Description of the disease (onset time, main symptoms, hospital visited, etc.).
Hello Dr. Ling, I am a 27-year-old female who has been troubled by depression for many years. I had the onset of depression in about 2002, the reason was that I had difficulty in my studies during my college years, I was frustrated in love, and my parents were sick one after another to increase my psychological burden. 2007, I was very negative, and I found out about “Eucerin” from a friend who was studying medicine, and I took it for a few months, and I was relieved and stopped taking it. When the most negative time to eat a capsule, the mood can be much better, usually only once every few months to eat. Psychiatry Ling
Currently my learning ability declined, before I have been considered a very good student, but after the onset of everything can not learn, teachers and supervisors do not understand, began to accuse me of not trying hard, at this time I just want to try to overcome by themselves, the result of failure more and more, the burden of thought is getting bigger and bigger. Usually it is easier to fear and blame myself. Do things well procrastination, work after getting a project, hesitant, the more you want to get things done, the more difficult it is to focus on, feel unable to start to implement. Things have not been done, always think about a lot of things first, afraid to do not do well how, this time will feel very nervous, often to find other things to do to distract, and then blame themselves for the delay, and at the same time because of self-blame and guilt, fear of communication with others, often a day or even a night of rumination, dragging to the end with 1-2 hours to do things. Of course, the result of this is usually not very satisfying to oneself, feeling that it did not achieve the desired effect, and then starting to regret it afterwards. In fact, most of one’s time was spent on self-avoidance and self-doubt, not being productive.
At the worst time (around 2003-4), I once felt that my body was heavy and unconscious, and I could not lift my legs, and even fell down when walking. I am an amateur long-distance runner, so my strength is fine, and the symptoms are related to my menstrual cycle, I am very negative after my period, and often have the feeling of losing everything.
I understand the reasons for these problems, but I can’t restrain them, and I feel that there is a layer between me and the outside world, including others, and I can’t integrate.
I was born with a history of asphyxia and a slight heart reflux. My personality is bold with a sense of justice, but overly perfect. Grandmother has depression and grandmother’s mother has schizophrenia.
Does my current condition require treatment through medication? Is it possible to solve it through self-adjustment and psychological counseling, etc.
Beijing Huilongguan Hospital Psychiatry Department
The problem you described is very well organized and self-analysis is good. In my analysis, your problem is a bad personality that leads to cognitive problems that lead to somatization symptoms. It looks like depression, but it’s not. It’s a dysfunctional psychological defense, which leads to problems in interpersonal relationships, self-actualization, and the inability to build self-confidence and gain realistic self-esteem.
I also agree with you that “medication is a placebo for oneself” and that psychological self-reference is obvious. I hope that on the one hand you self-regulate, on the other hand, if you have the conditions may wish to do psychological adjustment. Of course, if the mood is very low, you should take antidepressants, so as to shorten the course of the disease and reduce the feeling of pain as soon as possible.
Psychological adjustment is not simply a question and answer, and not to teach you how to do what, but in the phase of movement to produce a true understanding of the self. People actually have many blind spots about the self, that is, they disregard the subconscious and unconscious, which must be discovered through professionals. The psychological professional is to some extent the mirror image of the visitor’s mind. But it takes joint cooperation to discover the mirror image of the self.
The diagnosis of depression fulfills at least the following conditions: depressed mood lasting for more than two weeks; chronic lack of cheerfulness and a pronounced sense of distress; reduced ability of the brain to react and think, in a state of inhibition; persistent fatigue without cause.
Other symptoms: mental retardation or agitation; conceit, guilt or even delusions; suicidal thoughts; insomnia or drowsiness; anorexia, weight loss, loss of libido.
Having a depressed mood does not necessarily mean depression. Many patients in this state mainly do not get self-satisfaction in reality, once this satisfaction is achieved, this negative mood naturally relieves.
I wish you to find yourself soon, eliminate the feeling of self-guilt, live easily, work happily and live happily.