Panic and Depression: A Soldier's Mental Health Journey

Q: Panic and Depression: A Soldier's Mental Health Journey

Hello： I apologize for the delay in my response due to my busy schedule recently. <br>You have already seen a psychiatrist and received a diagnosis of panic disorder with depression, and the symptoms have persisted for nearly two years, which must have been quite distressing for

Mental illness

Hello, Doctor: I am a conscripted soldier.
In January of this year, after suffering from a severe cold, I visited a physician who recommended that I see a psychiatrist.
After evaluation, I was diagnosed with panic disorder and depression, which I had been experiencing for about a year and a half prior to my service.
At that time, my symptoms included emotional breathing issues.
The doctor warned that if I did not manage my condition well, it could potentially develop into bipolar disorder.
I was unaware that I had a mental illness at that time.

After enlisting, I sometimes experience severe distress during episodes, and I have had thoughts of self-harm on ten occasions, but I have not acted on them because I want to live for my family! Occasionally, I also have thoughts of harming others, but I try my best to suppress those urges.
I visited the military hospital twice, and the doctors there believed I did not have a mental illness, but rather that I simply did not want to serve.

I have somewhat adapted to military life, and with only a few days left until training completion, I discussed the possibility of being exempted from service due to my condition with the guidance officer.
However, I forgot that if I could not be exempted, I would have to remain in the military until training was complete.
The guidance officer advised me to finish my remaining days in the unit first and encouraged me not to have thoughts of self-harm.
The next day, I received a discharge notice, which I found very embarrassing and disappointing, especially so close to the end of training.
During the discharge process, the guidance officer seemed indifferent towards me.
Unfortunately, I will have to wait six months for a re-evaluation, and the sergeant mentioned that the chances of being exempted are slim.

Now, I sometimes find it difficult to concentrate while on the road, feeling dazed...
I would like to ask the doctor what I should do? (I was diagnosed with panic disorder and depression on February 14, 2001.
I have been managing my condition with medication to prevent future episodes.)

Xiao Gou, 20~29 year old female. Ask Date: 2001/04/27

Dr. Lin Yanhong reply Psychiatry

Hello: I apologize for the delay in my response due to my busy schedule recently.
You have already seen a psychiatrist and received a diagnosis of panic disorder with depression, and the symptoms have persisted for nearly two years, which must have been quite distressing for you.
It is important to assess whether the depression or panic symptoms are more severe, although it can sometimes be challenging to differentiate and compare them.
Medication treatment is essential, especially for controlling panic symptoms, as they can be unpredictable and quite uncomfortable, which can naturally lead to depression over time.
If you are compliant with your medication, it is advisable to find a trustworthy physician for ongoing treatment.
Additionally, incorporating behavioral therapy, cognitive therapy, or psychotherapy can further help alleviate your symptoms and enhance your resilience, leading to an improvement in depressive symptoms.
As for the prognosis of panic disorder, it will depend on future episodes.
Regarding military service, your condition falls into a gray area where you may or may not be eligible for service, and it will need to be determined by a military physician.
Dr.
Lin Yan-Hong

Reply Date: 2001/04/27

More Info

It sounds like you are going through an incredibly challenging time, and I want to acknowledge the pain and distress you are experiencing. Your situation is complex, involving both mental health issues and the pressures of military service. Understanding panic and depression, especially in the context of being a soldier, is crucial for your well-being.

First, it’s important to recognize that panic disorder and depression are serious mental health conditions that can significantly impact your daily life. Panic attacks can cause overwhelming feelings of fear and anxiety, often accompanied by physical symptoms such as rapid heartbeat, shortness of breath, and dizziness. Depression, on the other hand, can lead to persistent feelings of sadness, hopelessness, and a lack of interest in activities you once enjoyed. When these two conditions coexist, it can create a cycle of fear and despair that feels insurmountable.

Given your history of panic disorder and depression, it’s understandable that the stress of military life could exacerbate your symptoms. The environment in the military can be particularly isolating, and the demands placed on you may feel overwhelming, especially if you are already struggling with mental health issues. It’s not uncommon for soldiers to feel alone in their struggles, particularly when they perceive that others around them may not understand or empathize with their situation.

You mentioned having thoughts of self-harm and even thoughts of harming others. These thoughts can be alarming and should not be taken lightly. It’s crucial to seek help immediately if you find yourself in a crisis or if these thoughts become more frequent or intense. Contacting a mental health professional, such as a psychiatrist or psychologist, is essential. They can provide you with the support and treatment you need to manage your symptoms effectively.

In terms of coping strategies, here are some suggestions that may help you navigate this difficult period:
1. Reach Out for Support: It’s important to talk to someone about what you’re going through. This could be a trusted friend, family member, or a mental health professional. Sharing your feelings can help alleviate some of the burden you’re carrying.

2. Utilize Military Resources: Many military organizations offer mental health services, including counseling and support groups. Don’t hesitate to reach out to these resources. The military has a vested interest in the mental well-being of its personnel.

3. Practice Mindfulness and Relaxation Techniques: Techniques such as deep breathing, meditation, and progressive muscle relaxation can help reduce anxiety and improve your overall mood. These practices can be particularly helpful during moments of panic.

4. Stay Active: Physical activity can be a powerful tool for managing depression and anxiety. Even simple exercises like walking or stretching can help improve your mood and reduce stress.

5. Establish a Routine: Creating a daily routine can provide structure and a sense of normalcy, which can be comforting during times of distress.

6. Avoid Substance Use: While it may be tempting to use alcohol or drugs to cope with your feelings, these substances can worsen anxiety and depression in the long run.

7. Consider Medication: If you haven’t already, discuss with your doctor the possibility of medication to help manage your symptoms. Antidepressants and anti-anxiety medications can be effective for many individuals.

8. Focus on Short-Term Goals: Instead of overwhelming yourself with thoughts about the future, try to focus on small, achievable goals each day. This can help you regain a sense of control and accomplishment.

Lastly, it’s essential to remember that you are not alone in this struggle. Many individuals face similar challenges, and seeking help is a sign of strength, not weakness. Your life is valuable, and there are people and resources available to support you through this difficult time. Please prioritize your mental health and reach out for the help you deserve.

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