Overcoming Heartbreak: Coping with Depression After a Breakup - Psychiatry

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Depression


Hello, I recently broke up with my boyfriend of eight years, and the reason for the breakup was my own doing.
However, I have been unable to accept his departure and have been feeling very low for the past two months.
I have lost interest in work and everything else, don't want to go out, and spend my days waiting for his call.
Sometimes, I even send him text messages and emails to try to get his attention, hoping he will come back.
My unstable emotions only make him more afraid of me.
I am trying hard to find things to occupy myself—working, attending classes, and even reading Buddhist scriptures—but nothing seems to work.
I feel unhappy every day, often zoning out, crying, lacking appetite, and sleeping very little.
Although I don't have the courage to commit suicide, I find myself wishing for an accident every time I go out.
Sometimes, I go on shopping sprees for clothes and shoes.
I have tried talking to friends, but it hasn't helped and only leads me to dwell on the past, making me even sadder.
I want to be happy and to get back to work and rediscover my life's dreams, but I just can't seem to move forward.
I know I should seek medical help, but I am afraid that I won't be able to express myself to the doctor or nurse and that I might break down in public.
I am also worried about the potential side effects of medication.

Ally, 20~29 year old female. Ask Date: 2004/05/30

Dr. Liu Weimin reply Psychiatry


You are experiencing a common painful experience that many people go through: heartbreak! This profound pain can feel overwhelming, but as time passes, it often fades away without you even realizing it, ultimately leaving behind only a faint sense of longing.
Time is indeed the best healer.
Of course, during the acute phase, consulting a psychiatrist can be beneficial.
Talking to a doctor and possibly using some psychiatric medications can help you navigate through this painful period more effectively.
Psychiatrist Dr.
Kong Fan-Chung.

Reply Date: 2004/05/30

More Info


I'm truly sorry to hear about your recent breakup and the emotional turmoil you're experiencing. It's understandable that after an eight-year relationship, the feelings of loss and sadness can be overwhelming. The symptoms you're describing—persistent low mood, lack of interest in activities, difficulty sleeping, and changes in appetite—are common signs of depression, especially following a significant emotional loss.

First and foremost, it's important to acknowledge your feelings. Breakups can trigger a grieving process similar to losing a loved one, and it's normal to feel a range of emotions, including sadness, anger, and confusion. The fact that you are aware of your emotional state and are seeking ways to cope is a positive step.

Here are some strategies that may help you navigate this difficult time:
1. Talk to Someone: While you mentioned that talking to friends hasn't been effective, it might be beneficial to seek professional help. A therapist or counselor can provide a safe space for you to express your feelings without judgment. They can also offer coping strategies tailored to your situation. If you're concerned about being unable to speak in front of a professional, consider writing down your thoughts and feelings beforehand. This can serve as a guide during your appointment.

2. Journaling: Writing about your feelings can be a therapeutic way to process your emotions. It allows you to express what you're going through and can help you gain clarity on your thoughts. You might find it helpful to write letters to your ex, even if you don’t send them. This can be a way to articulate your feelings and begin to let go.

3. Establish a Routine: Creating a daily routine can provide structure and a sense of normalcy. Try to include activities that you once enjoyed, even if they don't feel appealing right now. Gradually reintroducing these activities can help rekindle your interest over time.

4. Physical Activity: Engaging in physical exercise can significantly improve your mood. Exercise releases endorphins, which are natural mood lifters. Even a short daily walk can make a difference in how you feel.

5. Mindfulness and Relaxation Techniques: Practices such as meditation, yoga, or deep breathing exercises can help reduce anxiety and improve your emotional well-being. These techniques can help you stay grounded and present, rather than getting lost in negative thoughts.

6. Limit Contact with Your Ex: While it’s natural to want to reach out, constant communication can prolong your pain and make it harder to heal. Consider setting boundaries for yourself regarding contact with your ex. This might mean taking a break from texting or calling until you feel more stable.

7. Avoid Substance Use: While it might be tempting to use shopping or other distractions to cope, these can sometimes lead to more feelings of emptiness or regret. Try to focus on healthier coping mechanisms.

8. Consider Professional Help: If your symptoms persist or worsen, it may be time to consult a mental health professional. They can assess your situation and discuss treatment options, including therapy and, if necessary, medication. It's understandable to have concerns about medication side effects, but a professional can help you weigh the benefits and risks.

9. Self-Compassion: Be gentle with yourself during this time. Healing takes time, and it’s okay to feel sad. Allow yourself to grieve the relationship without judgment.

10. Set Small Goals: Focus on small, achievable goals each day. This could be as simple as getting out of bed at a certain time, taking a shower, or preparing a meal. Celebrating these small victories can help build momentum toward feeling better.

Remember, it’s okay to seek help, and doing so is a sign of strength. You don’t have to go through this alone, and there are people who can support you through this challenging time. Healing is a journey, and while it may feel daunting now, with time and the right support, you can find your way back to a place of happiness and fulfillment.

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