Struggling with Severe Depression: Seeking Help and Understanding

It has reached a point where words fail to express it?

Hello, doctor.
I'm here for another consultation.
I just saw some online questions from other users, and my situation seems very similar to major depression.
Right now, my condition is that last night my emotions got out of control; I was shaking all over, my muscles were tense, and I was laughing and crying uncontrollably.
I no longer have a smile on my face, and I even resigned from my job because I couldn't go out and lacked the energy.
I have a constant headache that feels like someone is hitting me hard in one spot, and I have lost interest in things I used to enjoy.
Every day, I feel like I am completely unnecessary.
I have previously mentioned to you that I lost control and hurt my family, which made me feel very guilty and sad.
To be honest, I have already written down what I wanted to convey in my notebook because I have daily suicidal thoughts that keep surfacing in my mind.
The psychiatrist I consulted told me to take it easy and prescribed me medication, but my family and friends took my medication away because, strangely, despite eating and drinking normally without binge eating over the past three years, my weight has skyrocketed from 47 kg to now 70-75 kg.
Additionally, my sleep schedule is completely disrupted and has become very prolonged.
I am experiencing many uncomfortable physical symptoms, so those around me believe that the psychiatric medication has harmed me and caused this change.
Therefore, I don't know how to explain my feelings to the doctor or those around me.
Despite telling the doctor all this, my feelings have not improved at all; I just feel like such a sad person.
I am currently undergoing psychological counseling, but the situation is not as good as I had hoped.
I just want to work well and have my own life; why is it so difficult? But I just can't seem to get out of this.
I'm really sorry to trouble you, doctor.
Can you help me diagnose this? Could this be major depression? What should I do?

Crying Xiao Yu, 20~29 year old female. Ask Date: 2007/01/03

Dr. Su Zongwei reply Psychiatry

It is indeed difficult to determine if it is major depressive disorder solely based on recorded descriptions, as it could also be a case of depressive episodes associated with somatic symptom disorder, bipolar disorder, or other mental disorders with depressive episodes, among others.
Given the severity of the symptoms, medication is almost certainly necessary for stabilization, and adhering to the prescribed treatment is crucial.
Currently, if your family has taken away your medication, it may be due to some misunderstandings.
It would be beneficial to collaborate with your family to visit a clinic and consult with a physician, allowing them to receive answers as well.
Some psychiatric medications may increase appetite; however, it is important to consume more high-fiber, low-calorie foods and reduce intake of low-fiber, high-calorie foods to enhance metabolic rate.
Engaging in regular exercise and maintaining a structured lifestyle can help prevent weight gain.
It seems that the core issue lies in communication among you, your family, and your doctor.
I believe that improving communication on all three fronts can lead to finding the path to recovery.
Keep pushing forward!

Reply Date: 2007/01/03

More Info

It sounds like you are going through an incredibly challenging time, and I want to acknowledge the pain and confusion you are experiencing. From what you’ve described, it appears that you are dealing with symptoms consistent with severe depression, which can be debilitating and overwhelming. Your feelings of hopelessness, loss of interest in activities you once enjoyed, physical symptoms like severe headaches, and the presence of suicidal thoughts are all serious indicators that you need immediate support.

Severe depression, often referred to as Major Depressive Disorder (MDD), can manifest in various ways, including emotional instability, physical discomfort, and cognitive difficulties. The symptoms you mentioned, such as intense crying spells, muscle tension, and feelings of being a burden, are common in individuals experiencing severe depressive episodes. Additionally, the drastic change in your weight and sleep patterns can also be linked to depression, as it often affects appetite and sleep regulation.

It’s crucial to understand that you are not alone in this struggle, and there is help available. While medication can be an essential part of treatment for many individuals with depression, it is equally important to engage in therapy and have a support system in place. Since you mentioned that your family and friends have taken your medication away due to concerns about its effects, it’s vital to have an open conversation with your healthcare provider about your treatment plan. They can help you understand the benefits and potential side effects of your medication, as well as explore alternative options if needed.

Given the severity of your symptoms, including suicidal thoughts, it is imperative to seek immediate help. If you are feeling overwhelmed or in crisis, please reach out to a mental health professional or a crisis hotline in your area. They can provide you with the support you need and help you navigate this difficult time. Hospitalization may also be an option to consider if your safety is at risk or if you need a more structured environment to stabilize your mental health.

In terms of therapy, cognitive-behavioral therapy (CBT) has been shown to be effective for many individuals with depression. It focuses on identifying and changing negative thought patterns and behaviors that contribute to your feelings of sadness and hopelessness. Additionally, engaging in activities that promote self-care, such as regular exercise, maintaining a balanced diet, and practicing mindfulness or relaxation techniques, can also be beneficial in managing symptoms.

It’s understandable to feel frustrated and hopeless when it seems like you’re not making progress. Recovery from severe depression can be a slow process, and it often requires patience and persistence. Surrounding yourself with supportive individuals who understand your struggles can make a significant difference in your journey toward healing.

Lastly, please remember that your feelings are valid, and seeking help is a sign of strength. You deserve to feel better and to live a fulfilling life. Don’t hesitate to reach out for the support you need, whether it’s from a mental health professional, a trusted friend, or a family member. You are not alone in this fight, and there is hope for a brighter future.

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