I need advice?
Dr.
Sun: 1.
Low energy / mood tends to be low / movements are somewhat slow.
2.
After relaxing or doing something enjoyable, I feel a significant improvement in my mood (the difference is quite noticeable), and my thoughts also change (from feeling hopeless to feeling hopeful about life).
3.
Occasionally, when I think about things, I feel like my mind is racing, and I get a bit dizzy.
4.
Every morning, I deliberately try to elevate my mood; otherwise, I feel low throughout the day.
5.
Sometimes, when I can't make decisions about small matters, I feel angry 😡 and think that everything is going poorly.
Q: I’ve been struggling with this; is it a medical issue or simply a personality problem? Since I’m currently preparing for exams, my daily life consists of studying and sleeping, and feeling down seems quite normal? Overall, I can still function normally, but my mood is a bit low every day.
Q: Regarding the second point, is it normal for people to experience such a significant change in mood? I have already seen a doctor, but I hope to get some additional opinions from other physicians.
Thank you! ☺️
Z, 20~29 year old female. Ask Date: 2023/01/08
Dr. Liang Sunyuan reply Psychiatry
Hello Z: To determine whether it is simply a personality issue or a medical condition, you can refer to two main factors.
First, is there a significant difference compared to your past self? Second, does it have a substantial impact on your daily life? If both are true, it is likely a medical condition; if both are false, it is probably a personality issue.
2.
It is characterized by emotional reactivity; experiencing happiness in response to positive events is a good sign.
In patients with atypical depression, it is possible to maintain emotional reactivity while being in a depressive state, and those with this trait generally have a better prognosis.
Reply Date: 2023/01/08
More Info
Understanding mood fluctuations is essential for recognizing when to seek psychiatric advice. Your description of your emotional state and behaviors suggests that you are experiencing significant mood variations, which can be indicative of underlying mental health issues. Here’s a breakdown of your symptoms and when it might be appropriate to seek professional help.
1. Low Energy and Mood: Feeling low in energy, having a depressed mood, and moving slowly can be signs of depression. If these feelings persist for more than two weeks and interfere with daily activities, it is advisable to seek help. Depression can manifest in various ways, including fatigue, lack of motivation, and feelings of hopelessness.
2. Mood Elevation After Enjoyable Activities: The fact that you feel a noticeable lift in your mood after engaging in relaxing or enjoyable activities is a positive sign. This suggests that you still have the capacity for joy and pleasure, which is often a key indicator in distinguishing between clinical depression and situational sadness. However, if these mood swings are extreme or if you find it increasingly difficult to engage in activities that once brought you joy, it may be time to consult a mental health professional.
3. Rapid Thoughts and Dizziness: Experiencing rapid thoughts and occasional dizziness can be symptoms of anxiety or a mood disorder. If these episodes become frequent or are accompanied by feelings of panic, it is crucial to seek professional advice. Anxiety can significantly impact your daily functioning and overall quality of life.
4. Conscious Efforts to Regulate Mood: Actively trying to elevate your mood each morning indicates awareness of your emotional state, which is a positive step. However, if you find that you need to exert this effort consistently just to feel "normal," it could be a sign of an underlying mood disorder. This constant battle can be exhausting and may require therapeutic intervention.
5. Difficulty Making Decisions and Irritability: Feeling irritable over small decisions can be a symptom of anxiety or mood instability. If this irritability is affecting your relationships or daily functioning, it is advisable to seek help. Mental health professionals can provide strategies to manage these feelings and improve decision-making processes.
When to Seek Help
Given your symptoms, it is essential to consider the following factors when deciding to seek psychiatric advice:
- Duration and Intensity: If your low mood, irritability, or anxiety persists for more than two weeks or worsens over time, it is a strong indicator that you should seek help.
- Impact on Daily Life: If your mood fluctuations are interfering with your ability to study, work, or maintain relationships, it is time to consult a mental health professional.
- Coping Mechanisms: If you find that your current coping strategies (like studying or sleeping) are not effective in managing your mood, professional guidance can provide you with new tools and techniques.
- Support System: If you feel isolated or unsupported by friends or family, reaching out to a therapist can provide a safe space to express your feelings and receive validation.
Conclusion
While it is normal for everyone to experience fluctuations in mood, the intensity and impact of these fluctuations on your daily life are critical factors to consider. If you find that your emotional state is affecting your quality of life, seeking psychiatric advice is a proactive step towards understanding and managing your mental health. A mental health professional can help you explore your feelings, develop coping strategies, and determine if further treatment is necessary. Remember, seeking help is a sign of strength, and you deserve support in navigating your emotional challenges.
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