We all go through spells of feeling down, but when you're depressed you feel persistently sad for weeks or months, rather than just a few days.

With the right treatment and support, most people can make a full recovery.

Symptoms of clinical depression

Those suffering with clinical depression can display psychological symptoms as well as physical and social symptoms.

Psychological symptoms may include:

  • Low mood or sadness
  • Having low self-esteem
  • Feeling irritable and intolerant of others
  • Having no motivation or interest in things
  • Feeling anxious or worried
  • Having suicidal thoughts or thoughts of harming yourself

Physical symptoms can include:

  • Moving or speaking more slowly than usual
  • Change in appetite
  • Change to libido
  • Disturbed sleep

Social symptoms include:

  • Neglecting your interests and hobbies
  • Avoiding contact with friends and taking part in fewer social activities
Who is at risk?

There's no single reason why people suffer with clinical depression and it can affect anyone at any time. However, research has identified several factors associated with an increased risk for depression:

  • History of depression within family
  • trauma from childhood
  • Difficult events during life
  • Alcoholism
  • Family situation
  • Marital issues
  • Work issues
  • Gender identity concerns
  • Physical difficulties and illnesses


The majority ofpatients struggling with depression benefit from one to one sessions with a mental health specialist such as a psychiatrist, psychologist, psychotherapist or counsellor. In order to identify the most appropriate treatment plan Dr de Silva would be able to conduct a full assessment and talk through her conclusions with you.She would be able to discuss the different options for treatment. Treatment options often include include medication such as anti depressants or individual psychotherapy. Often both psychotherapy and medication is recommended.
If you are referred for psychotherapy and whilst you are under Dr de Silva's care she would be able to offer appointments to monitor the treatment plan to ensure it is continuing the way that originally is planned and to review your medication if any has been prescribed.

Make An Enquiry

Private Clinic Locations

10 Harley Street

10 Harley Street

Opening Times:
Mon-Fri : 9am to 5pm

The Cardinal clinic

Oakley Green
Windsor, Berkshire

Opening Times:
Mon-Fri : 9am to 5pm

Berkshire Independent Hospital

Swallows Croft
Wensley Road, Reading,Berkshire

Opening Times:
Mon-Fri : 9am to 5pm