Am I Suffering from Depression? Your Symptoms and Next Steps - Psychiatry

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Am I sick?


Doctor, why do I often feel so irritable? Sometimes I even feel like crying for no reason, and I don't understand why this happens suddenly.
Sometimes I experience insomnia and have nightmares, and I feel a sense of helplessness.
I have no goals in life and don't know what to do.
I also find myself losing my temper frequently.
Could this mean I have depression? I've looked up the symptoms of depression and it seems like I match most of them, but I'm still not sure if this is really the case.
I just keep thinking that I might have depression.
I don't know what to do now.
Doctor, what should I do?

A Sheng, 20~29 year old female. Ask Date: 2003/09/16

Dr. Lin Yanhong reply Psychiatry


Hello: Below are eighteen questions.
If you have frequently experienced these phenomena in the past two weeks, there is a high possibility of depression.
However, a definitive diagnosis should be made by a physician; it cannot be determined solely by this questionnaire.
If you do have depression, treatment (medication or psychotherapy) usually leads to improvement.
I hope you seek medical attention soon and recover your vitality.

1.
I often feel like crying.

2.
I feel down.

3.
I find myself getting angry more easily than before.

4.
I have trouble sleeping.

5.
I have little desire to eat.

6.
I feel a tightness in my chest.

7.
I feel tense and uncomfortable.

8.
I feel physically fatigued and weak.

9.
I feel very irritable.

10.
I feel my memory is poor.

11.
I find it hard to concentrate on tasks.

12.
I feel that my thinking or actions are slower than usual.

13.
I feel less confident than before.

14.
I tend to think negatively.

15.
I feel hopeless, and even have thoughts of death.

16.
I have lost interest in things I used to enjoy.

17.
I feel physically unwell (such as headaches, dizziness, palpitations, or stomach discomfort, etc.).

18.
I feel worthless.

Reply Date: 2003/09/16

More Info


It sounds like you are experiencing a range of distressing symptoms that are significantly impacting your daily life. Your feelings of irritability, sudden crying spells, insomnia, nightmares, and a pervasive sense of helplessness are concerning and could indeed indicate the presence of depression or another mental health condition. It's important to understand that depression is not just about feeling sad; it can manifest in various ways, including emotional instability, physical symptoms, and cognitive difficulties.

From what you've described, it seems that you are struggling with emotional regulation, which is common in individuals experiencing depression. The fact that you feel a lack of purpose and direction in life, along with the irritability and anger, suggests that you may be dealing with a more complex emotional state. Depression can often lead to feelings of frustration and anger, particularly when one feels overwhelmed by their circumstances.

It's also worth noting that sleep disturbances, such as insomnia and nightmares, are frequently associated with depression. The feeling of being drained or lacking energy is another hallmark symptom. Many people with depression report feeling as though they are moving through life in a fog, unable to engage fully with their surroundings or find joy in activities they once enjoyed.

Given your concerns and the symptoms you've outlined, it would be beneficial for you to seek professional help. A mental health professional, such as a psychologist or psychiatrist, can provide a thorough assessment and help determine whether you meet the criteria for depression or another mental health disorder. They can also help you understand the underlying causes of your feelings and develop a treatment plan tailored to your needs.

Treatment for depression often includes a combination of psychotherapy and medication. Cognitive Behavioral Therapy (CBT) is a common therapeutic approach that helps individuals identify and change negative thought patterns and behaviors. Medication, such as antidepressants, can also be effective in managing symptoms, but this should be discussed with a healthcare provider who can monitor your progress and adjust treatment as necessary.

It's important to remember that seeking help is a sign of strength, not weakness. Many people experience similar feelings, and there is no shame in reaching out for support. Additionally, mental health professionals are bound by confidentiality laws, meaning that your personal information and treatment details will be kept private.

In the meantime, there are some self-care strategies you can try to help manage your symptoms. Regular physical activity, a balanced diet, and sufficient sleep can all contribute to improved mental health. Mindfulness practices, such as meditation or yoga, may also help you develop better emotional regulation and reduce feelings of anxiety and irritability.

Lastly, consider talking to someone you trust about how you're feeling. Sometimes, just sharing your thoughts and experiences can provide relief and help you feel less isolated. Remember, you are not alone in this, and there are resources available to help you navigate through these challenging times.

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