[20M] Experiencing depressive symptoms with feelings of hopelessness

Patient Description

A 20-year-old male reports feeling depressed for almost a year, with intermittent periods of feeling slightly better. The patient describes feelings of hopelessness, irritability, and fatigue, with no specific time of day when symptoms are worse. The depressive episodes intensified after the patient's career plans fell through and friends moved away. The patient denies any thoughts of self-harm or suicide but expresses a lack of concern about dying, which has led to considering joining the army. There is a noted increase in the need for sleep and a loss of interest in previously enjoyed activities. No other symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, it seems like you may be experiencing symptoms of Major Depressive Disorder (MDD). This is a mood disorder characterized by persistent feelings of sadness, hopelessness, and a loss of interest or pleasure in activities. Other common symptoms include changes in sleep and appetite, feelings of worthlessness or guilt, and difficulty thinking or concentrating.

  • Treatment for MDD often involves a combination of medication and psychotherapy. Antidepressants can help manage the symptoms of depression, and cognitive-behavioral therapy (CBT) or other forms of therapy can help you manage your feelings and cope with your symptoms.

It's also possible that you are experiencing symptoms of Generalized Anxiety Disorder (GAD). This is a chronic disorder characterized by excessive worry and fear about future events.

  • Treatment for GAD often involves a combination of medication and psychotherapy. Cognitive-behavioral therapy (CBT) is particularly effective for GAD.

Please note that these are just possibilities based on the information you've provided. It's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

What you can do

  1. Reach out to a healthcare professional: It's important to talk to a healthcare provider about your symptoms. They can provide a formal diagnosis and help you develop a treatment plan.

  2. Seek support: Reach out to trusted friends or family members about what you're going through. You don't have to go through this alone.

  3. Practice self-care: Try to engage in activities that you enjoy and that help you relax. This could be anything from reading a book, going for a walk, or listening to your favorite music.

  4. Stay active: Regular physical activity can help reduce symptoms of depression and anxiety.

  5. Limit alcohol: Alcohol can interfere with sleep and can also increase feelings of depression and anxiety.

What you should look out for

If you start to feel worse or if you start to have thoughts of self-harm or suicide, it's important to seek help immediately. You can reach out to a mental health professional or call a crisis hotline for immediate support. Remember, there's no shame in asking for help, and there are people who want to help you through this.

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11 mo ago

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People Also Ask


What are the common symptoms of Major Depressive Disorder (MDD)?

Common symptoms of Major Depressive Disorder (MDD) include persistent feelings of sadness, hopelessness, irritability, fatigue, changes in sleep and appetite, loss of interest in activities, feelings of worthlessness or guilt, and difficulty concentrating.


How can Major Depressive Disorder (MDD) be treated?

Major Depressive Disorder (MDD) can be treated with a combination of medication, such as antidepressants, and psychotherapy, like cognitive-behavioral therapy (CBT). These treatments help manage symptoms and provide strategies to cope with depression.


What is the difference between Major Depressive Disorder (MDD) and Generalized Anxiety Disorder (GAD)?

Major Depressive Disorder (MDD) is characterized by persistent sadness and loss of interest, while Generalized Anxiety Disorder (GAD) involves chronic worry and fear about future events. Both can have overlapping symptoms, but their primary features differ.


What should I do if I start having thoughts of self-harm or suicide?

If you start having thoughts of self-harm or suicide, it's crucial to seek help immediately. Contact a mental health professional or call a crisis hotline for support. Remember, help is available, and reaching out is a vital step.


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