Doctor Jon Lieberman describes some of the life-events that may have been a factor in his first major depressive episode at 52 years of age.
Depression often has an adolescent and young adult onset, so that was the biochemical depression that I experienced. But I was working 75 hours a week; I was seeing 35 patients a week and with managed care was doing all the managed care, telephone calls and doing my own billing. I was a workaholic, which is essentially what I think catapulted me into or at least contributed to that first major depression.