Depression: Signs, Symptoms, and Seeking Help as a College Student - Psychiatry

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Depressive tendencies


Hello, Doctor.
I am a junior in college, and I'm not really sure if I have depression or depressive tendencies.
I once took an online depression test when I was feeling down, and it seemed like I might have it, but later I felt that things might not be that serious and that I was overreacting.
This issue has been with me since high school.
I don't like anyone around me and I don't know why I feel so disconnected from my classmates.
I feel a sense of distance from them, and even small conversations feel like acting.
I often worry that my actions might make others dislike me, so socializing has become exhausting; I just want to sleep.
Even my high school friends, I only started to appreciate during college.
Now, I only have a few close friends and a girlfriend with whom I can truly be myself, but it's only a few among my friends.
It's strange, though, because I envy everyone around me; they seem to have direction in their lives, while I feel stuck due to my own mental state.
I don't want this to be the case, but I don't know how to improve it.
I often find myself in a bad mood, but I don't trust anyone around me.
I don't want to share my true feelings with anyone I know, not even with my girlfriend, because I feel like I would just be told that I'm overthinking.
That's why I'm reaching out to you, Doctor.
What should I do? Thank you.

7, 20~29 year old female. Ask Date: 2023/11/27

Dr. Wu Enliang reply Psychiatry


It is highly recommended to first visit the school's counseling center and talk to a counseling psychologist about these psychological concerns.
Dr.
Wu Enliang.

Reply Date: 2023/11/27

More Info


It sounds like you are experiencing a complex mix of emotions and thoughts that are causing you significant distress. As a college student, navigating social interactions, academic pressures, and personal expectations can be overwhelming, especially when feelings of depression or anxiety come into play.
From what you've described, it seems you are grappling with feelings of isolation, disconnection from peers, and a sense of stagnation in your life. These feelings can often lead to a cycle of negative thinking, where you may feel trapped in your emotions and unsure of how to move forward. It's important to recognize that these feelings are valid and that seeking help is a strong and courageous step.


Signs and Symptoms of Depression
Depression can manifest in various ways, and it’s not always easy to identify. Common signs include:
1. Persistent Sadness or Low Mood: Feeling sad, empty, or hopeless most of the day, nearly every day.

2. Loss of Interest: A marked decrease in interest or pleasure in activities you once enjoyed, including social interactions.

3. Fatigue or Low Energy: Feeling tired or having little energy, even after a full night’s sleep.

4. Difficulty Concentrating: Struggling to focus on tasks, which can affect academic performance.

5. Changes in Sleep Patterns: Experiencing insomnia or sleeping too much.

6. Feelings of Worthlessness or Guilt: Harsh self-criticism or feeling like a burden to others.

7. Social Withdrawal: Avoiding friends and family, leading to increased feelings of loneliness.


Seeking Help
Given your situation, it’s crucial to consider reaching out for professional help. Here are some steps you can take:
1. Talk to a Mental Health Professional: A therapist or counselor can provide a safe space to explore your feelings and develop coping strategies. They can help you understand whether what you’re experiencing aligns with clinical depression or anxiety.

2. Utilize Campus Resources: Most universities have counseling services available for students. These services often provide free or low-cost therapy sessions and can be a great first step in seeking help.

3. Open Up to Trusted Individuals: While it may feel daunting, sharing your feelings with someone you trust, whether it’s a close friend or family member, can alleviate some of the burdens you’re carrying. You might be surprised by their understanding and support.

4. Practice Self-Care: Engage in activities that promote your well-being. This could include exercise, mindfulness practices like meditation, or hobbies that bring you joy. Establishing a routine can also help create a sense of normalcy.

5. Educate Yourself: Understanding more about depression and anxiety can empower you. Knowledge can help demystify your experiences and provide you with tools to manage your feelings.


Addressing Negative Thoughts
It’s common to feel like you’re “overreacting” or that your feelings aren’t valid. However, it’s essential to acknowledge that everyone’s experience with mental health is unique. Your feelings are real and deserve attention. Cognitive Behavioral Therapy (CBT) techniques can be particularly effective in challenging negative thought patterns and reframing how you view your experiences.


Conclusion
In summary, it’s important to take your feelings seriously and seek help. You are not alone in this struggle, and many resources are available to support you. Remember, reaching out for help is a sign of strength, not weakness. By taking proactive steps, you can work towards understanding your emotions better and finding a path that leads to improved mental health and well-being.

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