Is It Just Sadness or Signs of Depression and Anxiety?

Q: Is It Just Sadness or Signs of Depression and Anxiety?

Hello, online user： If you are experiencing persistent depression and a lack of interest in everything, it is indeed possible that you may be suffering from depression. <br>It could be that the pressure from the academic exams is too overwhelming for your brain to handle. <br>I r

Is it depression or major depressive disorder?

Hello, I have been feeling inexplicably low and irritable for about four months, possibly due to the upcoming exams.
I feel like there is something weighing on my mind.
My classmates say I look unhappy and don't smile, which has made me feel insecure, lacking confidence, and unmotivated to study.
I find myself zoning out easily, crying more frequently, and while I want to live, I also feel exhausted and useless, thinking that no one needs me.
I really hope to receive compliments from others, but I feel like I have no qualities worth praising.
I tend to get anxious over small matters, and when I do, I feel nauseous.
Sometimes, even when I’m not nervous, my heart races more than usual, and I occasionally feel a sense of tightness when breathing, as if I can only take shallow breaths, but it doesn’t lead to shortness of breath.
Since my parents have traditional views, I don’t dare to talk to them about this.
Is it normal to feel this way, or do I have tendencies toward anxiety or depression? Should I see a doctor? Thank you for your response.

Xiao Bai, 10~19 year old female. Ask Date: 2020/06/18

Dr. Wu Enliang reply Psychiatry

Hello, online user: If you are experiencing persistent depression and a lack of interest in everything, it is indeed possible that you may be suffering from depression.
It could be that the pressure from the academic exams is too overwhelming for your brain to handle.
I recommend seeking medical attention, especially with the exams approaching.
Medication may help alleviate anxiety and assist you in getting through this difficult time.
Dr.
Wu En-Liang

Reply Date: 2020/06/18

More Info

It sounds like you are experiencing a complex mix of emotions and symptoms that could indicate a deeper issue than just temporary sadness. Based on the details you've shared, it seems you may be grappling with signs of depression and anxiety, which are common mental health conditions that can significantly impact your daily life.

Distinguishing Sadness from Depression
Sadness is a normal human emotion that everyone experiences from time to time, often in response to specific events or situations. It typically fades with time and does not interfere significantly with daily functioning. Depression, on the other hand, is a clinical condition characterized by persistent feelings of sadness, hopelessness, and a lack of interest or pleasure in activities that were once enjoyable. It can also manifest through physical symptoms, such as changes in appetite, sleep disturbances, and fatigue.

Symptoms You Described
From what you've described, several symptoms align with depression and anxiety:
1. Persistent Low Mood: You mentioned feeling low for about four months, which is longer than typical sadness.

2. Increased Irritability: Mood swings and irritability can be common in both anxiety and depression.

3. Self-Esteem Issues: Feelings of worthlessness and self-doubt are significant indicators of depression.

4. Lack of Motivation: A noticeable decrease in motivation to engage in schoolwork or social activities is another red flag.

5. Physical Symptoms: The physical sensations you described, such as a racing heart and difficulty breathing, can be symptoms of anxiety.

6. Crying Spells: Increased frequency of crying can indicate emotional distress often associated with depression.

7. Social Withdrawal: Avoiding social interactions and feeling disconnected from peers can exacerbate feelings of loneliness and depression.

When to Seek Help
Given the duration and intensity of your symptoms, it would be wise to consider seeking professional help. Mental health professionals can provide a proper assessment and help determine whether you are experiencing depression, anxiety, or both. They can also offer treatment options, which may include therapy, medication, or a combination of both.

Coping Strategies
While waiting for professional help, there are some strategies you can try to manage your symptoms:
1. Talk to Someone: If you feel comfortable, consider talking to a trusted friend or a school counselor. Sometimes, just sharing your feelings can provide relief.

2. Maintain a Routine: Establishing a daily routine can help create a sense of normalcy and structure.

3. Engage in Physical Activity: Exercise is known to boost mood and reduce anxiety. Even a short walk can help.

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

5. Limit Stressors: Identify and try to minimize sources of stress in your life, whether they are academic pressures or interpersonal conflicts.

Conclusion
Your feelings are valid, and it’s important to acknowledge that seeking help is a sign of strength, not weakness. Mental health issues are common, especially among students facing academic pressures. Remember, you are not alone, and there are resources available to help you navigate through this challenging time. If you feel overwhelmed, please reach out to a mental health professional who can provide the support you need.

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