Do I Have Depression? Emotional Struggles in Teens - Psychiatry

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Do I have tendencies toward depression?


I am currently a high school freshman, but since the third year of middle school, I have experienced days of feeling emotionally low every one to two weeks.
I have episodes of prolonged crying without any reason, a desire to distance myself from everyone, and thoughts of suicide, including contemplating how to end my life.
I would like to ask if this indicates a tendency towards depression, or if there is an issue with my emotional management.
How can I improve my emotional lows?

Niming, 10~19 year old female. Ask Date: 2017/01/06

Dr. Liang Sunyuan reply Psychiatry


Hello: High school can be a challenging and bitter phase for many, with difficult coursework, frequent exams, lack of freedom, and high pressure.
However, this period is merely a transitional stage, and things usually improve significantly once you enter college.
I recommend being kind to yourself, cultivating some hobbies and interests, and surrounding yourself with positive people and experiences.
If you still find yourself feeling depressed and unable to cope, it is advisable to seek medical assistance.
Wishing you all the best.

Reply Date: 2017/01/06

More Info


It sounds like you are going through a very challenging time, and I want to acknowledge the pain and confusion you are experiencing. The feelings you describe—periods of deep sadness, crying without a clear reason, a desire to isolate yourself, and even thoughts of self-harm—are significant and should not be taken lightly. These symptoms can indeed indicate the presence of depression or another mental health issue, especially considering their frequency and intensity.

Depression in teenagers can manifest in various ways, including emotional struggles, changes in behavior, and physical symptoms. The fact that you have experienced these emotional lows regularly over the past year suggests that you may be dealing with a depressive disorder. It's important to understand that depression is not just about feeling sad; it can also involve feelings of hopelessness, worthlessness, and a lack of interest in activities that once brought you joy. Additionally, thoughts of self-harm or suicide are serious and indicate that you need immediate support.

Here are some steps you can take to address your emotional struggles:
1. Talk to Someone: It’s crucial to reach out to someone you trust about what you’re feeling. This could be a parent, a teacher, a school counselor, or a close friend. Sharing your feelings can help alleviate some of the burden you are carrying.

2. Seek Professional Help: A mental health professional, such as a psychologist or psychiatrist, can provide you with a proper assessment and help you understand what you are experiencing. They can offer therapy, which can be incredibly beneficial in managing depression, and if necessary, they may discuss medication options with you.

3. Develop Coping Strategies: While professional help is essential, there are also coping strategies you can try on your own. These include:
- Journaling: Writing down your thoughts and feelings can help you process your emotions.

- Physical Activity: Exercise has been shown to improve mood and reduce symptoms of depression. Even a short walk can make a difference.

- Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help you manage stress and improve your emotional well-being.

- Establish a Routine: Having a daily routine can provide structure and a sense of normalcy, which can be comforting during difficult times.

4. Limit Stressors: If there are specific situations or people that increase your feelings of sadness or anxiety, try to limit your exposure to them when possible. This might mean taking a break from social media or stepping back from certain relationships.

5. Educate Yourself: Understanding more about depression can empower you and help you feel less alone. There are many resources available, including books, articles, and support groups, that can provide valuable information.

6. Emergency Support: If you ever feel overwhelmed or have thoughts of harming yourself, it is crucial to seek immediate help. Contact a trusted adult, call a crisis hotline, or go to the nearest emergency room. Your safety is the top priority.

In conclusion, while it is possible that you are experiencing symptoms of depression, only a qualified mental health professional can provide a diagnosis. It’s important to take your feelings seriously and seek help. Remember, you are not alone in this, and there are people and resources available to support you through these tough times. Taking the first step to talk about your feelings can be incredibly powerful and is a sign of strength.

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