Health
Presidential depression and Abraham Lincoln’s struggle with ‘melancholy’: What historians know
He is perhaps best known for his honesty — but a lesser-known fact about Abraham Lincoln is that the 16th president of the United States battled severe depression during his lifetime.
Dr. Chris Tuell, a clinical psychotherapist and a chemical and behavioral addiction specialist at the University of Cincinnati College of Medicine, has studied Lincoln’s mental health struggles extensively.
“Though the history books play a significant role in our perception and understanding of the ‘rail splitter’ from Illinois, it often becomes easy for us to forget that Abraham Lincoln was very human,” Tuell told Fox News Digital.
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“Lincoln led this nation through its worst crisis, while at the same time battling his own internal war of chronic depression.”
Here’s what to know.
Abraham Lincoln, 16th president of the United States, is depicted in this painting at the Gettysburg Address. (Painting by J.L.G. Ferris)
Signs of Lincoln’s depression
At age 32, in a letter to John Stuart in 1841, Lincoln wrote, “I am now the most miserable man living. If what I feel were equally distributed to the whole human family, there would not be one cheerful face on earth. Whether I shall ever be better, I cannot tell; I awfully forebode I shall not; to remain as I am is impossible.”
Lincoln scholars have “clear evidence” that he suffered from depressive episodes beginning in his 20s, Tuell noted.
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“Lincoln’s school teacher, Mentor Graham, stated, ‘Lincoln told me that he felt like committing suicide often,’” Tuell said.
“Law partner and biographer William Herndon stated, ‘He was a sad-looking man, gloomy and melancholic. His melancholy dripped from him as he walked.’”
Contributing factors to Lincoln’s depression
The president’s mental health condition can be attributed to both genetics and traumatic experiences, according to the book “Lincoln’s Melancholy” by Joshua Wolf Shenk.
Lincoln is said to have had a family history of depression.
Abraham Lincoln, 16th president of the U.S., battled severe depression. (Library of Congress Prints and Photographs)
“Historical records indicate that Lincoln’s mother and father were disposed to melancholy and that one side of the family ‘was thick with mental disease,’” said Tuell.
“Bereavement in childhood can be one of the most significant factors in the development of depressive illness in later life.”
As a child, Lincoln lost several close family members.
After his brother died in infancy, Lincoln’s mother, aunt and uncle all died when he was just 9 years old. A decade later, his sister died while delivering a stillborn infant.
Later, Lincoln experienced the loss of his first love, Ann Rutledge, in 1835.
As a father, he experienced the death of two young sons, Eddie and Willie.
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“According to mental health professionals, bereavement in childhood can be one of the most significant factors in the development of depressive illness in later life,” Tuell said.
Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, said that Lincoln’s melancholy may have been tied to his “intellectual prowess and [his tendency to] see and feel things deeply.”
How Lincoln dealt with depression
Before the age of psychotherapy and antidepressant medications, Lincoln learned to live with his depressive disposition, Tuell said.
“He would frequently use humor and storytelling to elevate his mood and distract himself from his depression,” the psychologist told Fox News Digital.
Abraham Lincoln is depicted at the signing of the Emancipation Proclamation, which gave enslaved people their freedom. (Hulton Archive/Getty Images)
“Only his closest friends had any insight concerning the extent of his condition.”
In a time period when mental health treatment was not available, Tuell noted that learning how to manage his life with his depression was Lincoln’s only choice.
“The only other option would have been for him to succumb to these adversities,” he said.
“He managed to overcome it and the Civil War to become our greatest president, by most people’s estimation.”
“It does not appear that it was in the 16th president’s persona to acquiesce. Lincoln persevered and served this country eloquently.”
Siegel noted that in Lincoln’s time, depression was referred to as “melancholy” and was typically treated with opium, a highly addictive narcotic drug that is extracted from the poppy plant.
“It does not appear that it was in the 16th president’s persona to acquiesce,” a psychologist said. “Lincoln persevered and served this country eloquently.” (AP)
Historians have noted that Lincoln’s sons brought him periods of happiness despite his ongoing depression.
“We are so used to seeing Abraham Lincoln looking depressed and sad, that we forget — and the historical record is clear on this — he would break down in laughter when playing with his boys or observing the mayhem they created,” Raymond Arroyo, a Fox News contributor and bestselling author, previously told Fox News Digital.
He is the author of the book, “The Magnificent Mischief of Tad Lincoln,” part of his Turnabout Tales series of books.
What to know about depression
Depressive disorders affect approximately 18.8 million American adults or about 9.5% of the U.S. population age 18 and older in a given year, according to the National Institute of Mental Health.
There are different types of depressive disorders, according to Tuell.
These may include major depression, dysthymia (an ongoing, low-grade depression) and bipolar (mood swings of depression and mania).
Depressive disorders affect approximately 18.8 million American adults or about 9.5% of the U.S. population age 18 and older in a given year, according to the National Institute of Mental Health. (iStock)
“Depression can affect every aspect of one’s life — physical health, sleep [habits], eating habits, job and your relationships with friends and family,” said Tuell. “It affects thoughts, feelings and behaviors.”
While depression is one of the most serious mental health issues facing people today, Tuell noted that it’s also one of the most treatable.
Lincoln’s perseverance in the face of severe depression was something to be admired, Tuell and Siegel agreed.
“We can only speculate what Lincoln would say or do about our current state of political affairs, or even what thoughts he may have toward the new millennium’s understanding of depression and mental health,” Tuell said.
President Abraham Lincoln with General George B. McClellan at his headquarters at Antietam, Oct. 3, 1862. From left: General George W. Morell, Colonel Alexander S. Webb, General McClellan, scout Adams, Dr. Jonathan Letterman, unidentified officer, President Lincoln, Colonel Henry Hunt, General Fitz, John Porter, unidentified officer. (Getty Images)
“But now, some 159 years later, Lincoln’s historical persona continues to belong to the ages.”
Lincoln believed in the human spirit and spoke of the role people must have toward one another, Tuell noted.
“This was no more clearly expressed than through Lincoln’s own words, ‘With malice toward none; with charity for all,’” he said.
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Lincoln’s battle with depression can be regarded as an “inspiration to all who suffer from this dreaded disease or feel stigmatized by it,” Siegel added.
“He managed to overcome it and the Civil War to become our greatest president, by most people’s estimation.”
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Feeling lonely may take a toll on older adults’ memory — but it may not speed up cognitive decline, according to a new study.
Researchers from Colombia, Spain and Sweden analyzed data from more than 10,000 adults ages 65 to 94 across 12 European countries and found those who reported higher levels of loneliness did worse on memory tests at the start of the study, according to research published this month in the journal Aging & Mental Health.
Over a seven-year period, however, memory decline occurred at a similar rate regardless of how lonely participants felt.
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“The finding that loneliness significantly impacted memory, but not the speed of decline in memory over time was a surprising outcome,” lead author Dr. Luis Carlos Venegas-Sanabria of the School of Medicine and Health Sciences at the Universidad del Rosario said in a statement.
Loneliness may be linked to memory performance in older adults, a new study suggests. (iStock)
“It suggests that loneliness may play a more prominent role in the initial state of memory than in its progressive decline,” Venegas-Sanabria said, adding that the findings highlight the importance of addressing loneliness as a factor in cognitive performance.
The findings add to debate about whether loneliness contributes to dementia risk. While loneliness and social isolation are often considered risk factors for cognitive decline, research results have been mixed.
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The study looked at data from the long-running Survey of Health, Ageing and Retirement in Europe (SHARE), which tracked 10,217 older adults between 2012 and 2019. Participants were asked to recall words immediately and after a delay to measure memory performance.
Social isolation and loneliness could play a surprising role in cognitive health among seniors. (iStock)
Loneliness was assessed using three questions about how often participants felt isolated, left out or lacking companionship.
About 8% of participants reported high levels of loneliness at the outset. That group tended to be older, more likely to be female and more likely to have conditions such as depression.
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Researchers found that those with higher loneliness had lower scores on both immediate and delayed memory tests at baseline. Still, all groups — regardless of loneliness level — experienced similar declines in memory over time.
The results suggest loneliness may not directly accelerate the progression of memory loss, though it remains linked to poorer cognitive performance overall.
Researchers look at a brain scan at the National Institutes of Health in Bethesda, Maryland. (Saul Loeb/AFP/Getty Images)
Experts warn, however, that the findings should not be interpreted to mean loneliness is harmless.
“The finding that lonely older adults start with worse memory but don’t decline faster is actually the most interesting part of the paper, and I think it’s easy to misread,” said Jordan Weiss, Ph.D., a scientific advisor and aging expert at Assisted Living Magazine and a professor at NYU Grossman School of Medicine.
“It likely means loneliness does its damage earlier in life, well before people show up in a study like this at 65-plus,” Weiss told Fox News Digital.
By older age, long-term social patterns may already be established, making it harder to detect when the effects of loneliness first took hold, an aging expert says. (iStock)
He suggested that by older age, long-term social patterns may already be established, making it harder to detect when the effects of loneliness first took hold.
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“By the time you’re measuring someone in their late 60s, decades of social connection patterns are already baked in,” he said.
Weiss, who was not involved in the research, added that loneliness may coincide with other health conditions, and noted that participants who felt more isolated also had higher rates of depression, high-blood pressure and diabetes. The link, he said, may reflect a cluster of health risks rather than a direct cause.
“While they can go hand-in-hand, it’s not clear that loneliness contributes to dementia,” a psychotherapist says. (iStock)
Amy Morin, a Florida-based psychotherapist and author, said the findings reflect a broader pattern in research on loneliness and brain health, and that the relationship may be more complex than it appears.
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“The evidence shows there’s a link between loneliness and cognitive decline but there’s no direct evidence of a cause and effect relationship,” she said. “So while they can go hand-in-hand, it’s not clear that loneliness contributes to dementia.”
Morin added that loneliness, which can fluctuate, may not be the root of the problem, but rather a symptom of other underlying mental or physical health issues.
Researchers suggested screening for loneliness be incorporated into routine cognitive assessments as one way to support healthy aging. (iStock)
She said staying socially and mentally engaged is crucial for overall brain health.
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“It’s important to be proactive about social activities,” Morin said. “Joining a book club, having coffee with a friend, or attending faith-based services can be a powerful way to maintain connections in older age.”
The researchers also suggested screening for loneliness be incorporated into routine cognitive assessments as one way to support healthy aging.
Fox News Digital reached out to the researchers for comment.
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Research continues to uncover new details on how fasting may help extend life.
A new study published in the journal Nature Communications investigated how intermittent fasting can boost longevity in small worms often used in aging research.
Researchers from the University of Texas Southwestern Medical Center in Dallas compared worms that were fed normally to those that underwent a 24-hour fast in early adulthood and were then fed again, according to a press release.
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The scientists measured a variety of factors, including stored fat, gene activity related to fat metabolism and lifespan.
The results showed that the life-boosting benefit did not depend on the fasting itself but on the body’s behavior after eating again.
Experts say sustainability is key when choosing a long-term weight-loss strategy. (iStock)
Study lead Peter Douglas, associate professor of molecular biology and a member of the Hamon Center for Regenerative Science and Medicine at UT Southwestern, suggested that these discoveries “shift the focus toward a neglected side of the metabolic coin – the re-feeding phase.”
“Our data suggest that the health-promoting effects of intermittent fasting are not merely a product of the fast itself, but are dependent on how the metabolic machinery recalibrates during the subsequent transition back to a fed state,” he said.
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“Our findings bridge a gap between lipid metabolism and aging research,” he added. “By targeting aging, the single greatest risk factor for human disease, we move beyond treating isolated conditions toward a preventive model of medicine that enhances quality of life for all individuals.”
Lauri Wright, director of nutrition programs at the University of South Florida’s College of Public Health, called this a “high-quality” study that adds an “important nuance to how we think about fasting and longevity.”
Intermittent fasting typically involves limiting meals to an eight-hour daily window or fasting every other day. (iStock)
The benefits of the refeeding phase after fasting were “especially interesting,” Wright, who was not involved in the study, told Fox News Digital.
“The researchers showed that longevity was linked to the body’s ability to turn off fat breakdown after fasting, allowing cells to restore energy balance,” she reiterated.
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“From a scientific standpoint, that’s a meaningful shift because it suggests fasting is not just about burning fat, but about metabolic flexibility.”
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Fasting may support longevity through triggering metabolic switching, enhancing cellular repair and stress resistance and improving markers like insulin sensitivity, research shows.
Limitations and cautions
Although this study provides “important insight” on the power of refeeding, Wright noted that the findings should be approached with caution, as the study was done on worms and cannot always be translated to humans.
“Additionally, it explains how a process might work in a controlled lab condition rather than real-world eating behaviors,” she added as a limitation. “Finally, the study is short-term and doesn’t give us the long-term translation on lifespan outcomes.”
The review found intermittent fasting was barely more effective than doing nothing, according to the study authors. (iStock)
Wright cautioned that fasting is “not a magic solution for longevity, and how you eat overall matters more than when you eat.”
“I advise, first and foremost, to focus on diet quality, including a variety of fruits and vegetables, healthy fats and minimally processed foods,” she said.
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For those who are considering fasting, it’s better to stick with a moderate plan — like a 12- to 14-hour overnight fast — rather than going to extremes, Wright said. After fasting, she recommends focusing on well-balanced meals.
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Several groups of people should be cautioned against fasting, according to Wright, including those with diabetes who are on insulin or hypoglycemic medications, those who are pregnant or breastfeeding, anyone with a history of eating disorders and older adults at risk of malnutrition.
Anyone considering intermittent fasting should consult with a doctor before starting.
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