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HomeAnswersPsychiatrydepressionWhat are the signs of depression and anxiety in teenagers?

How to support a teen struggling with mental health issues?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Aneel Kumar

Medically reviewed by

iCliniq medical review team

Published At May 20, 2024
Reviewed AtMay 20, 2024

Patient's Query

Hello doctor,

I am 18, and I desperately need help, which is why I am here. I do not even know if anyone will understand my pain or if it is important to anyone else. I want to live, but I feel trapped. I hate my life and myself. It all started when I learned about love. Now, all I crave is to love and be loved, almost obsessively. I have lost sight of the purpose of my life. I feel like a monster, both on the outside and inside. I experience hallucinations, like seeing myself running away from someone. There are countless reasons why I feel like dying, but deep down, I just want to live a normal life.

I have a wonderful family, but I do not feel close enough to anyone to share what I am going through. Yesterday, during the Christmas Eve celebration at school, I felt an overwhelming hatred towards everyone around me, including myself and the passage of time.

During my free time, my mind spirals out of control. It feels like I am living in a movie, and to escape, I watch YouTube videos until I forget about reality. But I hate this feeling of detachment. Sometimes, during classes, I feel like I am on the brink of leaving the room because all I want is to speak with a psychiatrist. This monday, we are celebrating Christmas, and I know I would not be able to pretend to be happy. I have 11 days off, and I am afraid I will reach a breaking point if I do not get help soon. I am physically exhausted and carrying so much pain. Kindly help.

Thank you.

Answered by Dr. Aneel Kumar

Hello,

Welcome to icliniq.com.

I can understand your concern.

I can empathize with your current mental state, which appears to be severe depression, given your loss of interest in activities and feelings of hopelessness. It is crucial to recognize that life offers no second chances, with the first being the opportunity to seek treatment promptly. To enhance your support system, consider involving your family members. Communicate openly with them about your struggles with depression.

A proper psychiatric assessment is imperative to identify any psychotic symptoms such as delusions and hallucinations, as well as to evaluate other symptoms like self-care, functionality, sleep patterns, appetite changes, and anxiety levels. Psychometric testing and interviews are also essential to pinpoint the underlying causes of your depression.

I urge you to schedule a visit with a nearby psychiatrist as soon as possible. Seeking professional help is the first step toward finding relief.

I hope this information will help you.

Thank you.

Investigations to be done

CBC, LFT, FBS, Urea Creatinine level

Treatment plan

Tab Brintellix 10mg ( daily morning) CBT (Cognitive Behavior Therapy)

Preventive measures

patient has thoughts of ending life, better to discuss with family and visit mental health services or physician nearby

Regarding follow up

regular weekly

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Aneel Kumar
Dr. Aneel Kumar

Psychiatry

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