Depression: A Teen's Struggle with School Transitions

Q: Depression: A Teen's Struggle with School Transitions

Hello： You mentioned that you have been feeling increasingly fatigued, having difficulty falling asleep, and even after sleeping for over ten hours, you still feel very lethargic. <br>You also expressed regrets about past choices. <br>It is recommended that you visit a pediatric

My mood is getting worse and worse?

Hello, doctor.
I am currently 14 years old.
When I was in the transition from seventh grade to eighth grade, I had a conflict with my family about not wanting to attend summer tutoring, which ultimately led me to transfer schools.
I have since transferred to several schools, and now in ninth grade, I am in a self-study program.
At the beginning of eighth grade, when I first transferred, I felt increasingly sad every day and wanted to return to my previous school (I tried to communicate with the school, but it was unsuccessful).
After some time, things improved slightly, but now in ninth grade at the self-study institution, a few weeks ago I had a dream that reminded me of my seventh-grade days, which has caused me to feel increasingly unhappy every day.
I also feel angry with myself for choosing to transfer.
Recently, I have been struggling to fall asleep for several hours each night, and I feel increasingly fatigued.
Because of the self-study program, I don't have classes every day, and even after sleeping for over ten hours, I still feel very lethargic.
When I'm alone, I often talk to myself, questioning why I made such a choice.
I'm unsure if this indicates a tendency towards depression.

Huang Tongxue, 10~19 year old female. Ask Date: 2022/03/09

Dr. Wu Menghuan reply Psychiatry

Hello: You mentioned that you have been feeling increasingly fatigued, having difficulty falling asleep, and even after sleeping for over ten hours, you still feel very lethargic.
You also expressed regrets about past choices.
It is recommended that you visit a pediatric and adolescent psychiatry clinic to have a physician evaluate whether you may have depression or other issues, and to determine if medication or a referral for psychotherapy is necessary.

Reply Date: 2022/03/09

More Info

It sounds like you are going through a very challenging time, and I want to acknowledge the pain and confusion you are experiencing. Transitioning between schools can be a significant source of stress for many teenagers, and it can lead to feelings of sadness, isolation, and even despair. Based on your description, it seems you may be experiencing symptoms that could be associated with depression, particularly given your feelings of unhappiness, fatigue, and difficulty sleeping.

Depression in adolescents can manifest in various ways, including persistent sadness, loss of interest in activities once enjoyed, changes in sleep patterns, and feelings of worthlessness or regret. The fact that you are reflecting on your past choices and feeling regretful about your decision to transfer schools indicates that you are grappling with significant emotional turmoil. Additionally, the physical symptoms you mentioned, such as fatigue and difficulty sleeping, are common in individuals dealing with depression.

It's important to understand that these feelings are not uncommon among teenagers, especially during times of transition. The teenage years are often marked by significant changes, both socially and academically, which can lead to increased stress and anxiety. The pressure to perform well in school, fit in with peers, and navigate new environments can be overwhelming.

Given your situation, I strongly recommend seeking professional help. A mental health professional, such as a child and adolescent psychiatrist or psychologist, can provide a thorough evaluation and help determine whether you are experiencing depression or another mental health issue. They can also guide you through coping strategies and treatment options, which may include therapy, medication, or a combination of both.

When it comes to discussing your feelings with your family, it can be helpful to approach the conversation with honesty and openness. You might start by expressing that you have been feeling overwhelmed and that these feelings are affecting your daily life, including your sleep and energy levels. You could say something like, "I've been feeling really down lately, and it's been hard for me to cope. I think it would be helpful for me to talk to someone who can help." This way, you are framing the conversation around your well-being and the need for support.

It's understandable to worry about how your family might react, but remember that seeking help is a sign of strength. Many families appreciate when their loved ones reach out for support, and they may be more understanding than you expect. If you feel comfortable, you could also ask a trusted friend or teacher for support in approaching your family about this.

In summary, your feelings are valid, and it’s crucial to take them seriously. Seeking help from a mental health professional can provide you with the support you need to navigate this difficult time. Remember, you are not alone in this, and there are people who can help you find a way through these challenges.

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