Most people think depression begins with sadness.
Few realize that for many, the very first collapse happens not in the mind, but in the body.
This is the story shared by a 32-year-old woman—and the story of many others who have unknowingly lived with “somatized depression,” where emotional pain turns into physical suffering.
1. When the Body Speaks Before the Mind
She never imagined that her constant stomach pain, headaches, and overwhelming fatigue were not “illness”—but signals from her mind asking for help.
Her symptoms grew worse:
- Stomach pain that escalated into unbearable cramps
- Extreme fatigue and constant sleepiness
- Headaches, joint pain, even shortness of breath
- Endless medical tests showing nothing physically wrong
Eventually, a doctor suggested something she didn’t expect:
“Maybe you should visit a psychiatrist.”
Reluctantly, she went—and finally learned the truth:
Her body was expressing the depression she had ignored.
This is what we call somatic symptoms of depression: physical pain that reflects emotional struggle.
2. The Physical Signals of Depression
Somatic symptoms vary from person to person. Here are two real cases:
Case A — Loss of Appetite (Female, 36)
Her appetite slowly disappeared:
- First, she disliked certain foods
- Later, even her favorite foods felt unappealing
- Eventually, she couldn’t feel hunger at all
- Forcing herself to eat triggered nausea
Her body was saying:
“I’m losing the desire to live.”
Case B — Memory Loss & Cognitive Fog (Male, 28)
He once had excellent memory. Suddenly:
- He forgot what he was about to say mid-sentence
- Picked up the phone but forgot who he intended to call
- Couldn’t recognize neighbors
- Read old journals like they were written by a stranger
He questioned:
“If I can’t remember my past, am I still myself?”
His doctor explained:
Memory decline, fatigue, and sleep changes are all signs of depression draining a person’s vitality.
3. Why Depression Shows Up Through the Body
The body does not lie.
Even when the mind tries to stay “strong,” the body continues to speak.
There are three main reasons why depression turns into physical symptoms:
(1) Suppressed Emotions
Many people grow up being told:
- “Don’t cry.”
- “Be sensible.”
- “Don’t make trouble.”
This leads to habitual emotional suppression.
When emotions are denied:
- They don’t disappear
- They simply shift inward
- And eventually turn into pain, fatigue, or chronic discomfort
The body becomes the messenger of unspoken sorrow.
(2) “Acceptable” Way to Ask for Help
Mental health stigma still exists.
For some, physical symptoms feel:
- Less shameful
- More socially acceptable
- Easier to seek help for
The subconscious says:
“If I’m physically sick, people won’t judge me.”
(3) Avoiding Responsibility or Pressure
Some people unconsciously use their symptoms as:
- A reason to rest
- A shield from stress
- A way to avoid overwhelming responsibilities
Not intentionally—but as a coping mechanism.
4. How to Heal: Listening to the Body, Returning to Yourself
When somatic symptoms appear, you can take three major steps:
Step 1 — Understand the Medical & Psychological Link
Before anything else:
- Check for real physical conditions
- Let doctors rule out organic causes
- Recognize that “nothing abnormal” may indicate psychological origins
This reduces fear and confusion.
Step 2 — Address Medication Side Effects (If You’re Taking Antidepressants)
Antidepressants may cause:
- Drowsiness
- Dizziness
- Gastrointestinal discomfort
These usually improve after the body adapts.
Always work with your doctor to:
- Adjust dosage
- Change medication
- Monitor side effects
Never adjust medication on your own.
Step 3 — Reclaim Control Through Behavioral Activation
Depression often comes from a lack of positive reinforcement—love, understanding, accomplishment, connection.
“Behavioral activation” helps rebuild that inner strength:
(1) Physical & Daily Routine Activation
- Regulate sleep and meals
- Maintain basic self-care
- Dress up and refresh your appearance
- Let your body slowly regain order
(2) Playful & Relaxing Activities
- Music
- Crafts
- Walking
- Light exercise
- Even taking out the trash counts
Small movements awaken emotional energy.
(3) Social Activation
Start with people you trust:
- Talk a little more
- Stay a bit longer
- Join small group activities
Connection counters isolation.
(4) Learning & Work Activation
Start small:
- Work/study for 5 minutes
- Add another 5 minutes each day
- Celebrate tiny wins
Step by step, the brain regains momentum.
5. Let the Body Become Your Ally, Not Your Warning Alarm
The body is honest.
It cries when the mind is silent.
It aches when emotions are trapped.
But when healing begins, the body also becomes:
- A source of strength
- A partner in recovery
- A guide toward a more authentic self
May we all learn to:
- Listen to our bodies
- Express our emotions
- Break old suppression patterns
- Become the true masters of our lives
May you feel safe being yourself—emotionally and physically.

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