Am I Sick? Depression After a Breakup - Psychiatry

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Am I sick???


Hello, Doctor: Since breaking up with my boyfriend, I have been feeling a prolonged sense of unhappiness and sadness.
Whenever I am alone, I can't help but feel heartbroken, overwhelmed, and even have thoughts of wanting to end it all.
I feel like I am increasingly enjoying the solitude of crying in my room, embracing the feeling of loneliness and despair.
Currently, nothing seems to interest me or evoke any fear—whether it's family, friends, shopping, or leisure activities, I can't muster any enthusiasm.
It feels like I have a lot on my mind, yet I am unwilling to share it with friends, just going in circles in my pain.
I want to move on, but I also resist allowing myself to do so.

eva, 20~29 year old female. Ask Date: 2003/11/22

Dr. Lin Yanhong reply Psychiatry


Hello, I see your concerns, and it seems you may be experiencing the pain of a breakup.
If you frequently encounter the following eighteen symptoms for more than two weeks, it would be best to consult a professional psychiatrist, as depression may have quietly set in.

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 feel like I don't want 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 irritable.

10.
I feel like my memory is poor.

11.
I find it hard to concentrate on tasks.

12.
I feel slower in thinking or doing things than usual.

13.
I feel less confident than before.

14.
I tend to think negatively.

15.
I feel hopeless, even having thoughts of death.

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

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

18.
I feel worthless.

Reply Date: 2003/11/22

More Info


It sounds like you are experiencing a very difficult time following your breakup, and it's understandable to feel lost and overwhelmed by emotions. The feelings you describe—persistent sadness, lack of interest in activities you once enjoyed, and a sense of isolation—are common symptoms of depression. It's important to recognize that what you're going through is not just a temporary phase; it could be indicative of a more serious mental health issue that warrants attention.

Depression can manifest in various ways, and it often follows significant life changes or losses, such as a breakup. The emotional pain you're feeling is valid, and it's crucial to acknowledge it rather than dismiss it as something you should simply "get over." The fact that you find yourself crying alone and feeling increasingly comfortable in that solitude suggests that you may be using this as a coping mechanism to deal with your pain. While it can be a temporary release, it is not a healthy long-term solution.

The lack of interest in activities that once brought you joy, such as spending time with family or friends, shopping, or engaging in hobbies, is a classic sign of depression known as anhedonia. This symptom can make it challenging to connect with others or seek support, which is often a critical component of recovery. It's common for individuals experiencing depression to isolate themselves, thinking that they are a burden to others or that no one can understand their pain. However, reaching out for help is a vital step toward healing.

You mentioned feeling pressure and even thoughts of wanting to escape from your situation. These feelings can be incredibly intense and may lead to thoughts of self-harm or worse. If you ever find yourself feeling like you want to hurt yourself or end your life, it is crucial to seek immediate help. Contact a mental health professional, a trusted friend, or a crisis hotline. Your safety is the top priority.

In terms of treatment, it is highly recommended that you consult with a mental health professional, such as a psychologist or psychiatrist. They can provide a proper assessment and discuss treatment options, which may include therapy, medication, or a combination of both. Therapy can help you process your emotions, develop coping strategies, and work through the pain of your breakup. Cognitive-behavioral therapy (CBT), for example, is effective in treating depression by helping individuals change negative thought patterns and behaviors.

Additionally, consider engaging in self-care practices that can help improve your mood. Regular physical activity, even a short walk, can release endorphins and improve your overall sense of well-being. Mindfulness practices, such as meditation or yoga, can also help you manage stress and anxiety. Establishing a routine, even a simple one, can provide structure to your day and help combat feelings of aimlessness.

It's also important to talk to someone about what you're going through. Whether it's a friend, family member, or therapist, sharing your feelings can help alleviate some of the burdens you're carrying. You don't have to go through this alone, and there are people who care and want to help you.

Lastly, regarding your concerns about confidentiality in seeking help, mental health professionals are bound by strict confidentiality laws. Your privacy is protected, and they cannot disclose your information without your consent, except in specific circumstances where there is a risk of harm to yourself or others.

In conclusion, you are not alone in your feelings, and it is essential to seek help. Depression is a serious condition, but with the right support and treatment, you can find your way back to a place of happiness and fulfillment. Please take the first step and reach out for help. You deserve to feel better.

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