Am I Depressed? Symptoms and When to Seek Help - Psychiatry

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Am I suffering from depression?


I have recently been experiencing symptoms such as eye strain, palpitations, shortness of breath, fatigue, dizziness, irritability, and frequent episodes of unexplained crying or low mood.
A friend suggested that it might be caused by a cold, but it has been ongoing for two weeks.
Should I see a psychiatrist, or could it really be caused by a cold?

Jier, 20~29 year old female. Ask Date: 2006/06/12

Dr. Wang Chongren reply Psychiatry


Dear Jill,
The symptoms you mentioned are common signs of depression.
Physiological causes such as major brain diseases, medications, or even viral infections can potentially lead to these symptoms, although they are less common.
Psychosocial factors are more frequently the underlying causes, but individuals often find it difficult to recognize them.
If you continue to be troubled by these symptoms or experience impulses that feel beyond your control, I strongly recommend seeking medical attention by consulting a psychiatrist or a psychosomatic specialist for evaluation and treatment.
The Tainan City Hospital cares about your health!

Reply Date: 2006/06/12

More Info


It sounds like you are going through a very challenging time, and I want to acknowledge the feelings you are experiencing. The symptoms you describe—eye strain, palpitations, difficulty breathing, fatigue, dizziness, irritability, and persistent feelings of sadness or crying—can indeed be concerning. While it's possible that some of these symptoms could be related to a physical illness like a cold or flu, the duration and combination of your symptoms suggest that it might be more than just a simple illness.

In the context of mental health, these symptoms can be indicative of depression or anxiety. Depression is not just about feeling sad; it can manifest in various physical symptoms, including fatigue, changes in sleep patterns, irritability, and even physical pain. Anxiety can also lead to physical symptoms such as heart palpitations, shortness of breath, and dizziness. The fact that you have been experiencing these symptoms for two weeks is significant, as acute illnesses typically resolve within a shorter timeframe.

It's important to consider the context of your life as well. Are there any stressors or changes in your environment that could be contributing to how you feel? Sometimes, emotional distress can present itself through physical symptoms, and it’s crucial to address both aspects.

Given the persistence of your symptoms, I would recommend seeking help from a mental health professional, such as a psychiatrist or psychologist. They can provide a comprehensive evaluation to determine whether you are experiencing depression, anxiety, or another condition. A mental health professional can also help you understand the interplay between your physical and emotional health.

When you visit a mental health professional, they will likely ask you about your symptoms, your medical history, and any stressors you may be facing. This information will help them make an accurate diagnosis and develop a treatment plan tailored to your needs. Treatment may include therapy, medication, or a combination of both, depending on the severity of your symptoms and your personal preferences.

It's also worth noting that mental health services are typically confidential, and your privacy will be respected. If you have concerns about confidentiality, don't hesitate to discuss them with the provider before your appointment.

In the meantime, there are some self-care strategies you can try to help manage your symptoms. These include:
1. Physical Activity: Engaging in regular exercise can help improve your mood and reduce anxiety. Even a short walk can make a difference.

2. Healthy Eating: A balanced diet can have a positive impact on your mood and energy levels.

3. Sleep Hygiene: Ensure you are getting enough restful sleep. Establishing a regular sleep schedule can help.

4. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help reduce stress and improve emotional regulation.

5. Social Support: Reach out to friends or family members you trust. Talking about your feelings can provide relief and help you feel less isolated.

6. Limit Alcohol and Caffeine: Both substances can exacerbate anxiety and mood swings.

Remember, seeking help is a sign of strength, not weakness. You deserve support and care, and taking the step to consult a mental health professional can be a crucial part of your journey toward feeling better.

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