Is My Emotional Distress a Short-Term Issue or Depression?

Q: Is My Emotional Distress a Short-Term Issue or Depression?

Hello： It seems that your feelings of sadness are not constant, as you become very happy when classmates are around. <br>Since you are still a student, I suggest you talk to a counselor at your school about this, and you can also discuss that frightening nightmare. <br>If it is r

Could you please clarify if I am experiencing a short-term emotional issue or depression?

Hello Doctor, I have been experiencing feelings of depression lately.
Whenever my classmates come to chat with me, I can happily engage with them, but once they leave, I become very quiet and tend to have intrusive thoughts, sometimes even recalling a nightmare about my own death.
This nightmare has occurred twice with the same scenario, leaving a deep impression on me.
I woke up terrified in the middle of the night, crying and seeking comfort from my family, and I couldn't calm down.
Whenever I think about that nightmare, tears start to flow (I don't cry in public and haven't mentioned it to my family because I'm afraid they will worry and tell me not to think negatively).
I also feel nauseous and have some discomfort in my chest (could this be considered chest tightness?).
Thank you, Doctor.

qì'é, 10~19 year old female. Ask Date: 2017/12/19

Dr. Wu Enliang reply Psychiatry

Hello: It seems that your feelings of sadness are not constant, as you become very happy when classmates are around.
Since you are still a student, I suggest you talk to a counselor at your school about this, and you can also discuss that frightening nightmare.
If it is really troubling you, it may be necessary to see a mental health professional.
Remember to seek a child and adolescent psychiatrist.
Wishing you a speedy recovery.

Reply Date: 2017/12/19

More Info

It sounds like you are experiencing a significant emotional distress that is impacting your daily life. Based on your description, it is essential to differentiate between temporary emotional distress and clinical depression.
Emotional distress can often arise from situational factors, such as stress from school, relationships, or other life changes. This type of distress may lead to feelings of sadness, anxiety, or irritability, but it often resolves as the situation improves or as you develop coping strategies. In your case, the fact that you feel happy when interacting with classmates but then experience a downturn in mood afterward suggests that your emotional state may be influenced by external factors.

On the other hand, clinical depression, or major depressive disorder, is characterized by persistent feelings of sadness or a lack of interest in activities that were once enjoyable. It can also manifest through physical symptoms, such as changes in appetite, sleep disturbances, fatigue, and feelings of worthlessness or excessive guilt. The recurrent nightmares you mentioned, along with the intense emotional reactions and physical symptoms like nausea and chest tightness, could indicate that you are experiencing more than just temporary emotional distress.

The nightmares and the feelings of hopelessness you described are particularly concerning. Nightmares can be a symptom of anxiety or trauma, and they can exacerbate feelings of distress. The fact that you are experiencing crying spells and physical symptoms like chest tightness may suggest that your emotional state is more severe than what could be classified as a short-term issue.

It's also important to consider the context of your feelings. If you find that your mood is consistently low, you are having trouble enjoying activities, or you are experiencing thoughts of self-harm or death, it is crucial to seek professional help. Mental health professionals can provide a thorough assessment and help determine whether you are experiencing depression or another mental health condition.

In terms of coping strategies, while it is great that you find joy in social interactions, it may be beneficial to explore other methods of managing your emotions. Engaging in regular physical activity, practicing mindfulness or meditation, and maintaining a healthy sleep schedule can all contribute positively to your mental health. Additionally, journaling about your feelings or talking to a trusted friend or family member can help you process your emotions.

If you feel comfortable, I highly recommend reaching out to a mental health professional, such as a psychologist or psychiatrist. They can provide you with a safe space to discuss your feelings and help you develop coping strategies tailored to your needs. Many schools offer counseling services, which can be a good starting point.

Lastly, regarding your concerns about confidentiality, mental health professionals are bound by strict confidentiality laws. Your information will be kept private, and you can discuss your feelings without fear of judgment or worry about your family being informed.

In summary, while your emotional distress may stem from situational factors, the intensity and persistence of your symptoms suggest that it is essential to seek professional help. Understanding the root of your feelings and developing effective coping strategies can lead to improved emotional well-being. Remember, reaching out for help is a sign of strength, and you deserve support during this challenging time.

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