SIGECAPS Depression Symptoms: What Each Letter Means

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When clinicians evaluate someone for depression, they often use a simple acronym to remember its key symptoms: SIGECAPS.
Each letter stands for a specific sign of depression, helping both professionals and individuals recognize patterns that may indicate a mood disorder.

At Launch Centers, we use evidence-based approaches to identify and treat the full range of depressive symptoms — helping young adults and professionals regain energy, motivation, and purpose through therapy and structured outpatient programs.


What Is SIGECAPS?

SIGECAPS is a mnemonic tool used by mental health professionals to screen for Major Depressive Disorder (MDD).
It covers the eight core symptoms of depression, providing a clear framework for assessment and discussion.

Here’s what each letter stands for:

LetterSymptomDescription
SSleep ChangesDifficulty sleeping (insomnia) or sleeping too much (hypersomnia).
IInterest LossLoss of interest or pleasure in activities once enjoyed — known as anhedonia.
GGuilt (or Worthlessness)Feelings of guilt, shame, or low self-esteem without clear reason.
EEnergy DecreasePersistent fatigue or lack of motivation even after rest.
CConcentration ProblemsTrouble focusing, making decisions, or remembering details.
AAppetite ChangesEating significantly more or less than usual; noticeable weight change.
PPsychomotor ChangesEither slowed physical movements or restlessness/agitation.
SSuicidal ThoughtsThoughts of death or suicide, which require immediate professional support.

How SIGECAPS Helps Identify Depression

The SIGECAPS framework gives clinicians — and individuals — a structured way to evaluate depressive symptoms.
To meet the criteria for Major Depressive Disorder, a person typically experiences five or more of these symptoms for at least two weeks, with at least one being depressed mood or loss of interest/pleasure.

However, even if you don’t meet all the criteria, persistent symptoms such as fatigue, loss of motivation, or emotional numbness may still indicate a treatable form of depression.


Understanding the Emotional Impact

Depression affects more than mood — it impacts relationships, productivity, and overall quality of life. Many young adults describe feeling “mentally checked out,” unable to focus or care about things that once mattered.
This emotional detachment is common and treatable with therapy and structured support.

At Launch Centers, we help clients break the cycle of avoidance, shame, and disconnection by focusing on:

  • Individual Therapy (CBT & DBT) to change negative thinking patterns
  • Group Therapy for peer support and accountability
  • Family Therapy to rebuild understanding and connection
  • Life Skills & Career Coaching to restore confidence and purpose

Treatment Options for Depression

If you recognize multiple SIGECAPS symptoms, it’s important to seek professional evaluation.
Treatment for depression can include:

  • Therapy (CBT, DBT, or trauma-informed modalities)
  • Medication management (if prescribed by a psychiatrist)
  • Lifestyle and behavioral changes
  • Structured care programs, such as our Intensive Outpatient Program (IOP) and Virtual Evening IOP, which combine therapy, accountability, and flexibility.

Our clinicians work with each client to develop a personalized treatment plan focused on long-term recovery and renewed motivation.


Clinically Reviewed By: Jess Beck, LCSW

Jess comes to Launch Centers with over a decade of experience in mental health and addiction treatment with both adolescents and adults. As the former Acting Director of the Addictive Behaviors Clinic at the West Los Angeles Veterans Affairs Medical Center, she developed expertise in the field of evidenced-based addiction treatment. During her tenure at the VA medical center, Jess trained colleagues on therapeutic practices and provided treatment to hundreds of at-risk veterans.

About Our Founder

Jose Hernandez, for over a decade, has been involved in alcohol and addiction recovery helping people succeed in overcoming substance abuse and regaining control of their lives. He has experience in all aspects of the recovery world, from facilitating entry into treatment as an intervention specialist to counseling and case management at rehabilitation facilities. Jose has worked one-on-one with individuals as a sober companion and with groups as a resident counselor at addiction treatment centers and is certified by the California Association of Alcoholism and Drug Abuse Counselors (CAADAC) to practice as a substance abuse counselor.

Through his professional experiences in crisis intervention, drug and alcohol detoxification, substance abuse counseling, and relapse prevention, Jose has developed a unique plan for case management that bridges the gap between a person’s painful past of substance abuse and a future of sobriety.

At Riviera Recovery, a sober living facility with multiple locations, clients continue their transition from the supportive environment of a treatment center to living well and happily in the “real” world. The program he designed at Riviera Recovery personalizes treatment plans that enable clients, including those with a single or dual-diagnosed mental health disorder, to embrace a satisfying life.

His greatest endeavor has been establishing LAUNCH, a Los Angeles-based life skills intensive outpatient program for young adults. LAUNCH works with recovering men and women to establish personal vocational and educational goals and develop the tools to successfully meet them. His mission is to ensure that no one stands alone in his or her recovery.

Jose

Meet Our Clinical Team

Jess Beck, LCSW

Executive Director

Eric Chaghouri

Eric Chaghouri, MD

Psychiatrist

Josh Cleary, LMFT

Program Manager

MEET FULL TEAM
Our Testimonials

Clients and Professionals Share Their Experience

  • HO

    Launch provided care on multiple levels. The highly skilled therapist coupled with the focus on purpose and long-term goals refocused my recovery from what previous treatment centers pushed onto me. I went from believing that I needed years of treatment to believing I needed years happiness and success. I began to focus on what I wanted to accomplish with my life. I came to realize all the things my addiction and mental illness had taken from me, and I used my future goals as a reason to never pick up again. Due to the passion that Launch instilled in me, I have pursued my future with excitement and dedication.

  • Nicole

    This place changed my life! I’ve had good laughs, good cries, shared a lot of heart to heart moments and grew a loving bond with everyone at Launch Centers. I will always be grateful!!! I really do miss it time to time. I highly recommend Launch Centers!

  • Joey

    The staff and clinicians are amazing and make you feel right at home from the second you walk in the door. I would absolutely recommend this place for a family member or close friend.

  • Ben

    This treatment facility has changed my life. I have always struggled with my mental health and this young adult program provided me with the necessary skills to launch to adulthood. I commend anyone who struggles with mental health or substance use (which was not me) to try this program out. It will change your life.

  • Conner

    Launch Centers Treatment was a major help to me. The therapists and staff genuinely cared about me and truly helped me to make a plan for my future. My personal therapists helped me to discover where some of my deeper issues came from. All of the staff worked tirelessly with me to talk through my issues, or just about life, and offered realistic solutions to my current problems and situation. All of the staff went above and beyond and advocated relentlessly for me. I am very grateful that I was able to have such a wonderful experience with Launch.

  • Adam

    In no uncertain terms Launch Centers changed my life. The staff at Launch are professional, knowledgable and relatable. They keep the format diverse and interesting which kept me engaged in the process. The greatest thing we can do in life is seek to improve ourselves. Launch gave me a skill set I consider to be invaluable in the journey of becoming the best version of myself. I would implore anybody considering Launch to step outside their comfort zone and go, you will not regret it.

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