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After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

I'm thankful to read your husband found care and that his suicide attempt wasn't successful. While he was hospitalized, and prior to his release, your husband would've been provided in writing a self-care action plan. This typically includes things like committing to a contract 'not to harm' and what to do if he felt overwhelmed by his anger, depression, and hopelessness (e.g. call 911, call therapist, go to nearest hospital emergency department). Additionally, his protocol would've provided instructions for his taking medication(s) as directed, having a follow-up appointment(s) with his psychiatrist/psychologist/clinical social worker, and participating in some form of small group support. If your husband's struggling as you describe, and you are feeling overwhelmed or frightened for his (your) safety, I'd encourage you to seek immediate assistance.

After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

This must be so difficult for both of you. Watching someone you love suffer so profoundly can bring up lots of difficult feelings. Without knowing what you are already doing, I have a few thoughts to share with you.First and foremost, know that you cannot fix this for him, and get support for yourself.As much as you are able, make space in your relationship for him to talk about what he is experiencing. He might not want to talk, and that is ok.If he wants to talk, try to listen without judgement and without trying to talk him out of his feelings. Focus on validating his feelings and just sitting with him in his pain.Let him know how you feel...that you love him, that you care, that you are concerned, that this is scary for you too, that you are here.I hope that this is helpful. On my website (www.sarahmcintyrelpc.com), I've written a series of blog posts about coping with distress. The techniques I've written about there may be supportive for you and your husband. Sending warm wishes your way.-Sarah

After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

I appreciate that you are concerned about your husband's emotions and want to support him as best you can right now. I imagine that you must be going through your own difficult time too. You've had a complicated shock and trauma in your life and in your marriage; it's normal for both of your emotions to move from hope to despair to fear, anger, gratitude... there is no wrong way to feel and there is no particular pattern your emotions or his will follow.Try not to assume what he is feeling but ask him instead. "How are you doing today?" is something that can be asked over and over again and your love and compassion for him will come through. If he has a hard time talking, you can share your observations. "I notice you're more withdrawn. This worries me." Certainly it will help you if you know what he's thinking and feeling because he hid his intentions to hurt himself. It's normal that you want to know.If there is depression and hopelessness, this likely was part of what led to his initial despair. There is help out there. Depression is treatable, and seeking that treatment is important right now at this vulnerable time. This is the kind of complex situation that can be assisted by a therapist who is qualified to help you both understand and manage your emotions. Whether your husband seeks help or not, I hope that you do.

After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

A failed suicide attempt is commonly thought of as a cry for help, however it can also be a serious attempt to find a permanent solution to depression, hopelessness or other feelings a person feels are unbearable. Its wonderful that you want to support your husband, but If your husband is feeling depressed and hopeless, you can best help him by getting him to a mental health professional. Feelings of hopelessness and depression, and previous attempts at suicide are all risk factors for future suicide attempts.With a mental health professional, or in the emergency room of a hospital, your husband should be evaluated for suicidal thoughts, intent and plan, and if he is a danger to himself he should probably be hospitalized again until he is stable. Without knowing the particulars, your husband may suffer from Major Depressive Disorder or some other illness on the depressive spectrum. In that case medication could help him immensely, at which point you can offer your support and encouragement him to practice gentle self-care. And do not forget to practice it for yourself. Remember: a suicide attempt not only affects the person, but it is an immense stressor for his or her loved ones as well. As they say, put your oxygen mask on first. Then you will be better able to provide your husband with calm and loving care and attention.Kayla Schwartz, LMSW[emailprotected]

After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

The fact that you're reaching out for help here is really helpful.The first thing I would suggest is that you consider seeing a local mental health professional yourself to be able to talk about the details, how this is affecting you, and how you can hold onto you are while also being supportive to you husband.From the way that you describe this, I wonder what has changed since coming home from the hospital. Perhaps you can have a conversation with your husband this and mention that you are asking him questions to learn more about his experience and you can discuss how you notice that things were going much better when he came home from the hospital, and now things are not as good. Perhaps he can tell you about what is different so that you may know him would be most helpful to him.I also hope that you husband is still continuing with his own treatment.There may also be a local peer support telephone number for the county that you live in that they be able to help you determine whether your husband needs more immediate treatment if he is feeling hopeless again. There are national crisis telephone numbers listed below as well.

After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

Since as husband and wife your lives are closely joined, how your husband feels greatly influences the way you feel.Give yourself some time to concentrate on how you've been affected by your husband's suicide attempt. Even if you decide against immediately telling him how you're feeling, knowing this about yourself will guide how and the topics you bring up with him.Is your husband talking easily with you?Do you have some ideas as to what is creating his feeling of hopelessness?The ideal approach would be if the two of you are able to discuss what bothers him and what bothers you.Depending on how far away you each are from such a position, you may benefit from speaking with a licensed professional therapist who can guide you and or you and your husband on opening up for discussion what feels stressful enough to merit taking one's own life.

I always feel like I'm doing something wrong. Everything I do is crappy. I want to cry all the time. I can't eat or sleep.

You are describing some of the most common symptoms of depression: low self esteem, difficulty sleeping, changes in appetite, sad mood, feelings of hopeless and feelings of worthlessness. A full assessment/evaluation with a mental health professional is warranted to understand if indeed you meet criteria for a Major Depressive Disorder i.e.., are delressed. One thing I often tell patients is that "Do you think you are depressed?" People often answer yes or no, but many individuals respond with a question: How would I know? To that I often explain that if I stopped watching movies or better, stopped enjoying watching movies that would be a clear indication for me that I am delressed. It would be a sign that I have lost pleasure or interest in the activity that I typically enjoy most . I'll ask you to think of one activity which you really really enjoy. It could be anything from reading, to being with friends, to skiing to watching tv. I would like to now ask you if you have stopped enjoying that activity or can't find the motivation to engage in it? This is another symptom of depression: loss in pleasurable activities. The good news is that there are many effective, available treatment if you are indeed in a depression or simply, you want to modify/decrease your depressive symptoms i.e., you want to stop feeling so tired and so worthless. Treatment includes one or more of the following: psychotherapy, medication, exercise. Any one or combination of both of these can help to improve your mood. The even better news is that feeling that you are doing something wrong can diminish with appropriate treatment over time. I hope you find this information helpful. The most important next step is to get evaluated by a mental health professional typically a psychologist or psychiatrist, and for both you and the professional to better understand your symptoms and your mood in the context of what is going on in your life.

I no longer carry expressions on my face, and my emotions are decreasing the more I have fights with my fiance.

Sometimes repressing anger can lead to depression and block all kinds of other emotions too. I would wonder about your experience with anger and if you've ever been discouraged from expressing anger. I would also wonder if you feel like you have space to express yourself in your relationship or if you feel like you really aren't being heard. It's hard to feel cared for and connected to someone else when you don't feel accepted by them.

I no longer carry expressions on my face, and my emotions are decreasing the more I have fights with my fiance.

Sometimes when we fight a lot with our partner, it becomes more uncomfortable to share emotions because it feels like it will lead to another flight or disagreement.You could try having a conversation when you're not fighting and starting it out by saying that you would like to discuss something important to you and see if your fiance is open to that.Something else is that you could have an agreement that if one of you is having a really strong emotions in a difficult conversation and would like to break from the conversation, you could agree (ahead of time) that you'll say that you would like a "timeout" and will come back to discuss the issue in a certain amount of time (usually about an hour) and then try to resume the discussion. The reason this can work is it can give you a chance to calm down and then still go back to the discussion rather than not talking about it again. This only works if both of you agree to that before something starts, though.

I'm depressed. I have been for years. I hide it from everyone because I'm scared of the reactions I'll get. Last time I tried telling my parents, it was a huge argument about me being too young to be depressed (Im a legal adult), calling me ungrateful, and telling me that if I can't handle things now, it's only going to get worse in the future (which is turning out to be true). It's exhausting pretending to be okay, and I don't know how much longer I can try. I'm just really tired, and sadly, I can't afford the help I need on my own.

Hi Georgia, There's a really good lesson here. People tell us things, and we tend to think that's the truth...but it's not! I'll do some translating for you..."You're so ungrateful" means "I need you to be successful and happy in order for me to feel I'm a good parent"."You're too young to be depressed" means "I don't want to deal with your mental health issues right now. I'll pretend it's not happening so I don't have to face my fear and shame"."It's only going to get worse" just means "I don't know how to support you beyond scaring you into wanting to at least fake happiness for my sake".Your parents are being unsupportive, not because you're not suffering, but because this is all they're capable of right now. They are not where you will find the support you need, so keep looking for it in other places. It's out there. If might be an aunt or a friend, or a friend's aunt. It might be a therapist or a bus driver or your family doctor. Keep looking for someone who will hear you. I hope you don't ever give up. :)

I'm depressed. I have been for years. I hide it from everyone because I'm scared of the reactions I'll get. Last time I tried telling my parents, it was a huge argument about me being too young to be depressed (Im a legal adult), calling me ungrateful, and telling me that if I can't handle things now, it's only going to get worse in the future (which is turning out to be true). It's exhausting pretending to be okay, and I don't know how much longer I can try. I'm just really tired, and sadly, I can't afford the help I need on my own.

Don't think that you can't afford the help you need on your own. There are several counselors that see people on a sliding scale that can be as low as $5 (based on your income). Find a center that is non-profit, they have great counselors as well.It sounds like you know what you are experiencing and know that you need someone to talk to, someonethat is willing to listen. Your parentsmay notunderstand what your are feeling right now and that is not totally abnormal.I would encourage you to seek help immediately so you can live the best live you can...which is not being depressed.

I have terrible anxiety and depression. I've tried various therapists and pills, but nothing's helped.

Is it possible you simply didn't mix well with the particular therapists with whom you've worked? If this is possible, interview a therapist before starting therapy. Then you will be choosing a therapist who feels compatible with your way of seeing yourself and your life.Also, therapy isn't for everyone.Read about the different healing modalities and see if one of these speaks to your interest in feeling better.What matters most is finding among all the legitimate healing methods, what you believe will be effective.

I have terrible anxiety and depression. I've tried various therapists and pills, but nothing's helped.

I'm sorry that you have tried several different things and not had much relief.I will say that there are several different types of medications that may help and each therapist is different, so it is quite possible that a different combination of things you've already tried may be helpful.I would encourage you to continue trying different therapists. I would say to give each one at least six sessions before you decide that the approach that they are using is not working for you. Also, most places have a certain sort of structured initial session that must be done, but after that, the decisions are largely up to what you and the clinician feel is helping. If something is or is not working, communicate this with your therapist. This is a big deal. Most therapists I know actually welcome this feedback.There is a fair amount of research into the idea that the therapeutic alliance (the relationship that you have in the context of working through the reasons that brought you into therapy) is very important. Also, sometimes anxiety and depression can make it difficult to go to therapy on a regular basis. If that is something with which you are struggling, I would encourage you to talk about that as well.In addition to a solid relationship with a therapist who you connect with, you may consider trying something like yoga or meditation. Mindfulness is sometimes helpful as well.Here's a link to questions for finding suitable therapists:http://www.pharmatherapist.com/12-tips-for-finding-a-suitable-therapist

I'm in my early 20s. I've worked since two months after I turned 18. I have plans. I could become an electrician, or I could operate heavy machinery. I have goals, but I do nothing to try to meet them because I don't feel I can. I just want a better life for my fiance and the kids than I did.

For starters, commend yourself for being committed to working. You have no idea what is going to happen in the next second, so focusing on thinking you will never have a good career or amount to anything financially is creating a fictitious story. Remind yourself of that every time the thought pops up. The false belief that nothing good will happen is sucking out energy you can use on pursuing your career dreams. Next, do you know what you need to do to become an electrician or heavy machinery operator? If not, find out. Then, set up a realistic schedule for yourself to accomplish the steps. As you accomplish each step, see your progress. Notice that you are moving closer to your goal. Every day remind yourself why you are pursuing this career. In fact, write it down and tape it on your bathroom mirror. When you start to feel discouraged, remember your goal and remind yourself that you have no idea if you'll make it or not but you are going to give it everything you have to find out. Anything worth pursuing is going to take a lot of persistence and hard work. Stay with it! You and your family are worth it!

He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.

Wow that is tough. There is nothing worse than fearing abandonment when you are already struggling with depression. It sounds like you are still wanting to work through whatever challenges you and your husband are having but your husband may not be on the same page. I would encourage you and your husband to seek professional support if you haven't already. While depression can put real strains on a relationship, relationship problems can lead to or contribute to depression and there may be some real benefits to both of you in doing some couple therapy. With that being said - if your husband is not willing to do therapy or is clear that he wants the relationship to end, then I can't see what choice you have but to "respect his decision" as you mentioned. This doesn't mean that you have to feel okay with the decision - as I'm sure you wouldn't - but ultimately loving one another and staying in committed relationships is a choice that we each have to make. If he is wanting to leave - this could make things a lot tougher for you. I would encourage you to seek professional support for yourself and reach out to lots of friends and family. You do not need to face depression alone - nor should you have to. We all need support at tough times like these.

He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.

I'm sorry for the hurt you're feeling from your husband's decision.Keep in mind that if one partner does not want to be in a relationship and remains in it, then both people will be unhappy, dissatisfied and feel stressed.Imagine being in a relationship that you'd rather leave.All the negative feelings and resentment of being with someone whom you'd rather be without, would not leave very much energy to satisfy your partner.I'm glad you realize that you feel depressed.Depression is a mood that can change once you understand what is causing it.Depression is an area that very often therapists help their patients understand, and emotionally support and encourage them during the course this takes.For now, concentrate on decreasing the tension in your life. Your husband's indecision may very well be adding to your stress.Only he can make up his own mind.As hard as this may be, all you really can do is take care of how you feel so that you will feel better.From what you write, your husband is too unsure to offer you the love and care you'd like from him.Learning to love oneself is always worthwhile. At this stage in your marriage, now sounds like an ideal opportunity for you to teach yourself self-love.

He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.

The fact that you mention that he is "constantly changing his mind on if he wants to work it out," suggests that Discernment Counseling might be a really good fit for you both. Discernment counseling is a protocol for partners where one or both aren't certain they want to remain in the relationship. It's a brief (1-5 sessions) and intentionally focused on helping partners talk through (primarily individually) their reasons for and against staying in the relationship - as well as confront their own contributions that lead to the relationship crisis. It's aimed at helping the couple reach a clear understanding of which path they are going to take, not asking anyone to change just yet, so it can be a lot less intimidating and more to the point than couples therapy. You can look to find a local therapist providing this service here.That said, I agree with other respondents that if he is deciding to leave, seeking out support for yourself would be incredibly helpful.You may need to accept his decision, but you can certainly feel whatever emotions you have.You are allowed to feel exactly how you feel, and it's likely you'll be sad, or angry or hurt or disappointed or scared, or any combination of any/all of those.Having someone there who can validate those emotions and help you to process the grief that naturally comes with the end of a relationship can be a huge help in finding a place of healing and regaining a sense of self, a sense of hope.

He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.

Although the marriage vows say in sickness and health, each person has the right to choose to stay or to leave, depending on their ability to cope and handle marriage challenges. I know is hard not to focus on him and his choice, but the more you put the focus of attention on him the least support you will receive. Focus on increasing self-care activities and building a support system around you. A therapist can help you to work with depression symptoms, build up your self-esteem, and developing coping skills. Also, invite him to a therapy session so he can clarify any questions and concerns regarding your diagnosis.If you would like to engage in therapy, I am licensed in Texas and Puerto Rico, you can contact me at 787-466-5478.Mi esposo quiere divorciarse despus que fui diagnosticada con depresin severa.El dijo que intentara y nunca lo hizo. Has pasado nueve meses, y esto me est haciendo sentir peor. Hoy, el dijo que yo debo respetar la decisin que el tome. Es eso cierto? SE supone que respete la decisin de irse porque l no puede manejar lo que yo estoy pasando y me deja llorando y preocupada cada noche? El cambia de opinin todo el tiempo.A pesar de que los votos matrimoniales dicen en la salud y la enfermedad, cada persona tiene el derecho de decidir si se queda o se va, dependiendo en su habilidad de lidiar los retos del matrimonio. Entiendo que es difcil evitar enfocarte en l y sus decisiones, pero mientras ms enfocas tu atencin en el, ms vas a resentir la falta de apoyo. Enfcate en aumentar el cuidado personal y en desarrollar tu sistema de apoyo. Un terapista te puede ayudar a trabajar con los sntomas de depresin, mejorar tu autoestima y desarrollar mecanismos de defensa. Tambin puedes invitar a tu esposo a terapia para hablar sobre tu diagnosis y que aclare dudas sobre los sntomas y expectativas.Si te gustara recibir terapia, soy Consejera Profesional Licenciada en Texas y en Puerto Rico, llama al 787-466-5478.

He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.

When you are at your lowest, you have an opportunity to learn not just about the people around you and who you can depend on, but also, so much about yourself and why you have come to the place that you have. Take this time to do some introspection and learn yourself. It will give you the power to recover from whatever it is that has broken you. We'd love to talk with you. Please contact us sometime.

He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.

If your husband is changing his mind about whether or not he wants to stay in the relationship, I wonder if you both might benefit from seeing a therapist who specializes in couples. In my training working with couples, partners come into counseling with one of three goals in mind: strengthening the relationship, getting a divorce, or making a decision. The decision could be whether or not stay together or it could be any number of other things, such as what state to live in.When you ask whether you have to respect whatever decision he makes, respecting his decision does not mean that you have to agree with what he decides. While you do not have the power to change his decision, he also does not have the power to change yours or how you feel about it. Having said that, if he is changing his mind a lot, chances are that the only decision he has made is that he needs to make a decision. Weighing the options of an important decision (any type of important decision) can be anxiety-producing its own right.The fact that you said you were diagnosed with severe depression leads me to believe that you are already seeing a therapist. Perhaps he or she can assist you in navigating through this. I'm wondering how you feel when you are around your husband. I'm not sure whether you are saying that having him there is a source of comfort for you or that it leads you to feel more sad. Maybe it is a little bit of both.

I'm in my late 50s. I never loved or have been loved. I need deeper help than is offered in my small town, but I cannot leave this town because of agoraphobia. I find myself losing hope more and more. My brain barely works anymore, and my memory so small, I forget in a moment. I serve no purpose. I'm incapable of work or anything of value, and I never have been. Im a complete waste of time and resources, and yet I keep trying. Why? Why does God insist that I continue to exist? Im not suicidal, just tired.

The fact that you're reaching out says that there is something in you that wants this to be different, and that drive might be something worth tapping into. "Why do I keep trying?" is a question that might give you some insight into what it is in you that keeps you going.A lot of therapists/counselors are now offering video therapy. As long as you're in the same state as a therapist offering this service, you could connect with someone helpful from the comfort of your home, even being in your small town. I'd recommend looking into this option, because you're asking a lot of really deep questions and might benefit from having those conversations with someone who can help you find your own answers.

Both of my parents committed suicide together, and I was the one who found them. I suffer from overwhelming depression, which is having an extreme effect on me and my husbands sex lives. He does not understand at all and is always making me feel so uncomfortable about sex.

Hello, and thank you for your question. First, I want to tell you how sorry I am for the experience you had with your parents. That is a grief and trauma that is certainly hard to imagine. Trauma and grief can affect us in many ways, and certainly deeply personal things like our sex lives. It may be difficult for others to make the connection, but it is there. So, for example, if stress and trauma make you feel like you are not interested in sex, a partner may take it as apersonal rejection rather thanresponse to stress, trauma or grief. If your husband will agree to it, couple's counseling may be your best bet. A counselor can help you with your communication and may be able to provide some education to your husband about trauma and how it can have an impact on intimacy. If he doesn't agree to go, it may be worth it to go on your own. You still have a lot you are dealing with yourself. And sometimes our personally therapy can influenceothers, so itmay be a good idea. It is important to remember that even though you are married you have the right to make decisions about your body, and that includes when you want to have sex with it. I hope this is helpful, and some of my colleagues may have ideas, also. Be well.Robin J. Landwehr, DBH, LPC, NCC

I have bipolar disorder, paranoid personality disorder, posttraumatic stress disorder, anxiety and obsessive-compulsive disorder. I last self-harmed a week ago. When I am stressed, overwhelmed, hurt, or angry, the urge to self-harm is all I can think of. I am trying to seek help.

Seeking professional help does not mean that you will necessarily be admitted into an inpatient setting - though to be honest, that can become an option if you feel unsafe or if you are unable to plan for safety. However, many clients who struggle with self-harm can find help in outpatient settings - particularly those which offer a treatment called Dialectical Behavioral Therapy (DBT). Looking for a DBT professional or group therapy setting may be particularly helpful, but askilled professional can help you to figure out how to identify other options even when you are experiencing overwhelming emotions.Without knowing your location, I also recommend searching to find your local helpline or suicide prevention hotline. The volunteers on the other end of the line can be very helpful even if your intention is not suicide and they are likely also to be able to connect you with resources in your area. Calling into the helpline may also be a first step alternative to self-harming when you're feeling overwhelmed.

I stress over everything. If I don't have enough "quality time" with my boyfriend, I start to feel resentment towards him. He has three children, and they are great kids, but I find we don't have much time together. I break down easily and find myself depressed.

Everyone has some level of anxiety - it's what helps us respond to stressors in our lives and clues us into the fact that we need to respond to something going on. However, if you're feeling overwhelmed by racing thoughts, feeling like you spend a lot of energy worrying about something specific or even pretty much anything at all, and you're starting to find that it's getting in your way when it comes to living your life the way you want, then I'd suggest seeing a counselor or therapist for an assessment for anxiety.Your other concerns, though, seem pretty "normal" for someone who is in a relationship with a partner who has children. As a married stepmother, I've been there, and as a therapist, I can tell you that the boundaries and communication skills you have in your relationships need to be healthy for you to feel healthy. Finding some support from a group of others whose partners have children might be really helpful - being able to hear from others that you aren't alone in feeling like this can really lighten the load, and they might have some good ideas for handling certain situations. Another option is to find a counselor or therapist who has experience working with step/blended family dynamics - because even if you're not officially married, those dynamics come into play whenever there are kids from another relationship involved. You may even consider couples counseling so that both of you can learn to talk about your relationship needs and concerns in a way that will encourage connection and strengthen your sense of partnership.

I have been falling into a deep depression where I can no function during the day and night. The only time I am at peace is when Im asleep. If I am with friends, family, at work, and mainly alone, I cannot think straight. I no longer feel like myself.

I don't know how long ago your breakup was, but I would suggest that you reach out to friends or family that you trust and perhaps a local mental health clinician.I'm not sure what you mean when you say that you are not able to function during the day and night. If you are having trouble sleeping for more than a few nights, consider talking with your primary care physician. Not sleeping can really make changes in your emotions seem much larger.Can you find anything in your life that is the same as it was before the breakup? This may be a starting point for you. I wonder if you could think of and moment or two each day when you feel emotionally at peace while you are awake. Also consider looking at things that you can control, such as when you choose to wear, eat, and who you talk to about your deepest feelings.You mentioned that you have friends and family. I wonder if any of them are supportive to you.Please reach out and talk to someone about the details. I get the sense that you feel that you are alone in this, and having someone there to help you sort out what you're feeling sounds like it would be a gift to yourself.

I have been falling into a deep depression where I can no function during the day and night. The only time I am at peace is when Im asleep. If I am with friends, family, at work, and mainly alone, I cannot think straight. I no longer feel like myself.

It is common to go through a stage of adjustment after a breakup, which may include depression symptoms. I recommend practicing self-care: stressing on balancing your life with healthy eating, exercise, resting and looking at your spiritual life. These steps should assist you in giving your body and mind some balance. Practice cognitive reframing, this is training your brain to refocus, and stay on task. Meditation is a great tool to clear your mind during the day as well; there are multiple apps that help. If the problem persists a therapist could assist you in learning to focus and process those thoughts and feelings that cloud you mind.Cmo puedo manejar la depresin despus de unaseparacin?He estado cayendo en una depresin profunda que no me permite funcionar durante el da. El nico memento en el que estoy en calma es cuando duermo. Si estoy con mis amigos, familia, en el trabajo o a solas, no puedo pensar claramente. Ya no me siento como yo.Es comn pasar por un estado de ajuste despus de una separacin, y este ajuste puede incluir sntomas de depresin. Recomiendo que practiques auto compasin: esforzarte en balancear tu vida comiendo saludable, ejercitndote, descansando y analizando tu vida espiritual. Estos pasos te ayudarn a balancear tu mente y cuerpo. Tambin puedes practicar reenfocar tus pensamientos para mantener tu mente clara. La meditacin es una buena manera de practicar el enfoque mental, y existen muchas aplicaciones que te pueden ayudar. Si el problema persiste tu consejero te puede ayudar a aprender tcnicas de enfoque a procesar pensamientos o sentimientos que te estn afectando.

I am pretty sure I have depression and anxiety. I also have voices in my head. I have problems sleeping too. I've already been diagnosed with attention-deficit disorder and obsessive-compulsive disorder. I have self-harmed in the last and used to be suicidal. How do I tell them this and ask for therapy?

If you have already been diagnosed with attention-deficit disorder and obsessive-compulsive disorder, can you go back to the people who diagnosed you with those things?It may be that your parents would be open to you talking with someone because it sounds like you have done this in the past. I don't know whether you have a specific reason that you are thinking they may have some hesitation, but if you are comfortable saying that you would really like to talk to someone because you are feeling sad or anxious (or whichever of your concerns you feel comfortable revealing to them), that may be a way to start the process. As for how you tell them about the fact that you have harmed yourself in the past and used to be suicidal, a therapist may be able to work together with you to discuss the best way to tell them about that.I'm not sure if you have told anyone about what you have been experiencing, but if you have some support there, perhaps they would be able to give you feedback about ways to talk with your parents as well.You mentioned that sometimes you hear voices. This can happen for a variety of reasons, but if the voices that you hear are giving you directions and you feel as though you might follow them, that would be a time to ask for immediate help, before you follow through with what they are telling you, perhaps by calling 800-273-8255. They may be able to connect you with local resources and they can definitely talk with you in the moment that you call.

I am pretty sure I have depression and anxiety. I also have voices in my head. I have problems sleeping too. I've already been diagnosed with attention-deficit disorder and obsessive-compulsive disorder. I have self-harmed in the last and used to be suicidal. How do I tell them this and ask for therapy?

Family support is very helpful when having these symptoms. I suggest looking for therapist within reach (school, through your insuranceor the community, calling 2-1-1). Once you schedule a session, you can inform them and invite them to come in. I have found trough sceptic parents, that once they give it a chance they open up to the process of learning and healing. I also understand that parents may become overly concerned and overprotective when hearing about your symptoms, and thats why is important to discuss them with a therapist, normalize them, understand why you experience them, and learn how they could help you. Cmo les digo a mis padres que yo pienso que tengo problemas mentales?Estoy seguro que tengo depresin ansiedad. Tambin escucho voces en mi cabeza. Tengo problemas para dormir tambin. Y he sido diagnosticado con dficit de atencin y desorden obsesivo compulsivo. Me he auto flagelado y sola tener ideas suicidas. Como les dejo saber y les pido ayuda.El apoyo de la familia es muy til cuando se experimentan los sntomas que mencionas. Te sugiero que busques un consejero (en la escuela, a travs de tu plan mdico, o en la comunidad, llamando al 2-1-1). Ya que tengas tu cita, invita a tus padres. He observado que aunque algunos padres son escpticos al principio, pero una vez le dan una oportunidad se abren al proceso de terapia y sus beneficios. Tambin he observado que algunos padres se vuelven sobreprotectores cuando aprenden de los sntomas que sufren sus hijos, as que sera otro beneficio que aprendieran que pueden hacer para ayudarte y apoyarte.

I am pretty sure I have depression and anxiety. I also have voices in my head. I have problems sleeping too. I've already been diagnosed with attention-deficit disorder and obsessive-compulsive disorder. I have self-harmed in the last and used to be suicidal. How do I tell them this and ask for therapy?

What stops you now from telling your parents the way you are feeling?Do you imagine asking them for therapy would be a surprise for them?If they're paying attention to you at all, then I imagine they'd feel relief to know you're aware of having some feelings within yourself of a problem.If you believe they'd have a negative reaction to you asking for help, this may very well be part of why you are having problems in the first place.What reaction did your parents have when you were diagnosed with the other conditions?I'd separate their willingness to help you from your sense of needing help.If they do not want to help with finding a therapist for you, then start by looking for services available for people in your age group whose parents also do not wish to be involved in their child's emotional and psychological health.

I'm depressed and recently went through a break up. Its like every guy I like only wants me for sex. I think I'm ugly, and sometimes I just want to die. I have a son, and I got really big when I was pregnant. I have stretch marks on my stomach.

If you are currently feeling as if you want to die, please call 800-273-8255 and talk to someone.One way to work on not always thinking so negatively about yourself is to surround yourself with people who are more positive toward you. Do you have friends or family who are supportive?Can you find one part of you that you do not think is ugly?If your stretch marks are still bothering you, talk with a pharmacist or your primary care physician. Sometimes there are creams or lotions you can use to decrease stretch marks and they should be able to guide you in the right direction.You mentioned mostly physical things here. I wonder if you can find one small thing each day that is going right and build from there. Perhaps your son makes you smile?

I'm not the same anymore, I don't know how to get back to who I am. I'm sad and confused and angry and tired. I don't sleep well.

Being tired can really affect almost everyone's ability to work through things that make them sad, confused, or angry, among other emotions. If you're having difficulty sleeping, try to get into a habit of going to bed and waking up close to the same time every day. Also consider only using the bed for sleeping so your brain knows that it's time to sleep when you are in bed. If you are not sleeping while you are in bed, consider getting up and reading a book or doing something to make you tired before going back to bed. Hopefully you'll be able to establish a pattern.Sometimes sadness and other emotions make sleeping very difficult as well. Try keeping track of your moods to see what is leading up to the changes.If you're still struggling, consider talking with a therapist about the specifics and/or maybe talking with your primary care physician. There are natural sleep remedies that he or she may recommend for you.

Over the years, I have slowly lost everything: my jobs, my cars, my freedom, and my money. I am a stay-at-home mom who doesn't make any money, doesn't have a car, never goes out, and cleans all day long everyday.

There are an infinite number of possibilities here. You included a lot of things that you don't have. Is there anyway that you can have some freedom for a few hours a week, at least? A lot of times stay at home moms have groups when they meet at different public places where their children can play together and they can talk together. I don't know how old your child or children is/are, but perhaps going back to work is something that can happen in the future.I wonder if you may consider who you have in your life who can support you. I don't know whether you have a spouse or parents or siblings who could help out with some different things. I wonder if you could consider where you would like to go if you had two or three hours that you could do whatever you wanted? If you can sort out some possible answers to that, maybe you can work together with friends or family to make it happen.Also, again depending on the age of your children, some parents can do things while the children are sleeping, even if you are in the same room. For example, if your children are sleeping for about two hours, maybe 30 minutes of that could be reserved for you and the rest could be for cleaning or other things you need to do.

I don't have time to live or take care of myself at times. It's causing depression, stress, and anxiety. I don't know what to do.

I'm not sure whether you are referring to having a lot of activities after school or that homework is overwhelming. Can you set aside a couple hours a week for yourself as a place to start?

Two years ago, I was separated from the military into my contract for medical issues. It has emotionally destroyed me. I now basically hate myself. It's embarrassing to be separated from the one place who takes anyone. My family has been in the armed forces, and it has always been my dream. I can't do this alone anymore, and now my family is even worried.

It sounds like being separated from the armed forces is a major loss for you. It takes some time to work through the emotions related to this and it often takes longer if you are trying to work through it without a lot of support.Is there a task that you were doing during your military service that can in some way transfer into civilian life? I don't know what else your life involves, whether you have close friends or a romantic partner, a career, activities that you like to do, and many other things. You may be able to use some of the things that you still have today as a way to start moving forward in a different direction.Your military service will always be a part of you. Thank you for your service.

I feel depressed even though I act like a happy with my family. I act like Im happy so my son doesnt see me sad. I act like my life is a happy life, but I feel sad and depressed. I sometimes think of killing myself and that my family deserve someone better than me. I just cry and write in my book all these feelings.

It sounds like you have several different things happening at the same time. I would encourage you to call and speak to a local therapist. If you are having thoughts of killing yourself in this moment, please call 800-273-8255 and talk to someone.While I follow that you would like your son to be unaware of what you are going through, that doesn't mean that you can't discuss your feelings with someone else. Who is it that you trust or could speak with about this? A therapist could be one person, but perhaps there is someone else in your life as well.One thing that may help is to find a bead or rock that is smooth and you can hold onto it while thinking of a specific memory where you were happy. This could be from as long ago as necessary as long as it is specific and you can place yourself back in that time when you are thinking about it. If you think about this time while holding onto the bead, the bead may remind you of a time when you felt happy. You could do the same thing for a time when you felt comfortable and safe.Have you recognized any patterns for what is leading you to be sad?Can you think of anything that makes you feel good, even if it only works for a few minutes?

I think i may suffer from depression, and it is affecting my life and sleep. I am on my parent's insurance, and they won't let me see a therapist because they don't believe in it.

The answer here really depends upon your age and something called the "age of consent" in the state where you live. In Pennsylvania, anyone over the age of 14 can provide consent for their own treatment. As for billing purposes, try talking to some local agencies. If you are under 18, you may be able to have Medicaid out of medical necessity so that you can have treatment. If you are over 18, there may be some discounted rates at some agencies because of the situation you're in. Maybe your primary care physician will be able to refer you to some local agencies.If you are in school, you may be able to talk with a guidance counselor or someone at the school. This would not require using your insurance.

When I'm sad and alone, I want to cut myself.

Try doing something physical. If you haven't exercised before, it is a good idea to get your doctor's approval first, but this can be helpful.The more you can find out about when you want to cut, the easier it will be to figure out what else you can do. If you are feeling sad or angry or nervous, look at what is leading up to those feelings and talk to someone about that.You said you are alone. I would see if you can find someone that you can trust to talk with about what you are going through. This could be a parent, a friend, someone at school, a coworker, or any number of other people.

I stopped for a while, but Ive started doing it again. Its like an addiction. The more I try to stop, the more I want to do it. Ive tried doing some of the stuff they say to do like draw, but it doesnt work.

I've heard people say that they cut themselves as a way to feel relief from different emotions. You're also right that when you try to focus on just not cutting, it becomes more difficult because it's what you are focused on. While that is still something to work on, it may also be helpful to find something else you can do instead. You said drawing doesn't work for you. Sometimes more physical activities, such as doing a few jumping jacks, can be helpful. If you don't exercise, it might be something to talk with your doctor about first.The more you can learn about what makes you want to cut, the easier it will be to find out what you could do to change that. Try talking to somebody about what you are feeling in addition to the urge to cut.

I have friends, family, I live in a good home, I go to a nice high school, and I get pretty good grades, but I dont know why I'm so unhappy. These friends are my best friends and theyre all amazing people, and yet I'm sad all the time and feel alone.

I wonder if you have moments where you feel happy?You say you have amazing friends. I wonder if you get along with them and feel as though you can be yourself around them.Sometimes we put a lot of pressure on ourselves to do really well at everything all the time and this can be overwhelming sometimes. Where do you have support? I hope you can tell someone that you are feeling sad so that you can talk about your feelings.Sleeping can make a big difference as far as feeling sad as well. If you're not sleeping well at night, that could be a big part of feeling sad a lot.Perhaps you could try to find a person or two who makes you feel totally safe and comfortable and try to talk with them.

I used to be the funny guy of the groupthe class clown, if you will. I used to laugh uncontrollably all the time and be able to be social without it feeling awkward. Now I can't laugh at all, and I'm dead inside.

If you look back to when you feel as though you were the "funny guy," I wonder what is different now? It may be that responsibilities have changed or any number of other things.I don't know whether you're also saying that you feel sad or if you're saying that you feel as though you don't have any big changes in your feelings.A lot of us tend to be really busy, and sometimes we over schedule ourselves to the point that we don't have time to have positive time for ourselves. Sometimes even if we are spending time with friends, we're thinking about work and all of the other things we need to do.I wonder if it feels awkward when you're with friends that you trust in an environment that you are used to. Maybe if that is more comfortable for you, it can be a stepping stone to focusing on how you feel better in those moments.It sounds as if you may have had an experience (or more than one) where you felt misunderstood or criticized and now reacting to people feels awkward. If so, try going back to people you trust. Who do you have support from?

I'm starting to think that I might have depression. The thing is though, I'm not exactly sad. I can joke with my friends and stuff, but I've stopped caring about my work, and I've been starting to think that life is pointless. I really have no clue if I need help, or if I'm just tired or something.

It is possible that you have depression, but you could also be experiencing some other changes that mean that you have feelings of being sad without actually being depressed. Your statement makes it sound like you've stopped caring about your work, but you're still going to work and doing your work. It almost sounds like you are dissatisfied with your work. Do you like what you do?When you said that life is pointless, what makes it that way? What is keeping you going? Is there something you can do each day that you can find meaning in?You mentioned that you are not sure if you need help or are just tired. It sounds like you could certainly benefit from talking with someone about more specifics.I'm curious about how long you have felt this way and if you are aware of anything that is contributing to it.

In the last ten months, I've been kicked out, moved around three times, worked many jobs, stopped school to make money, had dad and mom get sick, was cheated on while pregnant, lost my baby, had relationship issues, and was betrayed. I can't get a job. I have no friends. I feel lonely and isolated. I've been dealing with all this by myself.

One thing that may help is to focus on small things that you do have control over. If you can hold onto that sense of having control over what you wear or what you choose to eat or where you go during the day, this may help you be able to look at what is currently most important for you and consider different choices. For example, you say you can't get a job, but I wonder if you could work with and local agencies to help you find a job, like Career Link. You say you have no friends currently. Are there any previous friends that you can get back in contact with?You mentioned that you have no friends. Is there anyone in your life that you can talk with, even if it's not someone that you consider a closest friend?

I've been feeling worthless, unaccomplished, and so frustrated. I want to break things, hit myself, run away, kick, scream, and cry. I just want to be happy and outgoing again. I want to be able to take care of my daughter and live comfortably.

Philadelphia, there is help out there. For your daughter's sake, start somewhere. Feelings are only that; your worst fears about who you are are only based on a few moments that haven't gone well. Depression is so treatable, but you have to seek treatment from a professional.Here's a quick exercise for you to do that can show you how therapy might work... fear is telling you the worst possible story of your life, right? So... if there was an opposite story...the very best story that someone could tell about you and your life...what would that be? Who would be telling it? Someone who loves you? Someone who was around you when you were that outgoing person? Someone who's been watching your life from the start? God? Write that best story. I dare you to give it as much credibility as the worst one.Therapy is often about helping people reject their "worst stories". I invite you to start exploring with a qualified therapist whatever barriers stand between you and your best life. I hope you reach out soon. :)

I keep feeling paralyzed and unsure during interviews. Previous jobs have fired me for lack of performance, and five employers have rejected me after extensive personality tests and interviews. I'm afraid of continuing because my depression is getting worse. I'm already humiliated working for temp agencies and doubt my self-worth as a provider for my family.

It sounds like you are feeling pretty overwhelmed and stuck between wanting to improve your work situation and worrying that you won't be able to. It is possible that the paralysis, uncertainty, and self-doubt that you describe are contributing to your difficulty in getting and maintaining a satisfying job as employers generally like to see that a potential employee is confident and can think on his or her feet. With a competent therapist, you may be able to get more understanding of the roots of these feelings and learn how to move forward in your search for a better work life in a way that leaves you feeling confident and capable.

I am not sure if I am depressed. I don't know how to bring it up to my parents, and that makes me miserable.

You are not alone, many people fear opening up to family members about the topic of depression or mental illness. There are many different reason why some may fear telling their parents. The most common thoughts I hear in my office are: " My parents won't understand me", I may cause more problems to the family", "I am worried that something bad may happen if I tell them".If possible express your current concerns and worries to your parents. You can start the conversation with your parents by saying "I have not been feeling like myself lately, and I may want to see a counselor".I think you are doing the right thing by going on this website and asking for help. Just a helpful tip: positive self-talk can be beneficial before having difficult conversations with others. For example, tell yourself something positive before talking to your parents such as "I feel confident in myself, and I am doing this to overcome my fear of talking to my parents" can help to decrease the anxiety you are feeling leading up to the conversation.I would recommend if you are feeling depressed or down it would be beneficial to seek counseling to understand your current thoughts and behaviors. Best of luck and hope you decide to start counseling.

I am not sure if I am depressed. I don't know how to bring it up to my parents, and that makes me miserable.

Depending on your relationship with your parents, inviting them to have a conversation might be a good first step. If they consent then you can have the opportunity to discuss your concerns with them. Inviting someone to a conversation and getting their agreement is a great first step. I would then make sure your location of the discussion is conducive to the conversation and once all that is considered it might be beneficial that you make a list of your concerns prior to the meeting. this can help keep you on point.

I am not sure if I am depressed. I don't know how to bring it up to my parents, and that makes me miserable.

I am so sorry you are struggling! I do think it's a good idea to share your feelings with your parents and perhaps get some help connecting with a counselor or therapist if you feel that might help. There are lots of ways to tell them, depending on your relationship. Maybe saying "I wanted to tell you guys something.. sometimes I worry that I might be depressed." Or, some folks will write a letter, or even send a text. The most important thing is that you tell someone you trust so you don't feel so miserable. I hope this helps. Best of luck.

I have absolutely nothing to do with my life but lay in bed on my phone or hangout with my one friend. I don't have a job, my family doesn't include me in anything, and I don't have many friends. I have nothing to do besides go on my phone. I miss talking to people in person instead of online. I don't even talk to my family in person even from the other room.

It sounds like you are feeling pretty stuck, lonely, and hopeless; like you have a desire to be more connected to people and to find purpose in life, but are not sure what to do. I am glad to hear that you have at least one friend and I think it is great that you are reaching out for more connection. If you can, working with a therapist who is competent in treating depression may be a huge benefit to you and help you to regain a sense of meaning, motivation, and connection. Additionally, anything you can do to give yourself a little break from the feeling of pointlessness and any ruminating thoughts you may be having may be of help. I know it may sound pointless in the moment, and you may feel a great deal of inertia in doing so, but you may find that if you force yourself to do something small that is pleasurable, like taking a walk for example, there's a good chance you will be glad that you did so after the fact. Thank you for reaching out.

My motivation has gone away. It's hard to get out of bed. I really don't know what to do anymore. I'm miserable. My anxiety and depression have taken over my life.

Anxiety and Depression are challenging experiences to live with and to manage on a daily basis. I would say that both are challenges to overcome but solutions to living healthy and well exist. Step 1: Talk about it. With friends, family, partners, counselors, and other trusted people in your life. Step 2: Create a plan with a counselor to learn new skills that help you recognize and manage your symptoms. Step 3: Don't give up. Working on yourself can be difficult and hard at the beginning. Stick with it and you will be able to find exercises, tools, and resources that help you live well.

My motivation has gone away. It's hard to get out of bed. I really don't know what to do anymore. I'm miserable. My anxiety and depression have taken over my life.

It is challenging to maintain motivation at all times, anxiety and depression can set in which can make interacting with others a struggle, it can lead us to do things that make us not feel good and we become isolated. This ends up feeding into a cycle that maintains the anxiety/depression loop and can be really challenging to step out of it. You are in a place of awareness and this is the first step in making changes that can help you feel better. It is really one step at a time, a concrete plan, with self-compassion to build the solid ground you need to come out of this.http://www.empoweryou2.com

My motivation has gone away. It's hard to get out of bed. I really don't know what to do anymore. I'm miserable. My anxiety and depression have taken over my life.

One of the first steps is to manage anxiety and depression symptoms are to establish a goodself-careroutine. Start with the most basic things: Eating balanced meals, sleeping at from 6-8 hours and exercise at least 30 minutes a day. These will help you to regulate the chemical imbalance thataffectsyour mood, plus exercising gives you time to vent and be distracted from your thoughts. Once basicself-careis established, I suggest that is a good time to start exploring the source of these feelings, and address them trough therapy. If you have difficulty initiatingself-careroutine talk to your therapist about what motivates you and pushes you to do things, you might find the key during the process. You could also contact your physician or a psychiatrist to discuss medicationoptionsif its too challenging to begin basicself-care.Cmo puedo manejar mi ansiedad y depresin para sentirme normal otra vez?Mi motivacin se ha ido. Es difcil salir de la cama. No s qu hacer. Soy Miserable. Mi ansiedad y depresin han tomado el control de mi vida.Uno de los primeros pasos para manejar la ansiedad y la depresin es establecer una buena rutina de cuidado personal. Comienza con las cosas ms bsicas: Comer comidas balanceadas, dormir de 6-8 horas en la noche, y ejercitarte por lo menos 30 minutos al da. Esto te ayudara a regular el desbalance qumico que afecta tu estado de nimo, adems de que te da tiempo para desahogarte y distraerte. Ya que la rutina de cuidado eta establecida, es un buen momento para comenzar a explorar la fuente de tus sentimientos negativos, y explralos a travs de terapia. Si se dificulta comenzar a crear una rutina puedes consultar con tu terapista para identificar motivaciones que te impulsen a comenzar. Tambin puedes contactar a tu medico primario o psiquiatra para discutir medicamentos que te pueden ayudar a manejar estos sntomas e iniciar cuidado bsico.

I sleep a lot. Music changes my mood. I cry every Wednesday. My mind is like a maze that even I get lost in. I don't usually feel my true emotions, but instead, I get fake mirrored ones.

What happens in your life on Wednesdays that you feel like crying? Crying is natural. Crying on Wednesdays may also be natural if some type of regular event or situation comes up for you then that you don't like, feel oppressed by and have no way of avoiding.Maybe you would qualify for a diagnosis for depression.This matters less than what you will do with a diagnosis. Very often people feel some type of relief from hearing a professional tell them what they "have".Don't let yourself get talked into taking pills because now you "have something". Pills change your mood.Only you can change your life.The diagnosis matters so the therapist gets paid from insurance.It is a good sign that you know whether you feel true emotions or fake ones. This is a clear sign of knowing about yourself.Your mind feeling like a "maze" is a little too vague to know if you mean there are too many thoughts at once so that you have difficulty knowing which ones to examine first, or if "maze" means you don't know what your thoughts are and feel lost for this reason.Depression which is addressed by a person can become quite liberating because you will remove what bothers you so much in your life that it weighs you down and depresses you.

I have twin toddlers. I experienced a death of loved one prior to giving birth. I had a horrible break up with the father. People told him he was using me for money. My ex-boyfriend had extreme meltdowns every day for three years. Im always alone with no friends.

First, let me say that you are a survivor and a warrior. Managing 1 child by yourself is difficult, but twins is a whole different ballgame. Anxiety can affect us at any time anywhere. This is the challenge, especially when we have so many things to manage each day. There are several methods and practices that help manage and even reduce symptoms of anxiety. It will depend on what works best for you. Talk with friends, a counselor, or a loved one who can offer you support and feedback as you navigate this process of learning what works for you. When all else fails; make sure you are in a safe place, pause for a deep, cleansing breath in, a long exhale out, and ask yourself, "What do I want in this moment?" Now you can begin again.

I live a normal life. I have tons of friends and family, but I feel lonely.

This may be happening because you and the others are not connected to each other on a level which reaches your emotions.Loneliness may show the absence of feeling a variety of emotions when you are among others.How many friends you have doesn't affect whether you and someone else feel emotionally engaged with one another.Consider if you feel like concentrating your friendship on more intensively sharing your feelings with a few of your friends.This may lead to fewer friends who are also more meaningful to you and your feeling a decrease of loneliness.

I started having anxiety three months ago. I'm new to having anxiety, and it's making me depressed.

One of the first steps is to manage anxiety and depression symptoms are to establish a goodself-careroutine. Start with the most basic things: Eating balanced meals, sleeping at from 6-8 hours and exercise at least 30 minutes a day. These will help you to regulate the chemical imbalance thataffectsyour mood, plus exercising gives you time to vent and be distracted from your thoughts. Once basicself-careis established, I suggest that is a good time to start exploring the source of these feelings, and address them trough therapy. If you have difficulty initiatingself-careroutine talk to your therapist about what motivates you and pushes you to do things, you might find the key during the process. You could also contact your physician or a psychiatrist to discuss medicationoptionsif its too challenging to begin basicself-care.Cmo puedo controlar mi ansiedad?Uno de los primeros pasos para manejar la ansiedad y la depresin es establecer una buena rutina de cuidado personal. Comienza con las cosas ms bsicas: Comer comidas balanceadas, dormir de 6-8 horas en la noche, y ejercitarte por lo menos 30 minutos al da. Esto te ayudara a regular el desbalance qumico que afecta tu estado de nimo, adems de que te da tiempo para desahogarte y distraerte. Ya que la rutina de cuidado eta establecida, es un buen momento para comenzar a explorar la fuente de tus sentimientos negativos, y explralos a travs de terapia. Si se dificulta comenzar a crear una rutina puedes consultar con tu terapista para identificar motivaciones que te impulsen a comenzar. Tambin puedes contactar a tu medico primario o psiquiatra para discutir medicamentos que te pueden ayudar a manejar estos sntomas e iniciar cuidado bsico.

I started having anxiety three months ago. I'm new to having anxiety, and it's making me depressed.

I agree with Cory. Acceptance and Commitment Therapy (ACT) does seem to help a lot of people who struggle with anxiety. It's not the only type of therapy that can help, but it seems to help people in a way that is more natural and realistic. As Cory mentioned, anxiety is something that is part of life, so therapies that indicate we can get rid of it are questionable. Our natural inclination when we have anxiety is to STOP any and all things that may cause it or provoke it. We do this because we think it will help, but it actually doesn't. Anxiety usually has us rehashing the past or rehearsing the futurewhile ignoring the present. ACT helps folks who have those kinds of tendencies. Be well..Robin J. Landwehr, DBH, LPC, NCC

I started having anxiety three months ago. I'm new to having anxiety, and it's making me depressed.

As a past sufferer of anxiety myself, I have learned that it is a natural part of life, it is a natural part of us, the longer we try to run from it the more it entangles us in its clutches, if we deny certain parts of ourselves we will become depressed or even oppressed, the only way to deal with anxiety is to embrace it and accept it, and in fighting the fight without fighting we will eventually win, I would encourage you to look into Acceptance and Commitment Therapy, your answer I think lies in that area of research. Hope this helps,C

I have no friends, no hobbies, and no interest in anything. I get annoyed with everything and everyone. I am always tired, i can sleep 8 hrs or 12 hrs and im still tired. I don't know what to do. Is this normal?

Hello, and thank you for your question. It certainly sounds like you don't like how things are going. Here are a few thoughts and ideas:1. If you haven't seen a primary care provider in a while, you may want to. There are health conditions that can affect your mood and energy levels, even at your age. It doesn't hurt to get checked out. If they find the cause, they may be able to treat it and improve the symptoms. In addition, most primary care providers are trained to be able to manage medication for patients who have mild, moderate, and sometimes severe depression. So, don't be surprised if your primary care doctor offers to put you on an anti-depressant if they diagnose you with depression. Medication is not the only way to treat depression, but sometimes it is necessary depending on different factors.2. You may want to consider counseling, since it is another effective way to treat depression. A counselor will help you explore the factors that may be leading to depressive symptoms in the first place. This could include thoughts, behaviors, beliefs, life experiences, and other things. 3. Finally, to answer your question about whether these feelings are "normal." These symptoms could be the sign of an underlying general health or mental health condition. It is important to remember that even if these symptoms are "abnormal" it doesn't mean that YOU are. Millions of people struggle with depression. So remember, the symptoms are the problem, not YOU. Hope this helps. Be well.Robin J. Landwehr, DBH, LPC, NCC

I have a lot on my mind, but all I want to do is stay locked in my room and not socialize with anyone. Why do I feel so alone?

It has been said that depression is often the result of a blocked goal. Often people struggle with both anxiety and depression but have difficulty determining which is the most important issue. For some, depression is the result of frequently blocked goals and when their predominant issues are evaluated, they discover that they are anxious (worried) about a lot of areas in their life but seem to find no relief. When there is no relief and there have been numerous attempts (either in their mind or in practical application) to resolve the anxiety, depression is often the result. In this type of case, depression is not the main or underlying issue. The anxiety is the underlying issue. Having "a lot on my mind" sounds like anxiety. Unresolved anxiety can lead to feelings of depression which are often associated with "emptiness." In the question above, I would want to evaluate all of the issues surrounding having "a lot on my mind" and determine where these might be coming from. Has there been ongoing rejection from peers? From family? If so, why does this seem to be happening? Isolation is often a protective measure that one implements to avoid further pain. Where does that need to protect originate? Are there unmet needs from childhood? Are there traumatic life events that have created a need to self-protect as a defense mechanism?We can feel "alone" even when in a crow of people or at a party. This has nothing, in this case, to do with being around people. It has more to do with how we view ourselves. If there is a prevailing message or script that has been internalized that says, "You are worth nothing" or "You don't deserve the company of others" then being around people will not alleviate the problem but only exacerbate it. I would want to evaluate how one feels about themselves and what negative messages one has received and has repeated to oneself over time.The Developmental Needs Meeting Strategy is a therapy aimed at addressing unmet childhood needs. If there is specific trauma that is associated with socializing with people, then EMDR can be very helpful in desensitizing and reprocessing the trauma. Looking at whether this individual's issue with emptiness is straight depression or whether it is depression as a result of unresolved anxiety is key to determining a treatment strategy.

I have a lot on my mind, but all I want to do is stay locked in my room and not socialize with anyone. Why do I feel so alone?

There are many possible issues to consider as depression social anxieties, even medical illness. For some, even grief creates a sense of isolation, pains from relationship break up. Also, obsessive thinking can be debilitating. Seeking at least one trusted friend or family member can be a start towards increased personal support. Some persons may simply feel connected by spending time with someone as this, even if not talking directly on issues, just being around another is positive. Obviously there is more to explore on this question, given minimal information from two sentences.

I have a lot on my mind, but all I want to do is stay locked in my room and not socialize with anyone. Why do I feel so alone?

There is a difference in someone agreeing to try something and agreeing to continue to do it. Have you ever been willing to try something and then decided you did not like it? A type of food? A sport? A new restaurant? A type of dance? So this does not mean that things have changed between you. It does mean that the two of you may need to spend some time to find out what you both like.Instead of looking at it as a rejection, look at it as a challenge, an adventure that the two of you can go on as explorers together. Some couples have even found it helpful to each write down ten things they would like the other person to try and then each person can pick three things from the other person's list to add into their life together when they chose to over the next few weeks.

I feel angry, anxious, and depressed. The PTSD I suffer is from a past relationship.

If the symptoms are to the extent that they are affecting your ability to function, you may want to consider seeking treatment. PTSD, anxiety, and depression all typically respond well to treatment if provided by a trained clinician. Common types of treatment for PTSD that you may want to look into include Cognitive Processing Therapy or EMDR. The nice things about Cognitive Processing Therapy is that it is time limited and only lasts 17 sessions typically.

I've had posttraumatic stress disorder for years without my parents ever finding out. I want to overcome it, but its so vivid, its like its happening again. I'm scared and paranoid. I have depression, which I have been struggling with since a young age.

I understand that at times its difficult to share with our parents what we have been trough, due to fear of judgment or punishment; but I have noticed that keeping our experiences secret, intensifies them. And Post Traumatic Stress Disorder can haunt us for a long time if we do not learn to process the memories that cause those symptoms. If you have been victim of a traumatic event that you are not prepared to share with your parents, its important that you seek help with a counselor, therapist or psychologist. Trauma Focused Cognitive Behavioral Therapy is a great technique to cope with physical symptoms, you could also use Narrative therapy, Creative Therapy or Journaling as a way to express memories and process them with your therapist. A psychiatrist can also prescribe medication to manage the symptoms, but is very important that you address the trauma so you can heal and go back to live your life. Many organizations like the United Way (2-1-1 in many states) offer resources and referrals to put you in touch with mental health providers, you could also talk to your school counselor, doctor or church to find referral that could help.Tip: You dont have to tell you story to each person you ask for help, you can just start by asking for a counselor referral.Cmo puedo superar el Desorden de Estrs Post Traumtico sin que mis padres se enteren?Comprendo que muchas veces puede ser difcil compartir nuestras experiencias con nuestros padres, muchas veces por miedo a que nos juzguen o castiguen; pero he observado cmo mantener un secreto, lo vuelve ms fuerte y difcil de manejar. El Desorden de Estrs Post Traumtico puede ser una condicin que nos persigue por mucho tiempo si no aprendemos a procesar las memorias que causan esos sntomas. Si has sido vctima de un trauma que tal vez no ests listo(a) para compartir con tus padres, es importante que busques la ayuda de algn consejero profesional, terapista o siclogo. La Terapia Cognitiva Conductual enfocada en el Trauma, es una tcnica que te ayudara a manejar muchos de los sntomas, tambin puedes utilizar diarios o Terapia Narrativa o creativa, para expresar memorias y procesarlas luego en terapia. Un Psiquiatra tambin te puede proveer medicamentos que ayudan a manejar los sntomas del Estrs Post Traumtico, pero es importante que atiendas el problema inicial para poder sanar por completo y volver a tomar las riendas de tu vida. Muchas organizaciones como los Fondos Unidos (2-1-1 en muchos estados) tiene recursos que proveen referidos a consejeros o profesionales de la salud mental. Tambin puedes preguntarle a tu consejero escolar, doctor o en la iglesia. Sugerencia: No tienes que contarle a todos tu problema, solo pide que te recomienden a un consejero o terapista.

I've had posttraumatic stress disorder for years without my parents ever finding out. I want to overcome it, but its so vivid, its like its happening again. I'm scared and paranoid. I have depression, which I have been struggling with since a young age.

What is the reason you wouldn't want your parents to know you are trying to find your way through PTSD?Would they believe that you've been traumatized?And, do you feel that your parents had a hand in creating your trauma?There is no need to tell your parents you have PTSD unless you feel that doing so will help you. Maybe you intuitively realize that they don't want to understand or know about this.How did you come to the conclusion that you have PTSD?If you are working with a therapist, and a minor, then the laws of your State dictate what information your parents can ask your therapist about you.If you are a grown person and working with a therapist, you have complete legally protected privacy of what you talk about with your therapist.In any case, a good starting point is to know exactly your own reason for wishing to keep your psychological situation hidden from your parents.

I've had posttraumatic stress disorder for years without my parents ever finding out. I want to overcome it, but its so vivid, its like its happening again. I'm scared and paranoid. I have depression, which I have been struggling with since a young age.

Post traumatic stress disorder (PTSD) is a very complex issue. It is the root cause of many other issues including depression, anxiety and anger to name a few. Re-experiencing the event is a telltale symptom of PTSD. One of the best things you can do for yourself is to find someone who specializes in this areato help you work through the symptoms associated with this disorder as well as directly addressing the event/events that initially caused the symptoms. There are various treatment methods available to helping professionals that are successful in treating this disorder. In the meantime there is a book called "The Body Keeps the Score", it isinformative andmay be helpful for you on your journey. It is my hope that you are not dealing with this alone. Best wishes!

I've had posttraumatic stress disorder for years without my parents ever finding out. I want to overcome it, but its so vivid, its like its happening again. I'm scared and paranoid. I have depression, which I have been struggling with since a young age.

Unfortunately, ptsd is not something that can be cured. Ptsd can be managed through therapy. Mindfulness can assist in redirecting thoughts and gaining further control over paranoia. Therapy is confidential and there are different ways you can obtain treatment. Mental health professional have availability to provide therapy online, on the phone or in person.

My dad passed away when I was a teenager. I never got any help, and five years later, I feel like I can't handle it anymore.

It's never to late to get help with grief. Get help as soon as possible before you are feeling the same way 5 years from now. You will always miss your Dad but getting help with coping with his loss will make life easier to live.

I am a single mother. As a child, I was molested by my mother's boyfriend. I never knew my father. I started having children at 18 right after high school. After having children, I completely lost myself and gave all of my focus on my children. Now my children are getting older, but I still don't know myself. I've had several attempts at relationships, and they all fail. I stopped caring about a lot after my children's father left me. I fell into a spiral and got depressed.

What your are experience is normal for most women. We usually forget about self and totally focus on our children putting our personal wants and needs aside. So to answer your question of how do you get to know yourself I usually do a 6 session course with my client by having them answer questions such as the following in the first session: What do I love? (other than your children) What are my own needs and desires? What 3 things have I accomplished in my life that I'm most proud of? What are 5 strengths or qualities I have? What is one event that had a major impact on my life? How have that event affected my life today? For their homework assignment after the 1st session, they are asked to write a letter to self tell self what they love, cherish, appreciate and even admire about themselves. Most women feel awkward at first, but I remind them that the truth is that only to the extent that you are able to love and value yourself, you are to love and support others.

I always see the worst end of things. My boyfriend and I aren't talking, and I swear he's leaving me. I keep failing my road test, and I see my future crumble. I have no desire for friends. I pushed my best friend away after Christmas, and I have no desire to fix it or make new friends. My aunt died, and I cry all the time, even if I burn my lunch.

I really love that you're taking responsibility for your pessimism here. There's a modern parable about two young brothers. One child is in a room full of every toy you could imagine, and he's miserable; the other is in a room full of horse manure, and he's flinging it around with joy. So then someone comes and asks the first boy why he's so miserable, because he has so much. He says that he's missing the one toy that he really wants. Then the brother is asked why he's so happy in a room full of manure, and he says "With all this sh-t, there's gotta be a pony in here somewhere!"Happiness is a state of mind, and I hear you saying that you used to be happy, so maybe this means you believe it's possible. That's a wonderful start.Research on depression shows us that it is very linked to pessimism. You say "I always see the worst end of things". That's pessimism. Life is like an elephant. If all you see is roughness, backup and walk around; the view will change.The key to optimism is to build your ability to see the bad things in life as 1. temporary (this will pass. I know how to fix friendships), 2. Specific (not involving the whole of your life), and 3. not your fault (tons of people fail road tests). On the flip side, it helps if we can see good things as 1. more permanent, 2. bleeding into other areas of our lives, and 3. something YOU created. Not taking credit for good things and blaming yourself for the bad ones is typical especially of women.The feelings you are having are temporary; you're in a slump and it's a good time to sit down and look at how you can make the picture look different. I think you know how; but you lack energy right now. If tackling this on your own isn't enough, a therapist can help you take that step back to look at the big picture and help you rebuild your natural resilience and capacity for joy. I wish you the best.

I was anxious to go to middle school. I was afraid of what people might say about me, so when school started, I wasn't acting like myself. I was quiet, which I'm usually not. I didn't talk to anybody and didn't have any friends. Then a few years later, my grandma died. I really became depressed and stop going to school for a little. I hated myself and still do. I just need help. I need someone to care for me. I need someone to show that they care.

I agree; you need more care and support. No one deserves to feel alone, or like they hate themselves. We're all wonderful, imperfect, complicated people and we're at our best when we're all helping each other. I'm glad you wrote this question, because a lot of people have this feeling sometimes.I can tell that you're smart, because you seem to sense that the two things you wrote about are connected...you "not being yourself", and then how you felt when your grandma died.When Grandma died, you needed and deserved extra love and support, but the people around you didn't seem to give it to you, maybe. My hunch is that they wanted to, but that they didn't know how much you needed it, or what you needed exactly. The older you get, the more you will have to take charge of letting people know what you need. Maybe this is one of the suckier parts of being mature, but that's how it works.When you started middle school, it sounds like you changed; you got more quiet, right? That must have felt weird, to not be acting like yourself. It sounds like fear tricked you into thinking people wouldn't like you. Fear can be silly. So then, fear got you to not show yourself, and when we don't show ourselves, people can't see who we are; they don't know us as well and then they don't know what we need and they can't care for us as well either. Fear of not being liked isolated you from the people who love you. It does that to a lot of us.So, where you're at right now is because of what fear did to you, and also because when Grandma died you were already isolated so people couldn't see your pain and know that you needed support.There's a simple solution, but you'd have to be brave enough to look fear in the face and say "Get off my back!". "You're not helping me by telling me lies." Can you be brave enough to go back to your old, louder, self? If you talk to the people closest to you...tell them what you think and how you feel, then they'll be able to give you the care that you want and deserve. I wish you well as you try this!

I was in a situation with a guy. Hes my brothers friend and kind of like a brother to me. He invited me over to hang out, and then came on to me. I was instantly terrified to say no, and I gave in. I don't know what's wrong with me. I can't figure out why I'm afraid to say no. This is giving me a lot of guilt and depression.

Hi Tennessee, There is nothing wrong with you. There are many good reasons why you didn't say no. You didn't say no because you were caught off guard and unprepared; there is no place in life that teaches girls or boys how to manage it when someone crashes a sexual boundary. You also live in a culture where girls are encouraged to be cooperative and not upset people, and to put the needs of other people first. You instinctively want people to like you, and people can be very coercive sexually. You said it yourself; you "gave in". He wore you down.There's nothing wrong with you. It wasn't your job to say no. Women aren't the gatekeepers of male sexual urges. It was his job to get your consent first. He pressured you into it.A good therapist would help you to dig deep and uncover all these barriers to saying no and more. If you said no, what might happen then? What might that mean about you? What are you avoiding feeling? Unloved, unwanted, cold? What would you have to believe in order to be confident enough to say no? That you didn't have to do anything you don't want to do? That you're special, or that sexuality is special? Would you need a better understanding of what sexual assault is?I love that you want to do some work here to strengthen your sexual boundaries, and I urge a widespread conversation about what consent it. Men and women of all ages could use more of this training.

People have been calling me names, and I have had enough of it. I cannot stand it anymore I'm done. I have told someone this, and that is why I am writing this. The thoughts are awful.

It's sounds like you are feeling pretty overwhelmed with intrusive thoughts and are feeling very criticized by others as well. I think it is great that you are reaching out and I can tell that you want this to change. Working with a competent therapist may be a good option for getting some more clarity about what is going on, developing ways to cope, and eventually getting relief from these overwhelming experiences.

My life is completely normal, yet I feel empty inside. I feel as if I already know why I'm alive: to reproduce and die.

Are there any times or moments in which you feel other than "empty"? Start with knowing the context of when you feel something other than empty.If there is no recent example, then in your mind, go back in time to think of when you felt something other than empty. Recall what you liked about this time, whether you were by yourself or with others, what type of activity you were involved at the time of non-emptiness.How did you come to your conclusion that your life purpose is to reproduce and die? If this is what your parents, siblings and extended family believe, it is possible that you have a broader view of yourself and haven't yet uncovered a way of defining your own philosophy of living.Give yourself the time to browse around online, or in person social meet ups, on your interests. It is possible you will discover entire new areas of life and ways of considering life, that are brand new to you and which connect to your true self.This is one way of respecting your individuality, which of itself, may decrease your sense of emptiness.

I'm almost never happy. Half of the time, I don't feel anything. I find it easy to make myself feel nothing. I know I push people away because its easier. I just want answers. I'm sick of feeling this way. Its ruining my relationships with people.

Maybe you have depression.The name of your condition matters much less than the descriptions you wrote of how you feel.Since you've observed how you sometimes interact with people and realize you aren't happy with the result, you've a very solid starting point for reflecting on your deeper wishes in relating to others.Start with asking reasons of yourself about the puzzling aspects of how you're engaging with others.Theorizing as to "why" you feel that pushing people away is "easier", and easier than what?Googling the keywords of how you feel, may open a starting point for ideas on knowing yourself and what you wish for.

I'm almost never happy. Half of the time, I don't feel anything. I find it easy to make myself feel nothing. I know I push people away because its easier. I just want answers. I'm sick of feeling this way. Its ruining my relationships with people.

Hi Loyal, This is a common question. I suggest that you not diagnose yourself (only a physician can do that), but the symptoms you mention are certainly common signs of depression; rarely happy, emotional numbness, hopelessness, isolation. Depression is very common. Research suggests that one in three people may experience it in their lifetime and at any one point, ten percent of adults may be experiencing it. Most therapists are very good at spotting the signs and treating accordingly, although only a physician can prescribe medication.The great news is that depression is treatable. Some people experiencing depression may benefit from medication (often to lift the heaviness of the illness enough so that one can focus on psychotherapy), and therapies such as cognitive behavioural therapy and behavioural activation therapy have demonstrated a clear ability to reduce symptoms of depression. Even if medication helps, seeing a therapist to look at the roots of your depression and to build coping skills is very important.A qualified therapist will help you look at the barriers to happiness in your specific case and suggest a course of treatment. You are not alone, and you don't have to suffer. Keep asking questions and you will find your answers!

My husband and I are in a terrible place. Part of me wants to fix it, but then I'm caught up with not knowing how and not being able to communicate my feelings to him because he always feels I'm blaming him. Sometimes I am because the feelings of distrust are so strong. I feel they must be coming from something he's doing, but sometimes I know I'm being irrational. Still, that doesn't stop the anxiety. The other half of the time, I just want to walk away, but I feel like that will only be a temporary fix.

You may be pressuring yourself to be the one person who fixes the relationship. This is impossible because the relationship belongs to both of you.Has he told you whether he feels about himself that how he interacts with you, is contributing to problems in the couple?Is he willing to understand what you're asking of him, without shutting down with whatever he is feeling when he feels blamed?Your feelings of distrust are the natural outcome of not being properly heard and understood. He's not willing to listen to you, so of course you're frustrated and this frustration comes out in all sorts of uneasy feelings.Willingness to hear each other in a non-defensive way, sometimes requires a couples therapist's assistance.Ask your husband if he's willing to understand, not judge you. Be willing yourself to do the same.If after trying and getting nowhere, you'll know when to stop trying on your own as a couple and to find a specifically trained couples therapists.Warning, not all therapists are trained to do couples therapy. Ask the therapist if they've had specialized training in couples therapy.Otherwise, having a referee type therapy session of, "what do you think", "what do you think?", isn't going to do anything except frustrate both of you further.Good luck!

They don't go away, and I feel like I'm going crazy. Does that ever stop? Can it be a symptom of medication?

Since you realize that hearing voices in your head is not usual for you, then definitely there is a problematic situation happening within your awareness of who you are.if you recently started taking a new drug or increased dosage of one you already were taking, and the voices started shortly after, then yes, it is possible medication created your problem.Start by telling whoever gave you the presecription, about the problem you're having."Crazy" has some flexibility as to whether someone is this way or not.Certainly a very positive sign that you're not crazy, is that you're self-aware of a problem within yourself. And, you're responsible toward yourself and making effort to address this problem.Crazy people usually don't do responsible behaviors.

They don't go away, and I feel like I'm going crazy. Does that ever stop? Can it be a symptom of medication?

This can certainly be a side effect of some medications. If the voices are so powerful that you can not sleep or they are constantly present, you shouldn't wait any time, but go and see your doctor straight away.

I've got so much anger. I don't know how to control myself. My girlfriend screams at me all the time, and sometime I don't know how to deal with life. I'm very depressed and angry. I feel lost.

Hi Campbell River,You say you have anger but you don't mention how it shows. Or maybe it doesn't. Are you aggressive with your girlfriend? Since you mention depression, I wonder if you're bottling it all up somewhere instead of letting it show at all. If this is the case, I admire your ability to not lash out at someone who's hurting you. However, if they are totally unexpressed, anger turn inward and shift into depression. When sheyells at you, what do you do? Is this the moment that you feel the most angry? I wouldn't be surprised; anger is a normal response to someone yelling at you.Something about anger...it's often there to cover up our more vulnerable emotions. Under the anger I wonder if you feel worthless, powerless, scared, unloved. Part of the trick to reducing anger is identifying those other emotions and expressing them.You say you don't know how to deal with life, and I think maybe you mean you don't know how to deal with emotions. Lots of people don't! This is confusing for most of us. What am I feeling? Why is it so strong? I'm afraid to express it for fear of hurting someone (or falling apart, or feeling alone...). How do I know what to express and what to be quiet about?These are all great questions to ask yourself, and a qualified therapist can help you sort it all out and support you in your growth. I wish you well!

I've been having this ongoing problem for most of my life now. I am a young adult, and right now, driving and even being a passenger gives me terrible panic attacks and anxiety. I can't ride in the backseat or the front seat with the safety belt on. I have to lean the seat back a bit because the pressure on my back terrifies me. I miss so many opportunities to go places with friends and family because of my fears of having a panic attack. My family offers little to no support. They think it's fake or "all in my head." It makes me feel guilty and at times depressed to the point where I'd rather never wake up anymore. I am not self-harming, I just feel meaningless. This constant fear has taken over my thoughts and my life. I was such a happy person. I want my life back. I want to travel with my friends and family again, but I don't know how. I've almost given up hope on getting better and just accepting the fact that I'll live with this anxiety forever.

Not having support from your family for such a significant problem, is a problem itself.How about your friends, are any of them nurturing or treat you kindly when you bring up that you've got this problem?Are any of your friends willing to accommodate the fact that right now you've got panic attacks from driving and being a passenger?Maybe being and feeling accepted while you're in this current phase of your life, would help diminish the panic attacks.If no support is coming to you, then a next step would be to evaluate the relationships in your life and to develop standards and expectations of others, especially that they are considerate of your great need at this time.Its possible you are bearing the emotional burden of a lot more people in your life than yourself.If no one wants to show they care about this situation, then release yourself from trying to please and satisfy everyone's wish that you be better, while they ignore your need for their support.Be realistic in what you're able to give back to people who want to be blind to your emotional need.Thinking this way will at first raise your anxiety level from fear of losing everyone. Eventually, you'll stabilize within yourself and know that all you're asking for is some support for having a tough time.Hopefully, the others will be more responsive to you.If they don't you still know that you're being reasonable for what you'd like.

I am broke, but I am sure I have been depressed for the past couple of years. I have always had anxiety. I just need someone to talk to right now. I don't have any friends or family I can talk to. I'm on the verge of just giving up.

Good question. There are resources out there - people to talk to. I'd try going to this link and calling the free 24/7 hotline:http://www.suicidepreventionlifeline.org/

I don't know how to have emotions. I never had any from my birth. Being human, I think of myself as a monster. I enjoy pain. I cut myself for my climax during sex. I think most of the time, I lie, even when sometimes it would have been easy just to tell the truth. I was in rehabilitation for four year. I have made love with both men and women, but it made no impact in my emotions. The books that I enjoy reading H.P. Lovecraft and Edgar Allen Poe. I go hunting every Saturday. I feel powerful. I don't enjoy the killing of the creature, but the hunt of it and to eat and drink the flesh and blood of the creature.

I'm not sure that you don't feel emotion or that you are frightened of the depth of your emotions.From what you write, the context of your growing up years had people telling you to not feel. Little kids and babies don't remember whether or not they had emotions since birth. This is information someone told you or was part of your family system.Possibly your family was afraid of their emotions or of you knowing yours.Similarly, your comparison of being human means being monster like, is not an obvious connection. Besides, monsters are an idea, they aren't real. They embody what someone considers the worst qualities of themselves or the human species. Again, I wonder whether you've taken on stories you heard growing up about how unacceptable and bad you are.A way to start learning your emotions is to start in simple, basic ways to ask yourself what you are feeling in the situations that you believe emotions would belong.If on the first bright sunny and warm day of the year, you remind yourself to notice what you're feeling in response to this, you'll be taking one step toward awareness of your emotions.If someone buys you a birthday present, be aware of how you feel. Keep adding awareness to situations and see if this builds an ease with feeling emotions.

I am on my own with my daughter. I am so worried and stressed about her.

Your instinct to help your daughter, is natural.How you proceed depends a lot on whether she recognizes she has a psychological and emotional problem, or if only you see this from observing her.Also, her age matters a lot in what way would be most likely to succeed in addressing the problems you describe.If you and your daughter have different opinions as to whether or not she has problems, and she is above the legal age of when you have authority over her life, then you can only suggest to her that therapy may benefit her.If your daughter is in your legal control, then you can locate a counselor nearby, discuss your situation with that person, and depending on the outcome, you'd be within your parenting right to take your daughter to a counselor.Starting therapy without willingness to do so, is risky. The person may feel resentful enough to not participate. And, sometimes the counselor is skillful enough to find a path to your daughter, or any patient's self-interest and engage them in therapy.Family counseling, regardless of your daughter's age, is another way to bring your concerns to your daughter's attention, in a therapy environment in which a counselor would be able to help distinguish the seriousness of your daughter's psychological problem, from simply a difference in viewpoints between you and your daughter, in how to handle certain situations.Also, if you believe your daughter is a threat to herself, then instead of this slower route, get in touch with the emergency psychological assessment service in your town, for a more immediate response.

I just had a newborn. When I brought him home, my mom told me to leave. Now I'm in a women's home. I don't see my boyfriend that often because he works. The women's place is helping me find an apartment so I can go back to work and get child care.

Congrats on the birth of your son!Was your mom's request for you to leave her house, one which she asked awhile ago or was this her greeting when you walked in the door?My question is whether your mom had some changed circumstance in her life, whether she and you discussed living arrangements prior to your son's birth, or whether nothing was talked about, you assumed you'd be living with her, she assumed you wouldn't, and the two of you didn't speak to one another about any of this.Depending on the answers, there may be clues as to handling future expectations of others, especially your mom.From what you write, the women's home is supportive of your basic daily living needs. It is good news that the people who run this home know and offer community resources.In your interactions with the staff of the women's home, ask all the questions necessary so you'll have a clear understanding of the apartment lease, anything at all that is on your mind about becoming employed and finding childcare.The point is to have all the major steps you're about to start, addressed.This way, you'll be minimizing the possibility of any sudden bad news by the women's home, told to you.Sending lots of good luck!

I have experienced cycles of depression for the past four years, and it hits me harder every time it comes back. This past time, it was extremely debilitating, so I went on Wellbutrin. I could feel the effects of the medicine after the first week. A month and a half later, I decided that my depression was being caused by my own unwillingness to move forward and address my behaviors and thoughts that were keeping me in a place of despair. I became worried that the medicine was making me complacent and prohibiting me from working out what I needed to in my life to bring back true fulfillment. I stopped taking it a month ago and feel okay; a lot of the anxiety it was paired with has gone away. However, I still don't feel my sense of self has been completely regained, and I have days where I feel a zombie-like haze of having no interests or the ability to fully concentrate on anything. Is it better to continue letting time and good habits work out the remaining depression or should I go back on the medicine?

Deciding whether or not psychiatric medicine is a good option can be complicated, as you have noticed, and only a person who is licensed to prescribe can give you medical advice regarding medications. While there is sometimes relief from symptoms from medication, as you have pointed out, there are often negative side effects as well. While I can't give you advice on whether or not to continue medication, I would urge you to take an inventory of the positive and negative effects that you have noticed and educate yourself as much as possible about the short and long-term costs and benefits of psychiatric medication. If you can find a doctor, psychiatrist, or ARNP who is competent in mental health, it may also benefit you to consult with them.One thing that I am wondering about is, what is your support system like, in regards to your fight against depression? Are you seeing a therapist or attending any therapeutic or supportive group? While there are many things that one can do on their own to work through challenges such as depression, psychotherapy has been shown time and again in research to be highly effective and sometimes having a relationship with a caring, competent professional who understands depression and ways of helping can make a huge difference.

At school, it feels like I've lost all my friends, and I've been really weird with my sleeping patterns. I used to cut myself, and I really want to again, but I change in the locker rooms because I dont want anybody to see. I get ticked off easy and overreact. At night, Im very depressed and listen to sad music and all that sort of stuff. Please help me. I just want to be happy again, and I feel like Im starting to fake a smile at school.

As silly as it may sound, making sure that we are getting the right amount of *restful* sleep is very important when we are feeling low. The reason for this is the lack of proper sleep significantly affects our ability to problem solve and critically evaluate our situation and can lead to a domino effect in our thinking. I know you feel that you may be losing your friendships, but what are the facts that have led to this belief? Really ask yourself, "are they facts?" or are they your perspective on events. In regards to your coping behaviours at night, it sounds very isolating and also very silenced. As opposed to the sad music, why not try all music, allowing yourself to experience the wide breadth of emotions that are circling within you. One of the other recommendations I would make would be to try and journal about some of those thoughts and fears in order to release them in a positively cathartic way.Some of the behaviours that you have mentioned are a bit more significant, though and I would recommend speaking with someone directly in the near future.

I think about death all the time because I feel so alone. I want someone to love and someone to love me.

Feeling alone and/or isolated is almost always associated with being depressed. As humans, we need connection and interaction with others in order to feel satisfied. Given that you are frequently thinking about death, I highly recommend that you see a mental health professional as soon as possible to help assess your immediate needs and address any underlying issues that may be contributing to your feelings of loneliness and depression.The good news is that with proper, consistent treatment and commitment to change, things can really turn around for you. A therapist can work with you on building enjoyable activities into your daily routine, change maladaptive thought patterns that contribute to your sadness, and help with exploring what has gotten you to where you are. By learning about where your sadness originates, engaging in preferred activities, and changing your thought patterns, you should begin feeling relief from the burden of depression. What will likely result, is further opportunity to find social outlets and an increased ability to connect with others.Don't give up. Create some short terms goals that you can likely achieve and make your treatment a priority and a focus. You have already taken the first step in getting better by writing to this site. Keep on this path and believe in yourself. Best of luck to you!

I think about death all the time because I feel so alone. I want someone to love and someone to love me.

Hi Ohio,I'm so glad you reached out. I urge you to talk to someone close to you, today, about your feelings, and to also seek professional help for your serious thoughts and feelings. We want you to be safe, and your depression is treatable.Loneliness is so painful, and when we feel lonely, this can lead to fears that we are not worthy of love or that the world is just a cold and lonely place. Neither are truths; only thoughts. Once we have fears like this though, we start to pull away from people, the fears keep us isolated, which makes the thoughts worse, and the cycle continues.We all have a place in this world. We all have value, we all deserve love, and there are safe, wonderful people out there waiting to meet you and care for you.Can you take a moment right now to become more in touch with three things? First, who in your life, if they were sitting beside you right now, would say "wait a minute...I love you!" What is the evidence that you are already cared about? Then ask yourself "what is the evidence that I am lovable?" What qualities do you have that make you a good friend or person? The third question is "what tells you the world is a good place?" What evidence do you see that there are people out there who care about others?Please reach out to someone today as you ask yourself those questions. I wish you the best.

My fiance suffers from severe anxiety and depression. She has had it most of her life. Her anxiety in public places is the worst. It gets to points where she can't breathe or move. Sometimes, she won't even go to the restroom, so she will hold in her pee until her stomach hurts or she pees herself. She curls up in corners at the mall and has panic attacks. She won't eat or drink in public. If she isn't having a panic attack or crying, she's clinging to me and avoiding everything and everyone. Her depression flares up out of nowhere and causes her to become very suicidal and self-harming. She get really sick from anxiety and scared to the point that I can't even get her to eat, drink, leave the bed, or go outside. She always tells me how she grew up around so much fighting and fear that it makes her scared of loud sounds, yelling, conflict, and even talking to strangers in public. She will refuse to go to a store unless I am with her to talk to the cashier for her. She is so scared that I can't even get her to drive. She doesn't want to get her license because she's scared of trying to drive. Some people have recommended medication, but I believe it's just going to cover up her illness and not solve it. I don't want my fiance pumped with drugs. I believe a psychiatric service dog would be the best bet for her. When we first met my poodle, it would calm her down a lot. She took the dog out every time we went out, and she seemed much calmer and happier. She slowly would eat, and the dog seemed to make her feel a lot better. I am worried and want to help her without medication.

It sounds like you have been a positive support for your fiancee. There is no doubt that this situation is a great challenge for the both of you. While it may feel like you are responsible for her health and happiness, it is important that you understand that you, on your own, won't be able to resolve her mental health issues. Based on what you have explained, it sounds like she needs to get a medical and/or psychiatric evaluation. Whether or not she decides to take medication is her (and your) decision, but keeping an open mind about treatment options is important. I suggest that she see a therapist on her own in order to better understand and cope with her anxiety and depression, especially given her suicidal thoughts. You would also likely benefit from therapy, individual or couple's therapy, in order to address how you are feeling andbest learn how to support her and your relationship. I wish the very best for both of you and hope that things will improve sooner than later.

I'm unemployed just relocated. I can't get approved for a place to live because of past mistakes which follow me to this day. I'm depressed and on the verge of loosing my partner because I'm overwhelmed and have trouble functioning on a daily basis. I see no light at the end of this tunnel and need some help. I see no point in this chaos infested joke some call life.

It sounds like you are feeling like things are hopeless and out of control and you're not sure what to do about it. If you can find a competent therapist to work with, together you may be able to come up with some strategies for alleviating the overwhelming distress that you are experiencing and gain some insight into what may be contributing to these challenges. Additionally, a therapist may be able to support you in getting back on your feet in regards to work, a place to live, and showing up with your partner in a way that will be more satisfying to you.

I'm supposed to stay here the rest of my academic life, but I've never liked it here, not even before I came. Ive never felt like I belong, Ive missed my country every second in the past four months, and I'm just miserable. I'm gaining weight, doing nothing, and crying for hours straight. Is it time to go back home or is it just culture shock?

It sounds like you are feeling very unsure and out of place and the prospect of continuing to feel as you do now for the remainder of schooling seems daunting. Without getting to know more about you and your experiences here and at home, it is hard to say what you should do, however, I think exploring these things with a competent therapist may help you to discover the answer.

I am in high school and have been facing anxiety issues lately. Whenever I get close to being in a relationship, some kind of anxiety takes over and keeps me from the relationship. This anxiety causes me depression at times and even makes me want to vomit. While a semi-relationship should be joyous, for me, its an emotional nightmare I cant get to the bottom of. Ive had this before and had to leave the semi-relationship to avoid throwing up every time I made contact with my crush. What could be the reason behind this? Is it massive nerve problems? Is it a fear of a bad relationship? While Im not quite ready to be in one anyway, I want to get to the bottom of this for a brighter future in which I can be in one. I dont take medications and have no desire to, I have read forums, and Ive talked about the issue with my sister who has faced similar problems.

Hi Helena,I felt a bit sad when I read this. This is a new term for me... "semi-relationship". What does it mean? I know that today's culture for young people is more of a "hook-up" culture than a dating one. Maybe that means that you develop connections to people but you keep yourself from hoping for a full relationship because no one is doing that anymore. That makes me feel sad. I hear a lot of young women (I'm not sure you're female, but that's my guess) say that they struggle with hook-ups because they can't let themselves hope for a phone call after a hook-up. Research tells us that, after a hook-up, college age women tend to feel used and unworthy, and men tend to feel guilty. I think this scenario works better for men than women, but many of both genders are left unsatisfied in the end.This is only one possible explanation for your anxiety...that your gut knows that it wants to feel fully coupled with someone but you struggle with whether it's okay to want or expect that.Maybe take a moment and listen to anxiety. Anxiety tends to try to convince us that something's wrong with us or something bad's going to happen. Anxiety sometimes prefers to stay vague (it's more difficult to refute it then), but you can try to clarify it's whisperings by asking yourself these questions: What am I afraid of? What is the worst thing that might happen here? Then what might happen, and what would be the worst part of that? Keep going until you find the very worst thing that might happen? Might someone not want you...might you feel rejected...or feel not good enough...you might get hurt?Then when you find that core fear, you can look at your life and I bet you'd find a place where that idea or fear originated. A big moment (or many smaller ones) when you actually DID feel or get rejected or abandoned or hurt. In the end, it's a feeling you're trying to avoid (not life or relationship), and anxiety is trying to help you avoid it by making you overcautious. But this doesn't work for you! Good! With the help of a qualified therapist, you can learn to talk back to anxiety and move forward in life and love with calm. confidence.

I just got out of a two year relationship. I broke up with my boyfriend because he wasn't showing any affection at all. He was talking to other women and lying about it. It pushed me away and hurt me, but I'm still in love with him. A couple days after our breakup, he was talking to someone new. He told me he wasn't sure if he loved me. I cried for several days, lost my appetite, and couldn't sleep. Our whole relationship was only us. We didn't have friends. It was me and him against the world. We didn't talk to anyone else because we only wanted to talk to each other. We hung out constantly and Skyped to sleep every single night. Then, when I cut myself, we talked on Skype. He cried and told me "I'm still in love with you, I never stopped loving you," and I cried tears of joy. I asked multiple times if he loved me and asked to make sure he wasn't just saying that because of me being so depressed. He promised and assured me he loved me. He came over after that, and we had sex because he wanted to. He went the home that night and told me he didn't love me, and he lied because he was scared. He told me I wasn't attractive, I wasnt beautiful to him, and that I changed. He also told me he was 100% sure he'd never love me again. I'm still in love with him. Why do I love him? How do I stop? Just knowing that someone else is with him hurts me. That I wasn't good enough and that I'm no longer beautiful hurts me. I think I need a therapist, but don't know if I should.

I am very sorry for the pain you are suffering. Losing the mostsignificant person in your life is extremely painful and breakups are often equated to a death. There will certainly be a grieving process that you go through and time passing will allow the hurt to subside. With that being said, seeing a therapist is highly recommended as it sounds like continuous supportmay be necessary for healing to take place. Anytimesadness causes thoughts of suicide or self harm, it is important to get help immediately.A therapist can help you by validating your feelings and what you are goingthrough, while also working with you to move through the grieving process, adopt new hobbies, social outlets, and goals for your future. While starting over and trying out new ways of being may seem like a daunting task,it will only make things easier and give you asense of hope and purpose for your future. With the new year right around the corner, this could be viewed as a good time and opportunity to get reaquainted with yourself and set goals relatedto living a more fullfilling life. Hang in there. Witha support system in place and a healthy mindset, things can only get easier.Best of luck to you!

A friend of mine taking psychology advised I go to my doctor to check if I have major depressive disorder. I'm afraid of the consequences of doing so. If I do become diagnosed with major depressive disorder, wont that go on my records? I will never be able to become a counselor along with a list of other things I may be prohibited from. Im also afraid of taking any anti-depressants. This year, my doctor gave me some for a "dislocated hip." I had a severe reaction and passed out moments after taking them. Everyone I know who has taken anti-depressants says its a bad idea all around and youre better getting treatment without them. Im concerned they might take me to a clinic and force me to take medication because I am unable to make decisions on my own. Im not really suicidal, but I am not really taking care of myself either. Someone also told me they still use electroshock therapy. Im not keen on that. Im wondering if I am better off just getting self-help and working things out on my own. Its just that I've been an emotional mess since I was in elementary school. Ive graduated now and tried to stay positive and be happy, but I cannot deny I still am not good.

I admire your courage for stating your view about anti-depressants. Questioning mainstream thinking and being in touch with your own views, are signs of strength and clarity in a person.As a therapist, I always tell my patients to avoid anti-depressants.Their effectiveness is in suppressing a person's mood and feelings. If someone does not know how they are feeling, then they will have more difficulty in understanding themselves, their uncertainties and hesitations, and overall, how they relate to others and what they expect from others.Anti-depressants mask how someone feels.In a crisis, temporarily taking anti-depressants may be helpful. If someone is so overwhelmed that they are not functioning, then suppressing unhappy feelings so that the person can get through a day, may be of benefit for a short while.Basically, respect and follow your own opinion about anti-depressants. Your view is shared by many. It is a minority opinion, and very valid.If you would like to shop for a therapist, ask the person on the phone, what their opinions are about anti-depressants.Ideally, you will eventually find a therapist who thinks in a way which is similar to you, or at least similar enough that you will have a sense that you are able to trust working with them on whatever you define as problematic.I hope you will have an easy and productive therapist search!

I have no real friends. I have a girlfriend who irritates me but loves me to death. I push her away and pushes me away. Were going through a breakup, and I have nobody.

Having time all to yourself may be necessary so you have time to reflect on your own identity and values, become more clear on what matters most to you, and with this increased self-understanding, be able to attract people who will feel like satisfying friends.Having a relationship with someone whom you push away and are pushed away, with someone who is irritating, seems to have limited benefit for each of you.Maybe you are together from fear of being alone, and being alone is exactly what you may now need in your life in order to draw more favorable people to you.

I've been hospitalized twice. Once was last month for psychiatric help. I'm on medicine, but I'm struggling with fighting the negative thoughts, irrational fears, and loneliness. The people around me aren't helping much.

If you are someone who usually has a job, pays or contributes to household bills, and generally manages your own daily life, then here are some suggestions.Start with small changes in your life so that you will feel successful in developing little areas of personal happiness.Since the people whom you currently are in your life "aren't helping much", consider branching out your life so that you are with those with whom you do feel help you.Follow your natural interests. If you like reading, look online for a local book club. If you like watching birds, look up a bird watching group.Social isolation increases the intensity of negative feelings.Also, the way healthcare is set up in the US, psychiatrists spend 15 minutes asking a person questions and then giving them a pill script. There is almost no human interest in the person.If you'd like feeling better as a person, then find people. Relying only on our mental health system will keep you feeling low and unsteady.If your life is a little more sheltered and you are in a group home setting or your basic needs are taken care of by someone or some organization, then similar advice is still valid.Find and participate in whatever human settings which appeal to you and are available on a somewhat regular basis.

I'm going through a divorce with my wife of three years, who I've known since the 4th grade and been involved with for seven years! We just had a baby seven months ago and never got along with my mother, who I've lived with for years. I am now back with my mother because I have nowhere to go with this divorce looming. I'm heart broken because I fell into a depression, I haven't seen my child in a while, I'm having good and bad dreams, and I feel hated. Can you help? Can you intervene? Can I speak with someone?

It's hard to accept the end of a marriage when it's not your choice; you feel powerless, abandoned and unwanted. Your wife has the right to decide not to be in a marriage with you, and a therapist can help you accept and move through this change that has broken your heart and left you lost. You don't indicate why you haven't seen your child, and you may want to consult with a lawyer about the laws in your area and how to gain access to your baby. Therapists don't intervene in these ways. The marriage may be ending, but your role as a loving father is only beginning. You can focus on giving your child the gift of two parents who respect each other.

I have been diagnosed with ADHD and experienced manic depression episodes. I have problems with anger management. Apparently, I also have an ODD, bipolar and split personality. How can I be truly happy?

The ADHD and manic depressive episodes are terms other people told you that you have.You don't have to accept these words to describe who you are.A lot of mental health in our country is about telling people what's wrong with them and giving pills for these so called conditions, instead of helping a person know more about themselves in order to make good decisions.You can be happy because nothing from the outside, such as the names people have used to tell you who you are, can interfere with your own wish to be happy.Others can slow you down because of the self-doubt and hurt feelings. No one can take happiness from you, only they can make it harder to find and hold onto.Anger management only works temporarily because it is a surface approach.Think of the reason you are angry. This will be better to know so you will be able to address it.Then you will not have anger to manage.

I was married to a narcissist sociopath for 10 years. During that time I was a general manager. I used to help him financially and in other ways when we were together. But things began to change. He emotionally and sexually drained me. I lost my spirit. I used to be a very happy person but now I am a loner. I left him and moved to another state. Currently, I'm working as a server which makes me believe less in myself. I feel pity for myself a lot but don't know what to do. When I have money problems, he does not help me. He actually enjoys seeing me have a hard time in my life. I need help.

Congratulations on leaving your marriage!It is ok and natural to feel sadness, loss, uncertainty in direction, hurt, resulting from ending the marriage.Possibly what you consider "pity" is a combination of these feelings.Be kind and caring toward who you are since you just put yourself through a major separation and need time to clear out the old emotions that connected you to your ex.There is very, very little chance of him helping you since he lacks compassion and empathy.More likely any help he gave would be in order to manipulate you.Maybe for now your server job is ok do you have more time to concentrate on taking care of your emotions.You were a manager once, you can be a manager again when you feel ready for doing so.Good luck!

I always feel like I'm not good enough and it literally is so hard living. I don't know how to talk to my parents about it.

Are you a teen? This is a really hard problem for more teens (and adults) than let on. When I was about 15, I remember asking my parent's friend, Herman, whether life gets any easier when you get older. He said the problems are actually harder, but you gain the ability to deal with them better. I've been an adult a long time now, and that is so true.If you need someone to talk to, consider a teacher or a school guidance counselor or someone you respect, maybe in church. If they're good and they don't know how to help you, they may know how to get you to someone who can. Also, the idea of not being "good enough" is a common psychological event. In CBT it's called a "core belief," but I call it a "core lie" in my book, Living Yes, a Handbook for Being Human. If you are serious about changing yourself, read about it at www.LivingYes.org and pick up a copy there or on Amazon. I hope this was helpful. The future is filled with possibility if we don't prejudge it! ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)