[21F] Experiencing insomnia, emotional distress, and self-harm thoughts

What might be happening

Based on the information you've provided, it sounds like you may be experiencing symptoms of a major depressive episode. These symptoms include:

• Persistent feelings of sadness
• Insomnia or difficulty sleeping
• Emotional sensitivity
• Lack of energy or motivation
• Thoughts of self-harm or suicide

Major depressive episodes are often part of a larger condition known as Major Depressive Disorder (MDD), but they can also occur in the context of other mood disorders like Bipolar Disorder.

Please remember that only a healthcare professional can diagnose you with a mental health disorder. It's important to reach out to a healthcare provider who can provide a formal diagnosis and discuss treatment options with you.

What you can do

1. Seek immediate help if you're having suicidal thoughts. If you're thinking about suicide, it's crucial to reach out to someone who can provide immediate help. In the U.S., you can call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) or use the Crisis Text Line by texting HOME to 741741.

2. Reach out to a healthcare provider. If you're feeling depressed, it's important to reach out to a healthcare provider. They can provide a formal diagnosis and discuss treatment options with you.

3. Consider therapy. Cognitive-behavioral therapy (CBT) and other forms of therapy can be very effective at treating depression. A therapist can help you understand your feelings, develop coping strategies, and work towards recovery.

4. Take care of your physical health. Regular physical activity, a healthy diet, and adequate sleep can all help reduce symptoms of depression.

5. Stay connected. Reach out to trusted friends or family members. They can provide emotional support and help you navigate your feelings.

What you should look out for

• If your feelings of sadness become overwhelming or unbearable
• If you start to feel hopeless or like life isn't worth living
• If you're unable to perform daily activities because of your depression
• If you're using alcohol or drugs to cope with your feelings
• If you're having thoughts of suicide or self-harm

Please remember, it's important to reach out to a healthcare provider if you're experiencing these symptoms. You don't have to go through this alone, and there are people who want to help.