Context:
I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.    Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
   Are they right, am I depressed?

Response:
I wouldn't necessarily say you are clinically depressed based on
that first paragraph in your question. Because that could describe more
introverted behavior (people who feel more energy from a more internal approach
as opposed to those who feel more energy from being among others.) It is more
in the second paragraph that I would be inclined to say that further
exploration is definitely needed. The diagnosis of Major Depressive Disorder is
more than just those two symptoms, but there are more mild forms of depression
that can be equally damaging to someone if left untreated.However, one of the trickiest parts of this is that someone who
feels they are not worth knowing may also believe they are not worth having a
therapist know them, and even less worthy of being helped. Do you feel that
might be you? If so, could we acknowledge that as a part of the big picture,
and all wrapped up in these feelings about yourself, and realizing that
thoughts and feelings aren't always rational (in that you are worth getting the
help)?My recommendation just from the information would be that you seek
out a supportive, listening ear in the form of a therapist, who can allow you
the space to express some of these difficult experiences, and help you name FOR
YOURSELF, what your struggle is. To empower you to name it for yourself, as
opposed to everyone labeling and/or judging you for it, might be an extremely
worthwhile start for you.


Context:
I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.    Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
   Are they right, am I depressed?

Response: Hi, Depression can look different for everybody. It sounds to me like what your family is trying to tell you that they are worried about you, and think this behavior might be a result of depression. If what you are experiencing seems fine and normal to you, it may be nothing to worry about. It is very common to have thoughts of doubt about yourself and your abilities, and it may help to open up about those thoughts to people you trust. Developing relationships with friends and families can be a very rewarding experience, but it can take a brave person to reach out!


Context:
I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.    Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
   Are they right, am I depressed?

Response: If we were in my office together, I would offer that most likely you are feeling somewhat depressed. It's most important for me to impress that you "don't have to live like this..."  Other helpful information: Have you experienced similar symptoms before?  Anyone in  your family been depressed before?  Based on other physiological signs, like quality of sleep, appetite, energy/motivation, I would present you with some treatment options, one of which would be to consult with a medication management provider to assess your symptoms and provide additional information for you to consider.


Context:
I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.    Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
   Are they right, am I depressed?

Response: I would not focus on what other people say. Do you feel what you have described impacts your day to day functioning? Try to evaluate how is your self esteem, motivation and self confidence. How about negative thoughts or hopelessness? Any concerns about your grades sliding down? If you answered yes to any questions, may be its time to see a counsellor.


Context:
I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.    Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
   Are they right, am I depressed?

Response: Although some people managing depression feel sad or "down",  it is a possible to have depression without an obvious sad mood.  Many people indicate that they feel numb or flat.  People managing depression often have low motivation. They may stay in bed for long periods of time and only get up for absolutely necessary activities.  People with depression may also feel inappropriate guilt or shame.   If you have been experiencing the symptoms you described for more than two weeks, I recommend that you see a counselor to get a more in-depth evaluation.   The symptoms you are experiencing are typical of depression, and with a bit of support, you could regain energy and improved self-esteem.  The stigma surrounding mental health can make a diagnosis or a label of depression seem scary.  The important thing to remember is that mental health disorders are as important as and as treatable physical health disorders.    Hang in there.  Healing is possible!


Context:
I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.    Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
   Are they right, am I depressed?

Response: Hello. Being a teenager in our society today can cause depression quite easily. We look at the world in which we live, and the doubts we have about being able to make a contribution, or to have value and worth with the people around us, and we begin to internalize those messages of self-worth. If that alone were not enough, you are trying to figure out where you want to go in life, and who you are supposed to be in the world. Teens are faced with pressures of being judged by your peers for how you present yourself; following current fashions; possessing the trendy things; and hanging out with the "in crowd." Here's a "secret" that might help with most of those issues: Not much of those problems I've just described will really matter as they might seem to right now, in the real world. If you are feeling depression because you feel you lack some of those things that are seen as important by others (like your peers), I can assure you that being someone who is kind; compassionate; understanding of another person's suffering; and the effort you make to be the best person you can become in the world, will far outweigh anything you experienced in your teen years.When we are young, we judge everything based on what our peers have, what they say, the way they dress, who's popular, who's not popular, and for the most of it, all of that is external. So the question becomes, are you trying to fix the feelings on the inside (the internal stuff), with the trappings of all the stuff on the outside (the internal)? That is to say, do you feel that if you had what your friends have, you would be happy and less depressed? Depression is usually a symptom of something much bigger, it is not typically a problem by itself (just as a person who experiences a high temperature may likely have a cold). So fixing the symptom requires looking at the possible causes. In your post, you mentioned that you live with your dad. Are your parents divorced or separated, or has your mom passed away? Either of these circumstances could certainly cause depression. Finding out when you started feeling depressed, might be able to pinpoint the trigger that caused it, which requires looking at when you last felt really happy. It is also important to keep in mind, that as a teenager, your emotions are often being experienced very randomly, and sometimes without cause. It is part of your emotional development, but as you grow older can learn how to manage those emotions better and practice doing things that help you feel better (without causing harm to yourself).Have you tried talking to your dad about your feelings, or maybe another relative if you feel safer doing so? Do you have a friend who is your best friend...someone who is there for you no matter what? If not, there is a service you can use that is a national number for teens to talk with teen peer counselors. They are teens like yourself, but they have some insights that might be helpful. Its called Teen Line (https://teenlineonline.org/). It helped me when I was in my teens, and has helped lots of other teens as well. You might find a place to get some referrals to other local services in your area. If you want are in Washington state and would like to connect with me directly, you call link to me via my profile page. Or perhaps finding a counselor in your local area might be useful. Most towns and cities have some form of low cost counseling. You might also check with your school for assistance.Don't be afraid of not always knowing how you are supposed to feel. Adults don't always have a handle on it either. Being a teenager carries a lot stress, fear, and uncertainty. But you are not alone, and there is help if you reach out for it. I wish for you the very best, and bright future.


Context:
I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.    Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
   Are they right, am I depressed?

Response: The answer to the question of whether or not you're depressed, is less meaningful than what you are doing to feel strong and secure in your life.Otherwise, people shortcut themselves to go deeper in understanding who they are and what they'd like to do with their lives, and accept "depression" as though it is their new name.What you write sounds like classic depression.What to do about this feeling is to get closer to yourself in an accepting way.  Assume that what you do in daily living is somehow necessary.  Unless you are doing immoral or illegal actions to other people, to accept your own wishes as truth will open you to appreciate why you do what you do.Make believe you're interesting and find out more about who you are, if you have trouble to start with thinking of yourself as worth understanding.The more you appreciate who you are and your unique strengths, vulnerabilities and fears, the more these will dissolve by what seems on their own.In fact they will disappear bc you are believing in yourself and your ways.Good luck!


Context:
I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.    Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
   Are they right, am I depressed?

Response: I'm alway wary of assigning a term to a feeling, as often that term becomes more important than the feeling itself. From the very little that you have written, it is clear that you are going through something that has made you extremely low, affected your self-esteem and motivation, limits your enjoyment of formerly pleasurable activities and affects your feelings of self-worth. All of these are aspects of being depressed, though you can be depressed and still not have "depression". Counseling is definitely a place where you can go and sort out why you have had such a sudden a drastic change to your mood. Sometimes our mood can be effected by changes in our routine, losses or significant disappointments. Talking with someone will not only help you to better understand why you are feeling this way, but they will also help you to ground yourself and learn strategies and tools to help you to manage your mood and strategize for the future. I do hope that you will reach out. Feeling alone can be harmful over long periods of time, as it can stop us from seeking out the support we need.


Context:
She has trouble falling and staying asleep and she's always either extremely hungry or not hungry at all. She also gets angry and feels like crying really easily for no reason. She says she is always "kind of down."
   Is this depression? What can I do to help her?

Response: Sounds like signs of someone who is depressed.Since the person in question is your friend, offer your friendship to listen to any situations or feelings she has about herself and the way her life is going.Depressed people are often lonely people and feel as though no one around them cares or notices them.  Your willingness to be available to her may lift her spirits.  Feeling loved goes a long way to dissolving depressed feelings.Also, if in the beginning when you offer to talk, there is a high chance she'll be defensive and turn down your offer.Try again on another day and then another day.When people feel depressed they usually shut down.  So you may need a few or several tries before your friend accepts your offer to show her you care about how she is doing.Also, watch for signs within yourself that your friends' depression is not sinking your emotions.  Depressed people are draining to be around because they often see and talk about only the negatives and drawbacks of situations.


Context:
I'm a teenager and I I go through periods of moodiness. I have extreme feelings (but I bury them), and then I feel nothing - just empty and emotionless.
   I have trust issues, low self esteem,ban extreme fear of abandonment, and I constantly reevaluate my relationships. I also don't know who I am as a person. I'm not happy overall, but I'm not suicidal. Can I just feel happy?

Response: Sometimes the way to feel happy is to address all the questions you just described.Teenage years are the first time any of us starts to feel and recognize our uniqueness.  The fact that you recognize your great range of feelings, as uncomfortable as they may sometimes be, is healthy.Also healthy is that you are asking for opinions of therapists who would be familiar with when a range of feelings shows an out of the ordinary problem.One path to take is to reflect on the topics you wrote here and especially to ask yourself your reasons for how the problem started and what it would take for it to resolve.Do you have trust issues because someone broke your trust? You're entitled to a repair of your trust by the other person.   Even if the person never offers this to you, to know you deserve to be restored to whole, may help you feel more secure.The same is true with the other topics, abandonment and relationships generally.The more you continue to value your unique understanding, expectations, and standards, the more likely you'll create relationships which do not have these qualities, and you will restore your sense of hope that other people may treat you in a fair and kind way.


Context:
I had a very troubled up bringing and I'm currently dealing with alot right now. I know some people may not think so, but to me its a lot. I feel overwhelmed. Could this be depression?
   I use to be in therapy as a child. Alll throughout elementry, middle, and high school I had counseling 2-3 times a week. I haven't be in counseling lately though.

Response: What matters most is how you feel and what you're doing, with whom you're interacting, whether you feel you've got enough interaction to be happy.Whether or not a clinician would decide to identify you as "depressed" matters much less than how you actually are feeling, if you have some ideas as to what might improve your sense of being, and how to go about reaching your goals.If therapy during your childhood made you feel better and you feel you may be depressed, then trying therapy at this point in your life, makes sense.The worst that can happen is you find you feel better than you first understood.The best that can happen is you find a caring therapist who helps you find faith in yourself again.


Context:
I think adult life is making him depressed and we often sleep in on weekends untill 1 or 2 pm. We just eat, smoke weed, watch movies, and he'll go on his phone all day. He doesn't seem motivated to do much and he's often angry.
    I have no clue how to help him take his mind off the negative, or to distract him into a different light. How do I help him?

Response: How do you help yourself to believe you require more than what he offers to you?What do you get from this relationship which feels satisfying?To answer this question may in the longterm be the best way to help your bf.


Context: My mother is combative with me when I say I don't want to talk with her about my depression.    She hasn't been supportive of me in the past and she isn't someone that I feel comfortable opening up to. She constantly tries to instigate conversations where she asks me questions that I don't want to or can't answer. I tell her I don't want to talk and she starts arguments with me.    How can I get her to understand?

Response: Your situation sounds extremely frustrating.You're doing the right move to state you don't want to discuss your depression with her.I guess you could ask if she would like to know your reason to not speak w her about your depression.  If you feel she can handle a reasonable conversation, and you would like to tell her your true reason, then schedule this or bring up the topic at a neutral time, not in the middle of an argument.Having an unsupportive mom is difficult enough to accept.  You may feel greater success and peach of mind to meditate on accepting her lack of understanding than to engage in arguing when she starts this.


Context: I just feel sad all the time and I don't like anyone in my family. I feel like they're trying to control me and won't let me grow.

Response: Hello,While one can be sad from time to time, feeling sad "all the time" could be a sign of depression. If you feel sad on most days, it is worthwhile speaking to a psychologist to determine whether you suffer clinical depression. Feeling sadness is a normal response to loss, whether you lose a family, friend, job, or something you deem important in your life. However, feeling sadness all the time is a signal that you are not happy about something in your life. If it is related to your family and often relationship with family members could affect our self-esteem and self-worth, then perhaps it is worthwhile exploring what you find unhappy about your relationship with your family. Is it that you do not feel heard, supported or loved? Is it that you feel disrespected, disregarded or feel unimportant? These are just a few examples of common issues that people report that contribute to their depression. To help you to uncover your reasons for your sadness or depression and to cope with them in a healthier and more constructive way, it may be helpful to contact a therapist who could support you with this process. You do not have to deal with it alone. Dr. Virginia Chow, Montreal Psychologist. For more information about depression, please consult my website at www.PsychologyResource.ca


Context: I just feel sad all the time and I don't like anyone in my family. I feel like they're trying to control me and won't let me grow.

Response: Understandably the idea of someone who tries to control you, is good reason to feel sad.Your feelings sound like they are very strong and meaningful in your life.Keep in mind that your feelings about others has more to do with one's own self-view than with what the other person is actually doing.Unless the people in your family are actually interrupting and impeding your life in practical ways or by intimidation or other verbal ways to inhibit you, then there is a great chance your feelings of being controlled by other family members has more to do with your fears to be who you are than with any family members' actions.


Context: I can't seem to feel any emotion except anxiety, not even for myself.

Response: Thank you for posting.  I'm interested to hear some more information; such as, if you live by yourself or family, if you go to school/employed/unemployed, and what kind of things do you like to do with friends or by yourself.  Often times, when we are experiencing a strong emotion that we interpret as negative, we put most of our focus on that negative emotion and struggle to see that we do not always feel that specific emotion.  There are typically points in the day (even if it is for only in 1 minute intervals) when we do not feel that negative emotion.  When we overgeneralize, we use words like "always" or "never" and when we use those words and it may not be totally true, we feel the negative emotion based on an inaccuracy which is not fair to you.  Ask yourself some of these questions: Am I being realistic when I'm overgeneralizing things? Have I ever noticed a short period of time that I wasn't feeling anxious?  What do I notice when I am feeling anxious? What am I thinking about?  When was the last time I felt empathy?  What was different when I was able to feel empathy?  Hopefully this helps get you started.


Context: I can't seem to feel any emotion except anxiety, not even for myself.

Response: Empathy usually falls on a spectrum, meaning that some people show more than others. Empathy is the ability to look at the world through someone else's eyes or "walk a mile in their shoes." There could be some people in your life for whom empathy is easier to feel and those for whom you have no idea what they are experiencing.Empathy is not usually categorized as an emotion, but as something related to emotions. For example, you could have empathy about someone's anxiety.I'm not sure whether you are also referring to the idea that you don't have sympathy for yourself or others. That's a different concept, but also involves different degrees.When you say you don't have emotion except anxiety, I wonder if you are saying that you have anxiety all the time and it may be covering up other emotions? If you are experiencing a lot of anxiety, try to look at what it connects to and find something that changes your focus for a few minutes. This could be any number of activities, such as watching TV, cooking, reading a book, or many other options.If you are feeling as if you are just going through the motions and not having a lot of emotions about anything, if it's just been a few days, it may just be related to a current stress that will lessen in a few days. If it has been quite a while, consider tracking your mood and looking at when you do notice changes in your emotions. There may be some variations that you are not aware of.If you continue to feel anxious and as if you don't have as many emotions as you would like, consider talking with your primary care physician or a local therapist.


Context: I can't seem to feel any emotion except anxiety, not even for myself.

Response:
Empathy is the ability
to tap into our own experience to help us connect with others in order to be
aware of how they are experiencing life.
It is a skill that we learn with practice and refine as we become mature.
If you are feeling anxious, maybe you are able to understand better others who
are going trough anxiety.  But I wonder
if instead of feeling empathy, you may just want to find ways to reduce your
anxiety.  A good idea is to be very aware
of your anxiety triggers, and once you identify them explore other ways you
could react. ¿Sera normal que no sienta empatía?Parece que no puedo experimentar ninguna otra emoción que
no sea ansiedad, ni si quiera por mí misma. Empatía es la habilidad de usar tus propias
experiencias para conectarte con otros y estar consciente de la manera que
ellos experimentan la vida.  Es una
destreza interpersonal que aprendemos y refinamos con la práctica y según maduramos
como personas.  Si te estás sintiendo
ansioso, tal vez puedas comprender mejor como otra persona experimenta momentos
de ansiedad.  Pero me pregunto si en
lugar de estar buscando sentir empatía, realmente quisieras reducir tus niveles
de ansiedad.  Una buena manera es estar consciente
que activa la ansiedad, y ya que lo identifiques, explora que otras reacciones
pudieras tener.


Context: I know I need to deal with my depression. But I don't know how and I don't want to tell anyone.    How can I deal with depression without telling anyone?

Response: Love yourself more and treat yourself kindly, with empathy and compassion.Usually when people feel depressed they also feel lonely and isolated.  Since at this time you wouldn't want to tell anyone about the way you feel, which includes the possibility that a few of the ones whom you tell would offer you emotional support, give this to yourself.Also consider to make a goal of eventually telling someone whom you are reasonably sure would understand and empathize, about your depression.This will help alleviate the sense of shame, unworthiness and pervasive guilt which often comes along with depression.Sending you good luck!


Context: I know I need to deal with my depression. But I don't know how and I don't want to tell anyone.    How can I deal with depression without telling anyone?

Response: It can be really tough to tell someone - anyone - that you're feeling depressed. But finding that supportive person that you can share with is a big part of the battle with depression. Depression thrives on being secret, it seems to grow the more we isolate ourselves and hide it away so I'm with Laura Cassidy, when she suggests finding that professional support person so you can start fighting back against your depression. If that feels like too big a step right now, maybe check out a book or two... I'm a big fan of a book called 'Feeling Good' by Dr. David Burns if you want some practical thoughts on tackling depression and on 'Radical Acceptance' by Tara Brach if you prefer something a little more spiritual.


Context: I know I need to deal with my depression. But I don't know how and I don't want to tell anyone.    How can I deal with depression without telling anyone?

Response: Hello,It is completely understandable that you would not want people to know about your depression. I would first like commend you for realizing that you need to help with your depression by reaching out here. That is a great start, and you've taken the very first courageous step. Depression can feel debilitating and overwhelming. Depression is also a very personal thing and no one has know but you and the therapist. The best way to begin learningand dealing is to pick up the phone and call a therapist or email a therapist and schedule a session. The great news is that with professional help you can feel better and you will learn how deal with and manage the depression. There are many ways to help with depression that a therapist can teach you and help guide. You do not have do this alone. Asking for help and going to therapy is a strength! This can be done in a private and confidential setting.Depression should be treated by a therapist, in a safe, confidential office setting. The therapist can then discuss your depression with you in more detail to figure out the underlying cause, how long you've been feeling this way and identify what brings on these feelings. There is hope and depression can be treated with great success, you CAN feel good again. Depression can be managed appropriately by seeing a licensed therapist. Often times therapy will offer relief because you would have someone there simply to listen to you, validate your feelings and listen to your story. The therapist will be able to offer professional insight and perspective on the situation and help you think outside the box. The therapist can do many things with you, provide insight and offer many ideas to help you learn new coping skills and ideas of things you enjoy, encouraging you to re engage in hobbies you once enjoyed or even discover new things you may enjoy. There are creative ways to learn to cope too!Your therapist will also be there to support you, without judgement, at your pace, through the entire process. But the first step is finding a therapist and beginning to identify the cause your depression. Healing is possible and getting your happiness back is also possible.Feel free contact me for additional help or informationLaura Cassity, LMSW, LMAC


Context: I'm dealing with an illness that will never go away and I feel like my life will never change for the better. I feel alone and that i have no one.    How can I overcome this pain and learn to be happy alone?

Response: Is it possible that even though your illness is chronic, that it goes through phases in which you are more comfortable and that it requires less focus from you than at other times?I think the idea of having a lifelong illness is frustrating and can be depressing to think about.  Thoughts are not necessarily the truth of what will actually happen though.Illness makes negative situations look worse so be sure you are concentrating on specific areas of your life and not just assuming they will work out badly because you are ill.One way to be happy alone is to love and appreciate, nurture and be kind to yourself.This frame of mind may generate new answers to find ways of being among other people too.


Context: I'm dealing with an illness that will never go away and I feel like my life will never change for the better. I feel alone and that i have no one.    How can I overcome this pain and learn to be happy alone?

Response: I'm so sorry you're feeling like things will never get better. Try to remember that whatever illness you are dealing with, you are not the only person to have dealt with it and you are not alone! Out there, just waiting for you, is a group of people that will totally understand what you're going through and will be able to share how they coped. Try searching for a support group for your illness - google and www.psychologytoday.com are both good places to start for those groups.


Context: How do I make myself happy without the people who made me happy? Now that they’re gone, I feel sad. It’s been two months now but I seem to be unable to stay okay and independent.

Response: Hello. So, someone made you happy but is no longer around? I am sure that feels devastating. As a counselor I usually have to ponder this kind of thought because it lends itself to suggesting that happiness comes from the external, rather than the internal side of a person's life. Happiness is formed within ourselves. All the external trappings of happiness are usually quite fleeting, and temporary. Even relationships fo not last forever. If we get to a place where we are reliant and dependent on those around us to create happiness in our lives, then we lose the opportunities for us to do it ourselves. We are entirely capable of finding ways to be happy. Sometimes this entails working out issues that are holding us back from reaching a place of peace, or resolution to a specific problem.What I would offer to you, is to find ways in which you can develop happiness for yourself. What do you like about your life as it is right now? What can you do to create change in your life to increase your happiness? These kinds of questions can be valuable to you as you seek out ways to make happiness an internal rather than an external event. Mourning the loss of a social connection (in whatever way that occurred), is part of the grieving process, but it is not permanent. It is a path to healing and moving forward. From this, you can seek out new sources of happiness. I encourage you to remember that happiness is independent of the external experience you have in the world. Happiness is an expression of the internal feelings, so that will be the source or the font of positive emotion from which you really draw. If you are lacking in happiness, then it becomes important to examine why that is, and what you can do about it to promote self-care. Seeking out a professional counselor can also be a good option as you move through the grief/loss process and examine the reasons happiness is not in greater supply.I wish you happiness for every day of your life.Best wishes.


Context: How do I make myself happy without the people who made me happy? Now that they’re gone, I feel sad. It’s been two months now but I seem to be unable to stay okay and independent.

Response: It sounds like you have been feeling pretty down, since the loss of a relationship, and you're wondering how to be happy by yourself. Intimacy is a very natural human desire and at the same time learning to enjoy ourselves, even when we are alone, can strengthen our ability to lead a satisfying life in and out of relationship. Working with a therapist, you may be able to gain insight into how you show up in your relationships with yourself and others and discover more fulfilling ways to do so.


Context: I feel like I am internally screaming all the time. Externally, I am calm, but I have this intense, unidentifiable emotion constantly. I don't feel sad. I don't cry a lot. I feel rather emotionally distant other than the internal screaming. It kind of feels like I'm a caged animal.

Response: It is hard to make a definite diagnosis however I would say  that it could be and or a combination of depression, stress, PTSD, etc.  More background information would have to be needed.  One thing I would say is that you really need to seek guidance from a professional to work through these symptoms.  If what you described as a caged animal is released, all the crying, sadness, and controllable emotions will come out.  That would not be good when they do.  Get help before they do..


Context: I feel like I am internally screaming all the time. Externally, I am calm, but I have this intense, unidentifiable emotion constantly. I don't feel sad. I don't cry a lot. I feel rather emotionally distant other than the internal screaming. It kind of feels like I'm a caged animal.

Response: As far as the formal diagnosis of depression goes, it would be hard to determine without more information. It sounds like you are noticing that there is a significant difference between how you are feeling on the inside and how you express yourself outwardly. Part of you is quite distressed and yet it remains invisible to the outside world, almost as if it is trapped inside of your body. Many people who are depressed experience such things as intrusive thoughts, emotional numbness, difficulty expressing themselves, and bodily tension (caged animal?). In working with a competent therapist, you may be able to get more insight into what you are going through, the nature of the disconnect between you inner feelings and outer expression, and eventually gain relief from the distress as well as a greater sense of connection with yourself and personal freedom.


Context: I feel like I am internally screaming all the time. Externally, I am calm, but I have this intense, unidentifiable emotion constantly. I don't feel sad. I don't cry a lot. I feel rather emotionally distant other than the internal screaming. It kind of feels like I'm a caged animal.

Response: It sounds like you are trying to find a label to help you to understand why you are feeling the way you are feeling.  Sometimes there are no labels for how we feel.  Sometimes there is no name for the emotions that we are experiencing. Regardless, you do not have to continue to feel this way, no matter what you call it.  If you are seeking to experience an internal calmness such as your external calmness, you may want to try some mindfulness practices or meditation.  However, being able to get at the root cause of what you are feeling may be what you need to help you release this feeling for the long term.  I recommend seeking support for this to allow this internal screaming to get some air and begin to breathe.


Context:
I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my dad and acts like she doesn’t believe me either. I’m a pansexual, but I can’t trust my own parents.
 I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust.

Response: First of all, I am sorry that you have been missing out on your childhood. It may help you to know that many of us feel that we have missed out on our childhoods, as well, and that despite such deprivations, for many of us, our adult lives have been extraordinarily fulfilling due to our opening up to trusted adults. I recommend that you find a trustworthy adult to talk to. This may be a teacher, a coach, a school counselor, a minister, a family member, or a friend's family member. If none of these are available, try out a professional counselor, social worker, psychiatric nurse practitioner, psychologist, or a psychiatrist. It is best to get a referral for such a professional from a peer who has had a positive and safe experience with a particular provider.


Context:
I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my dad and acts like she doesn’t believe me either. I’m a pansexual, but I can’t trust my own parents.
 I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust.

Response: Life sounds extremely frustrating for you right now.As long as you've reached your conclusion that your parents do not take you seriously when you would like to speak with them on a serious topic, and that you feel unable to trust either of them, then work with your own information.Many people don't know how to listen and aren't trustworthy.  As painful and aggravating as having parents who fit this description, you're better off to honor what you realize than to continue fighting what is not in your hands to change.Since you write about having a similar problem with friends, then maybe this comes about because you pick friends who are similarly unsatisfying to be with as are your parents.The first step out of this dilemma would be to accept how crummy you feel about the way your parents are toward you.If you're able to live with the sadness and resentment of having parents who don't want to know how to understand you, then you'll start to develop a new and more satisfying definition of what you expect from the behaviors of your friends.Trust yourself that what you feel and see is accurate, then it becomes easier to trust and welcome new people who are formatted differently than either your parents or your friends who sound very similar to your parents' ways.


Context:
I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my dad and acts like she doesn’t believe me either. I’m a pansexual, but I can’t trust my own parents.
 I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust.

Response: I'm sorry you feel so alone and isolated, those feelings in and of themselves can lead to depression, stress and anxiety.  So job one is finding someone you can talk to.  A good friend or an open parent can be as helpful as a professional counselor, but if you don't have those, then by all means call your local Mental Health Association, suicide prevention, or go see your school counseling department. There are many of us now who do on-line, FaceTime, phone counseling so that is an option to consider in your situation.  On the other hand,  If you want to script a conversation with your parents (I'm a great believer in scripting) not that you're going to read it to them, but if you write down exactly what you want to say, read it over a few times before you're ready to have the conversation.  Why?  You'll be much more likely to do it if you're prepared, and you'll  have a better chance of saying everything you want to say in a calm but forceful way.  The same with your friends--you are probably a great listener and therefore attract people who want to talk--so you need to let these friends know you need something in return.  If you practice asking for equal talk time, then perhaps these friends will respond and surprise you, or if you make those demands you'll start attracting people who are looking for equality in friendships.  Now back to that script--first decide do you want to talk to both parents at once, or one at a time.  Then begin to write down the points you want to make such as:   I love you, and I know you love me but I don't feel as though I can trust your love to be unconditional enough to tell you who I really am, and how I really feel.  Find your own words to describe your own feelings.  If I can help, get in touch. You are right to reach out starting here, there are no prizes for suffering in silence and, as you already know, little joy in going it alone.


Context:
I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my dad and acts like she doesn’t believe me either. I’m a pansexual, but I can’t trust my own parents.
 I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust.

Response: One of the most difficult challenges we face is not being heard! It is incredibly frustrating and hurtful when others, especially parents, do not listen. While your parents surely love you and want to understand you, it may be difficult for them to fully understand your feelings and experiences. They are quite a bit older and have likely not dealt with some of the struggles that you face. I would suggest communicating your feelings to them about not being heard. Talk to them during a non-emotional moment when the discussion is not already heated. In other words, do not wait until an argument ensues to have an open discussion with them about how you are feeling. Prepare them by asking them what time is good for them to talk. Let them know you have something important to get off your chest. Try and avoid using exaggerated or extreme language such as "you NEVER listen," "you ALWAYS say..." and stray away from placing blame. Instead of beginning your statements with "you" try using "I" by letting them know how their behavior effects you. Finally, let them know that they are important to you and that having their trust and support would mean a lot to you. Perhaps giving them suggestions as to what you wish for and would like to see change would help them to better understand.I would also suggest that you seek guidance from a therapist, teacher, or school counselor if possible. Most schools have counseling resources on sight in which a trained professional is available to talk with students looking for help.Best of luck to you.


Context:
I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my dad and acts like she doesn’t believe me either. I’m a pansexual, but I can’t trust my own parents.
 I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust.

Response: First, thank you for sharing such deep personal information. It can be difficult to share such intimate information. To begin, it sounds likes your primary concern your desire to speak to someone who takes your mental health seriously. You've tried talking to your parents and your friends and neither have made that connection in the area you need. I'm sorry to hear that. it's unfortunate. However, I think a couple things can be done to try to address this. If you want support1) Parents- Sit down with one of them and tell them with all seriousness that you need to talk about something that is affecting you deeply. Perhaps speaking to both can be too much for one room. If you try to speak to mom or dad by themselves, it may create that intimate atmosphere needed to understand where you are coming from. 2) Friends: Like parents it can be difficult to speak to your friends about challenges with your mental health. When you're feeling down and anxious, friends can be great help or not their at all. With friends, it may be one of those things where you also need to create an intimate environment with one friend to speak to about your sadness and anxiety. If anything, speak to the fact you're hurt and help them understand that if they can't understand the depressionIf you don't want support Coping Strategies: Identify coping skills and strategy that help you when you're feeling down. Ideas:A.) JournalingB) PaintingC) ExerciseD) MusicE) Reading AffirmationF) Listening To Motivation Videos


Context:
I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my dad and acts like she doesn’t believe me either. I’m a pansexual, but I can’t trust my own parents.
 I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust.

Response: Teenage years are rough for anyone, and this is a time for self-discovery and experimentation. Having older parents can certainly pose challenges. Most kids feel like their parents don't understand them, but yours are older than the average parents of teenagers. They're from a completely different generation than you are. It sounds like they love you, but may not understand you. The problem here is the generation/age gap, and there's not a whole lot you can do about that. What you can do is accept the situation and perhaps look at it a little differently. It seems like you're looking for affirmation from them, looking for their approval and understanding. It's never a good idea to look to others to define who you are or to get a self-esteem boost. Who you are and how you feel about yourself needs to come from inside, not from outside. One way you can have a better relationship with your parents is to stop looking at all the things you aren't getting from them that you want, and rather look at all the things you are getting from them. Yes, this is a glass half full or half empty point of view, but it works. The negative will overshadow the positive if you let it. Start looking for the good things in your relationship with your parents and your feelings towards them will become more positive.I'm not sure how your friends/peers made you feel like your childhood has been taken from you. That's a curious statement, and requires a deeper conversation to understand where that came from. However, I do understand feeling different and out of place, especially in high school. Find the strength within yourself rather than looking to others in your life to make you feel better or feel like a complete person. It helps to have friends and loved ones, but you can never rely on them to fulfill all of your needs. Set some goals for your future, work towards them. Focus on being the best YOU that you can be, and the right people will enter your life at the right time.


Context:
I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my dad and acts like she doesn’t believe me either. I’m a pansexual, but I can’t trust my own parents.
 I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust.

Response: Hi there. Being 15 years old can be a very difficult time in your teenage life. I remember when I was 15 and how I often felt my parents weren’t listening to me. It’s even more difficult when you feel that you do not have a friend that you can confide in. Having depression in the past and being able to get through it shows me that you can get through anything! Depression alone is a very difficult problem to work through. In addition to the communication problem with your parents, it appears that you are also struggling with stress and anxiety. We all have stress and anxiety in our lives. If we didn’t, none of us would be living. Anxiety & stress keep us on our toes! Often, I have to remind myself of this as well. However, it is how we manage stress and anxiety, so it will not overcome our lives. Are you familiar with relaxation techniques, such as: deep breathing exercises, meditation or yoga? Relaxation Techniques can help you tremendously in reducing your stress and anxiety. Deep breathing exercises are helpful when you are on the go, such as school, shopping, out with friends or whatever extracurricular activities you engage in. Most people do not take full advantage of their lung capacity. I know, that sounds silly. But, it’s true. You would be surprised how much air you lungs can hold. Imagine being in the Doctor’s office and taking deep breaths. This is what you want to do when you are feeling overwhelmed and/or stressed. Take a moment to take in at least 10 deep breaths and let them out slowly. You will be surprised how well you feel afterwards. Meditation and Yoga are also healthy forms to working through stress and anxiety. You will need a quiet place for your meditation. You want to be “in the moment” and take in the peace and serenity. All it takes is a quiet place, closing your eyes and thinking of your “happy place.” Some people use meditation music as well. If you have access to this type of music and or the internet for more ways to practice meditation, please go for it! Yoga on the other hand will take a little more work and practice. I would not suggest you learning this on your own, if you have never attempted yoga before. Find an experienced Yoga instructor to teach you the ropes and/or ask your school counselor about the possibility of getting someone to come to the school to teach the students. Lastly, in regards to your parents it is very important to be able to have a relationship where you feel comfortable communicating. I would recommend writing a letter to them, if you are unable to express how you feel in person. A letter is more intimate and requires a little more effort on their end. If they are open on working on this relationship, maybe suggest family counseling to fully work on this issue. I hope this was helpful for you and I wish you the best!


Context: I don't know how else to explain it. All I can say is that I feel empty, I feel nothing. How do I stop feeling this way?

Response: A feeling of emptiness can be from a lack of awareness and acknowledgment for the things, the people, the places that you have in your life. The use of affirmation and gratitudes helps to remind ourselves of all of the aspects of our lives.


Context: I don't know how else to explain it. All I can say is that I feel empty, I feel nothing. How do I stop feeling this way?

Response: Your question is very broad because feeling empty can develop for many different reasons.You're certainly not alone in feeling this way!Try to follow the logic of your feelings by asking yourself questions about the empty feeling.   Doing this may open up a discovery about the reason for the emptiness feeling.When do you feel empty, are there certain situations it happens more often than another, what helps the feeling go away, what or who is helpful in relieving the empty feeling.Sometimes people need a little help to get started in understanding how to recognize their feelings.Consider a therapist, any disciplined practice which encourages self-knowledge, such as some yoga practices, and a creative discipline like photography or music. As long as you concentrate on increasing your self-understanding, eventually you'll find the answer to your question!


Context: People who are parental figures in my life have, in the past, hurt me, and some continue to do so. It makes me feel like I'm not good enough for my husband or the life he provides me. I have had jobs, but I am going through a lot of my past garbage and trying to figure out when it all went wrong. Any time I bring these things up, I am expected to be over the issue. These are people that you can't just cut out, but I have never received apologies for so much of my pain. I don't know what to do any more. I don't know who I am anymore.

Response: It sounds like you have been thinking about how past hurts have influenced you, and when you try to talk about these hurts with people in your life, you are feeling invalidated. It also sounds like current conflicts are continuing to leave you feeling hurt and devalued. In working with a therapist, you may be able to get some clarity about your past, who you are, and what kinds of boundaries you want in your relationships, so that you can lead a life that is more satisfying to you.


Context: People who are parental figures in my life have, in the past, hurt me, and some continue to do so. It makes me feel like I'm not good enough for my husband or the life he provides me. I have had jobs, but I am going through a lot of my past garbage and trying to figure out when it all went wrong. Any time I bring these things up, I am expected to be over the issue. These are people that you can't just cut out, but I have never received apologies for so much of my pain. I don't know what to do any more. I don't know who I am anymore.

Response: Hello. Adults who come from abusive home histories (physical, emotional, or even psychological), may take a long time to heal from that abuse. We carry our past with us everywhere we go, and it is up to us to find resolutions to past hurts. This is often easier said than done, but it is possible. From the perspective of those with whom you have shared your concerns, it might be assumed that based on where you are in life and who you are now, that you have already worked through any issues from your younger years. Some of our deepest scars in life are indeed invisible and suppressed. We have to get to the place where we can take care of the inner child that is still hurting, by recognizing that those who hurt us - however they did, might have had their own challenges which prevented them from functioning and behaving in ways we might have deeply needed. Those who have directly hurt you, may not be capable of acknowledging and understanding how you were affected by their actions - even in the worst of cases. They themselves may be doing what they can, either out of shame or heartbreak for their own actions, to work on forgetting how they behaved toward you all those years before. How are they behaving toward you now? Can you find it in your heart to forgive those who have hurt you? Forgiveness is the gift we give ourselves, and isn't dependent on an apology from an offender. By forgiving (even in the absence of any apology), we are releasing the weight of the burden we are carrying that reflects the offense we feel was committed against us. Sometimes therapy can be helpful in this process. Talking with someone who can be non-judgmental and reflects an empathetic position toward you might be what you need right now. Seeking out a therapist to help you work through these negatives feelings and thoughts is much easier, than trying to go it alone. I would encourage you to reach out and find someone who resonates with you on that journey, so that you can begin a path toward healing.Warm regards,Shawn Berthel, M.S., LMHC


Context: I am going through a very hard time and I'm so depressed. My parents are getting a divorce and a lot of bad things are happening. I want to lull myself.

Response: It sounds like a tough time and it's normal to feel down when your family is going through a divorce or other hardship. There's a difference between feelings like sadness, discouragement, grief, loneliness and depression, though. Sadness is sadness and sometimes we have to go through a grieving or other process, that is a normal reaction to events in our lives. Depression, on the other hand, is more about being stuck. Lulling yourself with self-care sounds like a healthy response and a way to give yourself support. So as to the uncomfortable but healthy part of your feelings, do the best you can to put names to it and share with a trusted other person. You will find comfort. The part of your situation that's depression -- feeling stuck, not able to get out of bad, concentrate, changes in sleeping and eating, loss of enjoyment in living, poor hygiene, feelings of hopelessness, that's different. First step, identify your own symptoms of depression. If you have any thoughts of hurting yourself, tell someone. If you're not sure, you can try 800-lifenet or other support line to get feedback. First aid for depression includes: daily care and feeding, good sleeping and eating, lots of exercise--even when you don't feel like it-- healthy socializing, and focusing on talking to yourself in a positive way. If you aren't able to move yourself out of your depression,  work with a professional to make short-term goals and get some support. You may also talk to your doctor or psychiatrist about trying an anti-depressant to give you a little lift while you go through a rough patch.Best wishes,Karen


Context: I am going through a very hard time and I'm so depressed. My parents are getting a divorce and a lot of bad things are happening. I want to lull myself.

Response: Consider yourself quite normal for feeling overwhelmed and depressed about your parents divorce.   This is the most natural way to feel at this time.Depending on how old you are, and whether you live under their roof,  are dependent on their support, and are either part of the decision or not, of with whom and where you will live, start considering these points.How did you find out about the upcoming divorce?Are either of your parents reluctant to answer your questions or is it clear that neither of them want to talk about anything with you?Whatever your fears and questions about your own future, these are all real.  It is necessary for you to know about your basic future.If you are living on your own and the main problem is your inner adjustment that your family structure is completely changing, then probably a good therapist would be a great help to you now, to clarify these tensions.Sending lots of good wishes for an easy resolution to your new path!


Context: My depression has been reoccurring for a long time. It all started when I was being bullied in high school. In ninth grade, my principal told me I needed to stay home for a couple days to protect myself while she spoke to my classmates. I needed professional help for my stress because I was having crying spells from the stress of going to school and confronting my classmates. After that, I was fine for a couple of years. I entered my first year of college in a really tough program with high demands of expected work. I believe my depression re-booted from there with the stress. I began to cut myself because a friend of mine at the time told me how she used to do the same and it used to feel good for her. Obviously, that wasn't the right choice. I regret ever doing that, seeing as even though I'm not self-harming anymore, I always look back at that time whenever I feel very stressed. I have a big problem with handling problems in life. Whenever a problem arises, I get stressed and I feel hopeless, as if it's not going to get better. I get way too stressed from my problems, which leads to overreacting a lot (especially when talking to others), which then leads to depression. I have a hard time coping with stress because I know that if I could handle it easily then I wouldn't be sad all the time, and I would say and do the right thing instead of overreacting to my loved ones.

Response: I couldn't help but notice that you did not specify your age, so I am unable to set the total chronological order and length that you have suffered in this way, but I want to start by commending you on seeking out additional coping techniques on your own.  Unfortunately, it sounds like you were offered some that were more dangerous than helpful, but be proud that you were able to curb those before they caused too much harm. From what you have written, stress has always been a difficult thing for you to manage.  Often, when I am working with those who offer the same concern, there is a degree of people pleasing that comes with that stress.  When we are trying to make others happy, especially when we are unable to distinguish the proper "rules for success", it can make even the simplest of tasks overwhelming. Stress management is just that, management; of our own anxieties about the needs of others, about our skills and the ability to complete a task and having multiple requests at any given time. Each of these aspects requires a separate sets of "tools" to manage them accordingly. For example, assertiveness communication training could aid in communicating with your colleagues to manage their expectations of your deadlines and abilities, but it will not assist you with managing your own anxieties. Try to separate the different areas of the problem, in order to help yourself to find a solution and work on them in their own time. Perhaps keeping a journal will help you to better understand why you are so easily overwhelmed by stress and help you track some of your less-helpful responses to stress. For example, does a certain person's style of communication always make you feel undervalued and therefore push you to finish their requests first? Is there a certain time of the day where you start to fall off in productivity?  Is that the time fo the day where you also tend to pile up your requirements?Try to ask yourself some of these harder questions and see where they lead you.


Context: I've been depressed for quite a while. I've been trying to work through it, and my boyfriend has been my rock. He is honestly the only person I trust enough to talk to about anything, but he decided to break up with me because of my depression. I cannot afford to see a therapist or anything, so he saw no hope in staying with me. My insurance has a $5000 deductible, so I’m screwed. I've had everything from suicidal thoughts to trying to quit my job. I have no one. My family doesn't care about me; they kicked me out when I turned 18 a few years ago. I had friends, but they have all moved on with their lives and have no time for me. My ex-boyfriend is trying to help but is making things worse because every time I see or hear him, I break down into tears. I found out that I will never be promoted now because of my depression.

Response: It sounds like you have been struggling with this for quite some time, using many of the same coping techniques that feel tried and true to no avail. Often, we fall back on coping techniques that would be helpful in other problems (stress, social anxieties, etc.) for our depression, but the truth is that depression requires it's own little tool kit. Depression is all-encompassing, and, based on what you've written, the symptoms are already affecting work and your personal life in myriad ways.  The best route forward would be to seek out counselling, admittedly, but if your insurance deductible is too high, that can be very expensive. I would recommend contacting your Employee Assistance Program (EAP) if offered by your employer. If not, you can look into community centres for counselling options, check if your doctor will give you a referral or your local religious organization. If, however, you are motivated to get your depression under control, there are some great workbooks out there that you can use on your own or with your therapist (as long as your therapist is trained in Cognitive Behavioural Therapy, or CBT), such as "Mind Over Mood".


Context: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

Response: Hello, and thank you for your question. This is a very serious time. I don't mean to frighten you, but you are right to be concerned. The time right after people leave the hospital after receiving psychiatric services is a time of high risk for suicide. It is very important, after hospitalization, to get follow-up care with a professional as soon as possible. If your husband has an established therapist, this is the time to call. It is also a good time to alert your support system of friends, family, clergy or others to let them know he is still struggling. This is good support for him AND you.It is important to think about means and opportunity to make another attempt. Means really do matter.  So, if you have a firearm in the home, it is really important to remove it. You can't remove all things that a person may hurt themselves with, but some things are more lethal than others. Firearms are very lethal. I am not sure what means he used last time, but try to reduce the opportunity for him to access it again. This is where your support system can help out. People can take turns hanging out with him until you are sure the crisis is over.If you believe that an attempt is going to occur, talk to your husband about going back to the hospital. If he refuses, you will want to find out what your options are to have him go even if he doesn't want to. I know the thought of that really hurts, but it can save his life. Calling 9-1-1 is always a good option if you are not sure. Usually a suicide crisis, meaning they want to harm themselves right now, lasts a few minutes, hours or days. Sometimes when you get them through the crisis stage, they no longer want to commit suicide. But, as you are indicating, that feeling of wanting to commit suicide can come back again. So, it is always good to have a plan. If you want more information, call the National Suicide Prevention Lifeline. They will always answer: 1-800-273-8255. They can help you create a specific safety plan. I do hope things work out alright. Be well. Robin J. Landwehr, DBH, LPCC, NCC


Context: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

Response: This is actually more common then we often realize, and actually understandable, as he has gone through a trauma, an unresolved existential crisis.  He was taken care of by others and now is again left alone with his own internal, and rather horrific inner struggle.In my work with CCT, or Contextual Conceptual Therapy, (see www.suicidetherapy.com) I have learned how trapped suicidal people are in their own isolation, also called a "mysterious isolation," a form of self protection which cuts the off from their Self, or spirit.  And unless they address this message from their soul, accompany a guide on a journey to discover their own missing information, that is to recognize how their own uncomforted emotional pain has resulted in a coping stategy which has effectively cut themselves off from their own beauty, their Self, and their ability to receive love from themselves and others. Their attempt to kill themselves is a cry from their soul or spirit that they cannot live the life they are living any longer.  They take this literally and try to end their life, when in fact what their soul or spirit is saying is they need to begin to live the life they came here to live.


Context: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

Response: I'm thankful to read your husband found care and that his suicide attempt wasn't successful.   While he was hospitalized, and prior to his release, your husband would've been provided in writing a self-care action plan. This typically includes things like committing to a contract 'not to harm' and what to do if he felt overwhelmed by his anger, depression, and hopelessness (e.g. call 911, call therapist, go to nearest hospital emergency department). Additionally, his protocol would've provided instructions for his taking medication(s) as directed, having a follow-up appointment(s) with his psychiatrist/psychologist/clinical social worker, and participating in some form of small group support.  If your husband's struggling as you describe, and you are feeling overwhelmed or frightened for his (your) safety, I'd encourage you to seek immediate assistance.


Context: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

Response: This must be so difficult for both of you.  Watching someone you love suffer so profoundly can bring up lots of difficult feelings.  Without knowing what you are already doing, I have a few thoughts to share with you. First and foremost, know that you cannot fix this for him, and get support for yourself.As much as you are able, make space in your relationship for him to talk about what he is experiencing.  He might not want to talk, and that is ok.If he wants to talk, try to listen without judgement and without trying to talk him out of his feelings.  Focus on validating his feelings and just sitting with him in his pain.Let him know how you feel...that you love him, that you care, that you are concerned, that this is scary for you too, that you are here.I hope that this is helpful.  On my website (www.sarahmcintyrelpc.com), I've written a series of blog posts about coping with distress.  The techniques I've written about there may be supportive for you and your husband.  Sending warm wishes your way.  -Sarah


Context: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

Response: I appreciate that you are concerned about your husband's emotions and want to support him as best you can right now. I imagine that you must be going through your own difficult time too. You've had a complicated shock and trauma in your life and in your marriage; it's normal for both of your emotions to move from hope to despair to fear, anger, gratitude... there is no wrong way to feel and there is no particular pattern your emotions or his will follow. Try not to assume what he is feeling but ask him instead. "How are you doing today?" is something that can be asked over and over again and your love and compassion for him will come through. If he has a hard time talking, you can share your observations. "I notice you're more withdrawn. This worries me." Certainly it will help you if you know what he's thinking and feeling because he hid his intentions to hurt himself. It's normal that you want to know. If there is depression and hopelessness, this likely was part of what led to his initial despair. There is help out there. Depression is treatable, and seeking that treatment is important right now at this vulnerable time. This is the kind of complex situation that can be assisted by a therapist who is qualified to help you both understand and manage your emotions. Whether your husband seeks help or not, I hope that you do.


Context: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

Response: A failed suicide attempt is commonly thought of as a “cry for help,” however it can also be a serious attempt to find a permanent solution to depression, hopelessness or other feelings a person feels are unbearable. It’s wonderful that you want to support your husband, but If your husband is feeling depressed and hopeless, you can best help him by getting him to a mental health professional. Feelings of hopelessness and depression, and previous attempts at suicide are all risk factors for future suicide attempts. With a mental health professional, or in the emergency room of a hospital, your husband should be evaluated for suicidal thoughts, intent and plan, and if he is a danger to himself he should probably be hospitalized again until he is stable. Without knowing the particulars, your husband may suffer from Major Depressive Disorder or some other illness on the depressive spectrum. In that case medication could help him immensely, at which point you can offer your support and encouragement him to practice gentle self-care. And do not forget to practice it for yourself.  Remember: a suicide attempt not only affects the person, but it is an immense stressor for his or her loved ones as well. As they say, “put your oxygen mask on first.” Then you will be better able to provide your husband with calm and loving care and attention.Kayla Schwartz, LMSW[email protected]


Context: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

Response: The fact that you're reaching out for help here is really helpful.The first thing I would suggest is that you consider seeing a local mental health professional yourself to be able to talk about the details, how this is affecting you, and how you can hold onto you are while also being supportive to you husband.From the way that you describe this, I wonder what has changed since coming home from the hospital. Perhaps you can have a conversation with your husband this and mention that you are asking him questions to learn more about his experience and you can discuss how you notice that things were going much better when he came home from the hospital, and now things are not as good. Perhaps he can tell you about what is different so that you may know him would be most helpful to him.I also hope that you husband is still continuing with his own treatment.There may also be a local peer support telephone number for the county that you live in that they be able to help you determine whether your husband needs more immediate treatment if he is feeling hopeless again. There are national crisis telephone numbers listed below as well.


Context: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

Response: Since as husband and wife your lives are closely joined, how your husband feels greatly influences the way you feel.Give yourself some time to concentrate on how you've been affected by your husband's suicide attempt.   Even if you decide against immediately telling him how you're feeling, knowing this about yourself will guide how and the topics you bring up with him.Is your husband talking easily with you?Do you have some ideas as to what is creating his feeling of hopelessness?The ideal approach would be if the two of you are able to discuss what bothers him and what bothers you.Depending on how far away you each are from such a position, you may benefit from speaking with a licensed professional therapist who can guide you and or you and your husband on opening up for discussion what feels stressful enough to merit taking one's own life.


Context: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

Response: It seems like you are very receptive of your husband’s emotions and want to support him trough this time.  But it is also important of being aware of your emotions.  How are you feeling after the suicide attempt?  It is common to experience negative feelings while you try to make sense of the incident.  Feelings like anger, shame, guilt and fear are frequent; while, wanting to avoid, minimize and become distant from the person are parts of the defense mechanism to attempt a quick resolution.  Once you understand and overcome those feelings you may be in a better position to help your husband; who may be experiencing some negative feelings as well.First, it is important to have a safety plan in place, which includes removing harming objects from the home, knowing who to call if there’s a new attempt (either 9-1-1, or nearby treatment center), have a professional expert who monitors you and your husband’s progress, either a Counselor or mental health provider could help you manage negative feelings and identify ways to handle triggering situations.Once the safety plan is in place,  make him feel supported and not judged, saying open ended statements, like: “I am glad that you are here, please let me know what I can do to help you through this process”.  Making small changes toward a healthier living may help as well.  Exercising, eating healthier and practicing new leisure activities may be good ways to start.  Also, explore your spirituality and your husbands, looking for ways to encourage each other by joining a support group or finding people who share your spiritual beliefs.If you have more questions or concerns I offer teletherapy in the State of Texas, and traditional Counseling in Puerto Rico, call 787-466-5478. ¿Cómo puedo ayudar a mi esposo después de un intento de suicidio?Después de que el llego a casa del hospital estaba enojado, luego por un tiempo maravilloso.  Ahora está deprimido y sin ánimos.Parece que estas muy atenta a los sentimientos de tu esposo, y que lo deseas ayudar durante este momento de su vida.  Pero también es importante estar consciente de tus propias emociones.  ¿Cómo te has sentido luego de este intento de suicidio?   Es común que experimentes emociones negativas mientras los recientes sucesos hacen sentido.   Sentimientos como coraje, vergüenza, culpa y miedo son comunes, y el querer evitar, minimizar o distanciarte son mecanismos de defensa igualmente comunes.  Ya que comprendas y superes estos sentimientos,  estarás en una mejor posición para ofrecerle ayuda, recuerda que tu esposo también debe de estar experimentando sentimientos negativos. Es muy importante tener un plan de seguridad, esto incluye remover todos los objetos que pueden ser dañinos o facilitar un futuro atentado, saber a quién llamar en caso de una emergencia (9-1-1 o una clínica de emergencias cercana),  tener un experto que monitoree tu progreso y el de tu esposo, puede ser un Consejero u otro experto de salud mental que te ayude a manejar los sentimientos negativos y situaciones retantes.Ya que el plan de seguridad sea activado, crea un ambiente donde tu esposo se sienta apoyado y no juzgado.  Utiliza frases abiertas para comunicarte, dile que estas feliz de que este contigo, y quieres saber cómo puedes ayudarlo durante esta etapa.   También haz cambios pequeños para mejorar su calidad de vida como pareja.  Hacer ejercicios, comer más saludable y compartir actividades puede ser un buen comienzo. Explorar tu espiritualidad y la de tu esposo también puede ser de ayuda, y encontrar personas o grupos que compartan esos mismos intereses puede ser una manera de mantenerse motivados.Si tienes más preguntas o preocupaciones sobre el tema, ofrezco teleterapia en Texas y Consejería Tradicional en Puerto Rico, llama al 787-466-5478 para más información.


Context: I always feel like I'm doing something wrong. Everything I do is crappy. I want to cry all the time. I can't eat or sleep.

Response: You are describing some of the most common symptoms of depression: low self esteem, difficulty sleeping, changes in appetite, sad mood, feelings of hopeless and feelings of worthlessness. A full assessment/evaluation with a mental health professional is warranted to understand if indeed you meet criteria for a Major Depressive Disorder i.e.., are delressed. One thing I often tell patients is that "Do you think you are depressed?" People often answer yes or no, but many individuals respond with a question: How would I know? To that I often explain that if I stopped watching movies or better, stopped enjoying watching movies that would be a clear indication for me that I am delressed. It would be a sign that I have lost pleasure or interest in the activity that I typically enjoy most . I'll ask you to think of one activity which you really really enjoy.  It could be anything from reading, to being with friends, to skiing to watching tv.  I would like to now ask you if you have stopped enjoying that activity or can't find the motivation to engage in it? This is another symptom of depression: loss in pleasurable activities. The good news is that there are many effective, available treatment if you are indeed in a depression or simply, you want to modify/decrease your depressive symptoms i.e., you want to stop feeling so tired and so worthless. Treatment includes one or more of the following: psychotherapy, medication, exercise. Any one or combination of both of these can help to improve your mood. The even better news is that feeling that you are doing something wrong can diminish with appropriate treatment over time.  I hope you find this information helpful. The most important next step is to get evaluated by a mental health professional typically a psychologist or psychiatrist, and for both you and the professional to better understand your symptoms and your mood in the context of what is going on in your life.


Context: I no longer carry expressions on my face, and my emotions are decreasing the more I have fights with my fiancée.

Response: Sometimes repressing anger can lead to depression and block all kinds of other emotions too.  I would wonder about your experience with anger and if you've ever been discouraged from expressing anger.  I would also wonder if you feel like you have space to express yourself in your relationship or if you feel like you really aren't being heard.  It's hard to feel cared for and connected to someone else when you don't feel accepted by them.


Context: I no longer carry expressions on my face, and my emotions are decreasing the more I have fights with my fiancée.

Response: Sometimes when we fight a lot with our partner, it becomes more uncomfortable to share emotions because it feels like it will lead to another flight or disagreement.You could try having a conversation when you're not fighting and starting it out by saying that you would like to discuss something important to you and see if your fiancée is open to that.Something else is that you could have an agreement that if one of you is having a really strong emotions in a difficult conversation and would like to break from the conversation, you could agree (ahead of time) that you'll say that you would like a "timeout" and will come back to discuss the issue in a certain amount of time (usually about an hour) and then try to resume the discussion. The reason this can work is it can give you a chance to calm down and then still go back to the discussion rather than not talking about it again. This only works if both of you agree to that before something starts, though.


Context: I'm depressed. I have been for years. I hide it from everyone because I'm scared of the reactions I'll get. Last time I tried telling my parents, it was a huge argument about me being too young to be depressed (I’m a legal adult), calling me ungrateful, and telling me that if I can't handle things now, it's only going to get worse in the future (which is turning out to be true). It's exhausting pretending to be okay, and I don't know how much longer I can try. I'm just really tired, and sadly, I can't afford the help I need on my own.

Response: Hi Georgia, There's a really good lesson here. People tell us things, and we tend to think that's the truth...but it's not! I'll do some translating for you..."You're so ungrateful" means "I need you to be successful and happy in order for me to feel I'm a good parent"."You're too young to be depressed" means "I don't want to deal with your mental health issues right now. I'll pretend it's not happening so I don't have to face my fear and shame"."It's only going to get worse" just means "I don't know how to support you beyond scaring you into wanting to at least fake happiness for my sake".Your parents are being unsupportive, not because you're not suffering, but because this is all they're capable of right now. They are not where you will find the support you need, so keep looking for it in other places. It's out there. If might be an aunt or a friend, or a friend's aunt. It might be a therapist or a bus driver or your family doctor. Keep looking for someone who will hear you. I hope you don't ever give up. :)


Context: I'm depressed. I have been for years. I hide it from everyone because I'm scared of the reactions I'll get. Last time I tried telling my parents, it was a huge argument about me being too young to be depressed (I’m a legal adult), calling me ungrateful, and telling me that if I can't handle things now, it's only going to get worse in the future (which is turning out to be true). It's exhausting pretending to be okay, and I don't know how much longer I can try. I'm just really tired, and sadly, I can't afford the help I need on my own.

Response: Don't think that you can't afford the help you need on your own.  There are several counselors that see people on a sliding scale that can be as low as $5 (based on your income).  Find a center that is non-profit, they have great counselors as well. It sounds like you know what you are experiencing and know that you need someone to talk to, someone that is willing to listen.  Your parents may not understand what your are feeling right now and that is not totally abnormal.I would encourage you to seek help immediately so you can live the best live you can...which is not being depressed.


Context: I have terrible anxiety and depression. I've tried various therapists and pills, but nothing's helped.

Response: Is it possible you simply didn't mix well with the particular therapists with whom you've worked?   If this is possible, interview a therapist before  starting therapy.   Then you will be choosing a therapist who feels compatible with your way of seeing yourself and your life.Also, therapy isn't for everyone.Read about the different healing modalities and see if one of these speaks to your interest in feeling better.What matters most is finding among all the legitimate healing methods, what you believe will be effective.


Context: I have terrible anxiety and depression. I've tried various therapists and pills, but nothing's helped.

Response: I'm sorry that you have tried several different things and not had much relief.I will say that there are several different types of medications that may help and each therapist is different, so it is quite possible that a different combination of things you've already tried may be helpful.I would encourage you to continue trying different therapists. I would say to give each one at least six sessions before you decide that the approach that they are using is not working for you. Also, most places have a certain sort of structured initial session that must be done, but after that, the decisions are largely up to what you and the clinician feel is helping. If something is or is not working, communicate this with your therapist. This is a big deal. Most therapists I know actually welcome this feedback.There is a fair amount of research into the idea that the therapeutic alliance (the relationship that you have in the context of working through the reasons that brought you into therapy) is very important. Also, sometimes anxiety and depression can make it difficult to go to therapy on a regular basis. If that is something with which you are struggling, I would encourage you to talk about that as well.In addition to a solid relationship with a therapist who you connect with, you may consider trying something like yoga or meditation. Mindfulness is sometimes helpful as well.Here's a link to questions for finding suitable therapists: http://www.pharmatherapist.com/12-tips-for-finding-a-suitable-therapist


Context: I'm in my early 20s. I've worked since two months after I turned 18. I have “plans.” I could become an electrician, or I could operate heavy machinery. I have goals, but I do nothing to try to meet them because I don't feel I can. I just want a better life for my fiancée and the kids than I did.

Response: For starters, commend yourself for being committed to working. You have no idea what is going to happen in the next second, so focusing on thinking you will never have a good career or amount to anything financially is creating a fictitious story.  Remind yourself of that every time the thought pops up.  The false belief that nothing good will happen is sucking out energy you can use on pursuing your career dreams. Next, do you know what you need to do to become an electrician or heavy machinery operator? If not, find out. Then, set up a realistic schedule for yourself to accomplish the steps. As you accomplish each step, see your progress.  Notice that you are moving closer to your goal.  Every day remind yourself why you are pursuing this career.  In fact, write it down and tape it on your bathroom mirror.  When you start to feel discouraged, remember your goal and remind yourself that you have no idea if you'll make it or not but you are going to give it everything you have to find out. Anything worth pursuing is going to take a lot of persistence and hard work. Stay with it! You and your family are worth it!


Context: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.

Response: Wow that is tough. There is nothing worse than fearing abandonment when you are already struggling with depression. It sounds like you are still wanting to work through whatever challenges you and your husband are having but your husband may not be on the same page. I would encourage you and your husband to seek professional support if you haven't already. While depression can put real strains on a relationship, relationship problems can lead to or contribute to depression and there may be some real benefits to both of you in doing some couple therapy. With that being said - if your husband is not willing to do therapy or is clear that he wants the relationship to end, then I can't see what choice you have but to "respect his decision" as you mentioned. This doesn't mean that you have to feel okay with the decision - as I'm sure you wouldn't - but ultimately loving one another and staying in committed relationships is a choice that we each have to make. If he is wanting to leave - this could make things a lot tougher for you. I would encourage you to seek professional support for yourself and reach out to lots of friends and family. You do not need to face depression alone - nor should you have to. We all need support at tough times like these.


Context: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.

Response: I'm sorry for the hurt you're feeling from your husband's decision.Keep in mind that if one partner does not want to be in a relationship and remains in it, then both people will be unhappy, dissatisfied and feel stressed.Imagine being in a relationship that you'd rather leave.All the negative feelings and resentment of being with someone whom you'd rather be without, would not leave very much energy to satisfy your partner.I'm glad you realize that you feel depressed.Depression is a mood that can change once you understand what is causing it.Depression is an area that very often therapists help their patients understand, and emotionally support and encourage them during the course this takes.For now, concentrate on decreasing the tension in your life.  Your husband's indecision may very well be adding to your stress.Only he can make up his own mind.As hard as this may be, all you really can do is take care of how you feel so that you will feel better.From what you write, your husband is too unsure to offer you the love and care you'd like from him.Learning to love oneself is always worthwhile.   At this stage in your marriage, now sounds like an ideal opportunity for you to teach yourself self-love.


Context: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.

Response: The fact that you mention that he is "constantly changing his mind on if he wants to work it out," suggests that Discernment Counseling might be a really good fit for you both. Discernment counseling is a protocol for partners where one or both aren't certain they want to remain in the relationship. It's a brief (1-5 sessions) and intentionally focused on helping partners talk through (primarily individually) their reasons for and against staying in the relationship - as well as confront their own contributions that lead to the relationship crisis. It's aimed at helping the couple reach a clear understanding of which path they are going to take, not asking anyone to change just yet, so it can be a lot less intimidating and more to the point than couples therapy.  You can look to find a local therapist providing this service here. That said, I agree with other respondents that if he is deciding to leave, seeking out support for yourself would be incredibly helpful. You may need to accept his decision, but you can certainly feel whatever emotions you have.  You are allowed to feel exactly how you feel, and it's likely you'll be sad, or angry or hurt or disappointed or scared, or any combination of any/all of those. Having someone there who can validate those emotions and help you to process the grief that naturally comes with the end of a relationship can be a huge help in finding a place of healing and regaining a sense of self, a sense of hope.