Depression: Coping with Feelings of Hopelessness and Anxiety

Q: Depression: Coping with Feelings of Hopelessness and Anxiety

Hello： If the situation you described has lasted for more than two weeks without improvement, it is possible that you may be experiencing depression. <br>While it is important to address the issues at hand, the psychological fear and shame you are feeling are obstacles you need t

Am I sick?

I have measured my depression and my score is above 29, specifically 42.
However, I sometimes have thoughts of wanting to die.
I find it difficult to concentrate on tasks and lack self-confidence.
I often lie in bed around 2 or 3 AM, and my mood can be quite frustrating.
This makes studying very uncomfortable, and I don’t know why I just don’t want to study anymore, leading me to drop out of school.
Now, I feel anxious about finding a job or doing part-time work, as I feel incapable.
Life is very difficult for me.
I also don’t want to tell my family because I feel it wouldn’t help; they probably wouldn’t care much about my issues.
Besides, who would admit to having depression? Who would believe me? It feels very fake.
However, sometimes when I’m alone, I experience violent impulses, like wanting to hit walls or flip tables.
But these are just impulses.
It’s hard to deal with this feeling because I have to suppress it.
Could you please advise me on how to resolve these issues?

Xiao Youyu, 10~19 year old female. Ask Date: 2005/05/05

Dr. Lin Yanhong reply Psychiatry

Hello: If the situation you described has lasted for more than two weeks without improvement, it is possible that you may be experiencing depression.
While it is important to address the issues at hand, the psychological fear and shame you are feeling are obstacles you need to overcome.
It is true that without the help of a professional physician, it may be difficult to find a solution.
I encourage you to muster the courage to seek help from a qualified healthcare provider.
If necessary, medication may provide an opportunity for improvement.
Problems cannot be resolved merely through rational discussion; therefore, facing the issues and seeking professional assistance is the way to find a solution.
Wishing you well, Dr.
Lin.

Reply Date: 2005/05/05

More Info

Understanding depression and coping with feelings of hopelessness and anxiety can be a challenging journey, especially when you are experiencing symptoms that significantly impact your daily life. Based on your description, it seems that you are grappling with a range of distressing feelings, including hopelessness, lack of concentration, self-doubt, and even thoughts of self-harm. These symptoms can be indicative of a depressive disorder, and it’s crucial to address them with the seriousness they deserve.

Firstly, it’s important to recognize that feeling overwhelmed, anxious, or hopeless is not a sign of weakness; rather, it is a common human experience, especially in the face of stressors such as academic pressure, job searching, or interpersonal relationships. Your score of 42 on the depression scale indicates that you are experiencing significant distress, and it’s essential to seek help from a mental health professional who can provide a proper diagnosis and treatment plan.

Coping with feelings of hopelessness often involves a multi-faceted approach. Here are some strategies that may help you navigate through this difficult time:
1. Seek Professional Help: It’s crucial to talk to a mental health professional, such as a psychologist or psychiatrist. They can provide a safe space for you to express your feelings and thoughts without judgment. Therapy can help you develop coping strategies, understand the root causes of your feelings, and work through them. If necessary, medication may also be prescribed to help manage your symptoms.

2. Open Up to Someone You Trust: While you may feel that your family might not understand, consider confiding in a friend or a trusted individual. Sharing your feelings can alleviate some of the burdens you carry and may provide you with a different perspective on your situation.

3. Establish a Routine: Creating a daily routine can provide structure and a sense of normalcy. Include activities that you enjoy or used to enjoy, even if they feel challenging at first. This could be as simple as taking a walk, reading, or engaging in a hobby.

4. Practice Mindfulness and Relaxation Techniques: Mindfulness practices, such as meditation, deep breathing exercises, or yoga, can help reduce anxiety and improve your mood. These techniques encourage you to focus on the present moment and can help you manage overwhelming emotions.

5. Limit Negative Influences: If certain environments or people contribute to your feelings of anxiety or hopelessness, it may be beneficial to limit your exposure to them. Surround yourself with supportive individuals who uplift you.

6. Set Small, Achievable Goals: When facing overwhelming tasks, break them down into smaller, manageable steps. Celebrate your achievements, no matter how small, as this can help build your confidence over time.

7. Engage in Physical Activity: Regular exercise has been shown to have a positive impact on mental health. It releases endorphins, which can improve your mood and reduce feelings of anxiety.

8. Avoid Substance Abuse: While it may be tempting to use substances as a coping mechanism, they can exacerbate feelings of depression and anxiety in the long run.

9. Educate Yourself About Depression: Understanding your condition can empower you. Knowledge about depression can help you recognize your symptoms and understand that you are not alone in your struggles.

10. Emergency Support: If you ever feel that you might harm yourself or have thoughts of suicide, it is crucial to seek immediate help. Contact a crisis hotline, reach out to a mental health professional, or go to the nearest emergency room.

In conclusion, while it may feel daunting to confront these feelings, taking the first step towards seeking help is a significant move towards recovery. Remember, you are not alone, and there are people and resources available to support you through this challenging time. Your feelings are valid, and with the right support and strategies, it is possible to find relief and regain a sense of hope and purpose in your life.

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