Signs a Depressive Episode Is Coming

Major depressive disorder (MDD) doesn’t always start suddenly or in obvious ways. Early signs are often quiet changes that become easier to notice once you learn what your body and mood are saying. You may feel “off” for days or even weeks before symptoms become harder to ignore. Noticing these early signs can help you reach out for support sooner.

How to know a depressive episode is coming on

MDD episodes don’t always start with overwhelming sadness. In fact, you might first notice small changes that seem unrelated to depression. You may:

• Feel more tired than usual, even after a full night’s sleep
• Start avoiding people or activities you normally enjoy
• Struggle to focus or make decisions

These early indications often come on slowly. They can look like stress or burnout at first, especially if you’re high-functioning. This means you’re still going to work, taking care of others and meeting responsibilities. But inside, you’re struggling.

Mood changes

One of the most common early signs is a steady low mood that doesn’t go away. You might not feel sad in the traditional sense. Instead, you could feel numb, flat or disconnected. You may notice:

• A drop in motivation
• Less enjoyment in things you used to look forward to
• A growing sense that something just isn’t right

These feelings can sneak up on you. Over time, they may deepen into hopelessness, self-doubt or emotional pain. But if thoughts of harming yourself or feeling like life isn’t worth living come up, seek immediate help.

Physical symptoms

Depression isn’t just emotional — it affects your body, too. Early signs may include:

• Changes in appetite (eating more or less than usual)
• Sleeping too much or too little
• Feeling physically slowed down or restless

These physical changes may show up first. You might assume they’re from stress or being busy, but if they keep happening, they could be linked to an oncoming episode.

Know your pattern

If you’ve had depression before, you might start to notice a pattern in how episodes begin. The earlier you recognize the signs, the more options you have to manage them. Whether that’s reaching out to a provider, adjusting treatment or leaning on your support system.

You don’t need to wait until things get worse. If you sense a shift in your mood, energy or outlook that lasts more than a few days, talk to someone. Support is available.