Should I Take Medication for Anxiety and Depression?

Should I take medication?

Due to family discord and my father's constant verbal abuse, I experienced significant weight loss of 5.6 kilograms for a period of time.
The added pressure of upcoming exams made me feel like crying at any moment; just thinking about it brings me to tears.
Occasionally, I even dream of my father scolding me, and I wake up crying, only able to fall asleep after exhausting myself.
My emotions have become unstable, and I find myself lacking patience; if I have to wait too long, I cry and feel the urge to vent.
I often think that it wouldn't matter if I died, as I no longer want to live.
However, I believe the main cause of my emotional turmoil is my father.
This situation has persisted for six months, and it was only a few days ago that I sought medical help.
After explaining my condition to the doctor, the prescription indicated depression and anxiety.
Is this a confirmed diagnosis? The doctor did not explicitly tell me anything, and prescribed me medication for anxiety.
What effects can I expect from taking this medication? As I am a student preparing for exams, I am concerned about its impact on my daily routine.
Thank you, doctor.

W, 10~19 year old female. Ask Date: 2019/01/17

Dr. Wu Enliang reply Psychiatry

Hello, I understand that you are experiencing multiple stressors and emotional instability.
I recommend seeking someone to talk to, such as a school teacher or a counselor, as they can be valuable resources.
You may also consider asking your physician for a referral to a mental health professional.
Whether you have a diagnosis of depression or anxiety should be discussed with your doctor.
Regarding the medication, it is generally well-tolerated within the recommended dosage, with rare side effects such as dry mouth, dizziness, and blurred vision.
Feelings of restlessness and insomnia may also occur but are usually temporary.
However, its effects on depression and anxiety may be weaker.
If you find it ineffective, I suggest discussing with your doctor the possibility of switching to other medications that can better address stress-related issues.
Wishing you a speedy recovery, Dr.
Wu Enliang.

Reply Date: 2019/01/17

More Info

It's understandable to feel overwhelmed when dealing with anxiety and depression, especially when compounded by family issues and academic pressures. Based on your description, it seems that you are experiencing significant emotional distress, which has been ongoing for about six months. The feelings of sadness, crying spells, and thoughts of not wanting to live are serious symptoms that warrant attention.

When you visited the doctor and received a prescription for medication, it indicates that the doctor recognized your symptoms as consistent with anxiety and depression. While the doctor may not have explicitly stated a diagnosis, the prescription itself suggests that they believe medication could help alleviate your symptoms. Medications like the one you mentioned, often referred to as SSRIs (Selective Serotonin Reuptake Inhibitors), are commonly prescribed for both anxiety and depression. They work by balancing chemicals in the brain that affect mood and emotions.

It's important to understand that medication can have varying effects on individuals. Some people may experience side effects such as nausea, fatigue, or changes in sleep patterns, while others may find relief from their symptoms without significant adverse effects. Since you are concerned about how the medication might affect your study habits and daily routine, it's crucial to communicate these worries with your healthcare provider. They can help you monitor any side effects and adjust your treatment plan if necessary.

In addition to medication, therapy can be a valuable component of treatment for anxiety and depression. Cognitive Behavioral Therapy (CBT), for example, can help you develop coping strategies, challenge negative thought patterns, and improve emotional regulation. Given the stressors in your life, including family dynamics and academic pressures, having a supportive therapist can provide you with tools to manage your emotions more effectively.

Exercise and lifestyle changes can also play a significant role in managing anxiety and depression. Regular physical activity has been shown to improve mood and reduce symptoms of anxiety. Engaging in activities you enjoy, maintaining a balanced diet, and ensuring you get enough sleep can also contribute positively to your mental health.

It's understandable to feel hesitant about starting medication, especially with the pressures of upcoming exams. However, many individuals find that the benefits of medication in stabilizing their mood and reducing anxiety can ultimately enhance their ability to focus and perform academically. If you find that the medication is affecting your ability to study or concentrate, reach out to your doctor. They may suggest adjusting the dosage or trying a different medication.

In summary, it seems that you are experiencing symptoms consistent with anxiety and depression, and medication may be a helpful part of your treatment plan. It's essential to maintain open communication with your healthcare provider about your concerns, monitor your symptoms, and consider incorporating therapy and lifestyle changes into your routine. Remember, seeking help is a sign of strength, and with the right support, you can navigate through this challenging time.

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