Am I Sick? Signs of Mental Health Struggles - Psychiatry

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Am I sick???


I haven't felt like studying or working lately; I don't want to do anything at all.
I've been feeling down, and when I see the sunset in the afternoon, it makes me feel even more depressed.
I often forget things and constantly complain about my lack of ability, feeling very helpless.
Even when I have fun with friends, I later feel that the joy was fake and not genuine happiness.
Sometimes, I wish I could just disappear from this world to avoid living so painfully.
There are so many things to do that I don't want to do; life feels very hard.
I have to study and work, and I can't manage anything well, all while pretending everything is fine in front of my family.
I often plan things to do, but when the time comes, I don't want to do them; my mind feels blank, and I have no motivation.
Am I sick? But I'm afraid of people finding out about my situation...

Zuan Shi, 10~19 year old female. Ask Date: 2009/04/28

Dr. Su Zongwei reply Psychiatry


It could be depression, but it's important to get a proper diagnosis from a physician.
Seeking medical attention and treatment can lead to a quick recovery.

Reply Date: 2009/04/28

More Info


It sounds like you are experiencing a significant amount of emotional distress and possibly symptoms that could be indicative of a mental health condition. From what you've described, feelings of hopelessness, lack of motivation, persistent sadness, and difficulty concentrating are common signs of depression or anxiety. It's important to recognize that these feelings are valid and that seeking help is a crucial step toward feeling better.

Firstly, it's essential to understand that mental health struggles are not uncommon, and many people experience similar feelings at various points in their lives. The feelings of emptiness and the sense that your happiness is not genuine, especially when you are with friends, can be particularly distressing. This phenomenon is often referred to as "anhedonia," which is the inability to feel pleasure in normally pleasurable activities. It can be a symptom of depression.

Your mention of wanting to disappear and feeling overwhelmed by the pressures of school and work is concerning. These thoughts can be indicative of deeper emotional struggles, and it's vital to take them seriously. You are not alone in feeling this way, and many people have experienced similar thoughts and feelings. However, it is crucial to reach out for help when you find yourself in such a state.

The fact that you feel the need to pretend everything is fine in front of your family suggests that you may be dealing with a significant amount of internal conflict. This can lead to feelings of isolation and exacerbate your emotional distress. It's important to remember that you do not have to go through this alone. Talking to someone who can help, such as a mental health professional, can provide you with the support and guidance you need.

In terms of seeking help, you might consider starting with a school counselor or a mental health professional who specializes in adolescent or young adult issues. They can provide a safe space for you to express your feelings and help you develop coping strategies. If you are worried about confidentiality, mental health professionals are bound by laws to protect your privacy, so you can feel secure in discussing your feelings openly.

Additionally, there are various therapeutic approaches that can be beneficial, such as cognitive-behavioral therapy (CBT), which focuses on changing negative thought patterns and behaviors. Medication may also be an option if a healthcare provider determines it is necessary. However, this is something that should be discussed with a qualified professional.

It's also worth noting that lifestyle changes can have a positive impact on mental health. Regular physical activity, a balanced diet, and sufficient sleep can help improve mood and overall well-being. Engaging in activities that you once enjoyed, even if they feel difficult at first, can also help rekindle a sense of purpose and joy.

In conclusion, while it is understandable to feel apprehensive about seeking help, it is a courageous and important step toward healing. You deserve support and assistance in navigating these challenging feelings. Remember, reaching out for help is a sign of strength, not weakness. You are not alone in this journey, and there are people who want to help you find a way through the darkness.

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