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Challenges of Caring for Someone With Major Depression

Reviewed by: HU Medical Review Board | Last reviewed: September 2023

Caring for someone with major depressive disorder (MDD) can be a challenging journey filled with ups and downs. MDD, often described as a persistent feeling of sadness and hopelessness, affects millions of people worldwide. The responsibilities and emotional toll it takes on caregivers can be significant.1

Understanding MDD

MDD is more than just feeling sad or down from time to time. It is a condition that affects a person's thoughts, feelings, and behaviors. MDD can lead to feelings of hopelessness. They may lose interest in things they used to enjoy. They may even have physical changes like eating and sleeping differently.1,2

Here are some common challenges faced by caregivers of people living with MDD.

Emotional ups and downs

Caring for someone with depression can be an emotional rollercoaster. As a caregiver, you might feel different emotions. Frustration, helplessness, sadness, and even anger are common. Recognize and address your feelings. Keeping them bottled up can make it harder for you to help your loved one.2

Communication barriers

MDD may lead to communication problems. Your loved one might have trouble expressing their thoughts and feelings. These problems may make it hard for you to understand what they are going through. This can lead to misunderstandings and frustration for both of you.1

Managing expectations

Caregivers often have high hopes for their loved one's recovery. But it is important to manage your expectations realistically. Depression is a complex condition that will take time to improve. Setting unrealistic expectations can lead to disappointment and increased stress.1


Depression is still stigmatized in many societies. Negative attitudes and false notions about depression are common. These can make it even harder to support your loved one. You can educate yourself and others about the realities of MDD to combat this stigma.2,3

Feeling powerless

When faced with a loved one's depression, you may feel powerless to help. You cannot "fix" someone's MDD. But you can bring valuable support by being there for them, encouraging treatment, and offering empathy.1


Caring for someone with depression can be physically and emotionally draining. Caregivers often neglect their own needs while focusing on their loved ones. It is vital to prioritize self-care and seek support from friends, family, or support groups.1

Balancing competing needs

Balancing caregiving responsibilities with your own needs can be challenging. You may find yourself juggling work, family, and caregiving duties, which can lead to burnout. It is important to establish boundaries and ask for help when needed.1,2

Encouraging treatment

Getting a loved one with depression to seek treatment can be one of the biggest challenges of caregiving. Depression often convinces people that they do not need help or that nothing will work. Caregivers must provide encouragement and support their loved one in seeking professional help.2

Coping with unpredictability

Depression is unpredictable. There are good days and bad days. This inconsistency can make it difficult for caregivers to assess their loved one's needs accurately. Being adaptable and patient is key to providing effective support.1,2

Coping with relapses

Sometimes, MDD symptoms can get better and then worse again. That can be disappointing for everyone. But these setbacks are a typical part of getting better. They do not mean that anyone failed.2

Caring for someone with depression is challenging. It requires patience, empathy, and a deep understanding of the complexities of this mental health condition. By recognizing the challenges, caregivers can provide valuable support to their loved ones on the path to recovery. Remember, seeking help and support is a sign of strength, not weakness.1,2

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