[26F] Experiencing persistent anger, sadness, and feelings of worthlessness

Patient Description

A 26-year-old female has been experiencing persistent anger, sadness, and feelings of worthlessness daily for several years. The anger is omnipresent and sometimes exacerbated by listening to music, particularly love songs, which can lead to increased rumination. The patient also reports a decrease in both sleep and appetite, as well as a loss of interest in previously enjoyed activities. There is an acknowledgment of suicidal ideation. The patient has no known allergies, is not on any medications, and has no history of chronic illness.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing symptoms of a mood disorder, such as Major Depressive Disorder or Persistent Depressive Disorder (Dysthymia). These conditions are characterized by persistent feelings of sadness, worthlessness, anger, and a loss of interest in activities you once enjoyed. Changes in sleep and appetite are also common.

  • Major Depressive Disorder: This is characterized by episodes of severe depression that can last for at least two weeks.

    • Treatment typically involves a combination of psychotherapy (talk therapy) and medication.
  • Persistent Depressive Disorder (Dysthymia): This is a chronic form of depression where the feelings of depression last for at least two years.

    • Treatment typically involves a combination of psychotherapy and medication.

Please note that only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Seek help from a healthcare professional: It's important to talk to a healthcare provider about your feelings. They can provide a diagnosis and discuss treatment options with you.

  2. Reach out to a trusted person in your life: Sharing your feelings with a friend, family member, or mentor can provide emotional support.

  3. Self-care: Regular physical activity, a healthy diet, and adequate sleep can help manage symptoms of depression.

  4. Mindfulness and relaxation techniques: Activities like yoga, meditation, or deep-breathing exercises may help reduce feelings of anger and improve mood.

What you should look out for

Please seek immediate help if you're having thoughts of suicide or self-harm. You're not alone, and there are people who want to help. In the U.S., you can reach 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.

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11 mo ago

People Also Ask


What are the common symptoms of Major Depressive Disorder?

Common symptoms of Major Depressive Disorder include persistent sadness, feelings of worthlessness, loss of interest in activities, changes in sleep and appetite, fatigue, and difficulty concentrating. It can also include thoughts of death or suicide.


How can music affect mood and emotions in individuals with depression?

Music can significantly affect mood and emotions. For some individuals with depression, certain types of music, like love songs, may trigger or exacerbate feelings of sadness or anger, leading to increased rumination.


What are some effective treatments for Persistent Depressive Disorder?

Effective treatments for Persistent Depressive Disorder typically involve a combination of psychotherapy, such as cognitive-behavioral therapy, and medication, like antidepressants. Lifestyle changes, including regular exercise and a healthy diet, can also be beneficial.


What should someone do if they experience suicidal thoughts?

If someone experiences suicidal thoughts, it is crucial to seek immediate help from a healthcare professional or contact a crisis hotline. In the U.S., the National Suicide Prevention Lifeline is available at 1-800-273-TALK (1-800-273-8255), and the Crisis Text Line can be reached by texting HOME to 741741.


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