I am not an expert, but yes I believe this is very possible. Clinical depression is a serious mental disorder that significantly affects how a person feels, thinks and acts. Your son is having to cope with a lot on many different levels. Does he have a therapist or counselor? If not, that might help. It is hard to say more without knowing more about his situation. But if he has not seen a psychiatrist about his depression, I would say that is the first place to look for help.
This is definitely a question for a specialist but I do believe it can become clinical. I was diagnosed with depression 5 years ago and, believe me, it was clinical! But looking back I now believe I was suffering from situational depression long before it got so all-consuming. To me, if the situation becomes constant for a prolonged period of time it can become clinical if not dealt with.
I believe that a depression (which I believe is nearly always situational in initiation) will worsen until a person has managed to find a resolution to their difficulties...either through mental acceptance and moving forward to a positive future...or through finding closure and moving on to a positive future.
This may mean examining their beliefs and ...what makes them tick...and what needs to be changed to bring about a more positive future.
Sorry...too tired to add more tonight...
Regards.
Hypno.
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