Depression: Seeking Help and Managing Symptoms Effectively

Q: Depression: Seeking Help and Managing Symptoms Effectively

Hello： Depression has been classified as one of the three major diseases of the century, highlighting its extensiveness and severity. <br>One additional suffering for those troubled by depression is that others cannot understand their pain. <br>Currently, the treatment for depres

Depression

Hello, doctor.
I am currently a patient with depression and have been receiving treatment from a physician at St.
Mary's Hospital.
I thought I was recovering, but after my appointment on the morning of March 12, I felt fine initially, only a bit anxious.
However, after returning home from Luodong to Yilan, my symptoms resurfaced.
I feel extremely low in spirits, very distressed, and have thoughts of wanting to die.
I also feel a pressure in my chest.
I found some relief through sexual activity that day, but I was lethargic and contemplated suicide to end my suffering.
However, I thought of my family and realized I cannot die.
I am considering seeking treatment in Yilan, as it would be closer and less expensive.

Right now, I have a headache and feel a bit dizzy, and I don’t know what to do.
I am also currently not serving in the military and am unsure if I can be exempted or what the process is.
I am on alternative service! I feel a heavy burden; without a job, I now have to face medical expenses, which adds to my stress.
My memory has also been poor, and I feel lost and aimless, lacking patience.

Finally, I kindly ask for your guidance, and I would be very grateful for your help.

Hei Jie Ke, 20~29 year old female. Ask Date: 2001/03/13

Dr. Lin Yanhong reply Psychiatry

Hello: Depression has been classified as one of the three major diseases of the century, highlighting its extensiveness and severity.
One additional suffering for those troubled by depression is that others cannot understand their pain.
Currently, the treatment for depression primarily involves medication combined with psychotherapy, with medication showing effectiveness in over 70 to 80% of cases.
However, patience and perseverance are crucial, as well as a strong determination to overcome depression.
Whether depression can be exempted from military service depends on the symptoms and the individual's response to medication, and the decision lies with the psychiatrist at the military hospital.
You may ask your attending physician to issue a diagnosis certificate before submitting an application.
Regardless, I wish you a swift recovery from the depths of depression and encourage you to cooperate with your physician.

Reply Date: 2001/03/13

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. Depression can be a debilitating condition that affects not only your mental health but also your physical well-being and daily functioning. It’s important to understand that you are not alone in this struggle, and there are ways to seek help and manage your symptoms effectively.

First and foremost, it’s crucial to continue seeking professional help. Since you have already been under the care of a physician at a hospital, I encourage you to reach out to them again, especially since you are experiencing a resurgence of symptoms. It’s not uncommon for individuals with depression to have fluctuations in their mood and symptoms, and sometimes adjustments in treatment are necessary. If you feel that traveling to your current doctor is too burdensome, consider finding a mental health professional closer to home in Yilan. Many hospitals and clinics offer mental health services, and you may find it beneficial to speak with a therapist or psychiatrist who can provide support and possibly adjust your treatment plan.

In addition to professional help, there are several strategies you can implement to manage your symptoms on your own. Here are some suggestions:
1. Establish a Routine: Creating a daily routine can provide structure and a sense of normalcy. Try to wake up, eat meals, and go to bed at the same time each day. This can help regulate your body’s internal clock and improve your mood.

2. Physical Activity: Engaging in regular physical activity can have a profound impact on your mental health. Exercise releases endorphins, which are natural mood lifters. Even a short walk or some light stretching can help alleviate feelings of anxiety and depression.

3. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, or yoga can help reduce stress and improve your emotional well-being. These techniques encourage you to focus on the present moment and can help you manage overwhelming feelings.

4. Social Support: Reach out to friends or family members who you trust and feel comfortable talking to. Sharing your feelings and experiences can provide relief and help you feel less isolated. If you don’t feel comfortable talking to someone in person, consider online support groups where you can connect with others who understand what you’re going through.

5. Limit Stressors: Identify sources of stress in your life and see if there are ways to minimize them. This might include setting boundaries with people or situations that drain your energy or cause you distress.

6. Healthy Lifestyle Choices: Pay attention to your diet, sleep, and substance use. Eating a balanced diet, getting enough sleep, and avoiding alcohol and drugs can significantly impact your mood and overall health.

7. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process what you’re experiencing. It can help you identify patterns in your mood and triggers for your depression.

Regarding your concerns about military service, it’s important to communicate with the appropriate authorities about your mental health status. In many cases, individuals with documented mental health conditions may be eligible for exemptions or alternative service options. It’s best to consult with a mental health professional who can provide documentation and guidance on how to navigate this process.

Lastly, if you ever have thoughts of self-harm or suicide, it’s critical to seek immediate help. Contact a crisis hotline, reach out to a trusted friend or family member, or go to the nearest emergency room. Your life is valuable, and there are people who care and want to help you through this difficult time.

Remember, recovery from depression is a journey that takes time, and it’s okay to seek help along the way. You are taking a positive step by reaching out for guidance, and I encourage you to continue doing so.

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