When to Seek Help for Severe Depression Symptoms - Psychiatry

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Depression issues


I previously attempted suicide twice, and my doctor diagnosed me with major depressive disorder.
My condition was very poor, but after leaving my sources of stress for a month, I have finally stabilized a lot.
Therefore, I have not returned for follow-up appointments or taken medication.
I would like to ask what symptoms would prompt me to return for a consultation.
I have been treated at Taoyuan Mental Health Center, and my attending physician, Dr.
Wu Chia-Ming, hopes that I will continue treatment.
My family respects my decision and will not force me to see a doctor or take medication as long as I show them that I am doing well.
Dr.
Wu asked me why I am unwilling to attend appointments; I simply do not want to be perceived as having a mental illness.
I just struggle with managing negative emotions.
The doctors at the clinic really have no way to help me and wrote a referral for me to be hospitalized at Taoyuan Mental Health Center.
I do not want to be hospitalized, and Dr.
Wu has not pressured me.
From a physician's standpoint, he certainly wants me to continue treatment, while my family will not force me to do these things.
Since I was diagnosed with depression, my family has tried to accommodate me as much as possible, but I still believe that if I could manage stress and negative emotions, perhaps I would not need to see a doctor or take medication.

Niming, 20~29 year old female. Ask Date: 2016/08/26

Dr. Wu Enliang reply Psychiatry


Depression does not necessarily require medication; pharmacological treatment is just one option.
Some individuals improve after distancing themselves from stressors, while others benefit from psychotherapy.
Additionally, some find relief through extensive physical exercise, and others improve with emotional support from friends and family.
There are also those who experience improvement through personal growth and enhancing their resilience.
However, if these non-pharmacological methods yield limited results and symptoms such as depression, suicidal thoughts, and insomnia persist, it indicates that the brain's capacity to cope with stress may be insufficient, and a follow-up appointment should be scheduled.

Reply Date: 2016/08/26

More Info


It's commendable that you are seeking to understand your mental health and the signs that indicate when to seek help for severe depression symptoms. Given your history of suicide attempts and a diagnosis of major depressive disorder, it's crucial to remain vigilant about your mental health and recognize when you may need professional support again.

Firstly, it's important to understand that depression can be a chronic condition, and even when you feel better, it doesn't mean the underlying issues have been resolved. Here are some symptoms that should prompt you to seek help again:
1. Persistent Sadness or Low Mood: If you find yourself feeling sad, hopeless, or empty for an extended period, this could be a sign that your depression is resurfacing.

2. Changes in Sleep Patterns: Whether it's insomnia or sleeping too much, significant changes in your sleep can indicate that your mental health is deteriorating.

3. Loss of Interest: If activities that once brought you joy no longer interest you, this could be a sign of depression.

4. Fatigue or Low Energy: Feeling constantly tired or lacking energy, even after rest, can be a symptom of depression.

5. Difficulty Concentrating: If you find it hard to focus on tasks or make decisions, this could be a sign that your mental health is suffering.

6. Increased Irritability or Anger: If you notice that you are more irritable or angry than usual, this can be a symptom of depression.

7. Feelings of Worthlessness or Guilt: If you start to feel excessively guilty or worthless, it's essential to reach out for help.

8. Suicidal Thoughts: Any thoughts of self-harm or suicide should be taken seriously. If you experience these thoughts, it's crucial to seek help immediately.

9. Physical Symptoms: Sometimes, depression can manifest in physical symptoms such as unexplained aches and pains, digestive issues, or changes in appetite.

10. Social Withdrawal: If you find yourself isolating from friends and family or avoiding social situations, this could indicate a decline in your mental health.

Given your previous experiences with severe depression, it's understandable that you may feel hesitant about returning to treatment. However, it's essential to prioritize your well-being over any stigma associated with mental health issues. Remember, seeking help is a sign of strength, not weakness.

If you are concerned about being labeled as having a mental illness, consider discussing this with your healthcare provider. They can help you understand that mental health conditions are medical issues, much like diabetes or hypertension, and that seeking treatment is a proactive step towards recovery.

In terms of treatment options, you might consider a combination of therapy and medication, as both have been shown to be effective for many individuals with depression. Cognitive-behavioral therapy (CBT) is particularly effective for helping individuals develop coping strategies and address negative thought patterns.

Lastly, it's vital to maintain open communication with your family and friends about your feelings and experiences. Their support can be invaluable in your recovery journey. If you feel comfortable, let them know when you're struggling, so they can help you seek the necessary support.

In conclusion, if you notice any of the symptoms mentioned above, don't hesitate to reach out to your healthcare provider. Your mental health is paramount, and taking steps to address it can lead to a healthier, more fulfilling life. Remember, you are not alone in this journey, and help is always available.

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