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Moving Through Tough Times: Bringing In The Reactive Depression

Moving Through Tough Times: Bringing In The Reactive Depression

Blog Outline

Life is just like a “meh”, with its many turns. It can present us with unexpected challenges. Sometimes, major life occurrences can direct us to a deep sadness that seems overwhelming. This life experience is often translated as “reactive depression”, a natural human response to difficult circumstances.

The understanding of reactive depression can give us the power to navigate these emotional landscapes with greater clarity and resilience.

Understand what Reactive Depression is?

Reactive depression is not a sign of weakness, instead, it is a human reaction to specific, identifiable stressors.

Great life events can be challenging, even when they are positive. When the stress of adapting to sudden, unwanted changes in life becomes too much, it can turn into situational or reactive depression. Unlike clinical depression, situational depression has apparent and identifiable reasons, such as mishaps, relationship breakups, the death of a loved one, a career lapse, a dissatisfied marriage, or a new job. This is a generally temporary form of depression (within 3 months to 6 months), without active management, it can become chronic. This highlights the significance of coping mechanisms in supporting health during a considerable change.

 

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) uses the term “adjustment disorder with depressed mood” to explain this condition. This classification perfectly reflects that emotional response is an adjustment to a new, difficult situation. It recognizes that while the feelings of sadness and hopelessness are real and impactful, they are also connected to an identifiable cause. This connection is a critical differentiator from other forms of depression that can have more complex, internal origins.

How Do We Recognize Reactive Depression? Identifying the signs

When people encounter reactive depression, they also experience different emotional and physical symptoms. The recognition of these symptoms and signs can help us to understand the experiences and seek proper support from professional practitioners.

Common emotional signs include:

 

Constant sadness:

This is more than just a momentary feeling. It is a deep, lasting sorrow.

Loss of interests and pleasures:

Some activities that once brought joy may no longer remain appealing.

Feelings of hopelessness:

People might feel that things will not improve, and there is no way out of the present situation.

Irritability:

Emotions can be heightened, leading to increased frustration.

Difficulty in construction:

It becomes difficult to concentrate on tasks or make decisions that can become challenging.

Physical manifestations

  • The condition can lead to difficulty in sleeping, staying asleep, or sleeping too much.
  • A prominent growth or decrease in eating patterns, which additionally leads to weight changes.
  • low energy, fatigue, or a pervasive tiredness that is not relieved by rest.
  • Unexplained physical discomfort or headaches can also be a physical indicator.

 

It is important to know that the intensity and mixture of these signs can vary from person to person. However, the steady chain is their direct link, an identifiable stressful event.

Differences Of Reactive Depression From Other Types Of Depressive Disorders

Reactive or occasional depression is a separate class of mood disorders according to the Diagnostic and Statistical Manual of Mental Disorders DSM-5-TR. The different types of disorders are persistent depressive disorder, depressive disorder,  premenstrual dysphoric disorder, and others. While the primary symptoms and characteristics are identical, they can differ in their duration and causes.

Major depression does not need a cause, and normally it lasts longer than situational depression. Reactive depression only requires a condition to occur, unlike chronic or clinical depression. The mental situation usually remains for over six months, and for many, it becomes a recurrent condition.

Reactive depression is not thought to be a depressive disorder, rather, it is a mental health condition that needs prompt treatment because it can affect an individual’s life, health, practical functions, and social life.

The Neurosciences Behind Our Emotional Responses

Our brains are a remarkably complex organ. It constantly processes information and adapts to our environment.  When we face a stress situation, our brain starts a web of physiological responses. The amygdala, often referred to as the brain’s “alarm system”, becomes highly active and signals a probable threat. This activation then communicates with the hypothalamus, which initiates the release of stress hormones like cortisol.

Chronic exposure to stress, after life experiences a major life event, can lead to prolonged elevation of these stress hormones. Research published in journals like “Neuropsychopharmacology” has shown that sustained high levels of cortisol can impact the neurotransmitter system. These include serotonin and dopamine, which can contribute to the depressive symptoms experienced in reactive depression.

Moreover, the prefrontal cortex, which is responsible for executive functions like planning and emotional regulation, can become less effective under chronic stress.

This can make it more challenging to manage overwhelming emotions and find solutions to problems, further deepening feelings of hopelessness. The understanding of this biological evidence validates reactive depression as a true physiological and psychological response to adversity.

Steps Towards Healing and Well-being

Healing towards reactive depression involves a multifaceted approach that focuses on addressing the underlying stressor, developing coping skills, and sometimes receiving professional support.

Find And Acknowledge Life Events

The first step is to find the events and causes that have triggered the depression. It allows us to feel the emotions associated with the loss, change, and difficulty, which lead us towards the healing process. Journal writing, communication with a trusted friend or family member, or other practices can help identify these feelings and the level of that pain.

 

Building A Strong Support System

When people connect with others who care about their feelings can provide invaluable emotional support. If they spend time with loved ones, participate in a support group, and simply share their experiences, it can reduce feelings of isolation and remind us that we are not alone. Human connection is a powerful antidote to sadness.

Finding Professional Psychiatric Support

For many, taking help from mental health professionals can give significant relief and guidance. Their use of multiple therapies can help individuals to bring out the pain. Usually, psychiatrists use cognitive behavioral therapy to help individuals identify and challenge negative thought patterns. It enables individuals to use coping strategies.

Next, they can have acceptance and commitment therapy. This therapy focuses on accepting difficult situations and feelings while committing to actions that are lined up with one’s values.

One more thing is the supportive therapy. This provides a safe and empathetic space to process emotions and develop coping mechanisms.

Medication

In some cases, a medical doctor can recommend medication such as antidepressants, especially if symptoms are severe and significantly impacting daily functioning of life. These medications can help to rebalance neurotransmitter levels in the brain and work in conjunction with the ongoing therapies to support recovery.

Takeaway

It’s common and natural to experience traumatic events in life where there are ups and downs, and life feels burdensome after an unwelcome event. But after such an event, experiencing serious stress and depressive events can lead a man living with reactive depression.

Experiencing reactive depression is a testament to our capacity for deep feelings and our ability to respond to life’s shifts.

Knowing about the differences between situational depression and clinical depression can help you manage treatable mental health conditions. If you would like help from a professional psychiatrist to heal your reactive depression, consider finding a licensed therapist online. You deserve support and guidance, and our experienced psychiatrists can help you navigate life’s challenges and continue to provide you with mental wellness in all possible ways.

Frequently Asked Questions

A field of study that is a combination of neuropharmacology and psychopharmacology to determine drugs effect on the human brain and behavior. The study reveals how this combination might be effective for treating mental disorders like reactive depression. 

Reactive or situational depression occurs after a traumatic or stressful event in the life of a person. The sadness and stress persist for more than weeks or months. The treatment centers on solving and addressing the issues, psychotherapy, and suggestive medicines. 

The reactive depression is easy to identify, and its treatment is possible. Various therapeutic approaches can be effective. 

Neurosciences identify this situation as a stressor-related disorder where the brain is in shock state. This is like the adjustment disorder with a depressed and sad mood. 

If sadness or chronic pain persists for more than 2 weeks, to a maximum of 6 months, it becomes depression. It can disrupt the daily functioning of life.

Reference and Footnotes
  1. Reznik, R., Binns, A., & Egger, G. (2017). Depression. In Elsevier eBooks (pp. 247–261). https://doi.org/10.1016/b978-0-12-810401-9.00015-2
  2. News-Medical. (2022, December 20). Situational depression: symptoms, causes, treatments. https://www.news-medical.net/health/Situational-Depression-Symptoms-Causes-Treatments.aspx
  3. Calm Editorial Team. (2024, May 20). What is situational depression? Plus, 10 tips to help you deal — Calm Blog. Calm Blog. https://www.calm.com/blog/situational-depression
  4. Team, M. S., Team, M. S., Team, M. S., Team, M. S., & Team, M. S. (2024, November 28). Seasonal affective disorder. MD Searchlight. https://mdsearchlight.com/mental-health/seasonal-affective-disorder/
  5. Ferguson, R., & Ferguson, R. (2024, August 15). When does sadness become depression? – Discover Counseling. Discover Counseling – Aaron K. Potratz – Licensed Professional Counselor. https://discovercounseling.com/2023/08/14/when-does-sadness-becomes-depression/
  6. BetterHelp Editorial Team. (2025, May 10). How reactive depression differs from other mental health conditions | BetterHelp. https://www.betterhelp.com/advice/depression/how-is-reactive-depression-different-from-other-depressions/
  7. Physical symptoms you may experience if you’re grieving. (n.d.). Marie Curie. https://www.mariecurie.org.uk/information/grief/physical-symptoms
  8. Website, N. (2025, May 1). Grief after bereavement or loss. nhs.uk. https://www.nhs.uk/mental-health/feelings-symptoms-behaviours/feelings-and-symptoms/grief-bereavement-loss/
  9. Neuropsychopharmacology. (2025, January 31). Nature. https://www.nature.com/npp/

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Jackson Tea

MSN, PMHNP-BC

Administrative Director and Psychiatric Mental Health Nurse Practitioner

Jackson Tea, MSN, PMHNP-BC, serves as the Administrative Director and a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) at Orange Coast Psychiatry. Dedicated to breaking the stigma surrounding mental health, Jackson is passionate about providing compassionate, evidence-based care that empowers individuals to take charge of their mental well-being. His expertise includes comprehensive psychiatric assessments, personalized medication management, and behavioral health interventions designed to help patients achieve the best possible outcomes in their mental health journey.
Jackson’s approach to care is rooted in the belief that mental health is just as vital as physical health. He focuses on creating a supportive, judgment-free environment where patients feel heard, valued, and understood. By offering individualized treatment plans tailored to each person’s unique needs and goals, Jackson helps clients overcome obstacles such as anxiety, depression, mood disorders, and other mental health challenges.
He holds a Post-Master’s Certificate as a Psychiatric Mental Health Nurse Practitioner from National University, a Master of Science in Nursing in Nursing Administration from the University of Phoenix, and a Bachelor of Science in Nursing from California State University, Los Angeles, where he earned Dean’s List honors. As a member of the Sigma Theta Tau Honor Society of Nursing, Jackson remains committed to advancing mental health awareness and promoting high standards of care in the field.
In his role at Orange Coast Psychiatry, Jackson leads clinical operations while ensuring regulatory compliance and delivering high-quality care. His core competencies include psychiatric assessment, evidence-based interventions, crisis management, clinical leadership, and risk mitigation. Above all, Jackson strives to make mental health care accessible and effective for everyone, supporting individuals in making meaningful progress, improving their quality of life, and achieving lasting well-being.

May Faustino

Psychiatric-Mental Health Nurse Practitioner-BC

May Faustino, PMHNP-BC, is a compassionate and highly skilled psychiatric provider with over four years of nursing experience, including three years specializing in psychiatric care. She holds a Master of Science in Nursing from West Coast University, where she received extensive training in managing the psychiatric needs of pediatric, adult, and geriatric populations, as well as providing therapy and counseling services.
May has worked in diverse mental health settings, including forensic psychiatry at the Department of State Hospitals and behavioral health services at Aliso Ridge Behavioral Health. Her clinical expertise spans psychiatric assessments, medication management, and trauma-informed care, with a strong focus on treating anxiety, depression, and trauma-related disorders.
Bilingual in English and Tagalog, May is dedicated to serving diverse patient populations with a culturally sensitive approach. She is trained in evidence-based therapeutic modalities such as cognitive behavioral therapy (CBT) and motivational interviewing and is well-versed in trauma-informed care and suicide prevention strategies.
May is passionate about promoting resilience and recovery through preventive mental health care and individualized, holistic treatment plans. Her commitment to excellence is reflected in her memberships in the American Psychiatric Nurses Association and Sigma Theta Tau International Honor Society of Nursing.
In her personal time, May enjoys fostering mindfulness and well-being through activities she loves, such as spending time with her husband and their two beloved cats, Pippy and Eva.

Dr. Montgomery

M.D. – Psychiatrist

Dr. Torri Montgomery, M.D., is a board-certified psychiatrist with the American Board of Psychiatry and Neurology, with a subspecialty board certification in forensic psychiatry. Dr. Montgomery is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
Dr. Montgomery earned her Bachelor of Science (Magna Cum Laude) from Arizona State University and her Doctor of Medicine (M.D.) from The University of Arizona, College of Medicine. She completed her psychiatry residency at Los Angeles County Harbor-UCLA Medical Center. During her psychiatry residency, Dr. Montgomery completed a year-long certification in Electro-Convulsive Therapy (ECT), earned a certificate from the Drug Enforcement Agency (DEA) to prescribe medication for the treatment of substance use disorders, and worked in a Medication Assisted Treatment (MAT) clinic for substance use disorders. Additionally, she was appointed Chief Resident and received an Excellence in Teaching award.
After psychiatry residency, she completed her Forensic Psychiatry Fellowship at the University of Southern California, Keck School of Medicine. After completing her fellowship, Dr. Montgomery has worked in public psychiatry for the Los Angeles County Department of Health Services. She teaches, consults, and treats individuals with depressive disorders, anxiety disorders, trauma-related disorders, and serious mental illness (SMI), such as schizophrenia spectrum and bipolar disorders. Her experience includes outpatient, inpatient, emergency, consult liaison, addiction, dual-diagnosis, and forensic psychiatry. She is an expert evaluator on the Superior Court of California Panel of Expert Psychiatrists and Psychologists. Dr. Montgomery is an attending physician for the Harbor-UCLA Department of Psychiatry and serves as a psychiatrist with Orange Coast psychiatry.

Dr. Ravi

M.D. – Psychiatrist

Dr. Dave Ravi, M.D., is a Board Certified Psychiatrist with additional qualifications in geriatric psychiatry. Dr. Ravi is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
Dr. Ravi graduated from Virginia Commonwealth University (B.S., Magna Cum Laude), VCU School of Medicine (M.D.), Dartmouth Hitchcock Medical Center (Residency in Psychiatry), and John. A. Burns School of Medicine (Fellowship in Geriatric Psychiatry). He currently is a clinical assistant professor of psychiatry at John A. Burns School of Medicine in Honolulu, HI and serves as a psychiatrist with Orange Coast psychiatry.
Dr. Ravi is a dedicated community psychiatrist with extensive experience in public, correctional, inpatient and outpatient settings, and an experienced tele-psychiatrist. He consults on topics in general psychiatry, including quality improvement, treatment planning, and crisis management, and in correctional psychiatry, including recovery-oriented treatment for individuals with serious mental illness and dual diagnosis. His current and future interests focus on understanding the various approaches in managing the suffering and disturbance of complex psychiatric disorders, particularly in the use, misuse, overuse, and misrepresentation of psychotropic medications.

Dr. Irwin

M.D. , Ph.D – Psychiatrist

Dr. Scott Irwin, M.D., Ph.D., is Board Certified Psychiatrist. Dr. Irwin is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
His career mostly focuses on improving outcomes for those with cancer or other progressive, potentially life-limiting illnesses, and their families, through leading-edge clinical services, ongoing research, as well as program development, improvement, and implementation.
He is widely published, has been recognized at many levels for his research, teaching, consulting, and clinical endeavors, and has received research funding from the NCI, NIMH, the National Palliative Care Research Center, the Archstone Foundation, and industry.
Dr. Irwin earned his Bachelor of Science from the University of California, Los Angeles, and both his MD and PhD (neuroscience) at the University of Illinois, Urbana-Champaign. He successfully completed his psychiatry residency at UC San Diego as chief resident of Outpatient Psychiatric Services, as well as a two-year elective in hospice and palliative care at San Diego Hospice and The Institute for Palliative Medicine. He is a diplomate of the American Board of Psychiatry and Neurology, with subspecialty certification in psychosomatic medicine.

Richard Samedra.

Psychiatric-Mental Health Nurse Practitioner-BC

Richard Samedra, PMHNP-BC, is a Board Certified Psychiatric-Mental Health Nurse Practitioner. He brings over 12 years of experience in the mental health field, working with clients facing a wide range of acute and chronic mental health conditions. His journey began as a Licensed Vocational Nurse and Charge Nurse at Westminster Therapeutic Residential Treatment, where he supported clients dealing with anxiety, depression, schizophrenia, bipolar disorder, and substance use disorders. Richard’s dedication was centered on helping these individuals improve their mental health and transition to a lower level of care, whether that meant returning to their families, a board and care facility, or a sober-living environment.
Motivated by a growing passion for mental health care, Richard pursued his Registered Nurse (RN) education at Saddleback Community College and later transitioned to La Palma Intercommunity Hospital Behavioral Health. In this role, he specialized in geriatric psychiatry, working with older adults experiencing conditions such as Parkinson’s disease, dementia, depression, and anxiety. This experience solidified his commitment to mental health, leading him to work at Bellflower Community Hospital, where he provided care for patients experiencing severe psychiatric crises, including suicidal ideation, manic and depressive episodes, substance use disorders, and exacerbated schizophrenia symptoms.
Inspired by the impactful work of PMHNPs at Bellflower, Richard enrolled in the Psychiatric-Mental Health Nurse Practitioner program at Azusa Pacific University. To broaden his expertise, he worked full-time at College Hospital Costa Mesa while completing his studies. There, he gained comprehensive experience across various units, including adolescent, acute men’s and women’s, stabilization, and detox/med-surg. Now, as a PMHNP, Richard is committed to leveraging his diverse background and knowledge to provide compassionate, comprehensive care to those in need.
Richard currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where he is supervised by Dr. Montgomery.

Shaheena Gazipura

Psychiatric-Mental Health Nurse Practitioner-BC

Shaheena Gazipura is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over 9 years of dedicated experience in both inpatient and outpatient mental health care. She earned her Master of Science in Nursing from Western University of Health Sciences in Pomona, California.
Shaheena began her career working on an adult psychiatric inpatient unit before transitioning to the geriatric psychiatric inpatient unit at USC Verdugo Hills Hospital. In addition to her clinical work, Shaheena also serves as a Nursing Clinical Instructor, guiding the next generation of nurses through their mental health rotations at a large community college.
Shaheena is a passionate advocate for mental health, believing that it is a fundamental pillar of overall well-being. She is committed to reducing the stigma surrounding mental illness and strives to provide comprehensive, compassionate care that honors each individual’s unique experiences and challenges. Her goal is to create a supportive, nonjudgmental environment where patients feel empowered to work alongside her in achieving their mental health goals.
Outside of her professional life, Shaheena enjoys exploring new culinary experiences, staying active through exercise, and planning her next travel adventures.
Shaheena currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where she is supervised by Dr. Barrios.

Clint Nacar

Psychiatric-Mental Health Nurse Practitioner -BC

Clint Nacar, PMHNP-BC is a Board Certified Psychiatric-Mental Health Nurse Practitioner. Mr. Nacar graduated from Charles R. Drew University of Medicine and Science. Currently Mr. Nacar works in an inpatient psychiatry unit at a leading academic medical center in Los Angeles, Renewed Mental Health Group, and Orange Coast Psychiatry
Mr. Nacar brings over 7+ years of experience with the mental health population. He works to help patients take control of their mental health through patient education, psychotherapy and medication management. Mr. Nacar’s areas of focus include: Depression, Anxiety, Adjustment Disorder, Bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), and Post-Traumatic Stress Disorder (PTSD). Mr. Nacar treats children ages 6+, adolescents, and adults, offering both in-person services and telehealth at Renewed Mental Health Group.
With the collaboration of each patient, Mr. Nacar strives to develop individualized plans of care addressing each patient’s unique situation and concerns. He also encourages each patient to take charge of their mental health through a holistic approach while also employing the latest evidence based practices in treatment.

Clint is one of our most experienced Psychiatric-Mental Health Nurse Practitioners at Orange Coast Psychiatry and is 103NP Licensed in the State of California.

Cristian Cuevas

Psychiatric-Mental Health Nurse Practitioner-BC (Fluent in Spanish)

Cristian Cuevas, PMHNP-BC, is a highly skilled board-certified psychiatric mental health nurse practitioner with over seven years of experience in inpatient psychiatry and mental health.
A California State University Long Beach graduate, Cristian also earned recognition as a board-certified psychiatric mental health registered nurse. With a wealth of expertise in adult psychiatric care across the lifespan, Cristian has successfully diagnosed and treated a diverse range of mental health disorders.
Additionally, his specialized experience in child and adolescent inpatient populations further enhances his ability to provide comprehensive and compassionate mental health care.
Cristian Cuevas is the Lead Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry and is supervised by Dr Barrios.

Mina Cheriki

Psychiatric-Mental Health Nurse Practitioner-BC

Mina Cheriki is a masters-prepared Registered Nurse (RN), certified Clinical Nurse Leader (CNL), and a board-certified Psychiatric and Mental Health Nurse Practitioner (PMHNP). She brings nearly a decade of experience within the healthcare industry, particularly within the fields of nursing, mental-health, education, research, and leadership. She obtained a Bachelor of Science degree in Health and Rehabilitation Sciences, followed by a Master of Science degree in Nursing at The Ohio State University.
Rooted in the highest quality of evidence-based practice and informed by a holistic, collaborative, person-centered approach, Mina’s clinical skillset encompasses psychiatric assessments, medication management, psychotherapy, and education. Her clinical focus covers symptoms and conditions related to depression, anxiety, panic, mood imbalances, attention/concentration deficits and hyperactivity, executive dysfunction, life transitions, acute stress, grief, trauma, and more. Additionally, Mina has experience in providing ketamine-assisted therapies and Transcranial Magnetic Stimulation (TMS) for mental health.
Coming from a family of immigrants, Mina is familiar with providing culturally-, religiously-, and spiritually sensitive care while also maintaining efforts in delivering highly therapeutic communications. Furthermore, she continues her commitment in providing evidence-driven care and in upholding standards of quality by remaining active in organizations such as the American Psychiatric Nurses Association and the Sigma Theta Tau International Honor Society of Nursing.
Above all, Mina is committed to empowering her clients throughout their journeys toward recovery and well-mindedness. More specifically, she uses her combined knowledge and passions for physical and mental health to assist her clients toward achieving a lasting balance between the mind, body, and spirit.
Aside from her dedication to providing mental health care, Mina also enjoys exploring nature and hiking, making photography and art, as well as spending quality time with friends, family, and her dog, Kona.

Dr Barrios

Board-Certified Child and Adolescent Psychiatrist

Dr. Carlos Barrios is a Board-Certified Child and Adolescent Psychiatrist with over two decades of experience in mental health care. His expertise in telepsychiatry has allowed him to serve patients across California and beyond. In his practice, Dr Barrios integrates metabolic and functional methodologies, focusing on guiding patients toward medication independence and emphasizing the connection between physical and mental health.
Outside of his professional life, Dr Barrios is passionate about kettlebell training, which helps him maintain my physical and mental wellness. He cherishes visiting his family in Guatemala, to reconnecting with his cultural roots and rejuvenating his spirit. Dr Barrios is also deeply involved in transcendental meditation and rucking, practices that not only provide him with tranquility but also keep him grounded and connected to nature. These hobbies reflect his commitment to a holistic approach to health, both personally and professionally.