Is It More Than the Winter Blues? Recognizing the Signs of Depression

Feeling low during the winter months is common; 45% of women and 37% of men say their moods dip in the winter. It’s no secret why: Shorter days, colder weather, and less sunlight can affect energy and mood. 

But when sadness, fatigue, or loss of interest linger, it may be more than just the winter blues.

This month, our team of primary care providers at Select Family Practice and Urgent Care in Raleigh, North Carolina, shares the signs of depression so you can get the support you need before symptoms worsen. 

The difference between winter blues and depression

The winter blues typically involve mild changes in mood or energy that improve as the season changes or with minor lifestyle adjustments. Depression is a significant mood disorder. It’s more persistent and affects how you think, feel, and function.

If your symptoms last for weeks or continue even when the weather or your circumstances improve, it’s worth paying closer attention.

Common signs of depression

Depression doesn’t look the same for everyone, but look out for the following:

• Ongoing sadness, emptiness, or hopelessness
• Loss of interest in activities you usually enjoy
• Fatigue or low energy most days
• Changes in sleep (sleeping too much or too little)
• Changes in appetite 
• Changes in weight (gaining or losing)
• Difficulty concentrating or making decisions
• Feeling irritable, withdrawn, or emotionally numb

These symptoms can develop gradually, making them easy to dismiss at first.

Why winter can make symptoms worse

Reduced sunlight affects the body’s internal clock and levels of serotonin, a chemical that helps regulate mood. Cold weather may also limit activity and social interaction, which are crucial for mental health.

For some people, this seasonal shift can trigger or worsen depression rather than merely cause a temporary slump.

What to do if you spot the signs of depression

If your mood interferes with work, relationships, sleep, or daily responsibilities, or if you feel stuck despite trying to push through, it’s time to talk. Depression is treatable, and you never have to go through it alone.

If you’re in crisis, call 988 or head to the nearest emergency room.

How primary care can help

If you spot the early signs of depression, our team can help determine if you’re dealing with the winter blues, depression, or something else. 

Your primary care provider at Select Family Practice and Urgent Care can:

• Talk through your symptoms and concerns
• Rule out medical conditions like thyroid issues that may affect mood
• Discuss treatment options, such as lifestyle changes, counseling, or medication
• Help you create a plan that fits your needs and comfort level

As for medication, antidepressants include SSRIs (such as sertraline or fluoxetine) and SNRIs (such as venlafaxine or duloxetine), which help regulate brain chemicals linked to mood. 

However, medication isn’t always the first (or only) answer. If lab work shows an underlying issue, such as a thyroid disorder or a vitamin deficiency, we focus on treating that root cause. 

What if it’s just the winter blues?

Small changes can make a noticeable difference as winter passes. Try to get more daylight, move your body, stay socially connected, and keep a consistent routine.

Focus on one small step each week, whether it’s getting outside when it’s sunny or calling a friend to schedule a get-together. Small actions like these can gently lift your mood and help you feel more like yourself again.

Feel good, no matter the season

If something feels off, don’t ignore it. That signal can be the first step toward feeling better. Call us at 919-676-0202 or request your appointment online today.