Given that there are varying degrees of depression, I can only share my point of view according to the extent that I’ve had depression. Everyone’s situation with depression is different. I’ve lived with depression and anxiety off and on my entire adult life. I have not been depressed to the point where I’ve been incapacitated – so I can only offer this from the perspective of someone who has had depression but can still function.
Depression is an underlying condition that I carry with me, but it isn’t sloth in itself. How we manage our depression, to me, is where the sloth comes in. There is a difference between emotions, moods and the swimming thoughts in our mind from the depressed state – and our conscience and the actions we choose to take.
If I wake up in the morning feeling crummy and anxious, if I am able to get out of bed and start the day but CHOOSE to stay in bed and wallow in my condition, in that case I would be guilty of sloth. (Again, I cannot speak for someone so depressed they are incapacitated and hospitalized, I speak only in my own circumstances) If I am capable of offering up prayer, even just a short prayer, but choose not to and can’t be bothered, then I’d say that’s sloth.
I find I have an easier time with the depression (and anxiety) if I stay busy, exercise, eat well and minimize stress. I also take medication for it, but the medication doesn’t think for me or solve my problems. It just helps minimize the symptoms. Sloth would make me stay inside in a dark room with the covers over my head, ignoring my daily duties and sliding to despair.
That, of course, doesn’t mean depressed people have to put on a fake smile and run around like the energizer bunny. It’s different for everyone and what we are capable of. But even monks in the monastic calling who live lives of contemplative prayer do partake in some daily activity when at all physically possible for them.
Depression is something of a medical condition with potential impact on our minds and emotions – sloth, I find, is something that comes from conscious choices and can potentially make the depression worse.
Those are just my insights, though.
