I would like to inquire about depression?
I have been under a lot of stress for almost a year and cannot truly feel happy.
At first, I felt a bit sad, helpless, and worried, but as time went on, I became increasingly distressed and agitated.
I can't concentrate in class, my attention span while studying has diminished, I cry suddenly over small things, and my memory has worsened.
I have been receiving counseling at school, but I haven't expressed how much I am suffering or that living is painful for me.
I am afraid to share my emotions with my family and teachers.
I told my family that I feel like I am unwell or that something is wrong with me, but they don't believe I am sick; they just want me to stop overthinking.
However, I am truly in a lot of pain.
What should I do?
Yu, 10~19 year old female. Ask Date: 2022/06/18
Dr. Wang Yaoting reply Psychiatry
Hello: If it has been nearly a year without improvement, you may be experiencing persistent depressive disorder.
It is recommended that you seek help from a nearby mental health clinic as soon as possible.
Since you are only 18 years old, the prevalence of depression at this age is relatively low.
In addition to stress factors, there may also be biological factors involved, such as a deficiency of serotonin in the brain.
The use of antidepressant medications that increase serotonin, along with appropriate psychotherapy, usually leads to significant improvement.
Please try not to worry too much.
I hope this answers your question :D
Reply Date: 2022/06/18
More Info
It sounds like you are going through an incredibly challenging time, and I want to acknowledge the pain and struggle you are experiencing. Depression can be a debilitating condition that affects every aspect of your life, from your ability to concentrate in class to your emotional well-being. It’s important to recognize that what you are feeling is valid, and seeking help is a courageous step towards healing.
Firstly, it’s crucial to understand that depression is a medical condition, not a personal failing. It can manifest in various ways, including persistent sadness, difficulty concentrating, changes in sleep and appetite, and feelings of hopelessness. The symptoms you describe—difficulty focusing in class, sudden crying spells, and a sense of overwhelming pain—are all common indicators of depression. It’s understandable that you feel trapped in this cycle, especially when those around you may not fully grasp the severity of your situation.
You mentioned that you have been attending counseling at school but have not expressed the depth of your pain. This is a common experience; many people find it difficult to articulate their feelings, especially when they fear judgment or misunderstanding. However, it’s essential to communicate openly with your counselor about what you are experiencing. They are trained to help you navigate these feelings and can provide you with coping strategies and support. If you feel comfortable, consider writing down your feelings or even sharing this written account with your counselor to help convey your struggles.
In addition to counseling, it may be beneficial to explore other forms of support. This could include talking to a trusted friend or family member about your feelings, even if they initially seem dismissive. Sometimes, people need time to understand the seriousness of mental health issues. If you feel safe doing so, try to explain to them how you are feeling in a way that emphasizes the impact on your daily life. You might say something like, “I know you want me to feel better, but I’m really struggling, and I need your support.”
If your current counseling isn’t providing the relief you need, consider seeking help from a mental health professional outside of school. A psychologist or psychiatrist can offer a more comprehensive evaluation and may suggest a combination of therapy and medication if appropriate. Medication can be a helpful tool for managing symptoms of depression, and many people find that it significantly improves their quality of life.
Moreover, self-care is an essential aspect of managing depression. While it may feel challenging, try to engage in activities that bring you joy or relaxation, even if they seem small. This could be as simple as taking a walk, listening to music, or practicing mindfulness and meditation. Physical activity, in particular, has been shown to have a positive effect on mood and can help alleviate some symptoms of depression.
Lastly, remember that you are not alone in this struggle. Many people experience similar feelings, and there is a community of support available to you. Online forums, support groups, or helplines can provide additional resources and a sense of connection with others who understand what you are going through.
In summary, it’s vital to seek help and communicate your feelings openly. Consider reaching out to your counselor again, exploring additional mental health resources, and practicing self-care. You deserve support and understanding as you navigate this difficult time. Remember, healing is a journey, and taking the first step to seek help is a significant move towards recovery.
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