if what you’re experiencing fits the diagnosis you’ve been given, especially if your mood, energy, or thoughts fluctuate over time.
Your doubts reflect your awareness and engagement in your own care. Many people go through periods of questioning, seeking second opinions, or wanting more clarity about what’s going on, and that’s completely valid. In fact, discussing these doubts with your therapist or psychiatrist can actually improve your care, because it gives them more context about your experiences and helps refine treatment approaches.
Think of diagnosis as a working map, not a final destination. It’s meant to guide treatment and understanding, but it can evolve as your symptoms, life circumstances, or new information emerge. So, being curious and questioning is a healthy part of taking charge of your mental health.
What is the process of diagnosis for Depression?
Therapist Response:
You might be wondering, “Can someone really diagnose me after just one short appointment?” or “Are those online depression quizzes actually useful?” Maybe you’ve also thought, “Can I be clinically depressed even if my doctor doesn’t prescribe medication?” All of these are valid questions, and coming to answers can feel a little complicated because diagnosing depression isn’t about a single test.
Think of it like putting together a puzzle. A clinician will explore your mood, sleep, energy, appetite, concentration, and how you’re functioning day-to-day. They’ll also ask about your personal and family mental health history, any life stressors, and other medical conditions that could affect how you feel. Standardised questionnaires or rating scales might be used, but these are just tools to guide the conversation and don’t replace a thorough, personalised assessment.
A skilled professional might recognise signs of depression quickly, but an accurate diagnosis usually takes more than one brief appointment. Symptoms fluctuate, show up differently from person to person, and sometimes overlap with other mental health conditions. That’s why patterns over time are what clinicians look for.
Online quizzes and self-assessment tools can be helpful for reflection too, as they give you a starting point to think about how you’re feeling, but they’re not a substitute for a professional evaluation. These tools can sometimes overestimate or underestimate symptoms and don’t take your full life context or other conditions into account.
And even when you’ve been through the entire process, it’s normal to worry about misdiagnosis. Mental health is complex, and overlapping symptoms can make it tricky even for experienced clinicians. That’s why it’s okay and encouraged to ask questions, seek second opinions, or request follow-up assessments. Your observations, honesty about your experiences, and tracking your mood are some of the most powerful tools you have in ensuring the care you receive truly fits your needs. It’s about looking at the bigger picture over time, not rushing to a label.

What if I’m scared of being judged or stigmatised?
Therapist Response:
It’s completely fair for you to worry about what your friends, family, or partner might think after getting a diagnosis. A lot of people fear being seen differently, like others might not “get it” or might start treating them with pity or distance.
If you’re in that place, try starting small. You don’t have to tell everyone or share every detail right away. Choose one or two people you really trust, and open up in a way that feels comfortable. You could say something like, “I’ve been struggling lately and I’m getting some help for it, and it’s actually been really helpful.” You can gauge how they respond before deciding how much more to share.
Sometimes, people react awkwardly simply because they don’t know how to respond and not because they’re judging you. It can be helpful to gently guide the conversation or share a short article or video that explains what depression actually is.
You can also try journaling your thoughts or even joining a support group where people understand what you’re going through. Over time, these safe experiences can reduce the fear of stigma and make it easier to ask for help when you need it. And always remember that what you're doing is brave, it’s human, and it’s something to be proud of.
Is depression a real condition or just sadness?
Therapist Response:
Depression is a real condition and much more than just feeling sad. Even small tasks, such as getting out of bed, making breakfast, or replying to messages, can feel really exhausting. Unlike normal sadness, which comes and goes depending on events, depression tends to linger and affects many parts of your life, like your energy, sleep, appetite, concentration, and even your sense of self. You might find yourself withdrawing from friends, losing interest in hobbies you used to enjoy, or feeling empty inside. And, it’s also significantly about how much these feelings interfere with your day-to-day life.
But it’s okay to think, “I’m not sad enough to be depressed.” Because depression doesn’t always look like tears or constant sadness, and some people feel numb, irritable, or anxious instead. For example, you might go through the motions at work or school but feel like you’re on autopilot, or you may feel exhausted by decisions that never used to bother you. Losing interest in things you used to love, like hanging out with friends, playing music, or even reading, can also be a sign. It’s less about how “sad” you feel and more about how much your mood and energy have changed and how that affects your life.
In the end, you need to realise that feeling unsure doesn’t make the experience any less valid, and it’s one of the reasons talking to someone trained in mental health can be so helpful.

What are some early or subtle signs of depression that people ignore?
Therapist Response:
Depression doesn’t always arrive with dramatic sadness. It often starts quietly, in ways people might overlook. One subtle sign is a loss of interest or pleasure in things you usually enjoy. You might notice that you’re skipping hobbies, avoiding social events, or binge-watching TV shows without really enjoying them. It can feel like the things that once brought joy just don’t “stick” anymore. We also call it anhedonia.
Another early sign is changes in energy or motivation. Maybe you feel constantly tired even after enough sleep, or small tasks, like doing the dishes or replying to messages, feel overwhelming. You might procrastinate more than usual or struggle to get out of bed in the morning. These changes can be easy to dismiss as laziness or being “overworked,” but they can actually signal underlying depression.
Sleep and appetite changes are also common. Some people sleep much more than usual, others can’t fall asleep at all. You may also notice changes in your appetite, such as eating more, eating less, or constantly craving comfort foods. Mood changes like irritability, frustration, or a general sense of emptiness are common early signs.
Finally, depression can show up in concentration and memory. Maybe you’re forgetting things, struggling to focus at work, or feeling mentally “foggy.” You might chalk it up to stress, but when it lingers for weeks, it’s worth paying attention to.
The key is noticing patterns over time, rather than focusing on isolated days of feeling off. Early recognition can make a big difference because it allows you to seek support before symptoms become overwhelming.
Who can diagnose Depression (psychiatrist, therapist, clinical psychologist), and when should one seek professional help?
Therapist Response:
Depression can be diagnosed by a few different kinds of professionals, and each brings something a little different to the table. Psychiatrists are medical doctors who can check for any physical causes, assess your symptoms, and prescribe medication if that needs to be part of the plan. Therapists and clinical psychologists focus more on talking with you, understanding your thoughts, emotions, and behaviours, and helping you work through them with therapy. Sometimes people see both a therapist and a psychiatrist if medication might help.
It’s a good idea to reach out for help when you notice changes in your mood, energy, or daily life that stick around for a couple of weeks or more. For instance, maybe you’re avoiding friends, no longer enjoying hobbies you used to love, struggling to get out of bed, or feeling hopeless or unusually irritable. Even if it doesn’t feel “bad enough,” talking to someone early can make a big difference and prevent things from getting worse.
And, you don’t have to have it all figured out before reaching out. Feeling unsure or confused is completely normal, and that’s why professionals are there to help you make sense of what’s going on.

What if I don’t feel “sad enough” to have depression?
Therapist Response:
Worrying that you’re “not sad enough” to have depression is common. But the truth is, depression doesn’t always look like crying or feeling deeply sad. Some people experience it as emptiness, irritability, fatigue, or a lack of interest in things they usually enjoy. For example, you might make it through your work or school, hang out with friends, or scroll through social media, but it can feel like you’re in the backseat of a car, watching yourself drive rather than really being in control.
Depression also shows up as physical changes, like low energy, trouble sleeping, changes in appetite, or difficulty concentrating. It’s less about how “sad” you feel and more about how these changes affect your day-to-day life. Feeling unsure about whether what you’re experiencing counts as depression is normal, and it’s actually a good reason to check in with a professional, as they can help you understand what’s going on and guide you toward the right support.
Will a diagnosis affect my job, insurance, or relationships?
Therapist Response:
It’s normal to worry about how a depression or any mental health condition diagnosis might affect your job, insurance, or relationships. The reassuring part is that your mental health information is usually private and protected, so most employers or insurance companies can’t access it without your permission.
You get to choose who you tell and when. Some people share with close friends, family, or supportive colleagues so they can understand and be there for them, while others keep it private, and both choices are completely okay. A diagnosis can actually help your relationships because it gives you and your loved ones a way to understand what’s going on and how to support you better.
At work as well, any diagnosis doesn’t make you less capable. It can sometimes even help you get support, like flexible hours or accommodations, if you need them. The most important thing is that seeking help is about taking care of yourself, not about limiting your opportunities or defining who you are. You’re still the same person. A diagnosis is just a tool to help you feel better and get the support you deserve.
Looking for Depression Support? Here are some options you can explore.
1-on-1 Therapy for Depression
Work with a therapist to gently move through depression, unpacking what hurts and building tools for daily functioning.
Therapist-Led Support Groups for Depression
Join others who truly understand what it means to live with depression, in a therapist-led group that offers care and structure.
Peer Conversations for Depression
Talk to one of our verified Peers who’s overcome depression and can offer honest, non-judgmental solidarity & practical coping strategies.
Workshops
Explore a different format - Learn manageable, evidence-based strategies to navigate tough emotions, isolation, and emotional fatigue.

Unsure of your next steps?
Book an Exploratory Call with one of our therapists to gain initial insights, practical solutions, and personalized guidance on the best options for your needs.
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