Is It Depression or Something Else? Mental Health Symptoms - Psychiatry

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Could you please tell me if this is depression or something else?


Hello doctor, about a month and a half ago, I developed extrapyramidal symptoms due to medication side effects.
After receiving antihistamine injections, my symptoms improved, but starting the next day, I experienced persistent nausea and vomiting for a while.
During that time, I was constantly worried about my health and repeatedly searched online for information.
Even minor health issues would cause me to magnify my concerns.
After feeling a bit better, I faced the loss of a loved one, which plunged me back into that cycle of anxiety, accompanied by an inexplicable sense of unease and fear about many future events.
I found it hard to muster the motivation to do anything; every morning, I just wanted to stay in bed and sleep as much as possible.
Even when I didn't want to sleep, I struggled to get up.
I used to have the habit of getting up as soon as I heard the alarm, but now, when I wake up in the morning, I feel weakness and trembling in my hands.
Recently, I've also noticed that my heartbeat feels stronger, although it hasn't increased in rate.
My appetite has decreased significantly, leading to weight loss.
Occasionally, when I think about past events, I feel like crying, and even talking to my mom can trigger tears.

Niming, 20~29 year old female. Ask Date: 2021/10/21

Dr. Zhang Gengjia reply Psychiatry


Dear Sir/Madam,
From your letter, it is evident that you are experiencing discomfort and distress due to both physiological and psychological pressures.

1.
Facing an uncertain future, psychosomatic disorders are common in modern individuals.
This is a chronic condition that requires long-term treatment for recovery.

2.
Psychosomatic disorders are chronic illnesses characterized by episodes of exacerbation, remission, recovery, and relapse.
More than half of patients may experience a recurrence of symptoms even after they have improved.
Due to individual differences in constitution, it may take time to identify the appropriate medication, so please be patient and cooperate with your physician.
3.
In terms of pharmacological treatment, each primary medication requires 4 to 6 weeks to assess its efficacy.
If you experience any discomfort, I recommend keeping a record of the duration and frequency of your symptoms.
4.
In addition to medication and psychotherapy, repetitive transcranial magnetic stimulation (rTMS) is a non-invasive treatment that does not require anesthesia, has a high safety profile, and does not necessitate hospitalization.
It can improve anxiety and depressive symptoms.
For patients with treatment-resistant depression or poor medication response, rTMS has been shown to significantly alleviate depressive symptoms.
Please discuss your psychosomatic issues thoroughly with your physician during your follow-up appointment, as some symptoms may be related to the original condition, while others could be side effects of the medication.
Our clinic is open for consultations from Monday to Friday, both in the morning and afternoon.
I encourage you to consider visiting the clinic for a personal evaluation of your symptoms, so we can collaboratively determine the best course of action for you.
Wishing you mental and physical well-being.
Sincerely,
Dr.
Chang Geng-Jia
Department of Psychiatry

Reply Date: 2021/10/21

More Info


It sounds like you are going through a very challenging time, and I want to acknowledge the complexity of your feelings and experiences. Based on what you've shared, it seems that you are grappling with a range of symptoms that could be indicative of depression or anxiety, especially following the distressing events you've encountered, such as the side effects from medication and the loss of a loved one.

Firstly, it’s important to understand that the symptoms you are experiencing—such as persistent feelings of unease, lack of motivation, changes in sleep patterns, and emotional distress—can be associated with both depression and anxiety disorders. The fear of physical health issues, often referred to as health anxiety or hypochondria, can exacerbate feelings of depression, leading to a cycle of worry and emotional distress. This is particularly common after experiencing significant stressors, such as the death of a loved one or adverse reactions to medication.

Your description of wanting to stay in bed, feeling fatigued, and having difficulty engaging in daily activities are classic signs of depression. Additionally, the physical symptoms you mentioned, like trembling hands and a heightened awareness of your heartbeat, may suggest anxiety, which can often accompany depressive episodes. The emotional responses, such as crying when discussing your feelings with your mother, indicate that you are processing grief and possibly unresolved feelings related to your recent experiences.

It's crucial to differentiate between normal grief and clinical depression. Grief can manifest in various ways, including sadness, anger, and even physical symptoms, but if these feelings persist for an extended period and significantly impair your ability to function, it may be indicative of a depressive disorder.
Here are some steps you can take to address your situation:
1. Seek Professional Help: It’s essential to consult with a mental health professional who can provide a comprehensive evaluation of your symptoms. A psychiatrist or psychologist can help determine whether you are experiencing depression, anxiety, or another mental health condition. They can also discuss treatment options, which may include therapy, medication, or a combination of both.

2. Talk About Your Feelings: Sharing your thoughts and feelings with trusted friends or family members can provide emotional support. Sometimes, just talking about what you’re going through can alleviate some of the burdens you feel.

3. Establish a Routine: Try to create a daily routine that includes regular sleep patterns, meals, and activities. Even small tasks can help you regain a sense of control and normalcy in your life.

4. Engage in Physical Activity: Regular exercise can significantly improve mood and reduce anxiety. It doesn’t have to be intense; even a daily walk can make a difference.

5. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help manage anxiety and improve your emotional well-being.

6. Limit Internet Searches: While it’s natural to seek information about your symptoms, excessive searching can lead to increased anxiety. Try to limit this behavior and focus on constructive activities instead.

7. Nutrition and Hydration: Pay attention to your diet. Eating regular, nutritious meals can help stabilize your mood and energy levels.

8. Consider Support Groups: Sometimes, connecting with others who have experienced similar losses or challenges can provide comfort and understanding.

In conclusion, while your symptoms may suggest depression or anxiety, only a qualified mental health professional can provide an accurate diagnosis and appropriate treatment plan. It’s important to take your feelings seriously and seek help, as early intervention can lead to better outcomes. Remember, you are not alone in this, and there are resources and people who can support you through this difficult time.

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