[20M] Experiencing intermittent sadness and decreased productivity

Patient Description

A 20-year-old male reports experiencing intermittent sadness, particularly when alone, which has been ongoing for approximately 6 months following the death of his mother. The sadness is noted to be worse at night. He states that he feels fine when around people but becomes sad when alone. The patient also mentions a decrease in productivity and constant tiredness. He reports a decreased appetite and has a current weight of 140 pounds at a height of 5'7". The patient has lost interest in activities that he used to enjoy and experiences fluctuating sleep quality. He has a past medical history of seizures during childhood but has not had any seizures recently. 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 might be experiencing symptoms of depression. Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest. It's more than just a bout of the blues; depression isn't a weakness and you can't simply "snap out" of it. Depression may require long-term treatment. Here are some possibilities:

  • Major Depressive Disorder: This is characterized by a persistent and pervasive low mood that is accompanied by low self-esteem and a loss of interest or pleasure in activities that were once enjoyable.

    • Treatment typically involves psychotherapy (talk therapy), medications, or a combination of both.
  • Adjustment Disorder: This is a type of stress-related mental illness that can affect your feelings, thoughts and behaviors. Symptoms can be similar to those of depression. Adjustment disorders are a reaction to a stressful event or major life change.

    • Treatment typically involves psychotherapy.
  • Dysthymia (Persistent Depressive Disorder): This is a continuous long-term (chronic) form of depression. You may lose interest in normal daily activities, feel hopeless, lack productivity, and have low self-esteem and an overall feeling of inadequacy.

    • Treatment typically involves psychotherapy and medication.

What you can do

  1. Seek professional help. Reach out to a mental health professional such as a psychiatrist or psychologist who can provide you with a formal diagnosis and treatment plan.

  2. Reach out to your support system. Talk to trusted friends or family members about what you're going through.

  3. Take care of your physical health. Try to maintain a regular sleep schedule, eat a healthy diet, and engage in regular physical activity.

  4. Practice stress management techniques. This might include mindfulness, meditation, or yoga.

What you should look out for

If you start to feel worse or if you start having thoughts of suicide, it's very important to seek help immediately. You can reach out to a mental health professional or a trusted person in your life.

Remember, it's okay to ask for help, and there are many people who want to provide support.

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People Also Ask


What are the common symptoms of depression?

Common symptoms of depression include persistent sadness, loss of interest in activities, changes in appetite or weight, sleep disturbances, fatigue, feelings of worthlessness or guilt, difficulty concentrating, and thoughts of death or suicide.


How can I differentiate between normal grief and depression?

Normal grief typically involves a range of emotions that gradually improve over time, whereas depression is characterized by a persistent low mood and loss of interest in activities, which can last for weeks or longer and interfere with daily functioning.


What treatment options are available for depression?

Treatment options for depression often include psychotherapy (such as cognitive-behavioral therapy), medications (like antidepressants), or a combination of both. The specific treatment plan should be tailored to the individual's needs by a healthcare professional.


How can lifestyle changes help in managing depression?

Lifestyle changes such as maintaining a regular sleep schedule, eating a balanced diet, engaging in regular physical activity, and practicing stress management techniques like mindfulness or meditation can help improve mood and overall well-being, complementing other treatments for depression.


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