Post-depression
I previously received treatment for depression, and I improved over time, so my doctor advised me to stop attending sessions.
However, I still feel very anxious when I encounter certain situations, and I become so nervous when speaking to others that I struggle to express myself.
This has caused me significant distress, and I have even lost job opportunities because of it.
Currently, I am working at a breakfast shop, earning only 15,000 NT dollars a month.
What can I do to be like everyone else?
kenny, 20~29 year old female. Ask Date: 2003/08/01
Dr. Chen Mingzhe reply Psychiatry
Kenny, you are someone with high self-expectations but lacking in self-confidence.
From a psychological perspective, you serve as a good example of a patient with depression.
Current epidemiological statistics in psychiatry indicate that nearly everyone will experience a "depressive process or situation" at some point in their lives, and you are no exception.
However, the treatment for depression, like other psychological disturbances, should not solely rely on biological therapies (such as medication, biofeedback, light therapy, etc.) but should also include psychological counseling and therapy.
Biological treatments can indeed be adjusted or discontinued based on the individual case and improvement in symptoms, but psychological counseling can be ongoing and tailored to the individual's needs or physician's recommendations.
Based on what you have described, you may be experiencing depression combined with anxiety.
If you feel nervous and fearful in social situations (when interacting with others) and find it difficult to speak, this may be related to social anxiety.
Kenny, you have already made significant efforts.
The issues you are facing should be addressed with your original psychiatrist for guidance and treatment, which can lead to improvement, but it is important to continue with follow-up appointments.
Lastly, I want to remind you that you are no different from others; everyone has their own unique struggles.
Reply Date: 2003/08/01
More Info
Overcoming anxiety after experiencing depression can be a challenging journey, but it is entirely possible with the right strategies and support. It sounds like you have made significant progress in your battle with depression, but the lingering anxiety and social discomfort are understandably distressing. Let’s explore some effective ways to navigate this path to recovery.
Firstly, it’s essential to recognize that anxiety and depression often coexist. Many individuals who have experienced depression may find themselves grappling with anxiety, especially in social situations. This is not uncommon, and acknowledging this connection is the first step toward addressing it. You mentioned feeling nervous when talking to others, which can be a symptom of social anxiety. This condition can lead to avoidance of social interactions, further isolating you and potentially exacerbating feelings of inadequacy or frustration.
One of the most effective ways to manage anxiety is through therapy. Cognitive Behavioral Therapy (CBT) is particularly beneficial for individuals dealing with anxiety and depression. CBT helps you identify and challenge negative thought patterns and beliefs that contribute to your anxiety. It also equips you with practical coping strategies to manage anxiety-provoking situations. Since you have previously sought treatment for depression, returning to a mental health professional for therapy could be a valuable step. They can help you work through your anxiety and develop skills to improve your confidence in social settings.
In addition to therapy, consider incorporating mindfulness and relaxation techniques into your daily routine. Practices such as meditation, deep breathing exercises, and yoga can help reduce anxiety levels and promote a sense of calm. Mindfulness encourages you to stay present in the moment, which can be particularly helpful when you find yourself feeling overwhelmed in social situations. Regular physical activity is also crucial; exercise releases endorphins, which can improve your mood and reduce anxiety.
Building a support network is another vital aspect of recovery. While it may feel daunting, reaching out to friends or family members and sharing your experiences can foster understanding and support. If you feel uncomfortable discussing your feelings with those close to you, consider joining a support group. Connecting with others who have faced similar challenges can provide a sense of community and reduce feelings of isolation.
Setting small, achievable goals can also help you regain a sense of control and accomplishment. Start with manageable tasks that push you slightly out of your comfort zone, such as initiating a conversation with a coworker or participating in a group activity. Celebrate your successes, no matter how small, as they contribute to building your confidence over time.
Lastly, it’s important to be patient with yourself. Recovery is not linear, and it’s normal to have ups and downs along the way. If you find that your anxiety is significantly impacting your daily life, it may be worth discussing medication options with a healthcare provider. Certain medications can help alleviate anxiety symptoms, making it easier for you to engage in therapy and other recovery strategies.
In conclusion, overcoming anxiety after depression is a multifaceted process that involves therapy, mindfulness practices, building a support network, setting achievable goals, and possibly medication. Remember, you are not alone in this journey, and seeking help is a sign of strength. With time, effort, and the right support, you can find your path to recovery and regain the confidence to engage with the world around you.
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