- Chronic pain. If you have a medical condition, injury, or illness that leaves you in pain and impacts your ability to function, this may increase your risk of depression. This is especially true if your illness or injury has required you to give up activities you used to enjoy.
- Certain medications including hormones (birth control pills or other hormonal treatments), steroids and blood pressure medications (beta blockers) can increase your risk of depression. Be sure to discuss all your medications with your doctor, including supplements and vitamins.
- Past experiences. Trauma, abuse and other difficult or painful experiences you survived may increase your risk for depression later in life.
- A current situation that causes unresolvable conflict. If you are in a situation in some area of your life that causes conflict but you feel your hands are tied, your risk for depression is increased. Feeling that a situation is hopeless, unresolvable and inescapable (such as a job or marriage in which you feel trapped) can increase the risk of depression.
- Substance abuse. Quite literally, if you regularly ingest a substance that is a depressant (such as alcohol or barbiturates), you increase your risk of developing clinical depression. Addiction to other substances also increases the risk of depression.
- Psychological causes from childhood issues. Psychodynamic theory suggests that unresolved childhood issues, and specifically anger, lead to depression. Rage that has been turned against the self increases your risk of depression.
- Loss. While it is normal to feel sad and emotional for some time after experiencing a significant loss (death, divorce, loss of a job, loss of a pet, or other traumatic loss), prolonged sadness that doesn’t abate can be an indicator of depression. Loss is a risk factor for developing depression.

