Pillar guide
Depression Self-Check
A guided self-check for depression symptoms — what to notice in yourself, simple first-week habits that help, and clear guidance on when to reach for more support.
Educational reading. Not a substitute for professional care.
What depression feels like
Depression isn't just feeling sad. For most people it shows up as a flattening — a loss of texture in things that used to feel vivid. The things you enjoy start to feel muted. Decisions that used to be easy become heavy. Mornings get harder in a way that sleep doesn't fix.
The internal experience often includes a low, steady hum of hopelessness — not a crisis, but a sense that the color has drained out of things. Some people describe it as moving through wet cement. Others describe it as being numbed: present but not really there. Either way, it's distinct from ordinary sadness, which usually passes when the situation that caused it changes.
Depression also changes how you think. The inner critic gets louder. Past failures replay with sharper edges. It becomes harder to remember that you've handled hard things before. This isn't because the past has changed — it's because the depression is filtering your memory toward the negative.
There's an important distinction to draw between a passing low mood and a depressive episode. A low mood usually has a trigger and passes within a few days. A depressive episode is something that lingers for two weeks or more, affects sleep, appetite, energy, and interest, and doesn't really respond to cheering up. This page is for the second kind.
None of this is a diagnosis. The checklist below gives you a structured way to notice what's happening in yourself. After that, this guide walks through practical first steps and the signs that it's time to bring in professional support.
Symptom checklist: a self-check
Walk through the list below and notice which items you've been carrying for the past two weeks or more. This isn't a test — there's no score to add up. The goal is a clearer picture of what's been happening so you can decide what kind of help to reach for.
Read each one slowly. If several feel familiar, that's a signal worth taking seriously — not a verdict, but a reason to keep reading and to consider step 5. You don't need to act on every box; you just need an honest read of where you are.
Low mood most of the day, nearly every day
A flat, heavy, or empty feeling that doesn’t lift
Loss of interest in things you usually enjoy
Hobbies, people, food, music — nothing pulls you in
Changes in sleep — too much or too little
Waking at 3am, or sleeping ten hours and still feeling tired
Changes in appetite or weight
Skipping meals, forgetting to eat, or eating without tasting
Low energy, fatigue, slowed thinking
Everything feels like it takes more effort than it should
Difficulty concentrating or making decisions
Reading the same paragraph twice, putting off small choices
Feelings of worthlessness or excessive guilt
A running inner critic you can’t turn off
Recurring thoughts of death or self-harm
If this is true for you right now, please skip ahead to step 5
This isn't a diagnosis. Only a licensed clinician can diagnose depression.
First-week habits that help
Depression makes ordinary tasks feel enormous. The habits below aren't a cure, but they tend to make the first week feel less stuck. Pick one or two — not all eight. Trying to overhaul everything at once adds friction when you have the least energy to spare.
Protect a sleep window. Aim for the same wake time every day, even on weekends. Depression scrambles sleep; a fixed wake time is the single lever most people can move from inside the episode.
Move a little every day.Not a workout — a ten-minute walk, a slow stretch on the floor, a few minutes of light movement. Movement shifts physiology in ways that are useful even when the mood doesn't follow immediately.
Eat on a rhythm.Three meals at roughly the same times — not for nutrition's sake alone, but because routines give the day shape when the day has lost its shape.
Reduce decisions.Lay out clothes the night before. Keep the same breakfast. Pick a default for small choices you don't have the energy to make. Depression taxes the decision-making system; fewer decisions means more energy for the ones that matter.
Stay lightly social.Canceling plans feels like relief in the moment and compounds isolation over a week. A short text to one person — even "thinking of you" — keeps the connection alive without requiring a full hangout.
None of this replaces professional support, and none of it is a moral test. If you can do two of these things in a week, that's a meaningful start. If you can only do one, that's enough for now.
Reaching out to someone you trust
Depression whispers that you're a burden, that nobody really wants to hear it, that saying it out loud will make it worse. The opposite is closer to true. Telling one trusted person — a friend, a sibling, a coworker, a mentor — changes the situation more than almost any other single move.
You don't need to deliver a polished explanation. "I've been struggling and I wanted to tell you" is the whole message. The other person's job is to hear you, not to fix it. If they try to fix it, you can redirect: "Right now I mostly just need you to know."
Pick someone who is not overwhelmed themselves. A friend who is also in a hard season may not be the right person for a sustained check-in, even if you trust them. A more stable contact — someone calmer, with more bandwidth — tends to handle the moment better.
If you don't have someone to call, our chat is available as a low-barrier first step. It isn't a substitute for human support, but talking something through — even to an AI companion — often helps you find the shape of what you want to say to a person.
If you're navigating suicidal thoughts right now, skip this section entirely and go straight to step 5. The 988 Lifeline below is staffed by people who are trained for exactly this moment.
When to seek professional help
First-week habits and confiding in someone you trust can carry you through a mild or short episode. They aren't the right response for everything. The signals below are signs to bring in a licensed professional — a primary care doctor, a psychiatrist, a therapist, or a counselor.
Symptoms have lasted more than two weeks. Several items on the checklist above have been familiar for most of that time. Daily functioning is starting to break down — work, school, parenting, or basic self-care are slipping. You've started using alcohol, other substances, or food in ways that feel like they're filling the gap.
Treatment for depression is well-evidenced and effective. Cognitive behavioral therapy, interpersonal therapy, certain medications, and combined approaches routinely produce meaningful improvement within six to twelve weeks. Most people don't need to pick one forever — a thoughtful clinician will suggest a starting point and adjust based on how it lands.
If cost or access is a barrier, look into sliding-scale community mental health centers, training clinics at universities, and telehealth platforms with reduced-rate options. Your primary care doctor can also be a useful first stop — they can rule out medical contributors (thyroid, sleep disorders, medication side effects) and refer you onward.
Mentriva is not a clinical service. We're an AI companion meant for everyday reflection and skill-building, not diagnosis or treatment. If you're navigating persistent or escalating depression — especially any thoughts of self-harm — please loop a human professional into your care.