Feeling Out of Control: When to Seek Help for Depression - Psychiatry

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Feel like I've lost control?


Hello, doctor.
I took an online depression screening test in middle school and scored high.
My family thought it was just that I couldn't handle stress, so I didn't seek medical help.
Recently, over the past two years, I've noticed that I'm increasingly having suicidal thoughts.
At first, I could manage them, but in the last three months, some sudden changes at home have worsened my condition.
I've even woken up crying from dreams, and I can't be alone without crying.
I constantly have suicidal thoughts, which are affecting my academic performance.
The worst part is that I find myself wanting to cry while riding my bike, feeling somewhat out of control.
Should I seek medical help?

Xūyào bāngzhù de rén, 20~29 year old female. Ask Date: 2017/05/05

Dr. Liu Runqian reply Psychiatry


Symptoms of depression include: depressed mood, loss of interest in usual activities, cognitive and psychomotor retardation, decreased appetite, weight loss, insomnia, fatigue and weakness in limbs, restlessness, self-blame, feelings of guilt, helplessness, worthlessness, hopelessness, and thoughts or attempts of suicide.
As mentioned in your text, if you are experiencing thoughts of self-harm, it is strongly advised to seek further evaluation from a psychiatrist or a mental health professional.

Reply Date: 2017/05/05

More Info


It sounds like you are experiencing a very challenging time, and I want to acknowledge the courage it takes to reach out for help. Based on what you’ve shared, it’s clear that you are dealing with significant emotional distress, and it’s important to take these feelings seriously.
From your description, it seems you are experiencing symptoms that could be indicative of depression, especially with the recurring thoughts of self-harm and the inability to control your emotions. Depression can manifest in various ways, including persistent sadness, feelings of hopelessness, and difficulty concentrating, which can indeed affect your academic performance and overall quality of life. The fact that you have had suicidal thoughts is particularly concerning and should not be overlooked.

Given the changes in your home environment and the intensification of your symptoms over the past few months, I strongly encourage you to seek professional help. This could be through a mental health professional such as a psychologist or psychiatrist. They can provide a proper assessment and help you understand what you are going through. Treatment options may include therapy, medication, or a combination of both, depending on your specific needs.

It’s also worth noting that many people experience relief from their symptoms through therapy, which can provide a safe space to explore your feelings and develop coping strategies. Cognitive Behavioral Therapy (CBT), for example, is effective for many individuals dealing with depression and anxiety. It focuses on changing negative thought patterns and behaviors that contribute to your emotional distress.

In terms of medication, it’s important to have an open dialogue with your healthcare provider about any side effects you may experience. Finding the right medication can sometimes take time, and it’s essential to communicate your experiences with your doctor so they can make necessary adjustments.

You mentioned feeling overwhelmed when alone, and this is a common experience for those dealing with depression. It might help to reach out to friends or family members when you’re feeling this way, even if it’s just to talk or spend time together. Social support can be incredibly beneficial in managing emotional distress.

As for your academic concerns, it’s understandable to feel pressure, especially if you have aspirations for the future. However, prioritizing your mental health is crucial. Many educational institutions offer counseling services, and they can provide support tailored to students facing similar challenges.
Regarding your question about whether to seek help, the answer is a resounding yes. If you are experiencing thoughts of self-harm or suicide, it is vital to seek immediate help. You can contact a mental health professional, a crisis hotline, or even visit an emergency room if you feel you are in crisis. Remember, you are not alone in this, and there are people who want to help you.

In conclusion, please consider reaching out for professional help as soon as possible. Your mental health is just as important as your physical health, and taking this step can be a significant move towards feeling better. You deserve support and care, and there are resources available to help you navigate through this difficult time.

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