How to Determine if You Might Be Suffering from Depression

How to know if you have depression?

I would like to ask how to determine if I have depression.
I often feel down without knowing why, and at the same time, I experience difficulty breathing and a strong urge to cry, but I don't understand the reason behind it.
I have considered seeing a psychologist, but I'm not sure what's wrong with me.
I just feel really frustrated! In the past, I have thought about suicide, but I am afraid of death and don’t want to make my family sad, so I dismissed those thoughts.
However, whenever I feel down, those thoughts resurface, and I start to question the meaning of my existence, which makes me feel really troubled!

Gao, 20~29 year old female. Ask Date: 2002/04/23

Dr. Chen Wenqing reply Psychiatry

Dear Miss Shiting,
I apologize for not responding promptly due to being quite busy these past few days.
I have read your letter, and regarding your situation, if it only lasts a few days, perhaps talking to someone or engaging in activities you enjoy could be helpful.
However, if it persists for one or two weeks with daily occurrences, it would be advisable to seek an evaluation from a physician.
You are doing well by facing your issues head-on and not avoiding them, which is a significant step compared to those who are reluctant to seek medical help.
Moving forward, you should learn to accept your situation and recognize that it is not an insurmountable problem.
Many people can assist you, and accepting help from others during difficult times is important.
Once you feel better, you can strive to help others in return; this is the essence of life.
It is commendable that at such a young age, you are contemplating serious questions about the meaning of life.
Wishing you a speedy recovery.
Sincerely,
Chen Wenqing

Reply Date: 2002/04/23

More Info

Determining whether you might be suffering from depression can be a complex process, as it involves understanding a range of emotional, psychological, and physical symptoms. Based on your description, it seems you are experiencing significant emotional distress, which is a common indicator of depression. Here are some key points to consider when evaluating your situation:
1. Duration and Frequency of Symptoms: Depression is often characterized by persistent feelings of sadness or a lack of interest in activities that were once enjoyable. If you find that these feelings have lasted for more than two weeks and occur frequently, it may be a sign of depression. You mentioned that you often feel down and experience difficulty breathing and crying without knowing the cause, which could indicate a deeper emotional issue.

2. Physical Symptoms: Depression can manifest physically. Symptoms such as changes in appetite, sleep disturbances (insomnia or oversleeping), fatigue, and unexplained aches and pains are common. You mentioned feeling like your breathing is not smooth, which can be a physical manifestation of anxiety or depression. It’s important to pay attention to these signs, as they can be just as significant as emotional symptoms.

3. Thought Patterns: You noted that you sometimes have thoughts of self-harm or suicide, even if you do not intend to act on them. This is a critical symptom that should not be taken lightly. Thoughts of self-harm can indicate severe emotional distress and a need for immediate support. If you ever feel that you might act on these thoughts, it is crucial to seek help right away.

4. Impact on Daily Life: Consider how your mood affects your daily functioning. Are you able to perform at work or school? Do you find it challenging to engage with friends or family? If your emotional state is interfering with your ability to carry out daily tasks or maintain relationships, this could be a sign of depression.

5. Seeking Help: You mentioned considering seeing a mental health professional. This is a positive step. A psychologist or psychiatrist can provide a proper assessment and help you understand your feelings better. They can also offer coping strategies and treatment options, which may include therapy or medication. It’s important to remember that seeking help is a sign of strength, not weakness.

6. Support Systems: If you feel comfortable, talk to someone you trust about your feelings. This could be a friend, family member, or a counselor. Sharing your experiences can help alleviate some of the burdens you are carrying and provide you with additional support.

7. Self-Reflection: Journaling your thoughts and feelings can also be a helpful way to process what you are experiencing. Writing down your emotions may help you identify patterns or triggers that contribute to your mood changes.

In summary, if you are experiencing persistent feelings of sadness, physical symptoms, negative thought patterns, and difficulties in daily life, it may be time to seek professional help. Remember, you are not alone in this, and there are resources available to support you. Taking the step to talk to a mental health professional can lead to a better understanding of your feelings and provide you with the tools to cope effectively. Your mental health is important, and addressing these feelings is a crucial part of taking care of yourself.

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