Feeling Down and Lost: Emotional Distress and Seeking Help - Psychiatry

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Hello doctor, I have been feeling frequently depressed lately, waking up often during sleep, crying often, and experiencing palpitations.
I don't understand why this is happening; I find myself crying for no apparent reason.
I really don't know what to do now.
My interests have also significantly diminished, and now that summer vacation has started, the stress shouldn't be as high as before.
I still don't know what to do...

Jing, 10~19 year old female. Ask Date: 2004/07/07

Dr. Tang Xinbei reply Psychiatry


Dear Jing,
It seems like you are feeling quite down.
Since you only mentioned a few symptoms without discussing the related potential factors causing them, I cannot make too many assumptions or suggestions.
The only advice I can offer is to talk about your feelings of sadness with your family, relatives, school counselor, or trusted friends (assuming you are still in school).
I encourage you to seek support and accompany you to a mental health facility for a professional evaluation and necessary assistance.
Wishing you peace and joy!

Reply Date: 2004/07/07

More Info


It sounds like you are going through a very challenging time, and I want to acknowledge the pain and confusion you are experiencing. Emotional distress can manifest in various ways, including feelings of sadness, anxiety, and even physical symptoms like heart palpitations and disrupted sleep. It’s important to understand that these feelings are valid and that you are not alone in experiencing them.

Firstly, let’s talk about the symptoms you mentioned: frequent crying, waking up during sleep, and heart palpitations. These can be signs of emotional distress or even depression. Depression is not just about feeling sad; it can also involve a loss of interest in activities you once enjoyed, changes in sleep patterns, and physical symptoms like fatigue or heart issues. It’s crucial to differentiate between temporary feelings of sadness and a more persistent state that may require professional help.

Given that you mentioned a decrease in interest in your hobbies and activities, this could indicate that you are experiencing a significant emotional shift. It’s common for people to feel overwhelmed by their emotions, especially when they are unable to pinpoint the exact cause. Sometimes, emotional distress can arise from accumulated stressors, unresolved issues, or even changes in your environment, such as transitioning to a new phase in life or dealing with personal challenges.

You also mentioned that you are on summer break, which typically should be a time for relaxation and enjoyment. However, if you are still feeling low during this time, it may be a sign that your emotional state needs attention. It’s essential to recognize that taking a break from stress does not automatically resolve underlying emotional issues.

Here are some steps you can take to help navigate through this difficult period:
1. Seek Professional Help: It’s crucial to talk to a mental health professional who can provide guidance and support. A therapist or counselor can help you explore your feelings, identify underlying issues, and develop coping strategies. They can also assess whether you might benefit from medication or other forms of treatment.

2. Practice Self-Care: Engage in activities that promote your well-being. This could include physical exercise, which is known to release endorphins and improve mood, or mindfulness practices such as meditation or yoga. Even simple activities like taking a walk in nature or spending time with supportive friends can make a difference.

3. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process your emotions. It allows you to reflect on what you are experiencing and can help you identify patterns or triggers in your emotional state.

4. Connect with Others: Reach out to friends or family members who you trust. Sharing your feelings with someone who cares can provide relief and help you feel less isolated. Sometimes, just knowing that someone is there to listen can be incredibly comforting.

5. Limit Stressors: If there are specific situations or people that contribute to your emotional distress, try to limit your exposure to them, at least temporarily. This can create space for you to focus on your healing.

6. Educate Yourself: Understanding more about emotional health can empower you. Read about mental health, coping strategies, and the importance of seeking help when needed. Knowledge can reduce feelings of helplessness.

7. Be Patient with Yourself: Healing takes time, and it’s okay to feel what you are feeling. Allow yourself to experience your emotions without judgment. It’s a part of the process.

In conclusion, your feelings of emotional distress are significant and deserve attention. Seeking help from a mental health professional is a vital step toward understanding and managing your emotions. Remember, you do not have to navigate this alone, and there are resources available to support you through this challenging time. Take care of yourself, and know that it’s okay to ask for help.

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