Am I Experiencing Depression? Emotional Ups and Downs - Psychiatry

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Do I have depression?


I used to be a super lively and cheerful girl, but recently I've been getting angry easily.
I guess I would say my emotions fluctuate a lot.
When I'm happy, I'm very happy, and when I'm sad, I'm very sad, but it's not to the point of wanting to commit suicide.
I also love to have fun, but during summer vacation, I’m forced to stay at home, and the academic pressure from school is quite heavy.
I often find it hard to concentrate and properly complete my exams.
My parents are also very strict at home.
Is it possible that the pressure from home is causing me to feel this way?
Lately, whenever I get angry, I feel like crying, but my emotions change quickly.
I’ve always been prone to overthinking, but it seems to be happening more frequently now.
Additionally, I am on a diet and can control myself from eating, but now I feel like I can't stop eating; otherwise, something feels off! I've heard that depression can lead to a loss of appetite.
Am I an exception? I asked my parents if they think I might have depression, but they ignored me.
However, I can clearly feel that I have changed—I have significant mood swings and tend to overthink.
I feel like I might have depression, but my score on the assessment was only 12.
Since I tend to overthink, I feel that the score isn't accurate.

Could this indicate that I have depression or some other mental health issue? Do I need to see a doctor?

Guózhōng xiǎohái, 10~19 year old female. Ask Date: 2015/07/22

Dr. Wang Yixiang reply Psychiatry


Hello: It is evident that you have been experiencing some emotional distress, stress, and issues with family interactions recently.
Depression presents in various ways clinically, and it is not easy to diagnose it using a single scale.
I encourage you to visit a nearby clinic or hospital to discuss your condition with a psychiatrist if you are truly concerned.
Nantou Hospital Psychiatry cares about you.

Reply Date: 2015/07/22

More Info


It sounds like you are going through a challenging time, and it's important to acknowledge your feelings and experiences. Based on what you've shared, it seems like you are experiencing significant emotional fluctuations, which can be indicative of underlying issues such as anxiety or depression. While you mentioned that you don't feel suicidal, the emotional ups and downs, along with the pressure from school and home, can certainly contribute to feelings of distress.

To determine whether you might be experiencing depression, it's essential to consider several factors. Depression is characterized by a persistent feeling of sadness or a lack of interest in activities that were once enjoyable. It can also manifest through physical symptoms such as changes in appetite or sleep patterns, fatigue, and difficulty concentrating. The emotional instability you described—feeling very happy one moment and then very sad the next—can be a sign of mood dysregulation, which is often associated with anxiety or depressive disorders.

You mentioned that you have been feeling pressured by school and your parents, which can exacerbate feelings of anxiety and sadness. It's not uncommon for individuals in high-pressure environments to experience emotional turmoil. The fact that you are feeling overwhelmed and unable to focus on your studies is a significant indicator that your mental health may be affected. Additionally, your struggle with controlling your eating habits and the feeling of needing to eat to feel "normal" can also be a sign of emotional distress.

It's crucial to understand that experiencing fluctuations in mood and feelings of sadness does not automatically mean you have clinical depression. However, if these feelings persist and interfere with your daily life, it may be beneficial to seek professional help. A mental health professional can provide a proper assessment and help you understand your feelings better. They can also offer coping strategies and therapeutic interventions that can assist you in managing your emotions and stress.

If you feel comfortable, consider reaching out to a school counselor or a mental health professional. They can provide a safe space for you to express your feelings and concerns. It's important to have someone who can listen and help you navigate these emotions. If your parents are not receptive to your concerns, seeking support from a trusted teacher or counselor can be a good alternative.

In terms of whether you need to see a doctor, if your emotional state is affecting your daily life, relationships, or academic performance, it would be wise to consult with a mental health professional. They can help you determine if what you're experiencing is part of a larger issue, such as depression or anxiety, and guide you toward appropriate treatment options.

Lastly, remember that taking care of your mental health is just as important as taking care of your physical health. Engaging in self-care practices, such as regular exercise, maintaining a balanced diet, and finding healthy outlets for stress (like hobbies or talking to friends), can also be beneficial. It's okay to seek help, and doing so can be a significant step toward feeling better.

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