Emotional Distress: Signs, Symptoms, and Seeking Help

Depressed mood

Everything started after I began dating my boyfriend, who then got back together with his ex-girlfriend.
It was a huge blow for me...
I cried continuously for 3 to 4 months.
Although he is no longer with his ex now, my feelings remain the same...
I often feel inexplicably down, occasionally irritable, and I cry for no reason.
I've started to fear social interactions and making friends.
A few months ago, it was manageable, but recently, my mood swings, crying, and irritability have become more frequent.
Previously, I might have experienced this for a week in a month, but now it can happen at any time.
Additionally, I always feel so exhausted emotionally without any clear reason.
I often find myself looking down from the fourth floor of my school, contemplating whether jumping down would bring relief.
I increasingly dislike going to school and feel inexplicably annoyed by my classmates (I've been bullied since kindergarten up until now in seventh grade)...
I really don't want to go to school...
I feel so overwhelmed and tired...
My situation seems to be getting worse...
What is happening to me? My friends say I'm sick...
Is that true? I genuinely feel so exhausted that I think about suicide...
I just don't know how to escape this torment.

Tuan, 10~19 year old female. Ask Date: 2017/12/25

Dr. Lin Mianzhang reply Psychiatry

Hello, it seems that you are experiencing symptoms of depression, but this does not necessarily mean that you have major depressive disorder, as additional information is needed to clarify your situation.
I recommend that you seek professional help from a psychiatrist as soon as possible.

Reply Date: 2017/12/25

More Info

It sounds like you are going through an incredibly difficult time, and I want to acknowledge the pain and distress you are feeling. Emotional distress can manifest in various ways, and your experiences of prolonged sadness, irritability, crying spells, and feelings of exhaustion are significant indicators that you may be dealing with depression or anxiety. It’s important to understand that these feelings are not uncommon, especially after experiencing a significant emotional blow, such as a breakup or feelings of rejection.

When you mention that you cried for several months after your boyfriend reconciled with his ex, it indicates a deep emotional impact that can lead to what is often referred to as "complicated grief." This can evolve into more chronic emotional issues if not addressed. The feelings of being overwhelmed, the desire to isolate yourself from others, and the thoughts of self-harm are serious and should not be taken lightly. It’s crucial to seek help from a mental health professional who can provide you with the support and guidance you need.

The signs you describe—feeling low, crying frequently, irritability, and a sense of hopelessness—are all symptoms that can be associated with depression. Additionally, the thoughts of wanting to jump from a height indicate that you may be experiencing suicidal ideation, which is a medical emergency. If you are having thoughts of self-harm or suicide, it is imperative that you seek immediate help. You can reach out to a trusted adult, a school counselor, or a mental health professional. Many schools have resources available, including counseling services, that can provide you with immediate support.

In terms of what you can do to help yourself in the meantime, here are some strategies that may be beneficial:
1. Talk About Your Feelings: Sharing your feelings with someone you trust can be incredibly cathartic. This could be a friend, family member, or a mental health professional. You don’t have to go through this alone.

2. Journaling: Writing down your thoughts and feelings can help you process what you are experiencing. It can also serve as a release for pent-up emotions.

3. Establish a Routine: Try to maintain a daily routine that includes activities you enjoy or that give you a sense of accomplishment. This can help provide structure to your day and improve your mood.

4. Physical Activity: Engaging in physical activity, even if it’s just a short walk, can help reduce feelings of depression and anxiety. Exercise releases endorphins, which can improve your mood.

5. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help you manage stress and anxiety.

6. Limit Isolation: While it may feel easier to withdraw from social interactions, try to stay connected with friends and family. Social support is crucial during tough times.

7. Seek Professional Help: As mentioned, reaching out to a mental health professional is vital. They can provide you with coping strategies, therapy, and if necessary, medication to help manage your symptoms.

Remember, it’s okay to ask for help, and doing so is a sign of strength, not weakness. You deserve support and care as you navigate through this challenging period. Your feelings are valid, and there are people who want to help you through this. Please take care of yourself and prioritize your mental health.

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