Struggling with Loneliness: Depression and Its Impact - Psychiatry

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Feeling persistently lonely?


I have been feeling very depressed since last September.
Previously, I would only experience this in the second half of the year, but this time it has persisted until March, and I don't know why I feel unhappy every day.
Nothing seems to motivate me or lift my spirits.
Even going out doesn't improve my mood.
I have no feelings for things I used to enjoy, and while I can chat easily with new acquaintances, I find myself at a loss for words with people I already know, which has led me to gradually stop interacting with my colleagues.
I see my coworkers' boyfriends chatting happily with them, and I feel like I'm in a different world.
Sometimes I speculate about my colleagues' opinions of me, feeling like they all wear masks.
At times, I dislike them (most of the time), but occasionally I think they are actually nice people.
I feel like I have no presence.
Sometimes I think my unhappiness stems from working at the same company as my boyfriend (who is already a working professional), which limits my personal development.
I really want to leave this job, but I am constrained by my financial situation and my current part-time study, making it impossible to resign.
I feel unhappy every day and constantly annoyed, but I can't find anything that makes me feel hopeful about the future or challenges that bring me joy and optimism like before.
People used to see me as a cheerful girl, but now I feel completely the opposite.
When I was younger, I often experienced sleepwalking in elementary school, but I hadn't had an episode in many years, and recently I have started sleepwalking again.

Lü, 20~29 year old female. Ask Date: 2017/03/15

Dr. Zhang Fangrong reply Psychiatry


Dear Sir/Madam,
Based on your description, I can sense the changes in your mood, including feelings of lethargy, unhappiness, lack of motivation, and a general sense of gloom.
I would suggest that you try sharing and discussing your feelings with one or two friends around you.
Ensuring adequate sleep and engaging in moderate exercise can also be very beneficial.
If you continue to feel uncomfortable, I would recommend seeking an evaluation from a psychiatrist to discuss potential treatments, including psychotherapy or medication.
You are welcome to visit, and I wish you mental and physical well-being.
Sincerely,
Dr.
Fang-Rong Chang
Department of Psychiatry

Reply Date: 2017/03/15

More Info


It sounds like you are going through a very challenging time, and I want to acknowledge the depth of your feelings and the struggles you are facing. From your description, it appears that you are experiencing symptoms that are commonly associated with depression, including persistent sadness, lack of motivation, disinterest in activities you once enjoyed, and feelings of isolation. These feelings can be overwhelming, especially when they persist over an extended period, as you mentioned since September of last year.

Depression can manifest in various ways, and it often affects how we perceive ourselves and our interactions with others. You mentioned feeling disconnected from your colleagues and struggling to engage in conversations, which can further exacerbate feelings of loneliness and isolation. This is a common experience for individuals dealing with depression, as it can create a barrier to forming and maintaining social connections. The sense of being in a different world from your peers can be particularly painful, leading to self-doubt and negative thoughts about your worth and presence in social situations.

It's also important to recognize that the feelings of frustration and dissatisfaction with your current job situation, especially in relation to your boyfriend, can contribute to your overall emotional state. Feeling trapped in a job that does not fulfill you, combined with financial constraints, can create a cycle of stress and unhappiness. It’s understandable to feel overwhelmed when you perceive that your environment is limiting your personal growth and happiness.

The return of sleepwalking after many years can also be a sign of stress or anxiety. Sleep disturbances, including sleepwalking, can occur when an individual is under significant emotional distress. It might be your mind's way of coping with the turmoil you are experiencing during your waking hours.

Given the complexity of your situation, it is crucial to seek professional help. A mental health professional can provide you with a safe space to explore your feelings and develop coping strategies tailored to your needs. Therapy can be particularly beneficial in helping you understand the root causes of your depression, improve your self-esteem, and enhance your social skills, which may help you feel more connected to those around you.

Additionally, medication may be an option worth discussing with a psychiatrist. Antidepressants can help alleviate some of the symptoms of depression, making it easier for you to engage in therapy and other activities that can improve your mood. It's important to remember that seeking help is a sign of strength, not weakness. You deserve support and guidance as you navigate this difficult period in your life.

In the meantime, consider incorporating small, manageable changes into your daily routine. This could include setting aside time for activities that you used to enjoy, even if they don't bring you the same joy right now. Engaging in physical activity, practicing mindfulness or meditation, and maintaining a regular sleep schedule can also be beneficial for your mental health.

Lastly, try to reach out to trusted friends or family members about how you’re feeling. Sharing your experiences with someone who cares can provide relief and help you feel less isolated. Remember, you are not alone in this, and there are people and resources available to help you through your struggles. Taking the first step to seek help can lead to a path of healing and rediscovery of joy in your life.

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