How to Seek Help for Depression: A Guide for High School Students

I don't know if I have depression and I'm unsure how to seek help?

I am a high school student, and a friend of mine has been suggesting that I should see a doctor or visit the school counseling office because I have been suspecting that I might have depression for a while now.
However, I am not sure.
After reflecting on my recent situation and reading an article, I realize that I often waste time, spending entire days lying in bed doing nothing.
I even engage in self-harm, cutting my arms, even though I am afraid of pain; I do it just to see the blood and feel the pain to remind myself that I am still alive.
My sleep patterns are erratic; I either sleep less than four hours or more than fifteen hours, yet I still feel exhausted.
I feel like I am not doing anything well, I cry easily, and I can't control my emotions.
Sometimes I laugh uncontrollably, feeling like a mad person.
I try to control myself but can't.
My academic performance has declined, and I sometimes experience hand tremors and anxiety.
I feel a heaviness in my mood and chest.
A friend sent me a depression scale from the Dong's Foundation, which scored 48 points, and I also took an online quiz (https://psychcentral.com/cgi-bin/depression-quiz.cgi) that scored 86 points.
I don’t know how to ask for help.
I told my father that I wanted to see a psychiatrist, but he didn't respond at all.
I feel like I am often incoherent lately.
Can you tell me what I should do?

jenny, 10~19 year old female. Ask Date: 2019/01/29

Dr. Huang Xiaoxian reply Psychiatry

Dear Jenny, thank you for your question.
It sounds like your mood has indeed been affected a lot lately.
I'm not sure if there is a specific event that has been troubling you, but the symptoms you described seem to be related to depression.
I recommend seeking an evaluation from a physician or consulting with a counselor in the guidance office.
If discussing this with your father is difficult, perhaps you could communicate with other family members to explore the possibility of seeking medical help.
Wishing you a speedy recovery.

Reply Date: 2019/01/29

More Info

It sounds like you are going through a really tough time, and it's important to acknowledge that seeking help is a brave and necessary step. Depression can manifest in various ways, including feelings of hopelessness, fatigue, changes in sleep patterns, and even self-harm, as you've described. Here’s a guide on how to seek help for depression, especially tailored for high school students like yourself.

1. Recognize the Signs
From what you've shared, it seems you are experiencing several symptoms commonly associated with depression, such as extreme fatigue, changes in sleep patterns, emotional instability, and self-harm. Understanding that these feelings are valid and that you are not alone in experiencing them is crucial. Many students face similar challenges, and acknowledging your feelings is the first step toward recovery.

2. Talk to Someone You Trust
Since you mentioned that your father did not respond when you expressed your desire to see a mental health professional, consider reaching out to someone else you trust. This could be a family member, a close friend, or a teacher. Sometimes, having someone else advocate for you can help in getting the support you need. If you feel comfortable, share your feelings and experiences with them; they may be able to help you approach the situation differently.

3. School Counseling Services
Most schools have counseling services available for students. You can visit your school’s counseling office and ask to speak with a counselor. They are trained to help students dealing with emotional and mental health issues. You can discuss your feelings, and they can provide support, coping strategies, and possibly refer you to a mental health professional if needed.

4. Professional Help
If you feel that your symptoms are severe or persistent, it is essential to seek professional help from a psychologist or psychiatrist. They can provide a proper diagnosis and treatment plan, which may include therapy and/or medication. If you are unsure how to approach this, you could write down your feelings and symptoms to share during your appointment, making it easier to communicate your experiences.

5. Crisis Resources
If you ever feel overwhelmed or have thoughts of self-harm or suicide, it’s crucial to reach out for immediate help. You can contact a crisis hotline or text line in your area. In the U.S., the National Suicide Prevention Lifeline is available at 1-800-273-TALK (1-800-273-8255), and they provide free and confidential support 24/7.

6. Self-Care Strategies
While seeking help, consider incorporating self-care strategies into your daily routine. This can include:
- Regular Exercise: Physical activity can boost your mood and energy levels.

- Healthy Eating: A balanced diet can positively affect your mental health.

- Sleep Hygiene: Try to establish a regular sleep schedule and create a restful environment.

- Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing, or yoga can help reduce anxiety and improve your mood.

- Journaling: Writing down your thoughts and feelings can be a therapeutic way to process your emotions.

7. Educate Yourself
Understanding depression can empower you. Read about it, watch videos, or listen to podcasts that discuss mental health. This knowledge can help you articulate your feelings better and understand what you are going through.

8. Be Patient with Yourself
Recovery from depression takes time, and it’s essential to be patient with yourself. Celebrate small victories and understand that it’s okay to have setbacks. Healing is not linear, and every step you take toward seeking help is a positive move.

Conclusion
Remember, you are not alone in this journey, and there are people and resources available to help you. It’s commendable that you are considering seeking help, and taking that step can lead to a better understanding of your feelings and a path toward healing. Don’t hesitate to reach out for support; you deserve to feel better.

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