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By the way, I also have Graves Disease

January 20
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MyLupusTeam

How can you tell if your fatigue is from lupus or depression?

It's really challenging to distinguish between lupus symptoms and depression because they share so many overlapping features. Fatigue, insomnia, and cognitive difficulties (brain fog) are common to both conditions, making it hard to pinpoint what's causing your Show Full Answer

How can you tell if your fatigue is from lupus or depression?

It's really challenging to distinguish between lupus symptoms and depression because they share so many overlapping features. Fatigue, insomnia, and cognitive difficulties (brain fog) are common to both conditions, making it hard to pinpoint what's causing your exhaustion.

Nearly 1 in 4 adults with lupus experience major depression, which is twice the rate of the general population. Many members describe this exact struggle - wondering if they're having a lupus flare or dealing with depression.

Here are some signs that might indicate clinical depression beyond typical lupus symptoms:

* Persistent sadness, irritability, or feeling "empty" most of the day
* Loss of interest in activities you usually enjoy
* Feelings of hopelessness or worthlessness
* Changes in appetite
* Persistent thoughts of death or suicide

If you've experienced at least five of these symptoms for most of the day, nearly every day, for more than two weeks, it could be clinical depression. The fatigue you're experiencing could stem from multiple sources. Between 67-90% of people with lupus report fatigue. It can be caused by:

* Active lupus disease and inflammation
* Pain interfering with sleep
* Depression itself
* Thyroid issues (hypothyroidism is a common comorbidity with lupus)

Since you mentioned having Graves Disease, thyroid function could definitely be contributing to your fatigue as well.

It's really important to be honest with your doctor about how much this fatigue is impacting your quality of life. They can check for other causes like anemia or thyroid problems and help you develop strategies to manage it. Consider rating your fatigue on a scale of 1-10 and giving specific examples of how it affects your daily activities.

You're not alone in this struggle - many members share similar experiences of trying to distinguish between lupus days and depression while dealing with overwhelming exhaustion.

January 20
Hi, this is just a check-in, based on a phrase you mentioned. If you — or anyone else who sees this — is thinking about self-harm, we want to say that you are an important part of this community. No part of this is easy, but there is support that can help. Read more >

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