Overcoming Negative Emotions in Depression: A Path to Stability - Psychiatry

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Emotional issues


I am a patient with major depressive disorder, and I have been quite unstable recently, which led my clinic doctor to refer me to a larger hospital.
However, I have a very negative mindset, feeling as though I have been abandoned by my clinic doctor.
I have cried for several days, and even spoke with my clinic doctor over the phone, who reassured me that I have not been abandoned.
I would like to know how to improve these negative emotions.
Additionally, I cannot be out for too long; by the afternoon, I start to feel anxious and restless.
How can I address the severity of my recent symptoms, which include self-harm and emotional instability? Many people tell me that I have not been discarded by my clinic doctor, but I just can't seem to accept it and end up crying when I think about it.

Nìmíng, 20~29 year old female. Ask Date: 2017/03/30

Dr. Liang Sunyuan reply Psychiatry


Hello: Being referred to a larger hospital due to instability is only temporary; the goal is to utilize the hospital's resources to help you through this temporary crisis.
Once you stabilize, you can usually return to your original clinic for continued follow-up treatment.
You may realize that your thoughts are negative, but you feel stuck without solutions.
I suggest that you be very patient and cooperate with your current treatment team, accept your temporary state of depression, avoid self-harm, and seek other emotional outlets such as writing, drawing, music, walking, or chatting.
It's okay to cry; often, after a good cry, you may feel a bit better.
Practice living alongside the feelings of depression and emptiness, reminding yourself to persevere and not give up.
The period of depression can feel like walking through a long tunnel, surrounded by darkness with no light in sight, but as long as you don't give up and keep moving forward, you will eventually emerge from the tunnel and see the light again.
Wishing you all the best.

Reply Date: 2017/03/30

More Info


Overcoming negative emotions, especially in the context of depression, can be a challenging journey, but it is important to remember that you are not alone and that help is available. Your feelings of being abandoned or "thrown away" by your previous healthcare provider are understandable, especially when dealing with the complexities of mental health. It’s crucial to acknowledge these feelings without judgment, as they are part of your current emotional landscape.

Firstly, it’s essential to recognize that transitioning from one healthcare provider to another can often evoke feelings of insecurity and abandonment. This is particularly true for individuals with depression, where emotional responses can be heightened. Your reaction of crying and feeling anxious about this change is a valid response to a significant shift in your care. It’s important to remind yourself that being referred to a larger hospital or a specialist is not a rejection but rather a step towards receiving more comprehensive care tailored to your needs.

To address your negative emotions, consider the following strategies:
1. Cognitive Behavioral Techniques: Challenge negative thoughts by questioning their validity. For instance, when you think, "I was thrown away," ask yourself, "What evidence do I have for this thought?" and "What would I tell a friend who felt this way?" This can help you reframe your thoughts more positively.

2. Mindfulness and Grounding Exercises: Practicing mindfulness can help you stay present and reduce anxiety. Techniques such as deep breathing, progressive muscle relaxation, or grounding exercises (like focusing on your senses) can help you manage feelings of anxiety when you are out or even at home.

3. Establish a Routine: Creating a daily routine can provide structure and a sense of normalcy. Include activities that you enjoy or find calming, such as reading, drawing, or light exercise. This can help distract from negative thoughts and provide a sense of accomplishment.

4. Reach Out for Support: It’s crucial to talk about your feelings with someone you trust, whether it’s a friend, family member, or therapist. Sharing your thoughts can alleviate some of the burdens you feel and provide you with different perspectives.

5. Professional Help: Since you are already in the care of a mental health professional, continue to communicate openly about your feelings of instability and self-harm. Your healthcare provider can adjust your treatment plan, which may include therapy, medication, or both, to better address your current symptoms.

6. Self-Care Practices: Engage in self-care activities that promote well-being. This could be anything from taking a warm bath, practicing yoga, or spending time in nature. Self-care is not selfish; it is a necessary part of managing your mental health.

7. Limit Exposure to Triggers: If certain situations or environments increase your anxiety, try to limit your exposure to them, especially in the short term. Gradually work on facing these triggers with the support of your therapist.

8. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process emotions. It can help you articulate what you’re experiencing and identify patterns in your thoughts that you may want to address.

9. Focus on Small Goals: Set small, achievable goals for yourself each day. This could be as simple as taking a short walk, reading a chapter of a book, or trying a new recipe. Celebrating small victories can help build your confidence and reduce feelings of helplessness.

10. Educate Yourself: Understanding depression and its effects can empower you. Knowledge about your condition can help demystify your experiences and reduce feelings of isolation.

In conclusion, overcoming negative emotions in depression is a multifaceted process that requires patience and self-compassion. It’s important to remember that healing is not linear, and it’s okay to have setbacks. By employing these strategies and maintaining open communication with your healthcare provider, you can work towards a more stable emotional state. Remember, you are not alone in this journey, and there is hope for a brighter future.

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