Emotional Suppression: Signs of Depression and Coping Strategies - Psychiatry

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Inability to appropriately express emotions?


Hello Dr.
Zheng: I used to release my emotions by crying every few months, which would often lead me to think about many unhappy events from the past, and I would cry naturally.
However, now I find that I can't cry anymore, and I don't know why I'm feeling so low.
I can't seem to find the reason for it, and I can hardly remember those sad events from before, just fragments at most.
I tend to be a very pessimistic person, and my thoughts are quite negative.
Sometimes when I'm very sad, I engage in a bit of self-harm, but it's not severe.
I think if I were to die, I would want to do it cleanly so as not to burden my family.
So, I usually just bite my hands or pinch myself.
It's not very serious.
Do I have depression? Is it normal to forget unpleasant things from the past? It's been almost a year now, and I still can't remember.
I hope you can provide me with some answers.

Amanda, 20~29 year old female. Ask Date: 2003/02/03

Dr. Zheng Jingming reply Psychiatry


Hello Amanda: You are experiencing some symptoms of low mood without knowing the cause, which could potentially be depression, personality issues, or other conditions, but a differential diagnosis is necessary.
Sometimes, not being able to recall unhappy events is a normal reaction; however, poor memory is also common in depression.
There are additional symptoms that need to be understood for a proper diagnosis.
It is recommended that you visit a psychiatric outpatient clinic for evaluation and treatment by a specialist.
Dr.
Cheng Ching-Ming, Psychiatry Department, Qishan Hospital.

Reply Date: 2003/02/03

More Info


Hello, thank you for sharing your thoughts and feelings. It sounds like you are going through a challenging time, and I want to acknowledge the complexity of what you are experiencing. Understanding emotional suppression, signs of depression, and coping strategies is essential for your mental health.

Firstly, it's important to differentiate between temporary emotional lows and clinical depression. While everyone experiences periods of sadness or emotional suppression, depression is characterized by persistent feelings of sadness, hopelessness, and a lack of interest or pleasure in activities that were once enjoyable. Other signs of depression can include changes in appetite or sleep patterns, fatigue, difficulty concentrating, feelings of worthlessness, and, in some cases, thoughts of self-harm or suicide.

From your description, it seems you are experiencing a range of emotions, including sadness and self-harm tendencies, albeit not severe. The fact that you find it difficult to cry or express your emotions can be a sign of emotional suppression, which often occurs when individuals feel overwhelmed or unable to cope with their feelings. This can lead to a buildup of unresolved emotions, which may manifest in various ways, including physical symptoms or self-destructive behaviors.

It's also worth noting that forgetting past traumas or painful experiences can be a natural coping mechanism. The mind sometimes protects itself by blocking out distressing memories, allowing individuals to function in their daily lives. However, if this memory suppression is accompanied by ongoing feelings of sadness or hopelessness, it may indicate a deeper issue that warrants attention.

Given your experiences, it would be beneficial to explore coping strategies that can help you manage your emotions more effectively. Here are some suggestions:
1. Seek Professional Help: Consulting a mental health professional can provide you with the support and guidance you need. They can help you understand your feelings and develop coping strategies tailored to your situation.

2. Practice Mindfulness and Meditation: Engaging in mindfulness practices can help you become more aware of your emotions without judgment. This can create a space for you to process your feelings rather than suppress them.

3. Journaling: Writing down your thoughts and feelings can be a powerful way to express emotions that you may find difficult to articulate. It can also help you identify patterns in your thinking and behavior.

4. Physical Activity: Regular exercise has been shown to improve mood and reduce symptoms of depression. It can also serve as a healthy outlet for stress and frustration.

5. Connect with Others: Building a support network of friends or family members who understand your struggles can provide you with a sense of belonging and reduce feelings of isolation.

6. Engage in Creative Outlets: Activities such as art, music, or dance can serve as a form of emotional expression and may help you process feelings that are hard to articulate.

7. Limit Self-Criticism: Practice self-compassion and challenge negative thoughts about yourself. Recognize that it's okay to feel sad and that you deserve kindness and understanding.

8. Establish a Routine: Creating a daily routine can provide structure and a sense of normalcy, which can be comforting during difficult times.

In conclusion, while it is normal to experience emotional lows and forget painful memories, persistent feelings of sadness and self-harm tendencies should not be overlooked. Seeking professional help is a crucial step in understanding and addressing your emotional health. Remember, you are not alone in this journey, and there are resources and support available to help you navigate these challenges. Take care of yourself, and I wish you the best on your path to healing.

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