What are the symptoms of this?
I often feel a sense of heaviness in my chest (especially severe cases make it hard to breathe), lack energy, and feel irritable and on the verge of tears.
This is particularly worse at night, when I feel so sad that I can't sleep! I keep thinking about sad things (like feeling unaccomplished or not finding my purpose...) and I really want to cry (sometimes I can't stop the tears from flowing as I dwell on these sad thoughts).
This prevents me from sleeping; my body is very tired, but I can't fall asleep, and I remain very alert, only able to sleep around 5 or 6 AM.
I live my life like everyone else, but when I'm alone, especially at night, I feel an inexplicable wave of anguish that makes it hard to breathe.
I feel a deep sadness.
What is happening to me? How can I overcome this?
w, 20~29 year old female. Ask Date: 2006/03/23
Dr. Wang Chongren reply Psychiatry
Dear Dr.
Wang Chong-Ren of the Tainan Hospital, Department of Psychiatry,
I hope this message finds you well.
From your letter describing your psychosomatic symptoms, you clearly mentioned your current mood, which reflects typical symptoms of depression.
However, I am unsure how these symptoms developed, how long they have persisted, and whether they have significantly impacted your daily life and functioning.
It seems that they have affected your self-adjustment and self-perception.
I recommend that you actively seek a consultation with a professional psychiatrist for further evaluation and treatment recommendations, which should help you regain your sense of happiness.
Wishing you good health and all the best.
Reply Date: 2006/03/23
More Info
It sounds like you are experiencing a significant amount of distress, and I want to acknowledge that what you’re feeling is very real and can be incredibly overwhelming. The symptoms you describe—chest tightness, lack of energy, irritability, crying spells, and insomnia—are common indicators of anxiety and depression. Understanding these symptoms is the first step toward finding relief and regaining control over your emotional well-being.
Understanding Your Symptoms
1. Chest Tightness and Shortness of Breath: These physical sensations can often accompany anxiety. When we are anxious, our body goes into a fight-or-flight response, which can lead to muscle tension and a feeling of tightness in the chest. This can sometimes feel like you are unable to catch your breath, which can be frightening.
2. Lack of Energy and Motivation: Depression often manifests as a pervasive sense of fatigue and a lack of interest in activities that once brought joy. You may find it difficult to get out of bed or engage in daily tasks, which can further exacerbate feelings of worthlessness or hopelessness.
3. Crying Spells: Frequent crying can be a release of pent-up emotions. It’s a natural response to feeling overwhelmed, sad, or frustrated. This emotional release is important, but if it becomes a constant occurrence, it may indicate that you need additional support.
4. Insomnia: Difficulty sleeping is a common symptom of both anxiety and depression. Your mind may race with negative thoughts, making it hard to relax and fall asleep. This lack of sleep can further worsen your mood and cognitive function, creating a vicious cycle.
5. Negative Thought Patterns: Constantly thinking about past failures or feeling like you lack purpose can contribute to a negative self-image and feelings of despair. It’s important to recognize that these thoughts, while powerful, do not define your reality.
Steps to Find Relief
1. Seek Professional Help: It’s crucial to talk to a mental health professional who can provide a proper diagnosis and treatment plan. Therapy, such as cognitive-behavioral therapy (CBT), can help you identify and challenge negative thought patterns and develop coping strategies.
2. Medication: If your symptoms are severe, medication may be an option to discuss with a psychiatrist. Antidepressants or anti-anxiety medications can help balance the chemicals in your brain that affect mood and anxiety levels.
3. Practice Self-Care: Engage in activities that promote relaxation and well-being. This can include regular exercise, which has been shown to improve mood and reduce anxiety, as well as mindfulness practices like meditation or yoga.
4. Establish a Routine: Creating a daily schedule can provide structure and a sense of purpose. Include time for self-care, social interactions, and activities that you enjoy, even if they feel challenging at first.
5. Connect with Others: Isolation can worsen feelings of depression and anxiety. Reach out to friends or family members, even if it’s just to talk about how you’re feeling. Sometimes, just knowing that someone is there for you can make a significant difference.
6. Limit Stressors: Identify sources of stress in your life and see if there are ways to reduce or manage them. This might involve setting boundaries at work or in personal relationships.
7. Journaling: Writing down your thoughts and feelings can be a therapeutic outlet. It can help you process emotions and identify patterns in your thinking that may need to be addressed.
8. Sleep Hygiene: Establish a calming bedtime routine to improve your sleep quality. This can include reducing screen time before bed, creating a comfortable sleep environment, and practicing relaxation techniques.
Conclusion
It’s important to remember that you are not alone in this struggle, and there is help available. Taking the first step to seek support can be daunting, but it is a crucial part of the healing process. Recovery from anxiety and depression is possible, and with the right tools and support, you can find relief and regain a sense of purpose and joy in your life. Please consider reaching out to a mental health professional who can guide you on this journey.
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