Do I have an illness? Do I need to see a doctor?
Hello Dr.
Chang: I have been feeling pessimistic about life.
I have no interest in anything and feel that work is just a means to survive.
I often feel down and believe that life is very difficult.
I say I want to work, but I can't seem to push myself to do it.
Even minor issues can lead to insomnia.
When I encounter sad situations, such as relationship problems, I find it hard to cope.
I can say that I currently lack motivation and energy.
I am cold towards others, especially my family, and I don't enjoy keeping in touch with friends.
I know I should change, but I lack the will to do so.
I also feel that my memory has worsened and my reactions are slow, among other things.
I find it difficult to articulate what is wrong with me.
I want to see a doctor, but they always ask me to talk, and I don't know what to say.
Every time I visit a doctor, I feel awkward and uncomfortable.
I have been in this situation for about ten years.
Each time I take an online assessment from a national hospital, it indicates that my heart is "sick." I want to know if I might have depression, and what I should do about it.
Thank you.
Evain, 20~29 year old female. Ask Date: 2002/09/05
Dr. Zhang Hongjun reply Psychiatry
Hello Evain: Regarding your situation, it is important to consider the possibility of depression, but I recommend that you visit an outpatient clinic for further evaluation through a face-to-face consultation.
As for your concern about feeling awkward and uncomfortable during discussions with the doctor, I believe that building a good "therapeutic relationship" through trust and understanding can help improve this.
Wishing you physical and mental health.
Dr.
Chang Hong-Jun
Reply Date: 2002/09/05
More Info
It sounds like you are experiencing a significant amount of emotional distress and are grappling with feelings of hopelessness, lack of interest in activities, and difficulty in social interactions. These symptoms can indeed be indicative of depression, but it's important to understand that a proper diagnosis can only be made by a qualified mental health professional after a thorough evaluation.
From your description, it appears that you have been feeling this way for about ten years, which is a considerable amount of time. Chronic feelings of sadness, disinterest in life, and difficulty in maintaining relationships can significantly impact your quality of life. The fact that you feel a lack of motivation and energy, and that you find it hard to engage with others, including family and friends, is concerning. These are common symptoms of depression, which can manifest in various ways, including emotional, cognitive, and physical symptoms.
You mentioned that you often feel like life is burdensome and that you struggle to find joy in activities that once interested you. This is a classic sign of anhedonia, which is a core symptom of major depressive disorder. Additionally, your difficulty with sleep and feelings of being overwhelmed by minor issues can also be indicative of depression or anxiety disorders.
It's understandable that you feel apprehensive about discussing your feelings with a doctor. Many people experience discomfort when opening up about their mental health, especially if they are unsure of how to articulate their feelings. However, it's crucial to remember that mental health professionals are trained to help you navigate these conversations. They can guide you through the process and help you express what you are experiencing.
Here are some steps you can take to address your concerns:
1. Seek Professional Help: It is essential to consult a mental health professional, such as a psychologist or psychiatrist. They can provide a safe space for you to discuss your feelings and help you understand what you are going through. You might consider writing down your feelings and experiences before your appointment to help you articulate them better.
2. Consider Therapy: Cognitive Behavioral Therapy (CBT) is an effective treatment for depression. It focuses on changing negative thought patterns and behaviors that contribute to your emotional distress. A therapist can help you develop coping strategies and work through your feelings in a constructive way.
3. Medication: If your symptoms are severe, a psychiatrist may recommend medication to help manage your depression. Antidepressants can be effective in alleviating symptoms, but they should be prescribed and monitored by a professional.
4. Lifestyle Changes: Incorporating regular physical activity, a balanced diet, and sufficient sleep can have a positive impact on your mood. Even small changes, like taking a short walk or practicing mindfulness, can help improve your mental health.
5. Social Support: While it may feel challenging, try to reach out to friends or family members. Sharing your feelings with someone you trust can provide relief and help you feel less isolated.
6. Educate Yourself: Understanding more about depression can empower you. There are many resources available, including books, articles, and support groups, that can provide valuable information and support.
7. Be Patient with Yourself: Recovery from depression is often not linear. There may be ups and downs, and it’s important to be gentle with yourself during this process.
In conclusion, your feelings are valid, and seeking help is a crucial step toward feeling better. You are not alone in this, and there are professionals who can support you in navigating your mental health challenges. Remember, acknowledging that you need help is a sign of strength, and taking that first step can lead to significant improvements in your quality of life.
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