Nearly 20% of Moldovans face depression as stigma blocks care
Nearly 20% of Moldovans struggle with depression, according to a national study, even as antidepressant consumption continues to rise across the country.
However, mental health professionals warn against confusing temporary sadness with clinical depression, advising anyone with persistent symptoms to seek qualified help.
Defining the core symptoms
Depression primarily manifests through two core symptoms: a persistent low mood and a profound loss of motivation.
According to Dr. Andrei Eșanu, Director of the Clinical Psychiatric Hospital, additional signs often follow, including sleep disturbances, self-blame, and suicidal thoughts.
Speaking on public broadcaster Moldova 1, Dr. Eșanu emphasized that temporary sadness is a natural human emotion. The key difference lies in its duration and intensity.
"If a low mood persists for more than two to three weeks, or even months, consulting a specialist is essential to determine whether it is clinical depression," Dr. Eșanu explained.
Mental health stigma remains a major hurdle
Social stigma continues to prevent many individuals from seeking timely treatment, particularly among men and older adults.
"Persisting myths frame depression as a personal weakness rather than a medical condition," Dr. Eșanu noted. "Because of these misconceptions, people avoid specialists and skip necessary treatment."
This situation mirrors broader global trends. Data from the World Health Organization shows that in low- and middle-income countries, including Moldova, over 75% of people with depression receive no treatment.
Understanding the biopsychosocial causes
Depression rarely stems from a single trigger. Clinicians rely on the biopsychosocial model, which accounts for biological, psychological, and social factors.
Dr. Eșanu highlighted that depression can affect individuals who appear to have fulfilling personal and professional lives due to biological factors, such as shifts in brain serotonin levels.
Major life stressors—including job loss, divorce, bereavement, or severe financial difficulty—also contribute significantly to triggering depressive episodes.
"Unrealistic expectations regarding personal or financial status often build frustration," Dr. Eșanu added, stressing the importance of maintaining cognitive hygiene to counter negative thought patterns.
Antidepressants are safe under medical supervision
Addressing the increase in antidepressant prescription rates, Dr. Eșanu clarified that medication is intended for moderate to severe cases and must be medically supervised.
Modern antidepressants are non-addictive. They typically take two to three weeks to show results, with standard treatment courses lasting between three and six months.
For mild cases, lifestyle adjustments and psychotherapy often provide effective relief without the need for pharmacological interventions.
Seeking qualified medical assistance
The psychiatrist urged the public to rely exclusively on certified mental health professionals and to verify practitioner credentials before starting therapy.
Negative experiences with uncertified practitioners often deter patients from seeking legitimate care later, further deepening the public health challenge.
To address these gaps, health authorities emphasize that Moldova needs expanded mental health education programs to help citizens recognize symptoms early and seek timely medical care.
Translation by Iurie Tataru
