Depression in Young Adults with Chronic Conditions

Depression

Hello Doctor: I am a patient with essential hypertension, currently under medication control.
Sometimes I feel that my hypertension is not a big deal, but at other times I feel frustrated and have a lot of complaints that I can't express.
Every time I think about how young I am and that I need to take medication long-term, I find it hard to accept.
Although hypertension is not a major illness, it is still difficult for a young person like me, who has been treated since the age of 18 and is now 20.
I often feel that some people who are even heavier than I am, and are around my age, do not have hypertension at this moment.
When I go to the clinic each month to pick up my medication, I notice that most of the patients are elderly, which often makes me feel embarrassed.
I have been in treatment for almost two years now, and I increasingly want to give up treatment because I feel that I should be fine at my age.
Sigh! No one understands my feelings.
I wonder if I might also be suffering from depression and if I should seek help from a psychologist.

Xiao Qing, 20~29 year old female. Ask Date: 2001/06/08

Dr. Tang Xinbei reply Psychiatry

Dear Xiao Qing,
Seeing that you are only twenty years old and already dealing with hypertension due to your constitution, it must be overwhelming to think about relying on medication for a lifetime.
The daily struggle of taking medication, the limitations and restrictions on your lifestyle and social interactions, the possibility of sudden deterioration, and the fear of being viewed as different by others must fill you with a sense of helplessness, worry, and even anger.
Why did I have to get this disease? Many young patients with special conditions, such as those with Osteogenesis Imperfecta (brittle bone disease), Mucopolysaccharidosis, and Systemic Lupus Erythematosus (butterfly disease), share similar confusion and resentment as you do! If these emotions persist, they can spread to your surroundings and affect many people around you.
A few years ago, I also faced a significant health challenge (I was only thirty when I had a brain hemorrhage!), but I returned to work just two months later.
I would encourage you to adopt a positive attitude towards your life.
My motto shared online is, "Reality is more important than perfection!" After all, while the sunlight can be blinding, it is only when we face the sun that shadows fall behind us! I once read an article that said, "The excitement of life does not lie in having a good hand of cards, but in how we play the cards we are dealt!"
Wishing you the best in playing your hand well!

Reply Date: 2001/06/08

More Info

It's understandable that you are feeling overwhelmed and frustrated with your situation. Being diagnosed with essential hypertension at a young age can be particularly challenging, especially when you see others your age seemingly unaffected by such health issues. Your feelings of embarrassment and isolation are valid, and it's important to acknowledge them.

Hypertension, while often considered a condition that primarily affects older adults, can occur in younger individuals as well. The emotional toll of managing a chronic condition like hypertension can lead to feelings of helplessness, frustration, and even depression. It’s not uncommon for young adults in your situation to feel a sense of unfairness or to question why they have to deal with such health issues at a time when they should be enjoying their youth.

The feelings you describe—such as resentment, feeling misunderstood, and contemplating giving up on treatment—are significant and should not be taken lightly. Chronic conditions can lead to a cycle of negative emotions, which can contribute to or exacerbate mental health issues like depression. It's essential to recognize that mental health is just as important as physical health, and they often influence each other.

You mentioned feeling like you might be experiencing depression. Some common signs of depression include persistent sadness, loss of interest in activities you once enjoyed, feelings of worthlessness, and difficulty concentrating. If you find that these feelings are affecting your daily life, relationships, or ability to manage your health, it may be beneficial to seek help from a mental health professional. A psychologist or psychiatrist can provide you with support and coping strategies tailored to your situation.

Talking to a mental health professional can help you process your feelings about your condition and its impact on your life. They can also assist you in developing coping mechanisms to deal with the emotional burden of living with hypertension. Cognitive-behavioral therapy (CBT), for example, is a common approach that helps individuals reframe negative thoughts and develop healthier thinking patterns.

Additionally, it might be helpful to connect with others who are in similar situations. Support groups, whether in-person or online, can provide a sense of community and understanding. Sharing your experiences with others who understand what you’re going through can alleviate feelings of isolation and help you feel less alone.

In terms of managing your hypertension, it’s crucial to continue your treatment as prescribed by your healthcare provider. While it may feel discouraging to be on medication at a young age, controlling your blood pressure is vital for your long-term health. You might consider discussing your feelings with your doctor; they can provide reassurance and may adjust your treatment plan if necessary.

In conclusion, your feelings of frustration and isolation are valid, and it’s essential to address both your physical and mental health. Seeking help from a mental health professional can be a significant step toward feeling better. Remember, you are not alone in this, and there are resources and support available to help you navigate these challenges. Taking care of your mental health is just as important as managing your physical health, and both can lead to a better quality of life.

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