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Hello, doctor.
Recently, I feel like I'm going crazy.
I often feel down and easily cry for no reason.
I have seen a doctor, but sometimes I feel embarrassed because I'm still young and experiencing issues like "psychoneurotic depression." Additionally, I've been going to the study room to study, even though I don't want to.
If I don't go, I feel restless all day and can't do anything, and I also feel a sense of guilt.
Is this obsessive-compulsive disorder? Every time I think about school or studying, I can't help but cry, and the thought of school starting soon makes me want to hide and escape forever.
I feel like no one understands me, and I don't really trust them with what I'm going through.
What should I do now?
mimi, 10~19 year old female. Ask Date: 2004/07/16
Dr. Chen Wenke reply Psychiatry
Hello MIMI, based on your question, it seems that you may be experiencing symptoms of depression combined with anxiety.
This means that in addition to feeling down, you may also be easily anxious and worried, to the point where it affects your ability to concentrate on studying.
It is important to seek help from a professional psychiatrist for evaluation and treatment as soon as possible.
There are actually many people experiencing similar issues.
Indeed, it can be difficult for those who haven't gone through such experiences to understand what you're going through.
However, many people face similar challenges, and the correct approach is to seek medical attention.
The effectiveness of treatment is generally very good, and I believe you will be okay.
Wishing you well.
Reply Date: 2004/07/16
More Info
It sounds like you are going through a very challenging time, and I want to acknowledge the feelings you are experiencing. It's important to understand that what you're feeling is not uncommon among young adults, especially in high-pressure environments like school. The symptoms you describe—feeling overwhelmed, frequent crying, anxiety about school, and a sense of isolation—can be indicative of anxiety and depression, which are serious but treatable conditions.
First, it's crucial to recognize that seeking help is a sign of strength, not weakness. Many young people experience mental health issues, and it’s okay to talk about them. You mentioned feeling embarrassed about your situation, but remember that mental health struggles can affect anyone, regardless of age. It’s commendable that you have already taken the step to see a doctor. If you feel that your current treatment isn’t addressing your needs, consider discussing this with your healthcare provider. They can help you explore other options, whether that means adjusting your treatment plan or referring you to a mental health specialist, such as a psychologist or psychiatrist.
Your feelings of guilt when not studying and the anxiety that arises from thinking about school may suggest that you are experiencing a form of compulsive behavior, which can be related to anxiety disorders. It’s common for individuals to feel a sense of obligation to perform academically, leading to stress and anxiety. This can create a cycle where the pressure to succeed makes you feel worse, which in turn affects your ability to study effectively.
To cope with these feelings, consider implementing some strategies that can help manage anxiety and depression:
1. Structured Routine: Establish a daily routine that includes time for studying, relaxation, and self-care. This can help create a sense of normalcy and control in your life.
2. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help reduce anxiety and improve your mood. Even a few minutes a day can make a difference.
3. Physical Activity: Regular exercise is known to have a positive impact on mental health. It can help reduce anxiety and improve your mood. Find an activity you enjoy, whether it's walking, dancing, or playing a sport.
4. Talk About It: If you feel comfortable, try to talk to someone you trust about what you’re going through. This could be a friend, family member, or a school counselor. Sharing your feelings can help alleviate some of the burden you’re carrying.
5. Limit Stressors: If possible, identify specific stressors in your life and see if there are ways to reduce or manage them. This might mean setting boundaries around study time or taking breaks when you feel overwhelmed.
6. Professional Support: If your feelings of anxiety and depression persist or worsen, it may be beneficial to seek therapy. A mental health professional can provide you with tools and strategies to cope with your feelings and help you work through the underlying issues.
7. Avoid Isolation: Even though it may feel easier to withdraw, try to engage with others. Social support is vital for mental health. Reach out to friends or join study groups where you can connect with peers.
8. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process what you’re experiencing. It can also help you identify patterns in your emotions and triggers for your anxiety.
Remember, you are not alone in this, and there are people and resources available to help you navigate through these feelings. It’s okay to ask for help, and taking steps to care for your mental health is one of the most important things you can do for yourself. If you ever feel overwhelmed or have thoughts of self-harm, please reach out to a trusted adult or a mental health professional immediately. Your well-being is important, and there is hope for a brighter future.
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