I think it's a societal thing too, and ties in with the stigma that's unfortunately still attached to mental illness/mental health. When we have the flu we'll describe ourselves as feeling 'ill', this is often not the case with depression. Maybe it's also because it can be difficult to distinguish it as something apart from the personality as they can be inextricably intertwined. I also feel people (me included) doubt our own feelings since it can be impossible to understand them at times. When I feel very low I don't even feel I have a right to define myself as 'ill' because I feel like I'm exagerrating and there are people who feel much worse than me.
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