Recently, my family and work are not very smooth, I feel very upset, all day long, no energy, can’t eat, can’t sleep, I don’t know what disease, just feel too tired, I feel useless. I lost interest in everything, and even things that used to interest me a lot, I couldn’t keep going, and sometimes I had thoughts of light-heartedness. The doctor said I was depressed and told me to take medication, and a counselor told to do psychotherapy and not take medication. I almost collapsed ！！！！！！ What should I do? Patient Ms. Li It is common for people to experience mental stress and painful situations that produce depression. Depression can affect all aspects of work and life. Once depressed, what should we do? First of all, we should distinguish whether it is normal depression or pathological depression. Normal depression is often “for a reason”, the mood change is short-term, usually lasting less than two weeks, usually through self-adjustment, can regain mental balance; the degree of depression is generally light; can adhere to the work, not much impact on daily life. Pathological depression, on the other hand, arises for no reason, lacks objective mental stress conditions or has certain adverse factors, but the degree of depression exceeds the reaction of most people in similar situations; depressive symptoms often persist for more than 2 weeks and are difficult to be relieved without treatment; the degree of depression is severe and can produce serious negative and suicidal words and actions, and social function and quality of life are significantly reduced, unable to work and live normally; it is often accompanied by Persistent and intractable insomnia, loss of weight, appetite and libido, lack of interest, and loss of energy; depression is often recurrent, with a history of similar episodes and similar symptoms in each episode; typical pathological depression is often characterized by morning heaviness and evening lightness, and there is often a family history of psychosis or similar episodes. Once the depression exceeds the range of normal depressive reactions and reaches the criteria of pathological depression, the patient should immediately go to a psychiatric hospital for regular treatment.