I have low mood, debilitating anxiety, and intrusive thoughts about the past. Why?

Q. I have low mood, debilitating anxiety, and intrusive thoughts about the past. Please help.

Answered by
Dr. Parth Nagda
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Feb 03, 2020 and last reviewed on: Feb 06, 2020

Hello doctor,

For months I have struggled with low mood, debilitating anxiety, intrusive thoughts about the past, avoiding anything to do with the past, suicidal thoughts, self harm, and daily guilt and shame that has stopped me from hanging out with friends, or being successful in school. Everyday I just try to survive. My appetite sucks, I have trouble falling asleep and have frequent nightmares, I am exhausted all the time. I finally decided to get help. I saw a psychiatrist today, who concluded I do not fit any diagnosis, and with therapy I can learn to deal with the situation that causes these things. But there is no situation? How can someone be in so much pain for so long and the answer is basically that I am just too weak to handle life? I have never felt so awful ever and coming to that appointment was a big step for me. I feel like such a loser, I got nothing out of it except humiliation. Should I consider reaching out to a different doctor? Or am I overreacting and she is probably right?



Welcome to icliniq.com.

I would beg to differ with the psychiatrist who you have consulted and all the symptoms you have mentioned are depressive symptoms which do need treatment with medicines. Therapy can only help increase the effect of medicines, it is not a replacement . I would prefer that a psychiatrist or a doctor should prescribe you a standard dose of an SSRI such as Sertraline 50 mg, and add low dose mood stabilizer such as Divalproex sodium 250 mg.

Probable diagnosis:

Major depressive disorder secondary to a stress in past along with a probable personality disorder , will need further history to arrive at a diagnosis.

Preventive measures:

Also consider doing some deep breathing, relaxation exercises.

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