Depression often comes in waves because it is influenced by a complex interplay of emotional, psychological, and physiological factors. Underlying trauma, life stressors, biological rhythms, and even unresolved emotional patterns can all trigger cycles of depressive symptoms. For many, these “waves” of depression are not random, but connected to deeper experiences that the mind and body have not yet fully processed. At Sabino Recovery, we recognize that these patterns are often rooted in trauma and life history, which is why our mental health treatment programs focus on uncovering and addressing the core causes — not just managing surface symptoms.
Understanding Depression
Depression is a mood disorder that can cause intense feelings of sadness, hopelessness, and worthlessness. It is a serious mental health condition that can interfere with your daily life. Depression can come in waves or be continuous and is caused by a combination of factors, including brain chemistry, genetics, and life events.
What is Clinical Depression?
Clinical depression is a type of depression that is more severe and long-lasting than the typical mood swings that everyone experiences. It is a condition that affects the way you think, feel, and behave.
Types of Depression
There are several types of depressive disorders, including major depression, atypical depression, unipolar depression, and bipolar disorder. Major depression is the most common type of depression and is characterized by feelings of sadness, hopelessness, and worthlessness. Atypical depression is a subtype of major depression that is characterized by mood brightening. Unipolar depression is a type of depression that only involves depressive symptoms. Bipolar disorder is a mood disorder that involves both depressive and manic symptoms.
Understanding depression is the first step in getting the help you need. If you think you may be experiencing depression, it is important to seek help from a mental health professional. They can help you understand your symptoms and develop a treatment plan that works for you.
Can Depression Come in Waves?
Understanding Waves of Depression
Depression can come in waves, meaning that there are periods of time when symptoms are more intense, followed by periods of relative normalcy. These waves can come out of nowhere, be unpredictable, and be difficult to manage. Understanding why depression comes in waves can help individuals better cope with their symptoms.
One possible explanation for waves of depression is cyclothymia, a rare mood disorder marked by emotional ups and downs similar to bipolar disorder but not as severe. Another factor influencing waves of depression is the presence of other mental health conditions, such as anxiety or post-traumatic stress disorder (PTSD).
Factors Influencing Waves
Why does depression come in waves? There are several factors that can influence depression coming in waves. One major factor is stress, which can trigger depressive episodes, or waves of sadness. Other factors include changes in sleep patterns, medication changes, and lifestyle changes. Additionally, some individuals may experience depression waves due to seasonal changes, such as the onset of winter or the changing of the seasons.
It is important to note that waves of depression can vary in intensity and duration. Some individuals may experience shorter, less intense waves, while others may experience longer, more severe waves. Seeking professional help from a mental health provider can help individuals better manage their symptoms and develop coping strategies.
If you or a loved one is struggling with waves of depression that come and go, it is important to seek help from a qualified mental health professional. They can provide guidance and support to help you manage your symptoms and improve your overall quality of life.

Causes of Depression
Depression is a complex condition that can be caused by a variety of factors, including biological, psychological, and environmental factors. Understanding the causes of depression can help you identify risk factors and develop effective treatment strategies.
What are the Biological Factors that Can Cause Depression?
Biological factors that can contribute to depression include genetics, hormonal changes, and neurotransmitter imbalances. Research suggests that depression can run in families, and certain genes may increase your risk of developing the condition. Hormonal changes, such as those that occur during pregnancy or menopause, can also contribute to depression. Imbalances in neurotransmitters, such as serotonin and dopamine, can affect mood and contribute to depression.
What are the Psychological Factors that Can Cause Depression?
Psychological factors that can contribute to depression include stress, grief, and negative thinking patterns. Chronic stress can affect the brain and contribute to depression. Grief and loss can also trigger depression, particularly if the loss is sudden or unexpected. Negative thinking patterns, such as pessimism and self-criticism, can also contribute to depression.
What are the Environmental Factors that Can Cause Depression?
Environmental factors that can contribute to depression include trauma, abuse, and chronic illness. Trauma, such as physical or sexual abuse, can increase the risk of developing depression. Chronic illness, such as cancer or heart disease, can also contribute to depression. Other environmental factors that can contribute to depression include social isolation, financial stress, and substance abuse.
Depression Symptoms
Depression can cause a wide range of symptoms that can vary in severity and frequency. Here are some of the emotional and physical symptoms of depression.
Emotional Symptoms
Depression can cause a range of emotional symptoms that can impact your daily life. Some of the most common emotional symptoms of depression include:
- Sadness: feeling down, hopeless, or empty
- Irritability: feeling easily annoyed or angered
- Anxiety: feeling nervous or on edge
- Restlessness: feeling unable to sit still or relax
- Loss of interest: feeling disinterested or apathetic
- Hopelessness: feeling like things will never get better
- Worthlessness: feeling like you’re not good enough
Physical Symptoms
Depression can also cause a range of physical symptoms that can impact your daily life. Some of the most common physical symptoms of depression include:
- Fatigue: feeling tired or lacking energy
- Sleeping changes: trouble sleeping or sleeping too much
- Appetite changes: eating too much or too little
- Headaches: experiencing frequent headaches or migraines
- Unexplained pain: feeling pain without any clear cause
- Disordered eating: having an unhealthy relationship with food
- Angry outbursts: feeling easily angered or frustrated
- Low mood: feeling down or sad most of the time
It’s important to note that everyone experiences depression differently, and not everyone will experience all of these symptoms. If you’re experiencing any of these symptoms, it’s important to talk to a healthcare provider to get an accurate diagnosis and treatment plan.
Depression and Suicide
Recognizing Suicidal Thoughts
It is not uncommon for individuals suffering from depression to experience suicidal thoughts at some point. If you or someone you know is experiencing suicidal thoughts, it is important to recognize the warning signs and seek help immediately. Some warning signs include talking about wanting to die or kill oneself, feeling trapped or hopeless, giving away possessions, and withdrawing from friends and family.
If you are experiencing suicidal thoughts, it is important to remember that you are not alone and there is help available. The Suicide Prevention Lifeline (1-800-273-TALK) and Crisis Text Line (text HOME to 741741) are available 24/7 to provide support and connect you with resources.
Preventing Suicide
Preventing suicide starts with recognizing the warning signs and seeking help. If you or someone you know is experiencing suicidal thoughts, it is important to seek professional help from a mental health provider. Therapy, medication, and support groups are all effective forms of treatment for depression and suicidal thoughts.
It is also important to create a safety plan in case of a crisis. This plan should include emergency contacts, coping strategies, and steps to take in case of a suicidal crisis. The National Suicide Prevention Lifeline (1-800-273-TALK) can assist in creating a safety plan and provide additional resources.
Remember, depression and suicidal thoughts are treatable conditions and help is available. Do not hesitate to reach out for support and seek professional help.
Depression Treatment
If you are struggling with depression, it’s important to know that healing is possible — and there are highly effective treatment options available. At Sabino Recovery, we understand that depression is often linked to underlying trauma and other life experiences, which is why we take a comprehensive, trauma-informed approach to care. Treatment typically involves an individualized combination of therapy, integrative healing practices, and, when appropriate, medication — all designed to address not just symptoms, but root causes.
Clients in our depression treatment program receive a highly personalized plan that may include evidence-based therapies such as cognitive behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR), somatic experiencing, and equine-assisted therapy. Our holistic behavioral health programs also incorporate nutrition, fitness, mindfulness, and creative therapies to support healing of the whole person — mind, body, and spirit.
In Sabino’s luxury residential setting, clients benefit from an expert, multidisciplinary team dedicated to their well-being. If you are considering treatment, reaching out for professional support can be an empowering first step toward lasting recovery.
What are the therapy options for depression?
Therapy can be a highly effective treatment for depression. A mental health professional can work with you to identify the root causes of your depression and develop a treatment plan that works for you. Some common types of therapy for depression include:
- Cognitive-behavioral therapy (CBT): a type of talk therapy that helps you identify and change negative thought patterns and behaviors
- Interpersonal therapy (IPT): a type of talk therapy that focuses on improving your relationships with others
- Psychodynamic therapy: a type of talk therapy that explores the unconscious roots of your depression
What are the Medication Options for Depression?
Antidepressants are a common medication used to treat depression. They work by balancing the chemicals in your brain that affect your mood. There are many different types of antidepressants, so it may take some time to find the right one for you. It is important to work closely with your doctor to find the medication that works best for you.
What are the Self-Care Practices for Depression?
Self-care practices can help you manage your depression and improve your overall well-being. Some self-care practices to consider include:
- Exercise: regular exercise can help boost your mood and reduce symptoms of depression
- Mindfulness meditation: practicing mindfulness can help you stay present in the moment and reduce stress and anxiety
- Healthy eating: a balanced diet can help improve your mood and energy levels
- Getting enough sleep: getting enough sleep is important for your overall health and well-being
Remember, depression is a treatable condition. If you are struggling with depression, reach out to a mental health professional or other resources for help.

Get Help Today With Your Waves of Depression at Sabino Recovery
When depression comes in waves, it can feel unpredictable and exhausting, making it difficult to maintain stability in daily life. If you find that these cycles of depression are disrupting your relationships, work, or overall well-being, professional support can make a profound difference. At Sabino Recovery, we offer trauma-informed depression treatment within a luxury, holistic setting. Our behavioral health programs are tailored to each client’s needs, combining advanced clinical therapies with integrative healing practices to support long-term emotional resilience. To explore treatment options, we invite you to review our admissions process and complete a confidential insurance verification.