Feeling Exhausted: A High School Student's Struggle with Mental Health - Psychiatry

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Often feel tired?


I am a high school freshman who previously took a year off from school because I didn't want to go.
During that year, I mostly stayed home and slept, and only started working part-time a few months later.
Recently, I returned to school, but after a few weeks, I started to lose motivation to attend.
I've been taking a lot of absences and skipping classes, even in subjects I really enjoy.
I often feel tired and frustrated, experiencing dizziness, and I had a period where the smell of food made me nauseous and I lost my appetite.
Today, I suddenly felt an overwhelming urge to cry without knowing why.
I frequently lack appetite, have trouble sleeping at night, and when I do sleep, it's for over 10 hours.
In the morning, I feel lazy and unmotivated to do anything.
I've taken various online depression tests, and my scores are consistently high, but I don't really believe I have depression, and I'm afraid to tell my parents.
What should I do?

Nìmíng, 10~19 year old female. Ask Date: 2016/10/18

Dr. Liang Sunyuan reply Psychiatry


Hello: Based on your description, it seems that you are currently experiencing low mood and irritability, with your appetite and sleep being affected.
You also have gastrointestinal discomfort and feelings of fear and pressure related to school, which are impacting your personal functioning.
These could indeed be symptoms of depression.
Engaging in exercise, hobbies, and maintaining a regular lifestyle may help, but if there is no improvement, it is advisable to seek medical assistance.
Wishing you all the best.

Reply Date: 2016/10/18

More Info


It sounds like you're going through a really tough time, and I want to acknowledge how difficult it can be to navigate these feelings, especially as a high school student. Your experiences of exhaustion, lack of motivation, changes in appetite, and sleep disturbances are significant and can be indicative of underlying mental health issues, such as depression or anxiety.

From what you've described, it seems that your struggles began during your previous year off from school, which may have contributed to a cycle of negative thoughts and feelings about returning to school. It's not uncommon for students who have taken a break from their studies to feel overwhelmed when they try to reintegrate, especially if they have unresolved feelings about their previous experiences.

The symptoms you're experiencing—such as feeling tired, having a lack of appetite, difficulty sleeping, and feeling emotionally overwhelmed—are often associated with depression. It's important to understand that these feelings are not just a phase or something you can simply "snap out of." They can be serious and may require professional help to address effectively.

You mentioned taking various online depression tests and receiving concerning scores. While these tests can provide some insight, they are not a substitute for a professional diagnosis. It's crucial to speak with a mental health professional who can provide a comprehensive evaluation and help you understand what you're experiencing. They can also offer you coping strategies and treatment options tailored to your needs.

I understand that you might feel hesitant to talk to your parents about what you're going through. Many young people worry about how their family will react, fearing they might not be understood or that they will be dismissed. However, it’s essential to communicate your feelings to someone who can help. You might start by expressing that you've been feeling unwell and that it's affecting your ability to enjoy school and participate in activities you once loved. You could say something like, "I've been feeling really down lately, and it's making it hard for me to go to school and focus on my classes. I think it might be helpful for me to talk to someone who can help me understand what I'm going through."
If you're not comfortable talking to your parents directly, consider reaching out to a trusted teacher, school counselor, or another adult who can help guide you through this process. They can assist you in finding the right resources and support.

In addition to seeking professional help, there are some self-care strategies you can try to help manage your feelings. These include:
1. Establishing a Routine: Try to create a daily schedule that includes time for studying, relaxation, and self-care activities. Routines can provide a sense of structure and predictability.

2. Physical Activity: Engaging in regular physical activity, even if it's just a short walk, can help improve your mood and energy levels.

3. Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, or yoga can help reduce anxiety and improve your emotional well-being.

4. Connecting with Others: Reach out to friends or family members you trust. Sharing your feelings with someone who cares can provide relief and support.

5. Limiting Stressors: Identify any specific stressors in your life and see if there are ways to minimize them, whether it's through time management or setting boundaries.

Remember, you are not alone in this, and there are people and resources available to help you through these challenging times. Taking the first step to seek help can be daunting, but it is a courageous and important move towards feeling better.

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