. People can suffer from depression, particularly long standing depression, and not be aware they are depressed because it feels normal to them. You can sit on a mountain, but not on a tack! Sometimes, a small problem can cause a great deal of pain. At this point, I share with my patients, Remember. you take your head wherever you go and use it with whoever you're with. you take your head wherever you go and use it with whoever you're with. You put in the extra time and effort for yourself and for your children. a. You put in the extra time and effort for yourself and for your children. By the time many people decide to seek marriage counseling, they are, at the same time, feeling that its too late to save their marriage. (DSM IV). Depression must be treated first in order to give you the emotional where-with-all to address your marriage and family issues. Feelings of guilt or worthlessness f. a. We so oftentimes feel if we could just get away from our spouse and find a nice, understanding, loving person, happiness and contentment would be ours for the taking. Low energy level g. But, even if counseling doesn't result in staying together, it is still a win-win proposition. (DSM IV). Often times, a little bit of assistance can make the difference between staying together happily and getting a divorce. Difficulty sleeping or significantly increased need to sleep d. The following are symptoms of depression as outlined in the Diagnostic and Statistical Manual of the American Psychiatric Association. The. People can suffer from depression, particularly long standing depression, and not be aware they are depressed.