Signs You Might Be Struggling with Depression: A High School Student's Guide - Psychiatry

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I want to determine if I have generalized anxiety disorder!


I am a senior in high school.
This year, I am facing the pressure of major exams, along with the stress from my parents' ongoing conflicts and issues, schoolwork, and family finances.
I have noticed that I have become more emotional, more prone to displaying a cool demeanor, yet I tend to shut myself off under sudden pressure.
This situation has persisted for about two years without improvement.
Now, I am also facing relationship problems, which lead me to suddenly cry, engage in binge drinking, experience insomnia at night, or alternatively, sleep excessively.
Could this be depression?

Alice, 10~19 year old female. Ask Date: 2004/02/10

Dr. Chen Wenyu reply Psychiatry


Hello Alice: A multitude of issues intertwined can inevitably lead to adjustment difficulties, resulting in emotional problems such as depression, irritability, lack of interest, low motivation, poor appetite (or overeating), insomnia, and other symptoms.
Problems related to exams, family, and relationships do not disappear overnight.
When external circumstances cannot be changed, the only option is to adjust oneself to adapt.
However, in such a negative emotional state, how can one calmly handle situations? You should seek help from a psychiatrist, who can assist you with medication and psychological counseling, enabling you to face and resolve these concerns more easily.
Regarding family matters, consider bringing your parents to the consultation for a multi-faceted discussion and communication with the doctor.
Additionally, there is another issue...
alcohol abuse.
The numbing effect of alcohol may provide a temporary escape from these bothersome constraints, but have you not realized that the problems remain unresolved, merely avoided for a short time? "Avoidance" is one of the coping mechanisms for stress.
If this method is used repeatedly, it can become a unique behavioral pattern in the future...
avoiding problems and hiding away can harm your personality and character development.
Thank you for your letter!

Reply Date: 2004/02/10

More Info


It sounds like you are experiencing a significant amount of stress and emotional turmoil, which can indeed be indicative of depression. As a high school senior facing the pressures of exams, family conflicts, academic demands, and personal relationships, it's understandable that you might feel overwhelmed. Let's break down some of the signs you mentioned and explore what they could mean in the context of depression.

1. Increased Emotional Sensitivity: You mentioned that you find yourself crying more often and feeling emotionally closed off. This heightened emotional sensitivity can be a common symptom of depression. When under stress, individuals may feel more vulnerable and unable to cope with their feelings, leading to crying spells and a sense of isolation.

2. Changes in Sleep Patterns: You indicated that you experience insomnia or excessive sleeping. Sleep disturbances are a hallmark of depression. Insomnia can stem from racing thoughts and anxiety, while excessive sleeping may be a way your body tries to escape from stress. Both can significantly impact your daily functioning and emotional well-being.

3. Substance Use: You mentioned turning to alcohol as a coping mechanism. While it may provide temporary relief, alcohol can exacerbate feelings of depression and anxiety in the long run. It's crucial to recognize that using substances to cope can lead to a cycle of dependency and further emotional distress.

4. Feelings of Hopelessness: You expressed feelings of being overwhelmed and a sense of hopelessness regarding your situation. This can manifest as negative thoughts about yourself and your future, which are common in depression. It's important to challenge these thoughts and seek support.

5. Social Withdrawal: You noted that you sometimes feel like shutting yourself off from others. Social withdrawal is another common symptom of depression. When feeling low, individuals may isolate themselves, which can further intensify feelings of loneliness and despair.

6. Physical Symptoms: You mentioned feeling fatigued and having a lack of appetite. Depression can manifest physically, leading to symptoms such as fatigue, changes in appetite, and even gastrointestinal issues. These physical symptoms can further complicate your emotional state.

Given these signs, it would be beneficial for you to seek professional help. A mental health professional, such as a psychologist or psychiatrist, can provide a proper assessment and help you understand what you are experiencing. They can offer therapy options, such as cognitive-behavioral therapy (CBT), which is effective for treating depression and anxiety. In some cases, medication may also be recommended to help manage symptoms.

Additionally, consider reaching out to trusted friends or family members about what you are going through. Sharing your feelings can alleviate some of the burdens you carry and help you feel less isolated. Engaging in activities you enjoy, maintaining a routine, and practicing self-care can also be beneficial.

Remember, you are not alone in this struggle, and seeking help is a sign of strength. Addressing these feelings early on can lead to better outcomes and help you navigate this challenging time in your life. Your mental health is just as important as your academic success, and taking steps to care for yourself is crucial.

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