我们通常不会用身体疼痛对抑郁症，但研究表明这种精神疾病会真正受伤。
抑郁症疼。虽然我们经常将这种精神疾病与情绪痛苦相同，如悲伤，哭泣和绝望的感受，
While we don’t often think of depression as physical pain, some cultures do — especially those where it’s “taboo” to openly talk about mental health.
Different cultures may understand depression differently. For example, Asian American people may be more likely to describe and understand depression as physical symptoms. This can influence what treatment they seek and who they seek it from. This is compared with Western understandings of depression as primarily an internal mood experience.
但是，保持这些身体症状的头脑与情绪影响同样重要。
For one, it’s a great way to keep in check with your body and mind. Physical symptoms can signal when a depressive period is about to begin or clue you in to whether or not you may be experiencing depression.
On the other hand, physical symptoms demonstrate that depression is, in fact, very real and can be detrimental to our overall well-being.
Here are seven of the most common physical symptoms of depression:
Fatigue is a common symptom of depression. Occasionally we all experience lower energy levels and can feel sluggish in the morning, hoping to stay in bed and watch TV instead of going to work.
虽然我们经常相信疲劳源于压力，但抑郁症也会引起疲劳。然而，与日常疲劳不同，抑郁相关的疲劳也会导致集中性问题，烦躁的感觉和冷漠。
However, because many physical illnesses, like infections and viruses, can also cause fatigue, it can be challenging to discern whether or not the exhaustion is related to depression.
一种方法来告诉：虽然日常生活是这种精神疾病的迹象，其他症状像悲伤，感觉绝望和anhedonia（日常活动中缺乏乐趣）也可能出现。
它曾经觉得你的神经是着火，但你无法找到任何物理原因吗？事实证明，抑郁和疼痛经常共存。
2015年的一项研究在抑郁和疼痛宽度下降的人之间表现出相关的相关性2010年的另一项研究表明对人们wh疼痛有更大的影响o are depressed.
这两种症状没有明显的原因和效应关系，但重要的是在一起评估它们，特别是如果您的医生建议用药。
有些研究
你早上可能会觉得好，但一旦你在工作或坐在学校桌上，你的背部就会伤害。它可能是压力，或者它可能是抑郁症。虽然它们通常与姿势或伤害不良，八炮也可以是心理困扰的症状。
A
心理学家和精神科医生长期相信情绪问题会导致慢性疼痛和痛苦，但细节仍在研究中，如connection between depression and the body’s inflammatory response.
Newer studies
几乎每个人都经历了偶尔的头痛。他们很常见，我们经常把它们写在不真实的情况下。压力的工作情况，如与同事冲突，甚至可以触发这些头痛。
However, your headache might not always be induced by stress, especially if you’ve tolerated your co-worker in the past. If you notice a switch to daily headaches, it could be a sign of depression.
Unlike excruciating migraine headaches, depression-related headaches don’t necessarily impair one’s functioning. Described by theNational Headache Foundation作为“紧张头痛”，这种类型的头痛可能会感到像温和的悸动感，尤其是在眉毛周围。
While these headaches are helped by over-the-counter pain medication, they typically re-occur regularly. Sometimes chronic tension headaches can be a symptom of major depressive disorder.
However, headaches aren’t the only indication that your pain may be psychological. People with depression often experience additional symptoms like sadness, feelings of irritability, and decreased energy.
Do you find that the world looks blurry? While depression may cause the world to look grey and bleak, one 2010 research study in Germany suggests that this mental health concern may actually affect one’s eyesight.
在那个80人的研究中，抑郁的个体难以看到黑白的差异。研究人员所知为“对比感知”，这可能会解释为什么抑郁症可以让世界看起来很朦胧。
That sinking feeling in your stomach is one of the most recognizable signs of depression. However, when your abdomen starts to cramp, it’s easy to write it off as gas or menstrual pain.
疼痛恶化，特别是当压力出现时，可能是抑郁症的标志。事实上，哈佛医学院研究人员建议that stomach discomfort like cramps, bloating, and nausea may be a sign of poor mental health.
链接是什么？根据那些人哈佛研究人员, depression can cause (or be a result of) an inflamed digestive system, with pain that’s easily mistaken for illnesses like inflammatory bowel disease or irritable bowel syndrome.
Doctors and scientists sometimes refer to the gut as the “second brain“因为他们在肠道健康和心理健康之间找到了联系。我们的胃充满了良好的细菌，如果良好的细菌失衡，可能会出现焦虑和抑郁症的症状。
吃均衡的饮食和服用益生菌可以改善一个人的肠道健康，这也可以提高心情，但需要进一步研究。
Digestive problems, like constipation and diarrhea can be embarrassing and uncomfortable. Often caused by food poisoning or gastrointestinal viruses, it’s easy to assume that gut discomfort stems from a physical illness.
But emotions like sadness, anxiety, and overwhelm can disrupt our digestive tracks. One 2011
如果你觉得不舒服的识别和谈论令人痛苦的情绪，就像悲伤，愤怒和羞耻一样，这可能导致身体不同的情绪。
If you’re experiencing any of these physical symptoms for a prolonged period of time, make an appointment with your primary care doctor or nurse practitioner. If you don’t already have a provider, ourHealthline FindCare tool可以帮助您连接到您所在地区的医生。
根据这一点美国心理协会, depression is one of the most common mental illnesses, affecting 14.8 million American adults each year.
Depression can be caused by a variety of factors, such as genetics, exposure to childhood stress or trauma, and brain chemistry. People with depression often need professional help, like psychotherapy and medication, to fully recover.
So at your appointment, if you suspect these physical symptoms might be more than surface level, request to be screened for depression and anxiety. This way your healthcare provider can connect you with the help you need.
Juli Fraga is a licensed psychologist based in San Francisco, California. She graduated with a PsyD from University of Northern Colorado and attended a postdoctoral fellowship at UC Berkeley. Passionate about women’s health, she approaches all her sessions with warmth, honesty, and compassion. See what she’s up to on推特.