[20F] Experiencing persistent emptiness and sadness

Patient Description

A 20-year-old female has been experiencing a persistent feeling of emptiness for about five years, often accompanied by sadness. These feelings last for multiple days and have impacted her daily activities and ability to function. She reports changes in sleep patterns, such as poor sleep quality and frequent waking, but no changes in appetite. She has lost interest in activities she used to enjoy and sometimes has thoughts of self-harm, though she hasn't acted on them. She has a history of anxiety and depression, diagnosed at age 13, but is not currently taking any medications and has no allergies.

Arora's Assessment

I'm really sorry to hear that you're feeling this way. It's important to talk to someone who can provide support. Here’s some advice based on what you’ve shared:

What might be happening

You may be experiencing symptoms related to depression and anxiety. These conditions can lead to feelings of emptiness, sadness, and a loss of interest in activities. Changes in sleep patterns and thoughts of self-harm are also common.

Depression: This is a mood disorder that causes persistent feelings of sadness and loss of interest. It can affect how you feel, think, and handle daily activities.
- Treatment: Often involves therapy, medication, or a combination of both. Cognitive-behavioral therapy (CBT) is a common approach.
Anxiety: This can cause excessive worry and fear, impacting daily life.
- Treatment: May include therapy, medication, and lifestyle changes like mindfulness and relaxation techniques.

What you can do

Reach Out for Support: Consider contacting a mental health professional or counselor. Many communities offer free or low-cost services.
Hotlines: Reach out to a support hotline for immediate help. They can provide guidance and a listening ear.
Self-Care: Try to establish a routine that includes regular sleep, exercise, and healthy eating.
Mindfulness and Relaxation: Practices like meditation, yoga, or deep breathing can help manage anxiety and improve mood.
Journaling: Use MDandMe to track your symptoms and feelings. This can help you and your healthcare provider understand your condition better.

What you should look out for

Seek Immediate Help: If thoughts of self-harm become overwhelming or if you feel unsafe, please seek immediate help from a healthcare provider or emergency services.
Worsening Symptoms: If your symptoms worsen or you notice new symptoms, reach out to a healthcare professional.

Remember, you’re not alone, and help is available. Please consider reaching out to someone who can provide support and guidance.

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3 mo ago

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