Is It Depression? Symptoms and Seeking Help - Psychiatry

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Does this qualify as depression?


I don't know exactly when it started, but I remember it began around October 2016.
I often feel like I can't be happy, frequently experiencing low moods and crying.
Recently, it has gotten worse; I feel a lot of psychological pressure and find myself crying for no reason.
Even small things can make me feel extremely sad.
I'm very dissatisfied with my current life and feel a strong aversion to it.
I feel like no one around me understands me.
I often think a lot when I'm alone.
Although there are times when I'm happy, when I'm sad, it feels unbearable, to the point where I think about death.
I've been crying more lately, and I really hate this version of myself.
I don't want to be someone who just cries and can't stop once I start.
I'm genuinely afraid of crying so much that I might damage my eyes.
Listening to music makes the tears flow even more.
I don't know what to do; I feel like life has lost its meaning.
Since I can remember, whenever I encounter something sad, I just swallow it down inside.
I feel like my heart is about to break.
Since the end of last year, I've been experiencing pain in my chest or heart, as if I've been suppressing too much for too long.
I've talked to my parents about it, but they just say that I have low stress tolerance and that I'm not really sick, so there's no need to go to the hospital.
I can't even figure out what exactly is wrong with me, but I'm afraid it will get worse.
I don't want this to affect my studies or anything else.
I don't know how to explain my situation in more detail; I just feel so tired, heartbroken, and want to cry.
I can't do anything...
Recently, my temper has also become very irritable, and I get angry easily.
My stuttering has worsened, and when I face exams, I not only get nervous, but my hands shake so much that I can't write.
I wonder if these issues are related to depression?

Niming, 10~19 year old female. Ask Date: 2017/03/04

Dr. Huang Weiqin reply Psychiatry


Dear Inquirer: Based on your description, it is likely that you are experiencing mental distress related to depression.
I recommend that you be accompanied by friends or family to visit a psychiatrist (or a psychosomatic medicine specialist) for an evaluation.
If you are willing to accept help, this condition can usually improve with medication or psychotherapy.
If accessing medical care is difficult, you may seek assistance from a school counselor to communicate with your parents.
Thank you for your inquiry.
Wishing you peace and health.

Reply Date: 2017/03/04

More Info


It sounds like you are going through a very challenging time, and I want to acknowledge the pain and confusion you are feeling. Based on your description, it seems you are experiencing a range of symptoms that could be indicative of depression, but it's important to understand that only a qualified mental health professional can provide a proper diagnosis.

Depression is a complex mental health condition that can manifest in various ways. Common symptoms include persistent sadness, feelings of hopelessness, loss of interest in activities once enjoyed, changes in appetite or sleep patterns, difficulty concentrating, and in some cases, physical symptoms such as pain or fatigue. The emotional turmoil you described—frequent crying spells, feelings of worthlessness, and a sense of being overwhelmed—are often associated with depression. Additionally, your experiences of increased irritability, anxiety during exams, and physical symptoms like chest pain or heart discomfort can also be linked to stress and depression.

It's crucial to differentiate between temporary feelings of sadness and clinical depression. While everyone experiences low moods from time to time, clinical depression is characterized by its persistence and the degree to which it interferes with daily life. If these feelings have been ongoing for several months and are affecting your ability to function—such as impacting your schoolwork or relationships—it may be time to seek professional help.

You mentioned that your parents dismissed your feelings, suggesting that you might just be lacking resilience. This can be a common reaction, but it’s essential to remember that mental health issues are real and deserve attention. Seeking help does not mean you are weak; rather, it shows strength and a desire to improve your situation.
I recommend considering a few steps to address your feelings:
1. Talk to a Professional: A mental health professional, such as a psychologist or psychiatrist, can provide a safe space for you to express your feelings and help you understand what you are experiencing. They can also offer coping strategies and, if necessary, discuss treatment options, which may include therapy or medication.

2. Reach Out for Support: If you feel comfortable, try talking to a trusted friend or a school counselor. Sometimes, just sharing your feelings can provide relief and help you feel less isolated.

3. Practice Self-Care: Engage in activities that promote your well-being. This could include physical exercise, which has been shown to improve mood, or mindfulness practices like meditation or yoga. Even small steps, like taking a walk or listening to music, can help.

4. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process what you are experiencing. It can help you identify patterns in your emotions and triggers for your sadness or anxiety.

5. Educate Yourself: Understanding more about depression and mental health can empower you. There are many resources available, including books, articles, and reputable websites that can provide valuable information.

6. Consider School Resources: Many schools have counseling services available. A school counselor can provide support and may also help facilitate communication with your parents about your needs.

Remember, you are not alone in this, and there are people who want to help you. Taking the first step to seek help can be daunting, but it is a crucial part of the journey toward feeling better. Your feelings are valid, and addressing them is an important step in reclaiming your sense of self and purpose.

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