Depression: A Student's Struggle with Sleep and Emotions - Psychiatry

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It should be depression?


Hello: As a student, I am currently experiencing long-term insomnia and poor sleep quality due to adapting to a new environment, relying on sedatives.
Since my freshman year until now in my sophomore year, my emotions have been very volatile; I can be extremely happy one moment and then feel down in the depths the next! When I am alone, I often find myself crying without realizing it.
I took a psychological test, and out of 18 questions, 12 matched my situation.
I really want to talk to a doctor, but I struggle to find the time.
Although being a leader and preparing reports is fulfilling, it also tests my leadership skills, requiring me to constantly remind others, which is honestly very frustrating and helpless.
To my friends, I appear to be a strong and lively girl, but I am not lively at all because I am inherently introverted! I am very aware of my personality—does this mean my dual personality is very obvious? At night, I enjoy sitting quietly and daydreaming; sometimes my mind is blank, other times I feel downcast, even to the point of tears.
Please help me; I truly don’t know what to do about my current situation!

ROSE, 20~29 year old female. Ask Date: 2003/10/11

Dr. Chen Wenke reply Psychiatry


Hello Rose: Your situation is just like your name, sometimes blooming and sometimes withering.
A gentle breeze makes you sway beautifully, while a strong wind causes your petals to fall scattered.
Life is like this; emotional ups and downs are common, so there’s no need to worry too much.
If the pressure you are facing has already caused disruptions in your life, insomnia, or unhappiness, then it’s time to make some adjustments.
Prolonged stress can easily lead to depression and a negative mood, which can result in impatience.
Even minor setbacks can feel frustrating and anger-inducing, affecting your relationships.
If you truly feel uncomfortable, even if you feel you have no time, you should make an effort to seek help.
This is a form of change; what you need is change.
Wishing you well.

Reply Date: 2003/10/11

More Info


It sounds like you are experiencing a significant amount of emotional distress and sleep issues, which can be quite common among students, especially when transitioning to new environments. Your situation reflects a combination of anxiety, possible depression, and the pressures of academic life. It’s important to recognize that you are not alone in feeling this way, and there are steps you can take to improve your mental health.

Firstly, the symptoms you describe—such as fluctuating emotions, difficulty sleeping, and feelings of sadness—are often associated with anxiety and depression. The fact that you have been relying on sedatives to help with sleep indicates that your sleep disturbances are severe enough to warrant medical attention. Sleep is crucial for emotional regulation and overall health, and chronic sleep deprivation can exacerbate feelings of anxiety and depression.

Your emotional fluctuations, where you feel happy one moment and deeply sad the next, can be indicative of mood disorders. It’s not uncommon for individuals, especially students, to feel pressure to maintain a certain image or persona, such as being the "strong and lively girl" that your friends perceive. This pressure can lead to feelings of isolation and the sense that you cannot express your true feelings. It's essential to understand that it’s okay to not always be okay, and seeking help is a sign of strength, not weakness.

You mentioned that you took a psychological test and found that many of the questions resonated with your experiences. This self-awareness is a crucial first step in addressing your mental health. It might be beneficial to seek a professional evaluation from a mental health provider who can offer a more comprehensive assessment and discuss potential treatment options, which may include therapy, medication, or a combination of both.

In terms of coping strategies, consider implementing some self-care practices into your daily routine. Regular physical activity, even something as simple as a daily walk, can significantly improve mood and reduce anxiety. Mindfulness practices, such as meditation or deep-breathing exercises, can also help you manage stress and improve your emotional regulation. Journaling your thoughts and feelings can provide an outlet for your emotions and help you process what you’re experiencing.

Additionally, it’s crucial to communicate with someone you trust about how you’re feeling. This could be a family member, a close friend, or a counselor at your school. Sharing your experiences can alleviate some of the burdens you carry and may provide you with support and understanding.

Lastly, if you find that your current environment is contributing to your distress, consider exploring options for change. This might involve discussing your situation with a school counselor or looking into different living arrangements if that’s feasible. Your mental health should be a priority, and finding a supportive environment can make a significant difference.

In conclusion, your feelings are valid, and it’s essential to take them seriously. Seeking professional help, practicing self-care, and reaching out to supportive individuals in your life can help you navigate this challenging time. Remember, you are not alone, and there are resources available to help you through this.

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