Depression: Signs, Symptoms, and Seeking Help - Psychiatry

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I have depression?


I have done many online assessments, and the results indicate that I have a high depression index.
However, I am not quite sure what the exact symptoms of depression are.
My outward behavior leads others to believe that I could not possibly be suffering from depression, yet I often feel very tired and weak.
I tend to think of the worst possible outcomes, and before sleeping, I find myself contemplating disasters and calamities, which makes me feel very distressed.
I also frequently recall things I have done in the past, and every time I think about them, I feel a headache, yet I can't help but revisit those memories.
I want to seek help from a psychiatrist, but my family thinks it is unnecessary.
What should I do?

Yutou, 10~19 year old female. Ask Date: 2004/03/25

Dr. Chen Wenyu reply Psychiatry


Hello, Taro: It is good to be concerned about your emotions, but if taken too far, it may lead to unnecessary distress.
Many questionnaires, tests, and even informational brochures can often lead individuals to believe they have "depression," "bipolar disorder," "personality disorders," or even "schizophrenia" if not interpreted with the assistance of a professional.
During adolescence, everyone tends to have fantasies, which can be both positive and negative, and these fantasies can significantly affect one's emotional state at the time.
Symptoms of depression in children and adolescents are often identified through observations by close individuals.
May I ask if your classmates, teachers, siblings, or parents think you should see a mental health professional? If they do not believe so, there may be no need for excessive concern.
Thank you for your letter!

Reply Date: 2004/03/25

More Info


Understanding depression is crucial, especially when you find yourself experiencing symptoms that disrupt your daily life. It’s important to recognize that depression can manifest in various ways, and it often goes beyond just feeling sad. Based on your description, it seems you are grappling with feelings of fatigue, negative thinking, and intrusive memories, which are common indicators of depression.


Signs and Symptoms of Depression
1. Persistent Sadness or Low Mood: While you may not always display sadness outwardly, internally you might feel a sense of emptiness or hopelessness. This can be accompanied by a lack of interest in activities you once enjoyed.

2. Fatigue and Low Energy: Feeling constantly tired or lacking energy is a hallmark of depression. This fatigue can make even simple tasks feel overwhelming.

3. Negative Thinking: It’s common for individuals with depression to have a pessimistic outlook on life. You mentioned often thinking about worst-case scenarios, which can contribute to feelings of anxiety and distress.

4. Intrusive Thoughts: Recurrent thoughts about past events or mistakes can be a sign of depression. These thoughts can lead to rumination, where you find it difficult to focus on anything else.

5. Sleep Disturbances: Many people with depression experience changes in their sleep patterns, whether it’s insomnia or sleeping too much. You mentioned thinking about distressing events before sleep, which can exacerbate insomnia.

6. Physical Symptoms: Depression can manifest physically, leading to headaches, stomach issues, or other unexplained aches and pains.

7. Social Withdrawal: Even if you appear fine on the outside, you might feel isolated or disconnected from others. This can lead to avoiding social interactions, which can further deepen feelings of loneliness.


Seeking Help
It’s understandable that you feel hesitant to seek help, especially if your family doesn’t see the necessity. However, it’s crucial to prioritize your mental health. Here are some steps you can take:
1. Educate Yourself: Understanding depression can empower you. Read reputable sources about the condition to better understand your feelings and experiences.

2. Journaling: Writing down your thoughts and feelings can help you process what you’re going through. It can also serve as a useful tool when you decide to speak with a mental health professional.

3. Talk to Someone: If you feel comfortable, try discussing your feelings with a trusted friend or family member. Sometimes, just sharing your thoughts can alleviate some of the burden.

4. Professional Help: If you continue to feel overwhelmed, consider seeking help from a mental health professional. You can start with a therapist or counselor who can provide support and coping strategies. If you feel that medication might be necessary, a psychiatrist can evaluate your situation.

5. Self-Care Practices: Engage in activities that promote well-being, such as exercise, mindfulness, or hobbies that you enjoy. These can help improve your mood and provide a sense of accomplishment.

6. Support Groups: Look for local or online support groups where you can connect with others who understand what you’re going through. Sharing experiences can be incredibly validating.


Conclusion
It’s important to remember that you are not alone in this struggle. Many people experience depression, and seeking help is a sign of strength, not weakness. Your feelings are valid, and addressing them is crucial for your overall well-being. If your family is resistant to the idea of seeking help, consider reaching out to a school counselor or a trusted adult who can advocate for you. Your mental health is a priority, and taking steps to address it can lead to a more fulfilling life.

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