Signs of Depression Relapse: Should You Seek Help Again?

Tendency for depression relapse

Doctor, I personally suffered from severe depression and attempted suicide many years ago.
After being on medication for nearly four years, I stopped taking it, and it has been almost 20 years since then.
During this time, my temper has fluctuated, but since it hasn't significantly affected my daily life, I haven't paid much attention to it.
However, recently, as a close family member has also been diagnosed with depression and is undergoing treatment, I suddenly noticed that I have been experiencing intermittent thoughts of self-harm over the past couple of days.
Although these thoughts are not constant, I am concerned that I may be at risk of a relapse of depression.
Should I return to see my doctor from many years ago, or should I seek treatment at a nearby hospital?

Hui Ru, 30~39 year old female. Ask Date: 2023/12/18

Dr. Wu Enliang reply Psychiatry

Hello, if there is no relief, it is indeed possible that it is a recurrence.
As for whether to consult the previous physician or a nearby doctor, either option is acceptable.
Dr.
Wu Enliang.

Reply Date: 2023/12/18

More Info

It sounds like you are experiencing a concerning resurgence of depressive symptoms after a long period of stability. Given your history of severe depression and suicidal ideation, it's crucial to take these feelings seriously. The emergence of self-harming thoughts, even if they are intermittent, can be a significant indicator of a potential relapse into depression.
Depression can manifest in various ways, and it's not uncommon for individuals who have previously experienced severe depressive episodes to face challenges later in life, especially during stressful times or when exposed to reminders of their past struggles, such as a loved one dealing with similar issues. The fact that you are noticing these thoughts again, especially after such a long period of stability, is a signal that you should seek help.

Here are some signs that may indicate a relapse of depression:
1. Re-emergence of Negative Thoughts: If you find yourself frequently engaging in negative self-talk or feeling hopeless, this can be a sign of a depressive episode.

2. Changes in Mood: Fluctuations in mood, especially if they lean towards irritability or sadness, can indicate a return of depressive symptoms.

3. Self-Harm Thoughts: The presence of self-harming thoughts, even if they are not acted upon, is a serious concern and should be addressed immediately.

4. Withdrawal from Activities: If you start to lose interest in activities you once enjoyed or begin isolating yourself from friends and family, this could be a sign of depression.

5. Physical Symptoms: Depression can also manifest physically, leading to changes in sleep patterns, appetite, or energy levels.

Given your history and the current symptoms you are experiencing, it is advisable to seek professional help. You have a couple of options:
- Return to Your Previous Doctor: If you had a good rapport with your previous psychiatrist and feel comfortable with them, returning to them could provide continuity in your care. They will be familiar with your history and can offer tailored treatment options based on your past experiences.

- Visit a Local Mental Health Facility: If you prefer to seek help closer to home or if your previous doctor is not accessible, visiting a local mental health facility is also a valid option. Many hospitals have mental health departments that can provide immediate support and treatment.

Regardless of the route you choose, it’s essential to communicate openly about your symptoms and any thoughts of self-harm. Treatment options may include medication, therapy, or a combination of both, depending on your specific needs.
In addition to seeking professional help, consider reaching out to supportive friends or family members who can provide emotional support during this time. Engaging in self-care practices, such as regular exercise, maintaining a balanced diet, and ensuring adequate sleep, can also be beneficial in managing your mental health.

Remember, acknowledging that you might be experiencing a relapse is a courageous step. Seeking help is not a sign of weakness but rather a proactive approach to safeguarding your mental health. You deserve support and care, and there are professionals who can help you navigate this challenging time.

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