Should I See a Doctor for My Ongoing Depression and Physical Symptoms?

Should I see a doctor?

Hello doctor, I have been feeling down for a while, about 4 to 5 months.
I feel insecure and have many negative thoughts, thinking that I have no future.
Every day feels painful to live, and I often cry.
In the first month, I also experienced discomfort in my heart, palpitations, shortness of breath, dizziness, nausea, and chest tightness.
I visited a family physician, and my heart was found to be normal.
The doctor prescribed medication to relax my nerves and for gastroesophageal reflux disease.
After taking the medication, my symptoms persisted, but they improved after my exams.
However, my mood has not improved and remains low.
Recently, I have started to feel chest tightness, a sense of pressure while breathing, dizziness, and nausea again.
Could I be experiencing autonomic nervous system dysregulation accompanied by depression? Should I seek medical attention? The discomfort in my mood and body is very troubling to me.
Thank you for your response, doctor.

Ho, 10~19 year old female. Ask Date: 2020/07/04

Dr. Huang Xiaoxian reply Psychiatry

Dear Ho,
Thank you for your question.
It sounds like this period has been difficult and slow for you, and I empathize with your struggles.
Generally speaking, depression is a feeling that everyone may experience at some point.
It may initially arise from specific events that trigger negative emotions, but if it gradually affects many aspects of life and persists over time, I would recommend seeking an evaluation from a mental health professional.
At that point, it may not only be influenced by psychological factors but could also have progressed to a physiological level (such as fluctuations in serotonin).
It may not be easy to recover on your own in a short period, so I suggest seeking improvement through medication and psychotherapy.
Wishing you all the best.

Reply Date: 2020/07/04

More Info

It sounds like you are going through a very challenging time, and I want to acknowledge the pain and distress you are experiencing. Based on your description, it is clear that your emotional state has been significantly impacted over the past several months, and you are experiencing a range of physical symptoms that are likely exacerbating your mental health struggles.

Given the duration and intensity of your symptoms, it is advisable to seek help from a mental health professional, such as a psychologist or psychiatrist. Here are several reasons why seeing a doctor is important in your situation:
1. Persistent Symptoms: You mentioned feeling low for about four to five months, experiencing self-doubt, negative thoughts, and a sense of hopelessness. These are common signs of depression, which can be debilitating if left untreated. The fact that your emotional state has not improved, even after addressing some physical symptoms, indicates that there may be underlying psychological issues that need to be addressed.

2. Physical Symptoms: The physical symptoms you are experiencing—such as chest tightness, difficulty breathing, dizziness, and nausea—can often be associated with anxiety and depression. While you have already consulted a general practitioner who ruled out cardiac issues, it is essential to recognize that mental health can manifest in physical ways. A mental health professional can help you understand the connection between your emotional and physical symptoms and provide appropriate treatment.

3. Potential Diagnosis: You mentioned the possibility of having autonomic nervous system dysregulation alongside depression. This is a valid concern, as many individuals with depression also experience anxiety and related physical symptoms. A mental health professional can conduct a thorough assessment to determine if you meet the criteria for any specific mental health disorders, such as major depressive disorder or generalized anxiety disorder.

4. Treatment Options: Treatment for depression often includes psychotherapy, medication, or a combination of both. Cognitive-behavioral therapy (CBT) is particularly effective for depression and anxiety, as it helps individuals identify and change negative thought patterns. If medication is necessary, a psychiatrist can prescribe antidepressants that may help alleviate your symptoms. Additionally, alternative treatments such as mindfulness, exercise, and dietary changes can also be beneficial.

5. Support System: Seeking help from a mental health professional can provide you with a support system that is crucial during difficult times. They can offer guidance, coping strategies, and a safe space to express your feelings without judgment. This support can be invaluable as you navigate your emotional challenges.

6. Self-Care and Coping Strategies: While waiting for your appointment, consider implementing self-care strategies that may help improve your mood. Engaging in regular physical activity, practicing mindfulness or meditation, maintaining a balanced diet, and ensuring you get enough sleep can all contribute to better mental health. Additionally, reaching out to friends or family for support can help alleviate feelings of isolation.

In conclusion, I strongly encourage you to seek the assistance of a mental health professional. Your symptoms are significant enough to warrant professional evaluation and treatment. Remember, you are not alone in this, and there is help available. Taking the first step to seek help is a courageous and important decision for your well-being.

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