[20F] Experiencing long-term sadness and anxiety

What might be happening

Based on the information you've provided, here are some possible explanations for your feelings and symptoms:

• Depression: The heavy sadness, lack of motivation, and feelings of worthlessness you describe are common symptoms of depression. Depression can also cause anxiety, irritability, and difficulty sleeping.

  • Treatment: Treatment for depression often includes therapy (such as cognitive-behavioral therapy), medication (such as antidepressants), or a combination of both. Lifestyle changes, such as regular exercise, a healthy diet, and adequate sleep, can also help.

• Anxiety Disorders: Your constant anxiety, feeling overwhelmed, and difficulty committing to things may indicate an anxiety disorder. Anxiety disorders can also cause physical symptoms like difficulty sleeping and irritability.

  • Treatment: Treatment for anxiety disorders often includes therapy (such as cognitive-behavioral therapy), medication (such as anti-anxiety medications), or a combination of both. Mindfulness practices, such as meditation and deep breathing exercises, can also be beneficial.

• Low Self-Esteem: Your feelings of worthlessness, lack of self-confidence, and difficulty accepting yourself may be related to low self-esteem. This can be influenced by past experiences, such as bullying and acne, and can affect your overall mental health.

  • Treatment: Building self-esteem often involves therapy, self-help strategies, and support from friends and loved ones. Positive affirmations, setting small achievable goals, and focusing on your strengths can help improve self-esteem over time.

What you can do

1. Seek Professional Help: It's important to talk to a mental health professional, such as a therapist or counselor, who can provide a formal assessment and recommend appropriate treatment. They can help you work through your feelings and develop coping strategies.

2. Practice Self-Care: Engage in activities that promote your well-being, such as regular exercise, a balanced diet, and adequate sleep. Taking care of your physical health can have a positive impact on your mental health.

3. Connect with Supportive People: Spend time with friends and loved ones who make you feel valued and supported. Sharing your feelings with someone you trust can provide relief and help you feel less alone.

4. Limit Substance Use: While smoking weed may provide temporary relief, it can also contribute to anxiety and depression in the long term. Consider reducing or stopping your use and finding healthier ways to cope with your feelings.

5. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share your experiences with your healthcare provider. This can help you and your provider better understand your condition and develop an effective treatment plan.

What you should look out for

• Worsening Symptoms: If your feelings of sadness, anxiety, or worthlessness worsen, or if you have thoughts of self-harm or suicide, seek help immediately. Contact a mental health professional, call a crisis hotline, or go to the nearest emergency room.

• Physical Symptoms: If you experience physical symptoms such as changes in appetite, weight loss or gain, or persistent fatigue, these could be related to your mental health and should be discussed with a healthcare provider.

• Impact on Daily Life: If your symptoms are significantly impacting your ability to function in daily life, such as affecting your work, relationships, or ability to care for yourself, it's important to seek professional help.

Remember, you are not alone, and help is available. Reaching out to a mental health professional can be a crucial step towards feeling better and improving your quality of life.