---
title: "Meaning & Key Takeaway of: When you are depressed, you may have a…"
description: "\"“When you are depressed, you may have a tendency to confuse feeling with facts. Your feelings of hopelessness and total despair are just symptoms of de..."
image: "https://sms4smile.com/quotes/i/fa5/david-d-burns-4607_depression_when-you-are-depressed-you-may-have-a-te_2888856.jpg"
---

#  When you are depressed, you may have a tendency to confuse…

![“When you are depressed, you may have a tendency to confuse feeling with facts. Your feelings of hopelessness and total despair are just symptoms of depressive illness, not facts. If you think you are hopeless, you will naturally feel this way. Your feelings only trace the illogical pattern of your…” quote by David D. Burns](https://sms4smile.com/quotes/i/fa5/david-d-burns-4607_depression_when-you-are-depressed-you-may-have-a-te_2888856.jpg)   [Download](https://sms4smile.com/quotes/i/fa5/david-d-burns-4607_depression_when-you-are-depressed-you-may-have-a-te_2888856.jpg) [Open image](https://sms4smile.com/quotes/i/fa5/david-d-burns-4607_depression_when-you-are-depressed-you-may-have-a-te_2888856.jpg)

> ““When you are depressed, you may have a tendency to confuse feeling with facts. Your feelings of hopelessness and total despair are just symptoms of depressive illness, not facts. If you think you are hopeless, you will naturally feel this way. Your feelings only trace the illogical pattern of your thinking. Only an expert, who has treated hundreds of depressed individuals, would be in a position to give a meaningful prognosis for recovery. Your suicidal urge merely indicates the need for treatment. Thus, your conviction that you are "hopeless" nearly always proves you are not. Therapy, not suicide, is indicated. Although generalizations can be misleading, I let the following rule of thumb guide me: Patients who feel hopeless never actually are hopeless. The conviction of hopelessness is one of the most curious aspects of depressive illness. In fact, the degree of hopelessness experienced by seriously depressed patients who have an excellent prognosis is usually greater than in terminal malignancy patients with a poor prognosis. It is of great importance to expose the illogic that lurks behind your hopelessness as soon as possible in order to prevent an actual suicide attempt. You may feel convinced that you have an insoluble problem in your life. You may feel that you are caught in a trap from which there is no exit. This may lead to extreme frustration and even to the urge to kill yourself as the only escape.””

[David D. Burns](https://sms4smile.com/quotes/author/david-d-burns/)

## About This Quote

This interpretation was drafted with AI assistance. It is one reading of the quote, not the author's own explanation.

Depression distorts perception, turning subjective feelings into perceived facts, especially hopelessness, which is a symptom, not reality, and can be corrected through therapy.

**In simple terms:** Depression makes you think feelings are facts, especially hopelessness.

Key Takeaway

Seek professional help to challenge hopeless thoughts.

Themes

mental health perception hopelessness therapy cognitive distortion

Mood

anxious hopeful reflective

Type

advice clinical motivational

When to use this quote

- clinical counseling
- support groups
- emergency hotlines
- self‑monitoring
- psychiatric evaluation

Key Concepts

Cognitive behavioral therapy negative bias symptom vs fact

Questions to Reflect On

- How can you differentiate feeling from fact?
- What steps can you take when hopelessness feels overwhelming?

A Different Perspective

Hopelessness may be severe even when prognosis is good, so it isn’t reliable evidence of outcome.

★ ★ ★ ★ ★   No ratings yet

[Depression](https://sms4smile.com/quotes/about/depression/) [Hopelessness](https://sms4smile.com/quotes/about/hopelessness/) [Patience](https://sms4smile.com/quotes/about/patience/) [Suicide](https://sms4smile.com/quotes/about/suicide/)

## Related quotes

> [There are many people that can't see the light at the end of the tunnel. They have feelings of hopelessness and feel like they…](https://sms4smile.com/quotes/jason-peter/there-are-many-people-that-can-t-see-the-light-at-the-end-of-the/)

[Jason Peter](https://sms4smile.com/quotes/author/jason-peter/)

> [Being embodied as such is no insurance against feelings of hopelessness or meaningslessness. Beyond his body, he still has to know who he is.](https://sms4smile.com/quotes/r-d-laing/being-embodied-as-such-is-no-insurance-against-feelings-of/)

[R. D. Laing](https://sms4smile.com/quotes/author/r-d-laing/)

> [“Condemnation points out your failures and limitations resulting in feelings of hopelessness, defeat and shame.”](https://sms4smile.com/quotes/kim-martin/condemnation-points-out-your-failures-and-limitations-resulting-in/)

[Kim Martin](https://sms4smile.com/quotes/author/kim-martin/)

> [“The lack of perceived progress can be de-motivating. On top of that, not believing you can achieve your goals increases feelings of hopelessness.15 Thus,…](https://sms4smile.com/quotes/alex-korb/the-lack-of-perceived-progress-can-be-de-motivating-on-top-of-that/)

[Alex Korb](https://sms4smile.com/quotes/author/alex-korb/)

> [“There are times when you don't belong and you think you're going to kill yourself. Once I went to a hotel. Later that night…](https://sms4smile.com/quotes/michael-cunningham/there-are-times-when-you-don-t-belong-and-you-think-you-re-going-to/)

[Michael Cunningham](https://sms4smile.com/quotes/author/michael-cunningham/)

> [“And most important, nobody could love or relate to you. It would be impossible to feel any love for someone who was flawless and…](https://sms4smile.com/quotes/david-d-burns/and-most-important-nobody-could-love-or-relate-to-you-it-would-be/)

[David D. Burns](https://sms4smile.com/quotes/author/david-d-burns/)

> [My assignment is to take my situation and to use it to help others who feel hopeless and/or helpless because of loss.](https://sms4smile.com/quotes/marvin-sapp/my-assignment-is-to-take-my-situation-and-to-use-it-to-help-others/)

[Marvin Sapp](https://sms4smile.com/quotes/author/marvin-sapp/)

> [When women are pessimistic about their political strength and feel hopeless about changing the conditions of their lives, it is almost as if they…](https://sms4smile.com/quotes/naomi-wolf/when-women-are-pessimistic-about-their-political-strength-and-feel/)

[Naomi Wolf](https://sms4smile.com/quotes/author/naomi-wolf/)

> [I dont wan't to feel bad because I am alone, I dont want to feel hopeless because It's always been me all my life,…](https://sms4smile.com/quotes/missyrie/i-dont-wan-t-to-feel-bad-because-i-am-alone-i-dont-want-to-feel/)

Missyrie

> [And sometimes it hits me out of nowhere. All of a sudden this overwhelming sadness rushes over me. And I get discouraged and I…](https://sms4smile.com/quotes/anonymous/and-sometimes-it-hits-me-out-of-nowhere-all-of-a-sudden-this/)

[Anonymous](https://sms4smile.com/quotes/author/anonymous/)

> [“Sometimes I actually hope that he did once feel empty and hopeless and helpless enough to slash his wrists to the bone, because if…](https://sms4smile.com/quotes/matthew-quick/sometimes-i-actually-hope-that-he-did-once-feel-empty-and-hopeless/)

[Matthew Quick](https://sms4smile.com/quotes/author/matthew-quick/)

> [“Whenever you feel hopeless, all you need to do is go outside and realize that you have been molded into human form for some…](https://sms4smile.com/quotes/brianna-wiest/whenever-you-feel-hopeless-all-you-need-to-do-is-go-outside-and/)

[Brianna Wiest](https://sms4smile.com/quotes/author/brianna-wiest/)

> [When you feel like you're isolated and you're on your own, you feel hopeless and who knows what those hopeless thoughts can turn into.](https://sms4smile.com/quotes/jimmie-allen/when-you-feel-like-you-re-isolated-and-you-re-on-your-own-you-feel/)

[Jimmie Allen](https://sms4smile.com/quotes/author/jimmie-allen/)

> [Sometimes it's not the optimist you need, but another pessimist to walk beside you and know, absolutely know, that the sound in the dark…](https://sms4smile.com/quotes/laurell-k-hamilton/sometimes-it-s-not-the-optimist-you-need-but-another-pessimist-to/)

[Laurell K. Hamilton](https://sms4smile.com/quotes/author/laurell-k-hamilton/)

> [I can remember watching MTV Cribs - these amazing houses - and looking around my house where there was no carpet on the floors.…](https://sms4smile.com/quotes/bugzy-malone/i-can-remember-watching-mtv-cribs-these-amazing-houses-and-looking/)

[Bugzy Malone](https://sms4smile.com/quotes/author/bugzy-malone/)

## More by David D. Burns

> [A poor self-image is the magnifying glass that can transform a trivial mistake or an imperfection into an overwhelming symbol of personal defeat.](https://sms4smile.com/quotes/david-d-burns/a-poor-self-image-is-the-magnifying-glass-that-can-transform-a/)

[David D. Burns](https://sms4smile.com/quotes/author/david-d-burns/)

> [Most people do surprisingly poorly when dealing with a relative who is hurting, depressed, or anxious - we get defensive and try to solve…](https://sms4smile.com/quotes/david-d-burns/most-people-do-surprisingly-poorly-when-dealing-with-a-relative-who/)

[David D. Burns](https://sms4smile.com/quotes/author/david-d-burns/)

> [The first principle of cognitive therapy is that all your moods are created by your 'cognitions,' or thoughts. A cognition refers to the way…](https://sms4smile.com/quotes/david-d-burns/the-first-principle-of-cognitive-therapy-is-that-all-your-moods-are/)

[David D. Burns](https://sms4smile.com/quotes/author/david-d-burns/)

> [“In one sense, depression can feel even worse than cancer, because most cancer patients feel hope as well as self-esteem.”](https://sms4smile.com/quotes/david-d-burns/in-one-sense-depression-can-feel-even-worse-than-cancer-because-most/)

[David D. Burns](https://sms4smile.com/quotes/author/david-d-burns/)

> [More often than not, the belief that you are bad contributes to the "bad" behavior. Change and learning occur most readily when you (a)…](https://sms4smile.com/quotes/david-d-burns/more-often-than-not-the-belief-that-you-are-bad-contributes-to-the/)

[David D. Burns](https://sms4smile.com/quotes/author/david-d-burns/)

> [Guilt is not the best way to remedy your mistakes.](https://sms4smile.com/quotes/david-d-burns/guilt-is-not-the-best-way-to-remedy-your-mistakes/)

[David D. Burns](https://sms4smile.com/quotes/author/david-d-burns/)

> [I had the fear of heights when I was young, along with many other fears and phobias, including the fear of dogs, bees, horses,…](https://sms4smile.com/quotes/david-d-burns/i-had-the-fear-of-heights-when-i-was-young-along-with-many-other/)

[David D. Burns](https://sms4smile.com/quotes/author/david-d-burns/)

> [“The attitude that depression is necessary strikes me as destructive, inhuman, and victimizing.”](https://sms4smile.com/quotes/david-d-burns/the-attitude-that-depression-is-necessary-strikes-me-as-destructive/)

[David D. Burns](https://sms4smile.com/quotes/author/david-d-burns/)

> [“know about the brain's hardware and software. How does the firing of a nerve or a series of nerves get translated into a thought…](https://sms4smile.com/quotes/david-d-burns/know-about-the-brain-s-hardware-and-software-how-does-the-firing-of-a/)

[David D. Burns](https://sms4smile.com/quotes/author/david-d-burns/)

> [“There was nothing dreadfully wrong with me, I was just upsetting myself with my irrational thinking. I just couldn't admit it until I knew…](https://sms4smile.com/quotes/david-d-burns/there-was-nothing-dreadfully-wrong-with-me-i-was-just-upsetting/)

[David D. Burns](https://sms4smile.com/quotes/author/david-d-burns/)

> [“Aim for success, not perfection. Never give up your right to be wrong, because then you will lose the ability to learn new things…](https://sms4smile.com/quotes/david-d-burns/aim-for-success-not-perfection-never-give-up-your-right-to-be-wrong/)

[David D. Burns](https://sms4smile.com/quotes/author/david-d-burns/)

> [“And most important, nobody could love or relate to you. It would be impossible to feel any love for someone who was flawless and…](https://sms4smile.com/quotes/david-d-burns/and-most-important-nobody-could-love-or-relate-to-you-it-would-be/)

[David D. Burns](https://sms4smile.com/quotes/author/david-d-burns/)

> [Negative thinking patterns can be immensely deceptive and persuasive, and change is rarely easy. But with patience and persistence, I believe that nearly all…](https://sms4smile.com/quotes/david-d-burns/negative-thinking-patterns-can-be-immensely-deceptive-and-persuasive/)

[David D. Burns](https://sms4smile.com/quotes/author/david-d-burns/)

> [“Many research studies, as well as my own clinical experience, have confirmed that severely depressed patients who appear very "biologically" depressed with lots of…](https://sms4smile.com/quotes/david-d-burns/many-research-studies-as-well-as-my-own-clinical-experience-have/)

[David D. Burns](https://sms4smile.com/quotes/author/david-d-burns/)

> [Assert your right to make a few mistakes. If people can't accept your imperfections, that's their fault.](https://sms4smile.com/quotes/david-d-burns/assert-your-right-to-make-a-few-mistakes-if-people-can-t-accept-your/)

[David D. Burns](https://sms4smile.com/quotes/author/david-d-burns/)

[Explore all 108 David D. Burns quotes ](https://sms4smile.com/quotes/author/david-d-burns/)

## More Depression quotes

> [These joys were so trifling as to be as imperceptible as grains of gold among the sand, and in moments of depression she saw…](https://sms4smile.com/quotes/leo-tolstoy/these-joys-were-so-trifling-as-to-be-as-imperceptible-as-grains-of/)

[Leo Tolstoy](https://sms4smile.com/quotes/author/leo-tolstoy/)

> [“As ofttimes as it rains on my little spot of earth, you'd think I'd grow accustomed to the gloom.”](https://sms4smile.com/quotes/richelle-e-goodrich/as-ofttimes-as-it-rains-on-my-little-spot-of-earth-you-d-think-i-d/)

[Richelle E. Goodrich](https://sms4smile.com/quotes/author/richelle-e-goodrich/)

> [There's only so much for a man to take...](https://sms4smile.com/quotes/kirsten-gilchrist/there-s-only-so-much-for-a-man-to-take/)

Kirsten Gilchrist

> [“my stomach turned and burned with the acid of failure”](https://sms4smile.com/quotes/heidi-ames/my-stomach-turned-and-burned-with-the-acid-of-failure/)

Heidi Ames

> [That is the real problem of depression - a condition which will affect an estimated one in five of the population at some point…](https://sms4smile.com/quotes/giles-andreae/that-is-the-real-problem-of-depression-a-condition-which-will-affect/)

[Giles Andreae](https://sms4smile.com/quotes/author/giles-andreae/)

> [Im tired, tired of putting more effort than you do. Im tired of always having to start the conversation and if I dont, you…](https://sms4smile.com/quotes/anonymous/im-tired-tired-of-putting-more-effort-than-you-do-im-tired-of-always/)

[Anonymous](https://sms4smile.com/quotes/author/anonymous/)

> [“Once upon a time, there was a naïve and innocent girl who thought she could tame the beast and live happily ever after. But…](https://sms4smile.com/quotes/nenia-campbell/once-upon-a-time-there-was-a-na-ve-and-innocent-girl-who-thought-she/)

[Nenia Campbell](https://sms4smile.com/quotes/author/nenia-campbell/)

> [“Why in depression" "If we are human, why not have the right to smile, Why in depression, young, and beautiful as earth, Why in…](https://sms4smile.com/quotes/yanilsa-pena/why-in-depression-if-we-are-human-why-not-have-the-right-to-smile-why/)

Yanilsa pena

> [“Depression makes me stronger”](https://sms4smile.com/quotes/shayamalan/depression-makes-me-stronger/)

Shayamalan

> [“Shorter believes that psychosomatic illnesses (such as leg paralysis at the turn of the twentieth century or multiple personality disorder at the turn of…](https://sms4smile.com/quotes/ethan-watters/shorter-believes-that-psychosomatic-illnesses-such-as-leg-paralysis/)

[Ethan Watters](https://sms4smile.com/quotes/author/ethan-watters/)

> [Depression is merely anger without enthusiasm.](https://sms4smile.com/quotes/steven-wright/depression-is-merely-anger-without-enthusiasm/)

[Steven Wright](https://sms4smile.com/quotes/author/steven-wright/)

> [Repression will provoke rebellion.](https://sms4smile.com/quotes/hugh-williamson/repression-will-provoke-rebellion/)

Hugh Williamson

> [I'm certainly not a perfect mother, but I'm trying to be what my mother wasn't for me. My mother's battled depression, so I understand…](https://sms4smile.com/quotes/dorothy-hamill/i-m-certainly-not-a-perfect-mother-but-i-m-trying-to-be-what-my/)

[Dorothy Hamill](https://sms4smile.com/quotes/author/dorothy-hamill/)

> [Every trial endured and weathered in the right spirit makes a soul nobler and stronger than it was before.](https://sms4smile.com/quotes/james-buckham-kennedy/every-trial-endured-and-weathered-in-the-right-spirit-makes-a-soul/)

James Buckham Kennedy

> [Scars by Papa Roach. &lt;3](https://sms4smile.com/quotes/sophielianne/scars-by-papa-roach-3/)

Sophielianne

[Browse all 4,965 Depression quotes ](https://sms4smile.com/quotes/about/depression/)

```json
{
    "@context": "https://schema.org",
    "@graph": [
        {
            "@type": "Quotation",
            "text": "“When you are depressed, you may have a tendency to confuse feeling with facts. Your feelings of hopelessness and total despair are just symptoms of depressive illness, not facts. If you think you are hopeless, you will naturally feel this way. Your feelings only trace the illogical pattern of your thinking. Only an expert, who has treated hundreds of depressed individuals, would be in a position to give a meaningful prognosis for recovery. Your suicidal urge merely indicates the need for treatment. Thus, your conviction that you are \"hopeless\" nearly always proves you are not. Therapy, not suicide, is indicated. Although generalizations can be misleading, I let the following rule of thumb guide me: Patients who feel hopeless never actually are hopeless. The conviction of hopelessness is one of the most curious aspects of depressive illness. In fact, the degree of hopelessness experienced by seriously depressed patients who have an excellent prognosis is usually greater than in terminal malignancy patients with a poor prognosis. It is of great importance to expose the illogic that lurks behind your hopelessness as soon as possible in order to prevent an actual suicide attempt. You may feel convinced that you have an insoluble problem in your life. You may feel that you are caught in a trap from which there is no exit. This may lead to extreme frustration and even to the urge to kill yourself as the only escape.”",
            "creator": {
                "@type": "Person",
                "name": "David D. Burns"
            },
            "isPartOf": {
                "@id": "https://sms4smile.com/quotes/#website"
            },
            "url": "https://sms4smile.com/quotes/david-d-burns/when-you-are-depressed-you-may-have-a-tendency-to-confuse-feeling/",
            "about": {
                "@type": "Thing",
                "name": "Depression"
            },
            "@id": "https://sms4smile.com/quotes/david-d-burns/when-you-are-depressed-you-may-have-a-tendency-to-confuse-feeling/#quotation",
            "image": {
                "@type": "ImageObject",
                "@id": "https://sms4smile.com/quotes/i/fa5/david-d-burns-4607_depression_when-you-are-depressed-you-may-have-a-te_2888856.jpg",
                "contentUrl": "https://sms4smile.com/quotes/i/fa5/david-d-burns-4607_depression_when-you-are-depressed-you-may-have-a-te_2888856.jpg",
                "url": "https://sms4smile.com/quotes/i/fa5/david-d-burns-4607_depression_when-you-are-depressed-you-may-have-a-te_2888856.jpg",
                "width": 1080,
                "height": 1080,
                "caption": "“When you are depressed, you may have a tendency to confuse feeling with facts. Your feelings of hopelessness…” — David D. Burns",
                "creditText": "SMS4Smile Quotes",
                "creator": {
                    "@id": "https://sms4smile.com/quotes/#organization"
                }
            }
        },
        {
            "@type": "BreadcrumbList",
            "itemListElement": [
                {
                    "@type": "ListItem",
                    "position": 1,
                    "name": "Home",
                    "item": "https://sms4smile.com/"
                },
                {
                    "@type": "ListItem",
                    "position": 2,
                    "name": "Quotes",
                    "item": "https://sms4smile.com/quotes/"
                },
                {
                    "@type": "ListItem",
                    "position": 3,
                    "name": "David D. Burns",
                    "item": "https://sms4smile.com/quotes/author/david-d-burns/"
                },
                {
                    "@type": "ListItem",
                    "position": 4,
                    "name": "“When you are depressed, you may...",
                    "item": "https://sms4smile.com/quotes/david-d-burns/when-you-are-depressed-you-may-have-a-tendency-to-confuse-feeling/"
                }
            ],
            "@id": "https://sms4smile.com/quotes/david-d-burns/when-you-are-depressed-you-may-have-a-tendency-to-confuse-feeling/#breadcrumb"
        },
        {
            "@type": "WebSite",
            "@id": "https://sms4smile.com/quotes/#website",
            "name": "SMS4Smile Quotes",
            "url": "https://sms4smile.com/quotes/",
            "publisher": {
                "@id": "https://sms4smile.com/quotes/#organization"
            }
        },
        {
            "@type": "Organization",
            "@id": "https://sms4smile.com/quotes/#organization",
            "name": "SMS4Smile Quotes",
            "url": "https://sms4smile.com/quotes/",
            "logo": {
                "@type": "ImageObject",
                "url": "https://sms4smile.com/quotes/wp-content/themes/sq/assets/icons/icon-512.png",
                "width": 512,
                "height": 512
            }
        }
    ]
}
```
