Emotional Instability: Insights on Depression and Coping Strategies

Q: Emotional Instability: Insights on Depression and Coping Strategies

Hello, user： I understand that you are feeling unwell, and I hope you can discuss these questions with your doctor, as they are more familiar with your situation. <br>I will do my best to answer your questions one by one. <br><br>Q： I want to ask the doctor if this is definitely

Emotional instability

Hello, doctor.
Thank you for your hard work.
I am a patient with depression and I am currently seeing a doctor for mild depression.
The earliest uncomfortable symptoms I experienced (stomach pain, headaches, neck and shoulder pain) appeared when I was in the ninth grade.
After high school, these symptoms did not recur, but I would cry for no reason.
By my junior year in college, I often found myself crying alone in my room, hitting the wall, and I had fleeting thoughts of suicide.
However, in my senior year, things became more severe (irritability, a strong aversion to facing crowds, suicidal gestures, sleep disturbances such as insomnia followed by excessive daytime sleepiness, and feelings of unreality).
Yet, I sometimes still doubt whether I truly have depression.
Recently, during the Lunar New Year, whenever I saw the lights in my family's home still on from outside, I felt a sense of irritation (this has always been the case).
I felt inexplicably agitated, and before going to bed, I had to use the bathroom multiple times, feeling the need to force myself to go for a sense of security.

These feelings of agitation are not without reason, as my father is also a patient with depression and has delusions, while my mother is recovering from cancer.
Honestly, dealing with patients with mental illness can be exhausting, but I always remind myself to be tolerant, as they do not do it on purpose.
However, this has led me to accumulate a lot of depressive emotions myself.
Sometimes, when I hear my father talking about his delusions, I can't help but feel angry and cry, and I have even hit my head and hit the wall in frustration.
This past year has been particularly terrifying, as I have had suicidal thoughts but have quickly regained my composure.

I have been taking antidepressants, and I feel much better, but I still feel somewhat emotionally numb and empty.
Whenever I return to my hometown, I make sure to take the medication Mirtazapine at night to help me avoid irritability and insomnia.
Sometimes, I really feel like there is nothing to suffer from, but the pain is becoming increasingly unbearable.
At 21 years old, having depression makes it hard for me to see a future.
I want to ask the doctor if what I described is indeed depression and if it falls under mild depression? Also, will depression really get better? I find myself feeling inexplicably troubled by small things, and I am losing confidence in the medication.
Thank you, doctor.

Lolly, 20~29 year old female. Ask Date: 2020/02/03

Dr. Wu Enliang reply Psychiatry

Hello, user: I understand that you are feeling unwell, and I hope you can discuss these questions with your doctor, as they are more familiar with your situation.
I will do my best to answer your questions one by one.

Q: I want to ask the doctor if this is definitely depression, right? Is it classified as mild depression or something else?
A: If you have never experienced hypomanic or manic episodes, it does indeed resemble depression.
Q: I also want to ask if depression can really get better?
A: Most people with depression do improve with treatment.
Q: I find myself feeling inexplicably irritable over small things, and I'm losing confidence in medication.

A: If you lack confidence in medication, you might also consider seeking psychotherapy.
Wishing you a speedy recovery, Dr.
Wu Enliang.

Reply Date: 2020/02/03

More Info

It sounds like you are going through a very challenging time, and I want to acknowledge the emotional turmoil you are experiencing. Based on your description, it seems you are dealing with symptoms that align with depression, and it is understandable to have doubts about your diagnosis, especially when you are experiencing a range of emotions and physical symptoms.

To differentiate between emotional instability and clinical depression, it’s important to consider the duration, intensity, and impact of your symptoms. Emotional instability can be a response to stressors or life changes, while clinical depression, or major depressive disorder, is characterized by persistent feelings of sadness, hopelessness, and a lack of interest or pleasure in activities that were once enjoyable. Symptoms can also include changes in sleep patterns, appetite, energy levels, and concentration, as well as feelings of worthlessness or excessive guilt.

From what you’ve shared, it appears that your symptoms have been persistent and have significantly impacted your daily life, especially your ability to engage with others and manage stress. The presence of physical symptoms such as headaches and stomachaches, along with emotional symptoms like crying spells and feelings of irritability, further suggests that you may be experiencing a depressive episode. The fact that you have had thoughts of self-harm is particularly concerning and indicates that you should seek immediate support from a mental health professional if you haven’t already done so.

Regarding your question about whether depression can improve, the answer is yes. Many individuals with depression find relief through a combination of therapy, medication, and lifestyle changes. Antidepressants, like the one you mentioned (美舒鬱), can help stabilize mood, but it’s crucial to communicate with your doctor about any side effects you are experiencing, such as emotional numbness. Sometimes, adjustments in medication or dosage can make a significant difference in how you feel.

In addition to medication, therapy can be incredibly beneficial. Cognitive-behavioral therapy (CBT) is particularly effective for depression, as it helps individuals identify and challenge negative thought patterns and develop healthier coping strategies. Mindfulness practices and stress-reduction techniques can also be helpful in managing anxiety and emotional distress.

It’s also important to address the family dynamics you mentioned. Living with family members who have their own mental health challenges can be overwhelming and may contribute to your feelings of frustration and sadness. Establishing boundaries and seeking support for yourself, whether through therapy or support groups, can provide you with the tools to cope with these challenges more effectively.

Lastly, I encourage you to reach out to trusted friends, family members, or mental health professionals to discuss your feelings. You don’t have to navigate this alone, and having a support system can make a significant difference in your recovery journey. Remember, it’s okay to ask for help, and taking that step is a sign of strength.

In summary, while your symptoms may indicate a depressive disorder, it’s essential to work closely with a healthcare provider to determine the best course of action for your situation. With the right support and treatment, many people with depression can find relief and lead fulfilling lives. Take care of yourself, and don’t hesitate to seek help when you need it.

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