My Symptoms: Is It Depression or Something Else?

Q: My Symptoms: Is It Depression or Something Else?

Hello Ms. <br>Chen： Dr. <br>Wu is currently out of the country. <br>Regarding the first concern you mentioned, a detailed discussion and evaluation are necessary to rule out the possibility of abnormal brain discharges (epilepsy). <br>If you are certain that you have never experi

What illness do I have?

1.
I have experienced this condition twice: the first episode occurred during a heated argument with my boyfriend.
In the midst of our argument, he roughly grabbed my collar, which caused me to break down.
Suddenly, I felt a tingling sensation all over my body, especially in my face and limbs, as if I had been electrocuted.
My fingers became stiff and could not bend, and I collapsed on the floor, unable to get up, feeling my entire body in spasms.
The second time, I was also arguing with my boyfriend over the phone, and then I collapsed next to the phone, experiencing the same symptoms.
What could this be?
2.
For a long time, I have been experiencing periodic episodes of worry, anxiety, and sorrow that I cannot escape from.
This has been going on for several years.
Whenever I have an episode, I feel that life has lost its meaning and I don't want to live anymore.
I put on a brave face in front of others, but when I'm alone, I feel helpless and cry continuously, overwhelmed by sadness, anxiety, and depression to the point of breaking down.
Recently, it seems that this phenomenon has occurred again, and it has been happening for two to three weeks now.
What is this condition? Is it depression? Please, doctor, could you provide an answer?

Miss Chen, 20~29 year old female. Ask Date: 2000/10/01

Dr. Zhang Zhehong reply Psychiatry

Hello Ms.
Chen: Dr.
Wu is currently out of the country.
Regarding the first concern you mentioned, a detailed discussion and evaluation are necessary to rule out the possibility of abnormal brain discharges (epilepsy).
If you are certain that you have never experienced loss of consciousness or seizures throughout your life, and that the numbness and stiffness occur only during emotional distress, it may be indicative of a conversion disorder.
Some individuals may manifest physical symptoms, including motor and sensory dysfunction, as a reflection of emotional turmoil.
If emotional issues continue to be a source of distress, please seek treatment at a psychiatric outpatient clinic or consult other counseling resources.

As for the second issue you mentioned, it seems to be causing you significant distress.
If symptoms such as depression and anxiety are affecting your daily life, it is advisable to seek psychiatric treatment as soon as possible.
Some girls experience cyclical anxiety and depressive symptoms influenced by their menstrual cycle, which is an important topic in psychiatric research.
Certain medications can be very helpful for these symptoms, especially if you find yourself feeling overly sentimental or melancholic.
The current goal of pharmacological treatment is to improve your quality of life and reduce emotional dysregulation, so discussing treatment goals with your physician is very important.

Bali Rehabilitation Center
Liao Ding-Lie

Reply Date: 2000/10/01

More Info

It sounds like you are experiencing a complex mix of emotional distress and physical symptoms that can be quite overwhelming. Based on your description, it is important to recognize that what you are going through may indeed be related to depression or an anxiety disorder, but a definitive diagnosis can only be made by a qualified mental health professional.

1. Understanding Your Symptoms: The physical symptoms you described, such as numbness, tingling, and muscle stiffness during moments of high emotional stress, could be indicative of a panic attack or a severe anxiety response. These symptoms can occur when the body is under extreme stress, leading to a fight-or-flight response that can manifest physically. It's not uncommon for individuals to experience such symptoms during conflicts or stressful situations, especially if they have a history of anxiety or panic disorders.

2. Emotional Distress: The cyclical nature of your emotional state—where you feel periods of deep sadness, anxiety, and a sense of hopelessness—aligns with symptoms of depression. The fact that you can put on a brave face in front of others but feel completely different when alone is a common experience for many who struggle with mental health issues. This disconnect can be particularly isolating and may contribute to feelings of helplessness.

3. Duration and Impact: You mentioned that these feelings have persisted for several weeks, which is significant. Chronic emotional distress can lead to further complications, including difficulties in relationships, work, and overall quality of life. It’s crucial to address these feelings before they escalate further.

4. Seeking Help: Given the severity and duration of your symptoms, it is highly advisable to seek professional help. A mental health professional can provide a comprehensive evaluation and help determine whether you are experiencing depression, anxiety, or another mental health condition. They can also guide you through treatment options, which may include therapy, medication, or a combination of both.

5. Therapeutic Approaches: Cognitive Behavioral Therapy (CBT) is often effective for both anxiety and depression. It helps individuals identify and change negative thought patterns and behaviors. Additionally, mindfulness and relaxation techniques can be beneficial in managing anxiety and stress. Engaging in regular physical activity, maintaining a balanced diet, and ensuring adequate sleep can also support your mental health.

6. Medication: If diagnosed with depression or an anxiety disorder, medication may be recommended as part of your treatment plan. Antidepressants or anti-anxiety medications can help regulate mood and alleviate symptoms, but this should be discussed thoroughly with a healthcare provider.

7. Confidentiality and Support: It’s important to know that mental health professionals are bound by confidentiality laws, meaning your personal information and treatment details will be kept private. This can provide a safe space for you to express your feelings without fear of judgment or repercussions.

8. Building a Support System: While professional help is crucial, having a support system of friends, family, or support groups can also be beneficial. Sharing your experiences with trusted individuals can help alleviate feelings of isolation and provide additional emotional support.

In conclusion, your symptoms are significant and warrant professional evaluation. It’s commendable that you are seeking to understand your experiences better. Remember, reaching out for help is a strong and positive step towards healing. You deserve support and care as you navigate through this challenging time.

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