Mental Health: Navigating Feelings of Hopelessness and Anger - Psychiatry

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Normal or abnormal?


In the past, whenever I faced difficulties or unsolvable problems, I would often think about suicide or imagine myself getting hit by a car.
I frequently felt an impulse while walking on the street, watching the cars go by.
I always believed I was useless and that my existence in this world was completely meaningless.
I even resented my parents for bringing me into this world.
Recently, I've been experiencing more emotional instability; I could be happy one moment and then suddenly feel extremely irritable and angry the next.
This often leads to frustration about why I keep feeling this way.
Because of these thoughts, I often wonder if I might be ill.
A few times a month, I find myself searching online for information about depression.
However, I don't understand why, when I realize I have some depressive tendencies, I feel a sense of validation, almost happiness, but at the same time, I don't want to admit that I have these issues.
I often convince myself that I am deliberately choosing those negative options.

Cheng, 10~19 year old female. Ask Date: 2016/01/15

Dr. Dai Wanxiang reply Psychiatry


Hello, Ms.
Orange: Based on your description, you are indeed experiencing some emotional distress.
However, whether this is depression or adjustment disorder may require further evaluation.
How long have you been experiencing these symptoms? Are they affecting your education, employment, interpersonal relationships, or daily functioning? I recommend that you consult with a psychiatrist or a mental health specialist, as they should be able to provide you with some assistance.

Reply Date: 2016/01/15

More Info


Navigating feelings of hopelessness and anger can be incredibly challenging, especially when these emotions are compounded by a history of mental health struggles such as depression. It's important to recognize that what you're experiencing is not uncommon, and many individuals face similar feelings at various points in their lives. Understanding these emotions and seeking appropriate support can be crucial steps toward healing.

Firstly, it's essential to acknowledge that feelings of worthlessness and hopelessness can be symptoms of depression. When you mention thoughts of self-harm or feeling that your existence lacks meaning, these are serious indicators that you may benefit from professional help. It's commendable that you are aware of these feelings and are seeking information about depression; self-awareness is a critical first step in addressing mental health issues.

The emotional instability you describe—where you can feel happy one moment and then experience intense anger or sadness the next—can be indicative of mood disorders. These fluctuations can be distressing and may lead to feelings of frustration and confusion about your emotional state. It's not uncommon for individuals with depression or anxiety to experience such mood swings, and they can often feel overwhelming.

It's also worth noting that the tendency to seek out information about depression online can be a double-edged sword. While it can provide some insight, it can also lead to self-diagnosis, which may not always be accurate. It's important to consult with a mental health professional who can provide a comprehensive evaluation and help you understand your symptoms in the context of your overall mental health.

In terms of coping strategies, there are several approaches you might consider:
1. Therapy: Engaging in therapy, particularly cognitive-behavioral therapy (CBT), can be beneficial. CBT helps individuals identify and challenge negative thought patterns and develop healthier coping mechanisms. A therapist can provide a safe space to explore your feelings and work through the underlying issues contributing to your emotional distress.

2. Medication: If your symptoms are severe, medication may be an option to discuss with a psychiatrist. Antidepressants can help regulate mood and alleviate some of the symptoms of depression, making it easier to engage in therapy and other coping strategies.

3. Support Networks: Building a support network of friends, family, or support groups can provide a sense of community and understanding. Sharing your experiences with others who have faced similar challenges can help reduce feelings of isolation.

4. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, yoga, or deep-breathing exercises can help ground you in the present moment and reduce feelings of anxiety and anger. These techniques can also improve emotional regulation.

5. Physical Activity: Regular exercise has been shown to have a positive impact on mental health. It can help reduce symptoms of depression and anxiety, improve mood, and increase overall well-being.

6. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process emotions. It can help you identify triggers for your mood swings and develop strategies to cope with them.

7. Limit Negative Influences: If certain environments or people exacerbate your feelings of anger or hopelessness, it may be helpful to limit your exposure to them. Surrounding yourself with positive influences can significantly impact your emotional state.

Lastly, it's crucial to reach out for help when you need it. If you ever feel overwhelmed or have thoughts of self-harm, please contact a mental health professional or a crisis hotline immediately. You are not alone in this, and there are people who want to help you navigate these difficult feelings. Remember, seeking help is a sign of strength, not weakness. Your life has value, and with the right support, you can find a path toward healing and fulfillment.

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