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Are Loneliness And Mood Swings Signs Of Depression?

Posted on Tue, 7 Jul 2015

Question: I sometimes feel very lonely and low. mood swings happen. can't focus much. it all started just in last 2 years. can't sleep peacefully. I feel I am a failure. I am loosing confidence. am I suffering from depression.

Answered by Dr. Chintan Solanki (1 hour later)

Brief Answer:
Yes you are likely suffering from depression

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us.

I can understand your concern.Feeling low,loneliness, difficulty in concentration, hopelessness, worthlessness, lack of confidence, sleep disturbance are symptoms of depression.When these symptoms are there for more than 2 weeks possibility of diagnosis of depression.
You have symptoms since 2 years. So there is almost confirm diagnosis of depression.
To stamp the diagnosis detail history through interview and mental status examination are done. And that is done by a psychiatrist.

Depression is treatable problem.

Please let me know more about your problem.

- What is your education?

- Are you married?

- How these symptoms started?

- Is there any stress in life?

I will be happy to help you further after your response.

Regards,
Dr.Chintan Solanki

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Chintan Solanki (30 minutes later)

I am MBA was working for a good company. I recently quite my job for further education but I am finding very difficult to focus. I am single 28 years old. I feel there is so much to do and expectation s but somehow I am not good enough. my parents keep on saying am not good enough so not getting selected by men to get married. I feel lonely but I have trust issues. I same time not open to get married because of failure of marriage in my family and also because of physical emotional abuse disrespect for spouse from my father also cheating games are high in our family. too confuse to decide what I want right now. I constantly feel struggle internally and how much I try my father always finds me lacking and keep of comparing me with other people.

Answered by Dr. Chintan Solanki (22 minutes later)

Brief Answer:
psychotherapy and family counselling will help

Detailed Answer:
Hi ,

Thanks for information.

You are stressed with matrimonial aspect as well as career success. Career issue is likely due to matrimonial problem. Your family background, attitude of family members and bad incidences in family have created psychological problems in you.
Your history suggests that psychotherapy and if needed family counselling can help you a lot.It will help to make decisive about career and matrimonial.
If until recent time you were able to work, your depression is not likely severe. Chances are there you are over stressed and may not have diagnosis of depression.
If by chance depression is there it can be treated. Specific treatment of depression includes both medicines and psychotherapy.

In medicines SSRI group of drugs(fluoxetine, paroxetine, sertraline, escitalopram) are main stay of the treatment. Benzodiazepines group of drugs(clonazeapm, lorazepam or etizolam) are used initially for short duration for fast symptomatic relief.
Other medicines like desvenlafaxine, mirtazapine, bupropion can be used depending on indication.

Other approach is psychotherapy. In that psychodynamic psychotherapy , short term supportive psychotherapy and cognitive behavior therapy(CBT) are used.
From available history I think you need psychotherapy at least. Drugs are needed or not that can be confirmed after detail evaluation only.

I request you to consult psychiatrist personally soon. Earlier the treatment better the results.

Feel free to discuss further.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj