Should You Seek Help for Persistent Sadness and Emotional Distress?

Q: Should You Seek Help for Persistent Sadness and Emotional Distress?

Hello Meme： Based on your description, it seems that you have been feeling down, having pessimistic thoughts, and are easily prone to tears over the past three months, which may indicate symptoms of depression. <br>The pressure from the university entrance exam can indeed lead to

Should I seek medical attention for these symptoms?

Hello Doctor: For the past three months, I have often found myself crying when I am alone.
I feel like I am not doing anything right and that I have disappointed many people (even though they haven't said so).
The frequency of my crying has increased, and I become easily upset by others' comments for a long time.
There have been moments when I couldn't stop crying even in crowded places like on a bus.
I often think that it would be better if I were not in this world.
Sometimes, I feel inexplicably sad, lack motivation to do things, and feel like I owe many people an apology, thinking that I am an unnecessary presence.
I have taken several online depression screening tests, all indicating that I have depressive tendencies, but I am unsure if I should seek help from a doctor or if this sadness is just temporary.
I have also wondered if my emotions are heightened because I am approaching my college entrance exams.
Thank you.

Meme, 10~19 year old female. Ask Date: 2017/09/24

Dr. Liang Sunyuan reply Psychiatry

Hello Meme: Based on your description, it seems that you have been feeling down, having pessimistic thoughts, and are easily prone to tears over the past three months, which may indicate symptoms of depression.
The pressure from the university entrance exam can indeed lead to anxiety and depression.
I recommend that while you review your materials step by step, you also schedule some appropriate leisure activities to relieve stress, such as listening to music, exercising, chatting, or engaging in artistic creation.
If these feelings persist or worsen, it is advisable to seek medical assistance.
Wishing you success on your exam and a swift return to a calm state of mind!

Reply Date: 2017/09/24

More Info

It sounds like you are experiencing a significant amount of emotional distress, and I want to commend you for reaching out for help. Your feelings of persistent sadness, crying spells, and thoughts of being a burden to others are serious and should not be taken lightly. It's important to recognize that these symptoms may indicate depression or another mental health condition, and seeking professional help is a crucial step toward feeling better.

First and foremost, it’s essential to understand that you are not alone in feeling this way. Many people experience similar feelings, especially during stressful times such as preparing for exams or facing life changes. However, the intensity and frequency of your emotions, particularly the thoughts of not wanting to exist, are concerning. These thoughts can be indicative of depression, and it’s vital to address them promptly.

You mentioned that you have taken online depression assessments that suggest you have depressive tendencies. While these tools can provide some insight, they are not a substitute for a professional diagnosis. A mental health professional, such as a psychologist or psychiatrist, can conduct a thorough evaluation and help determine the best course of action for you. This may include therapy, medication, or a combination of both.

In terms of what you can do right now, here are some steps to consider:
1. Reach Out for Support: Talk to someone you trust about how you’re feeling. This could be a friend, family member, or a teacher. Sharing your feelings can help alleviate some of the burden you’re carrying.

2. Consider Professional Help: Given the severity of your feelings, I strongly encourage you to seek help from a mental health professional. They can provide you with coping strategies and support tailored to your needs. If you are worried about the stigma of seeking help, remember that mental health is just as important as physical health, and seeking help is a sign of strength.

3. Practice Self-Care: Engage in activities that you enjoy or that help you relax. This could be reading, listening to music, or spending time in nature. Physical activity, even a short walk, can also help improve your mood.

4. Limit Stressors: If you believe that your upcoming exams are contributing to your distress, try to break your study material into manageable chunks and create a study schedule. This can help reduce feelings of being overwhelmed.

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

6. Avoid Isolation: While it may be tempting to withdraw from social interactions, try to stay connected with friends and family. Isolation can exacerbate feelings of sadness.

7. Keep a Journal: Writing down your thoughts and feelings can be a therapeutic way to process your emotions. It can also help you identify triggers for your sadness.

8. Emergency Help: If you ever feel that you might harm yourself or have thoughts of suicide, it is crucial to seek immediate help. Contact a crisis hotline, go to the nearest emergency room, or call emergency services.

In conclusion, your feelings are valid, and it’s important to take them seriously. Seeking help is a proactive step toward understanding and managing your emotions. Remember, you deserve support and care, and there are professionals who can help you navigate through this challenging time. You are not alone, and there is hope for a brighter future.

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