Is My Mild Depression and Anxiety Just a Reflection of Poverty? - Psychiatry

Share to:

I have mild depression and anxiety; could it just be a reaction to my poor circumstances?


Hello, I am 23 years old, and my name is Xiaofei.
I would like to express my thoughts in a lengthy narrative.
I live in Bali, a poor rural area (whether in relative or absolute terms, Bali is undeniably impoverished, and this is not just a psychological perception but a fact).
I have begun to wonder if the root of all the frustrations, anger, sadness, and confusion I experience stems from poverty.
My father attended National Central University and earns about 90,000 NTD per month.
My mother is a school teacher with an income of around 20,000 NTD.
This is just a brief overview of our economic situation; I have a younger brother, and we generally live frugally.
Since our home is 50 ping (approximately 165 square meters), a significant portion of our income goes toward paying the mortgage.
I do not have abundant resources, such as tutoring, pocket money, or an expensive phone.
I can afford reference books or extracurricular reading, and we occasionally dine at Din Tai Fung, indicating some material comforts.
However, my father's personality may have some issues; he comes from a broken and quarrelsome family, which may have left him with some shadows.
Despite this, due to his expectations of us, I was able to study well in elementary and middle school.
Besides having a somewhat stable economic background, I believe my personality (genetics) also played a role.
However, problems arose in high school, and the hidden bombs exploded.
In middle school, I was able to integrate into my environment due to my academic performance, and I felt the goodwill of teachers and classmates even without being very proactive in social interactions.
Coupled with the encouragement and rewards from the education system, my self-definition was based on these standards.
However, entering high school was extremely competitive and brutal; without extraordinary effort, it was difficult to gain admission to top schools, so I ended up in a community high school.
This is a source of pain and frustration for many.
Despite the setbacks, the foundation built during three years of middle school was not easily destroyed—unless family pressure increased.
Due to the poor learning atmosphere in my class, I felt depressed going to school every day.
This helplessness continued for two years, and although I expressed my feelings to my family, nothing changed (my father's suggestion was to endure, which reflects his experiential approach shaped by his past).
This led to my transfer to a class with a much better learning environment in my senior year, but by then, I had already adapted poorly and felt out of place, caught in the abyss between "studying hard and playing." I couldn't concentrate on studying seriously, nor did I have the mood to indulge in fun.
Perhaps this was the initial manifestation of anxiety and depression? In any case, my father could not provide me with positive affirmation, leading to a series of arguments (details omitted).
Ironically, the person who hurt me was him; yet he was also the one telling me to be brave and step out.
This illustrates the tragedy of rigid thinking: "I have always stood firm, always looking toward the light.
Yet you block and hinder me, and still expect me to sort myself out? To not give up on myself? How can this be understood? How can I refute this?" The sentiments expressed above clearly indicate a mix of contradictions, anger, questions, and frustrations.
After all, when a parent says 1+1=5, arguing against it is meaningless (tragic, and may even lead to more destructive implications).
This reflects the horror of a double bind.
To cut to the chase, I later enrolled in Cultural University and then dropped out (the reason being I didn't attend classes; fundamentally, I hated the fact that I existed at Cultural University).
I attended a preparatory class for transfer exams, which cost about 50,000 NTD for all subjects, and a retake class costing 60,000 NTD.
My father paid for the transfer exam prep, and I half-heartedly agreed, partly because I wanted to leave.
The missing half was that I actually lacked the energy to go elsewhere.
Perhaps it was due to my high school experience of struggling to escape a noisy environment that left me traumatized, or maybe I simply felt unqualified, just as I initially did not study well for high school.
Being able to attend cram school is a small privilege for someone from Bali like me.
However, the pressure from my father maintains the sad reality of Bali's poverty.
My father was very displeased that I did not prepare well for the transfer exam, yet he also urged me to look forward and not dwell on the past's darkness.
I admit my weaknesses, but his contradictory behavior exemplifies a flawed and failed educational (motivational) approach, creating inexplicable pressure and stimuli, forcing me to confront my stagnation before I could acknowledge my weaknesses.
Writing ten thousand words might still fail to fully express my poverty and sadness.
Of course, I have areas where I feel a sense of achievement, but I won't elaborate on them because there's not much to say.
Seeing my friends from Bali attending National Taiwan University, I know this is a minority, but so what? I don't necessarily want to compare myself to them; I just can't escape the endless reproduction of sadness in my environment.
After more than six years of experience, I know some questions remain unanswered.
Unlike exam papers, where each question has a corresponding answer, often when seeking answers, I realize that the world outside of me doesn't have problems at all.
Inevitably, in contemplating such matters, I push myself toward an unfortunate perspective.
However, even if God tells me that all of this is due to poverty, what capital do I have now to escape this cyclical tragedy? National exams? Another test? When my father prevents me from preparing properly for exams, it seems that no amount of money can help.
(Is this caused by my father? Perhaps attributing it this way is irresponsible, but who can deny it? Who can truly deny it? It's sad to know, yet it is also a fact.) This is probably why I didn't receive tutoring in middle and high school, and cramming in college feels meaningless.
I have long since run out of steam.
Is my brain destroyed? Every time I recount my life, it feels like reliving it all over again; the tragedies in my memory seem to fade, yet after each retelling, the scars on my body deepen.
Is there really an answer? I see those who are more miserable than I am, perhaps like you looking at my problems.
I can provide them with answers; they might hear my words, yet they find it hard to escape.
P.S.
I have taken medication before; personally, I feel that Xanax is helpful for emotions but not for life.
My illness is life itself.

Xiao Fei, 20~29 year old female. Ask Date: 2021/07/12

Dr. Lin Mianzhang reply Psychiatry


Hello, Xiao Fei: From your description, it seems that you have many grievances about your upbringing and your father.
It appears that your thoughts may easily fall into a negative thinking cycle, which could be one of the reasons for your susceptibility to depression and anxiety.
While one's living environment certainly influences emotions, how a person faces their circumstances is also a crucial factor affecting their emotional state.
For the same half glass of water, some may see it as half empty, while others may view it as half full.
This difference in perspective can lead to different emotional responses.
I suggest that you consider seeking a referral for psychological therapy from a physician.
Through therapy, you can gain a better understanding of yourself and learn to make your thinking more flexible, allowing you to view situations from a broader perspective.
This approach may help you navigate life's challenges more smoothly and enhance your overall happiness.
Wishing you peace and well-being!

Reply Date: 2021/07/12

More Info


Your situation reflects a complex interplay of emotional distress, familial pressures, and socio-economic challenges. It’s important to recognize that while poverty can exacerbate feelings of anxiety and depression, it is not the sole cause of these mental health issues. Your experiences, particularly with your father's conflicting messages and the pressures of academic performance, have likely contributed significantly to your current emotional state.

Firstly, it’s crucial to differentiate between situational depression and clinical depression. Situational depression can arise from specific life events or stressors, such as your family dynamics and academic pressures. Clinical depression, on the other hand, is a more pervasive condition that can exist independently of external circumstances. Symptoms of clinical depression include persistent sadness, loss of interest in activities, changes in appetite or sleep patterns, and feelings of worthlessness or guilt. If your feelings of sadness and anxiety persist for more than two weeks and interfere with your daily functioning, it may be indicative of clinical depression.

Your reflections on your upbringing and the impact of your father’s expectations suggest a significant emotional burden. The duality of his role as both a source of support and a source of pressure can create a confusing environment. This can lead to feelings of inadequacy and frustration, especially when you perceive a lack of understanding or validation from him. It’s essential to communicate your feelings to someone who can provide support, whether that’s a trusted friend, a counselor, or a mental health professional. Open dialogue can help you process these emotions and gain clarity.

Moreover, your mention of feeling lost and trapped in a cycle of despair is a common experience for many individuals facing similar challenges. It’s important to acknowledge these feelings without judgment. Engaging in therapy can provide a safe space to explore these emotions and develop coping strategies. Cognitive-behavioral therapy (CBT), for instance, is effective in addressing negative thought patterns and can help you reframe your perspective on your circumstances.

In terms of your academic journey, it’s understandable to feel overwhelmed by the pressures of performance and comparison with peers. It’s vital to remember that everyone’s path is unique, and success is not solely defined by academic achievements. Finding fulfillment in other areas of life, such as hobbies, friendships, or volunteer work, can provide a sense of purpose and joy outside of academic pressures.

Regarding your experience with medication, it’s not uncommon for individuals to find that while medication can help manage symptoms, it does not necessarily address the underlying issues contributing to their distress. Medication can be a helpful tool, but it is often most effective when combined with therapy and lifestyle changes, such as regular exercise, a balanced diet, and sufficient sleep.

Lastly, consider reaching out to mental health professionals who can provide guidance tailored to your specific situation. They can help you navigate the complexities of your feelings and develop a personalized plan for managing your mental health. Remember, seeking help is a sign of strength, and you deserve support as you work through these challenges.

In conclusion, while poverty and familial pressures can significantly impact mental health, they do not define your worth or potential. By seeking support and exploring therapeutic options, you can begin to untangle the web of emotions and experiences that have contributed to your current state. Healing is a journey, and it’s okay to take it one step at a time.

Similar Q&A

Am I Experiencing Depression? Understanding My Emotional Struggles

I would like to ask... First, when I encounter situations where I don't perform well or when I am criticized, my mood inexplicably drops for a whole day. This feeling is very uncomfortable for me, and I often find it hard to let go of what others say. My emotional fluctuatio...


Dr. Zhou Sunyuan reply Psychiatry
For psychiatrists, we cannot understand a person's inner world through instruments. Therefore, the clearer one can describe their internal experiences, the better. However, many people lack observation and awareness of their inner experiences, making it difficult to express ...

[Read More] Am I Experiencing Depression? Understanding My Emotional Struggles


Understanding the Fine Line Between Anxiety and Depression

I am unsure whether I am experiencing anxiety or depression. Sometimes, my mood suddenly drops, and I can't seem to feel happy. However, after reading recent news discussions about depression, I feel like I might be anxious, particularly regarding my sense of not fitting in ...


Dr. Tian Xinqiao reply Psychiatry
Hello, dear user: Thank you for your message. Facing your own anxiety and depression can indeed be a challenging experience. However, the most important thing is to try to like yourself and give yourself some confidence and affirmation. Firstly, I recommend focusing on reducing...

[Read More] Understanding the Fine Line Between Anxiety and Depression


Am I Suffering from Depression, Anxiety, or Panic Disorder?

I don't know when I started to feel increasingly unhappy. My low mood has persisted for a long time (over three months now), and I've begun to feel weary of the world. Sometimes I feel like I can't hold on any longer, and I have thoughts of wanting to disappear eve...


Dr. Li Zhengfeng reply Psychiatry
Ms. Huang: Hello, based on the information provided, you may be experiencing symptoms of depression. However, depression often coexists with anxiety and panic symptoms. If the medication is effective, it is recommended to continue for a period of time before discussing with your ...

[Read More] Am I Suffering from Depression, Anxiety, or Panic Disorder?


Struggling with Dual Personalities and Trust Issues: A Mental Health Perspective

I have recently started feeling depressed, constantly wanting to cry, and feeling like I'm going crazy. I don't understand why my grades are average, yet my interpersonal skills are poor. Aside from frequently being late, I follow all school rules, but my social interac...


Dr. Liu Runqian reply Psychiatry
Symptoms of depression include: depressed mood, loss of interest in usual activities, cognitive and motor retardation, loss of appetite, weight loss, insomnia, fatigue and weakness in limbs, restlessness, self-blame, feelings of guilt, helplessness, worthlessness, hopelessness, a...

[Read More] Struggling with Dual Personalities and Trust Issues: A Mental Health Perspective


Related FAQ

Depression

(Psychiatry)

Low Mood

(Psychiatry)

Worry

(Psychiatry)

Emotional Distress

(Psychiatry)

Negative Thoughts

(Psychiatry)

Social Anxiety Disorder

(Psychiatry)

Self-Injury

(Psychiatry)

Adjustment Disorder

(Psychiatry)

Emotions

(Psychiatry)

Psychological Counseling

(Psychiatry)