Do I Have Depression? Symptoms and Seeking Help - Psychiatry

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Is there depression?


Doctor, my question is a bit long.
I want to ask if I might have depression! I'm afraid that if I see a doctor and find out I don't have depression, it will be very awkward! Here are my symptoms: I have been taking depression screening scales for the past few days, and I have met the criteria.
For the past few weeks, I have been feeling inexplicably fatigued; even when I don't do anything, I feel tired.
Normally, I go to bed around 8-9 PM, but now I can't fall asleep until around 12-1 AM! I also wake up very early, around 6-7 AM.
I suddenly experience mood swings, feeling irritable or wanting to cry, and I sometimes end up crying.
I have engaged in self-harm, and at times I experience negative emotions to the point of having suicidal thoughts.
I have thought about methods of suicide, but I just haven't found the right time to act on it.
These feelings occur at least 5-6 days a week; I might start off smiling but then suddenly feel very down.
I even feel like I am a burden in this world and don't want to live anymore! My memory has also worsened.
These are my symptoms, and I would appreciate your help in assessing whether I should see a mental health specialist.

Zhen, 10~19 year old female. Ask Date: 2020/07/17

Dr. Qiu Junda reply Psychiatry


Hello.
The text reveals long-term negative emotions and self-harming behavior.
I hope you can cherish yourself, as your questions indicate a desire for better mental and physical health.
I recommend that you consult a mental health specialist (what you refer to as a psychological department) as soon as possible.
If that's not convenient, please consider calling the mental health hotline (1925).
They can provide counseling, guidance, referrals, and other services to help you address your concerns.

Reply Date: 2020/07/17

More Info


It sounds like you are going through an incredibly difficult time, and I want to acknowledge the courage it takes to reach out and share your feelings and experiences. Based on the symptoms you've described, it is indeed possible that you may be experiencing depression or another mental health condition.
Depression is characterized by a persistent feeling of sadness or a lack of interest in previously enjoyed activities. It can manifest in various ways, including emotional, cognitive, and physical symptoms. Some common symptoms include:
1. Persistent Sadness: Feeling sad, empty, or hopeless most of the day.

2. Fatigue: Experiencing a lack of energy or chronic fatigue, even after adequate rest.

3. Sleep Disturbances: Difficulty falling asleep, staying asleep, or waking up too early, as well as changes in sleep patterns.

4. Emotional Instability: Sudden mood swings, irritability, or feelings of anger and frustration.

5. Cognitive Changes: Difficulty concentrating, making decisions, or remembering things.

6. Negative Thoughts: Having feelings of worthlessness, excessive guilt, or thoughts of self-harm or suicide.

From what you've shared, it seems you are experiencing several of these symptoms, including fatigue, sleep disturbances, emotional volatility, and negative thoughts about yourself. The presence of self-harm thoughts and feelings of being a burden to others are particularly concerning and indicate that seeking professional help is crucial.

It's understandable to feel apprehensive about seeing a doctor, especially if you're worried about being told that you don't have depression. However, it's important to remember that mental health professionals are trained to assess and support individuals in distress. They can provide a safe space for you to discuss your feelings without judgment. If it turns out that you do not have depression, they can help you explore other potential causes for your symptoms and guide you toward appropriate support.

Here are some steps you can take:
1. Seek Professional Help: Consider making an appointment with a mental health professional, such as a psychologist or psychiatrist. They can conduct a thorough assessment and discuss your symptoms in detail. If you're concerned about confidentiality, rest assured that healthcare providers are bound by laws to protect your privacy.

2. Talk to Someone You Trust: Sharing your feelings with a trusted friend or family member can provide immediate emotional support. Sometimes, just talking about what you're going through can alleviate some of the burden.

3. Keep a Journal: Documenting your thoughts and feelings can help you identify patterns in your mood and triggers for your emotional responses. This can also be useful information to share with a healthcare provider.

4. Practice Self-Care: Engage in activities that promote relaxation and well-being, such as exercise, meditation, or hobbies you enjoy. While it may feel challenging, small steps toward self-care can make a difference.

5. Emergency Support: If you ever feel that you might act on thoughts of self-harm or suicide, it is crucial to seek immediate help. Contact a crisis hotline, go to the nearest emergency room, or reach out to someone who can help you.

In conclusion, your symptoms warrant a professional evaluation. Depression is a serious condition, but it is also treatable. With the right support and intervention, many people find relief from their symptoms and can lead fulfilling lives. Please take the step to reach out for help; you deserve support and care.

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