Signs of Depression: the Struggles and Seeking Help - Psychiatry

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I think I might have depression?


I'm crying every day.
When I'm tired from crying, I sleep, and when I wake up, I cry again.
I don't eat anything, and when I'm so hungry that I can't stand it anymore, I suddenly eat a lot, to the point of feeling nauseous, then I fall asleep again.
I can only go to work one or two days a week and have been taking a lot of sick leave, but I don't have a doctor's note, so my boss is getting angry with me.
I keep looking out the window, thinking about tying a rope to the frame to hang myself; it seems like it would be an escape from the pain of not being able to breathe, but I'm also scared.
My limbs feel weak; could it be because I'm not eating enough? I live alone, and if I died here, no one would know.
My colleagues despise and mock me; I have no friends.
I've made too many mistakes.
What's the point of living like this? It's just that innocent things would have to accompany me in death.
I'm sorry; they all talk badly about me.
I must have depression, right? Isn't it true that depression often leads to suicide?

Bing Wupo, 30~39 year old female. Ask Date: 2009/05/17

Dr. Chen Yuying reply Psychiatry


The Ice Witch: Well, I can't diagnose you with depression just from your words, but your writing conveys a message of "I'm in so much pain, please help me!" It's exhausting to hold on by yourself; let a doctor assist you, okay? Find a hospital or clinic with a psychiatry (psychosomatic medicine) department that is conveniently located for you, and go seek medical help.
If you come to see me, just tell me you are the Ice Witch, and I will know it's you.
Please seek help as soon as possible and choose a nearby facility (I imagine you don't have the energy to travel far); this is my most straightforward advice for you.

Reply Date: 2009/05/17

More Info


It sounds like you are going through an incredibly difficult time, and I want to acknowledge the pain and struggles you are experiencing. The feelings you describe—crying frequently, changes in appetite, lack of energy, and thoughts of self-harm—are indeed concerning signs that may indicate depression. It's important to understand that you are not alone in this, and there is help available.

Depression can manifest in various ways, and it often affects not just your mood but also your physical health and daily functioning. The symptoms you mentioned, such as crying spells, changes in eating habits (either not eating or overeating), and feelings of worthlessness or hopelessness, are common in individuals who are struggling with depression. Additionally, the thoughts of self-harm and feeling like a burden to others are serious and should not be taken lightly.

It's crucial to recognize that these feelings can be overwhelming, but they do not define your worth or your future. Many people with depression experience these thoughts, but with the right support and treatment, it is possible to find relief and regain a sense of hope and purpose.

Here are some steps you can take to seek help and start on the path to recovery:
1. Reach Out for Professional Help: It’s essential to talk to a mental health professional, such as a psychologist or psychiatrist. They can provide a proper diagnosis and discuss treatment options, which may include therapy, medication, or a combination of both. If you have had negative experiences with healthcare providers in the past, it’s important to keep trying until you find someone you feel comfortable with.

2. Consider Therapy: Therapy can be incredibly beneficial for understanding and managing your feelings. Cognitive-behavioral therapy (CBT) is particularly effective for depression, as it helps you identify and change negative thought patterns and behaviors.

3. Talk to Someone You Trust: If you feel comfortable, reach out to a friend or family member about what you’re going through. Sharing your feelings can help alleviate some of the burden and may provide you with additional support.

4. Create a Support System: If you feel isolated, consider joining a support group for individuals dealing with depression. Connecting with others who understand what you’re going through can be incredibly validating and comforting.

5. Focus on Self-Care: While it may feel challenging, try to engage in activities that promote your well-being. This can include regular exercise, maintaining a balanced diet, and ensuring you get enough sleep. Even small steps, like taking a short walk or practicing mindfulness, can make a difference.

6. Emergency Help: If you ever feel like you might harm yourself or have thoughts of suicide, it’s crucial to seek immediate help. Contact a crisis hotline, go to the nearest emergency room, or call emergency services. Your safety is the top priority.

7. Educate Yourself: Understanding depression can empower you. Read about the condition, its symptoms, and treatment options. Knowledge can help demystify what you’re experiencing and provide you with tools to cope.

8. Be Patient with Yourself: Recovery from depression is often not linear. There will be good days and bad days. Allow yourself the grace to feel what you feel without judgment.

Remember, seeking help is a sign of strength, not weakness. You deserve support and care, and there is hope for a brighter future. You are not defined by your struggles, and with the right help, you can find a way to navigate through this challenging time.

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