Birthday depression, or the birthday blues, refers to feeling sad, apathetic, or disinterested in celebrating or thinking about your birthday. This emotional state can manifest as a sense of low energy or a focus on the past, including unfulfilled goals or regrets. These feelings may arise in the days leading up to a person's birthday, on the actual day, or persist for some time afterwards. While birthday depression is not officially recognized as a mental health disorder, it can be associated with other conditions like depression or anxiety. Individuals with a history of depression may be more susceptible to experiencing sadness around their birthdays. According to Ms. Sheena, Consultant Psychologist and Counsellor at P. D. Hinduja Hospital And Medical Research Centre, "Birthdays are celebrated with a lot of charm and enthusiasm when we are children. As we become adults in general the enthusiasm reduces as adulthood sets in and responsibilities along with it are more important. So hence, alienation and depression happens as we expect celebration and our bodies and heart are ready to celebrate but given the responsibilities we often as adults do not celebrate with as much enthusiasm. Also with age birthdays remind us of getting older and how much we are yet to achieve."What are the potential causes?Several factors can contribute to birthday depression. Traumatic or difficult memories associated with past birthdays can trigger negative emotions. Additionally, reflecting on life's milestones and feeling behind societal expectations or the accomplishments of others can lead to disappointment. Priyanka Kapoor, Psychotherapist, psychologist, Couple and Family counselor, tells us "The emotional burden associated with the occasion is one of the main causes of birthday blues. On our birthdays, we have expectations of ourselves as well as of other people. We envision picture-perfect festivities attended by our closest friends and family, and we frequently establish mental benchmarks for our "ideal" ages in life. Feelings of estrangement and disappointment can arise when reality fails to live up to expectations. Some people may feel alone or undervalued when they witness the difference between the celebration they envision and the one they truly experience." Underlying mental health conditions such as depression or anxiety can exacerbate birthday blues, making it difficult to cope with negative emotions and find joy in celebrations. How Do you Know When Someone has Birthday Blues?Birthday depression can manifest in various ways, often mirroring the symptoms of regular depression. Individuals experiencing birthday depression may feel persistently sad or low, cry frequently, and ruminate on past failures. They may also worry excessively about the passage of time, feel fatigued and unmotivated, and lose interest in activities they once enjoyed. Ms Sheen tells us, "When the person is socially isolating on their birthdays it’s a big sign. Depression sets in with not wanting to face the day, not wanting to face people on that day, staying in isolation, feeling a heaviness in their chest or head. In some cases crying spells are also very common as attributes of someone facing birthday blues" Sleep disturbances, changes in appetite, difficulty concentrating, and physical discomfort are common symptoms as well. Some individuals may actively avoid their birthday celebrations, decline social invitations, or prefer isolation.Ways to Cope With ItAllow your emotions to arise: Acknowledge and accept your sadness without judgment. This can help you process and understand the underlying reasons for your feelings. Instead of trying to suppress or ignore your emotions, allow yourself to feel them fully and without shame. "It's also critical to get past the experiences of the past. Although there are many highs and lows in life, it doesn't signify the end of the world. We must look ahead and make new experiences. We are unable to go forward if we are mired in the past. We also end up ruining the future. Everyone should realize that they are worthy of a better life and enjoyable experiences. We ought to be aware of our own value, respect, and self-care. We must comprehend what we are deserving of. If someone works on their self-esteem, this is achievable." says Ms Priyanka Kapoor.Practice awareness and self-compassionBecome mindful of your thoughts, feelings, and physical sensations. Treat yourself with kindness and understanding during this difficult time. Avoid self-criticism or negative self-talk, and remind yourself that it's okay to feel sad or down. Talk to someoneShare your feelings with a trusted friend, family member, or therapist. Talking about your experiences can provide relief, validation, and support. Sometimes, simply expressing your emotions to someone who cares can make a significant difference. Celebrate however you feel comfortableDon't feel pressured to celebrate in a way that doesn't align with your current emotional state. Choose activities that make you feel comfortable and at ease. If you're not in the mood for a big party, it's perfectly acceptable to spend your birthday in a quiet way that suits your needs. Engage in healthy activitiesPrioritize activities that promote well-being and reduce stress. This can include exercise, meditation, mindfulness practices, spending time in nature, or engaging in hobbies that you enjoy. Engaging in activities that bring you joy and relaxation can help improve your mood and overall well-being. Speak to a therapistIf birthday depression is persistent or significantly impacting your life, consider seeking professional help. A therapist can provide guidance, support, and therapeutic techniques to help you understand and cope with your emotions. They can also help you identify any underlying mental health conditions that may be contributing to your birthday blues.