Is My Depression or Anxiety Getting Worse? Seeking Help and Answers

Q: Is My Depression or Anxiety Getting Worse? Seeking Help and Answers

Hello Wenwen： Suddenly discontinuing antidepressants can lead to withdrawal symptoms, which may cause both physical and psychological discomfort. <br>These symptoms should gradually improve once you resume medication. <br>However, if you continue to feel depressed or have strong

It seems that the depression or anxiety has worsened?

Hello Doctor, I visited the clinic last October and the doctor prescribed me 5 mg of Escitalopram.
Recently, I thought I was doing better and had no suicidal thoughts, so I considered stopping my visits.
However, the doctor still prescribed me medication for 28 days.
I forgot to take my medication for two days because I was too busy, but on the third day, I suddenly felt an overwhelming urge to commit suicide and felt worthless.
After that, I continued taking the medication, but it seems to have little effect; I still have suicidal thoughts.
Additionally, my memory seems to be deteriorating, and I have no appetite for food.
I feel like I'm losing my mind.
Doctor, has my condition worsened?

Wenwen, 10~19 year old female. Ask Date: 2018/03/22

Dr. Lin Mianzhang reply Psychiatry

Hello Wenwen: Suddenly discontinuing antidepressants can lead to withdrawal symptoms, which may cause both physical and psychological discomfort.
These symptoms should gradually improve once you resume medication.
However, if you continue to feel depressed or have strong suicidal thoughts after restarting the medication, it may indicate a worsening of your depressive symptoms.
It is important to schedule an appointment with your physician for further discussion as soon as possible!

Reply Date: 2018/03/22

More Info

It sounds like you are going through an incredibly difficult time, and I want to emphasize that seeking help is a crucial step in addressing your mental health concerns. Based on your description, it seems that your symptoms may have worsened, and it's important to take these feelings seriously.
Depression and anxiety can manifest in various ways, including feelings of worthlessness, suicidal thoughts, changes in appetite, and cognitive difficulties such as memory issues. The fact that you are experiencing thoughts of self-harm and feelings of being a "garbage" or "waste" indicates that your mental health may be deteriorating. It's not uncommon for individuals with depression to feel as though their medications are not working, especially if they have missed doses or if their circumstances have changed.

The medication you were prescribed, Escitalopram (often referred to as Lexapro), is an SSRI (selective serotonin reuptake inhibitor) that can be effective for treating depression and anxiety. However, it typically takes several weeks to notice the full effects, and consistency in taking the medication is key. Missing doses can lead to a resurgence of symptoms, as you've experienced.
It's also important to understand that medication is just one part of a comprehensive treatment plan. Therapy, whether cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), or another form, can provide you with tools to manage your thoughts and feelings more effectively. Engaging in therapy can help you explore the underlying issues contributing to your depression and anxiety, and it can also offer a safe space to discuss your feelings of hopelessness and worthlessness.

Given your current state, I strongly encourage you to reach out to your healthcare provider as soon as possible. They can assess your situation, determine if your medication needs to be adjusted, and discuss other treatment options that may be beneficial for you. If you are feeling suicidal or having thoughts of self-harm, it is critical to seek immediate help. You can contact a crisis hotline, go to the nearest emergency room, or reach out to someone you trust who can help you get the support you need.

Confidentiality is a fundamental principle in healthcare, and your medical records and discussions with your healthcare provider are protected. This means you can speak openly about your feelings and experiences without fear of judgment or breach of privacy.

In addition to professional help, consider incorporating self-care strategies into your routine. This could include regular physical activity, maintaining a balanced diet, practicing mindfulness or meditation, and ensuring you have a support system in place. Surrounding yourself with understanding friends or family members can also provide emotional support during tough times.

Remember, you are not alone in this struggle, and there is help available. Taking the step to seek assistance is a sign of strength, and it can lead to a path of healing and recovery. Please prioritize your mental health and reach out for the support you deserve.

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