Getting along with a roommate can be challenging at times. It takes more than a little effort and diplomacy to work out the natural frictions that develop in shared living arrangements. For example, it can sometimes be hard to share refrigerator space, show mutual respect for privacy, negotiate appropriate noise levels, or make timely rent and utility payments.

If your roommate has depression, that can add to the challenges. Depression is a medical condition that’s largely treatable. Encourage your roommate to get treatment, discourage harmful behaviors, and watch for signs of suicidal thoughts. It’s also important to prioritize your own health and well-being.

Depression is a medical condition. Everyone experiences sadness, lack of energy, or even despair occasionally. However, depression goes beyond the occasional bouts of “the blues.” It’s believed to be linked to problems with brain chemicals, called neurotransmitters, including serotonin and norepinephrine. These neurotransmitters act as chemical messengers. They travel from one brain cell to another to propagate signals that play a role in normal mood regulation.

If your roommate has clinical depression, they may have low levels of these chemicals. This can make their mood uncontrollably disordered. They may exhibit behaviors that strain your relationship. For example, they may be sullen, sad, angry, irritable, lethargic, or even abusive sometimes. They may cry uncontrollably, with little apparent provocation. They may lash out in anger. They may also eat too little or too much, or sleep too much or struggle to sleep.

It’s important to realize that your roommate’s depression is a medical condition. Despite evidence to the contrary, they may not be acting belligerent, aggressive, selfish, or irresponsible by choice. They may be incapable of behaving like an ideal roommate because they simply can’t control their behavior.

In some cases, if the situation becomes too much for you to handle, you many decide to move out. You must remember that your own mental health is your primary concern. If you decide to stay, there are steps you can take to help your roommate and protect your well-being.

Encourage Them to Get Treatment

If your roommate appears regularly anxious, confused, indecisive, sad, irritable, or restless, they may be depressed. Rather than criticize their behavior, consider encouraging them to get help. If they refuse, consider contacting one of their trusted family members who may be able to convince them to get treatment. Depressed people often don’t realize, or don’t want to admit, that they have a real problem and need medical help. However, treatment offers the best hope.

Once upon a time, people with depression were labeled melancholic or called lunatics (as it was believed that their behaviors were influenced by the moon). They were either shunned by family and friends or shut away in asylums, where they often languished without treatment in appallingly inhumane conditions. Although our current understanding of depression has dramatically changed, some attitudes towards depressed people have not.

We now recognize that people with depression have a largely treatable illness. They deserve compassion, understanding, and patience. With medication, psychotherapy, or both, your roommate’s depression can probably be treated. In some instances, they may need alternative treatments, such as electroconvulsive therapy. Proper medical care can help them get better.

Don’t Take It Personally

Don’t take your roommate’s seemingly antisocial behavior personally. For example, if they fail to clean up after themselves or don’t respect your wishes regarding shared tasks, it doesn’t mean they’re intentionally disrespecting you. They may simply be too depressed to behave as they normally would.

Don’t Enable Harmful Behavior

Depressed people, especially depressed men, often turn to drugs or alcohol in an attempt to feel better. Rather than improving the situation, drugs and alcohol invariably make things worse.

It’s one thing to share a friendly drink with a roommate who’s healthy. However, enabling ill-advised behavior in someone with depression is another thing altogether. Consider abstaining from alcohol and drugs when you’re together and encourage them to do the same. Rather than proposing a trip to the bar, brainstorm other fun activities you can do while staying sober.

Get Help in an Emergency

If your roommate talks about suicide, or threatens to commit suicide, take immediate action. Don’t dismiss their threats as idle bids for attention. They may be genuine signs of an impending suicide attempt.

If you think someone is at immediate risk of self-harm or hurting another person:

  • Call 911 or your local emergency number.
  • Stay with the person until help arrives.
  • Remove any guns, knives, medications, or other things that may cause harm.
  • Listen, but don’t judge, argue, threaten, or yell.

If you think someone is considering suicide, get help from a crisis or suicide prevention hotline. Try the National Suicide Prevention Lifeline at 800-273-8255.

Sources: National Suicide Prevention Lifeline and Substance Abuse and Mental Health Services Administration

You need to look after your own needs, too. Assuming responsibility for the well-being of a depressed person takes time and energy. Remember to take breaks when you need them and practice good self-care. For example, eat a well-balanced diet, get regular exercise, sleep enough at night, and make time for activities you enjoy.

At some point, you may need to reconsider your living arrangements. If your roommate’s behavior is hard to tolerate and they refuse to seek treatment, they reject help from their friends and family members, or won’t follow their prescribed treatment plan, it may be time to move out.