Can Depression Cause Memory Loss? Yes, Here's How and What You Can Do About It

Katy Kandaris-Weiner, LPC
9/19/2024

Depression is a mental disorder that affects millions of people worldwide. It can cause sadness, hopelessness, and loss of interest in things once enjoyed. While depression is primarily associated with emotional symptoms, it can also affect cognitive abilities, such as memory. 

Many people with depression report experiencing memory problems such as difficulty remembering events or information, forgetfulness, confusion, and impaired decision-making. While these symptoms are distressing and interfere with daily functioning, they are treatable. 

How Does Depression Affect Memory?

The short answer is: Yes.

Researchers have extensively studied the link between depression and memory loss. Their research shows that depression can affect different aspects of memory, including short-term, working, and long-term.

Short-term memory is when you hold onto information for less than a minute. Working memory is related to short term memory, but involves manipulating that information. For example when someone tells you a set of numbers and asks you to add them. When information is stored for longer than a minute, it's then considered long-term memory.

These studies determine that people with depression perform worse on memory tests than those without depression in all three categories. This indicates that depression does, in fact, cause memory impairment.

So, how does depression cause memory loss? Several factors may contribute to this effect. 

Depression Changes Brain Structure

One possible explanation is that depression affects the hippocampus, a brain structure crucial for memory formation and consolidation. Studies have found that people with depression have smaller hippocampal volumes than those without depression. This shrinkage may be due to the chronic stress and inflammation accompanying depression, which can damage brain cells in the hippocampus and impair its function.

picture: a closeup of someone holding and pointing at a sheet of brain scans. Text: Studies have found that people with depression have smaller hippocampal volumes than those without depression.

Depression Causes Sleep Problems That Lead to Memory Impairment

Another factor that may contribute to memory loss in depression is sleep disturbances. People with depression often experience insomnia or hypersomnia, which can disrupt the normal sleep cycle and prevent the brain from consolidating memories during the night. Lack of sleep can also impair attention, concentration, and executive function—essential cognitive processes for memory encoding and retrieval.

Lowered Mood Caused By Depression Can Lead to a Lack of Cognitive Challenges

Lastly, depression can affect mood, motivation, and interest in activities, leading to social isolation, decreased cognitive stimulation, and reduced brain plasticity. The lack of novelty and mental challenges can deprive the brain of opportunities to create new neural connections and enhance memory consolidation, leading to memory impairment.

How Other Mental Health Issues Related to Depression Can Affect Memory

Depression is often associated with other psychological issues that can compound the adverse effects on memory and cognitive function. These are some of the most common psychological related problems that stem from depression.

Generalized Anxiety Disorder Limits Your Brain's Ability to Create Memories

Anxiety is a common co-occurring disorder with depression. It can cause excessive worry, fear, and avoidance behaviors. Anxiety puts your body into high-alert in response to a percieved threat. When your body and brain are reacting to immediate danger, real or theoretical, you don't have the cognitive capacity for creating memories.

Anxiety can impair attention, concentration, and working memory. People with comorbid anxiety and depression may experience more severe memory problems than those with depression alone.

PTSD Symptoms Interfere With Memory Retention

Post-traumatic stress disorder (PTSD) is an anxiety disorder that can occur after exposure to a traumatic event. PTSD can cause intrusive thoughts, flashbacks, and avoidance behaviors—all of which interfere with memory retrieval and consolidation. PTSD affects memory similarly to generalized anxiety disorder. When someone's survival instincts kick in, their nervous system shuts down much of their brain functions related to memory retention.

Substance Abuse Affects Memory Through Impaired Cognitive Function

Substance abuse and addiction are common problems among people with depression. Substance use can cause brain damage, impair cognitive function, and interfere with memory consolidation and retrieval. People with comorbid substance abuse and depression experience more severe memory problems, often in the form of blackouts.

Any Kind of Cognitive Impairment Leads to Memory Loss

Cognitive impairment is a term that describes a decline in cognitive function that is not normal for a person's age or education level. Depression can cause cognitive impairment, particularly in attention, concentration, and executive function. Cognitive impairment can worsen memory problems and interfere with daily functioning.

Picture: a soldier sitting in a folding chair at a group therapy session. Text: other psychological issues often associated with depression include anxiety, PTSD, substance abuse, and cognitive impairment

Can Memory Loss From Depression Be Reversed?

The good news is that depression-related memory loss is treatable. The most effective treatment for it is to treat depression itself. Antidepressant medication, psychotherapy, or a combination of treatments can improve mood, reduce stress and inflammation, and restore brain function.

Psychotherapy

Psychotherapy, or talk therapy, is an effective treatment for depression and its cognitive symptoms. Cognitive-behavioral therapy (CBT) is a specific type of psychotherapy that's particularly helpful for people with depression-related memory loss. 

CBT helps people identify and change negative thought patterns contributing to depression and cognitive impairment. It also teaches people practical strategies to improve memory, such as visualization techniques and repetition.

Medications

Antidepressant medications can be an effective treatment for depression-related memory loss. These medications work by increasing levels of certain neurotransmitters in the brain, which can improve mood and cognitive function. Some antidepressants, such as selective serotonin reuptake inhibitors (SSRIs), have been shown to improve memory in people with depression.

Lifestyle Changes

Lifestyle changes can also help improve memory and cognitive function in people with depression. Some examples of lifestyle changes that may be helpful include:

  • Exercise: Regular physical activity improves mood and cognitive function. Exercise can also help reduce stress and inflammation, which can contribute to depression-related memory loss
  • Sleep: Getting enough sleep is essential for memory consolidation and cognitive function. People with depression-related memory loss may benefit from improving their sleep habits, such as establishing a consistent sleep schedule, avoiding caffeine and alcohol, and creating a relaxing sleep environment
  • Diet: A healthy diet can help improve brain function and reduce inflammation. People with depression-related memory loss may benefit from a balanced diet with plenty of fruits, vegetables, whole grains, and lean protein
  • Brain Training: Certain activities like puzzles and memory games can help improve memory and cognitive function. Brain training apps and websites are also available that offer exercises specifically designed to improve memory and cognitive function
lifestyle changes that can help improve memory and cognitive function in people with depression include regular physical activity, getting enough sleep, a healthy diet, and puzzles and memory games.

Alternative Therapies

Alternative therapies, such as acupuncture and meditation, may also be helpful for people with depression-related memory loss. These therapies can help reduce stress, improve mood, and enhance cognitive function. However, more research is needed to determine the effectiveness of these therapies for depression-related memory loss.

Combination Treatment

Combination treatment, which involves using two or more treatments simultaneously, is often the most effective approach for depression-related memory loss. For example, a combination of medication and psychotherapy is more effective than either treatment alone. Working with a healthcare provider is essential to determine the best treatment approach for your needs.

Get Help for Depression-Related Memory Loss at Inner Balance Counseling

If you are struggling with depression-related memory loss, know that help is available. Inner Balance Counseling is here to support you in your journey toward better mental health and cognitive functioning. Our team of licensed therapists offers evidence-based treatments such as psychotherapy, medication management, and lifestyle changes to help you improve your memory and overall well-being. With compassionate and personalized care, we can work together to help you regain your cognitive abilities and live a fulfilling life.

Contact Inner Balance Counseling today to start your journey toward mental clarity. 

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Katy Kandaris-Weiner, LPC
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