Am I Experiencing Depression? My Symptoms and Next Steps

Could you please tell me if my symptoms are indicative of depression? How should I address this?

Hello, Doctor: My situation is as follows: In mid-September, I had a miscarriage and delivered a baby who had died due to insufficient amniotic fluid.
My husband has been unfaithful multiple times, so after the baby passed away, I decided to end our relationship.
Although my husband has called several times to check on me, I am still feeling down and unable to concentrate unless I am exhausted.
However, when I do sleep, I don't want to wake up.
I have no appetite, and I am afraid to let my family know how I am feeling.
Currently, only 1 or 2 friends are aware of my situation, and they often talk to me, but it's inconvenient to discuss it when my family is around.
My friends are in Taipei, and I am at my parents' house, making it difficult to relax.
Sometimes I feel like crying but am afraid my mother will notice and worry.
Yet, I find myself inexplicably venting my emotions on her.
A few days ago, I went shopping at a department store and had a great time, but now I am worried about how I will handle the bills since I have no income.
I want to go to the hospital, but I am afraid the doctor will only prescribe sleep aids.
I don't know what to do.
Cathy

Katharine, 20~29 year old female. Ask Date: 2000/11/13

Dr. Li Junren reply Psychiatry

Your condition is a depressive state triggered by adjustment disorder due to stress.
The accumulated issues have not been addressed or resolved, and your usual stress relief methods (such as emotional outbursts and excessive shopping) are inadequate for the current predicament.
It is recommended that you seek psychological counseling to learn stress management and relaxation techniques, as well as effective problem-solving strategies and communication skills, which should help alleviate your current anxiety and feelings of uncertainty.
You can access the aforementioned treatments at a psychiatric outpatient clinic in a teaching hospital or a specialized psychiatric hospital.

Reply Date: 2000/11/13

More Info

Cathy, I want to start by expressing my deepest condolences for the loss of your baby. The grief and emotional turmoil you are experiencing are completely understandable, especially given the circumstances surrounding your situation. It’s important to acknowledge that what you are feeling is valid and that you are not alone in this struggle.

From what you've described, it sounds like you are experiencing several symptoms that could be indicative of depression. These include persistent sadness, lack of appetite, difficulty sleeping, and feelings of emotional numbness or detachment. The fact that you are finding it hard to engage in activities you once enjoyed, like shopping, and that you are worried about your financial situation adds to the stress you are under. It's also common for individuals dealing with grief to experience a range of emotions, including anger, guilt, and anxiety, especially when compounded by relationship issues, such as your husband's infidelity.

It's crucial to understand that depression can manifest in various ways, and it often coexists with grief. The emotional pain from losing a child can be profound, and it’s not uncommon for individuals to feel overwhelmed by their feelings. You mentioned that you sometimes take your emotions out on your mother, which can happen when we are struggling to cope with our feelings. It’s a sign that you may need to find healthier outlets for your emotions.

Seeking help from a mental health professional is a vital step. You expressed concern about being prescribed sleep medication, but a qualified psychiatrist or psychologist can provide a comprehensive evaluation of your mental health. They can help you understand your symptoms better and work with you to develop a treatment plan that may include therapy, medication, or both. Cognitive Behavioral Therapy (CBT), for instance, is often effective for treating depression and can help you develop coping strategies for your grief and emotional pain.

Regarding your fear of burdening your family with your feelings, it’s understandable to want to protect them from your pain. However, sharing your feelings with someone you trust can be incredibly therapeutic. If you feel comfortable, consider talking to your mother or a close friend about what you’re going through. They may be more supportive than you expect, and it can help alleviate some of the emotional weight you are carrying.

As for your financial concerns, it might be helpful to create a budget or seek financial advice to manage your expenses better. This can help reduce some of the anxiety related to your spending habits and provide you with a clearer picture of your financial situation.

In summary, it’s essential to prioritize your mental health during this challenging time. Please consider reaching out to a mental health professional who can provide the support you need. Remember, you don’t have to go through this alone, and there are people who can help you navigate your feelings and find a path toward healing. Your feelings are valid, and seeking help is a sign of strength, not weakness. Take care of yourself, Cathy.

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