What is the treatment for a person who feels melancholy and hopeless about the future?

Question

Hello doctor,

I am a 18-year-old girl who is concerned about my mental health. I feel melancholy and hopeless about the future most of the time. I can get distracted, but if it is a bad day, I cannot smile without forcing it out of politeness. I might be talking to my friends and suddenly feel like I am a burden and should be silent and stop being happy. Sometimes, if I am down, I go to sleep to avoid being conscious. I think about self-harm, risky activities, or even death some days. I am going to a counselor, but I feel incapable of expressing myself, and it is not working out. I am too scared to ask my mother for a diagnosis because she does not believe me.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern. I understand what you go through every day. However, thoughts of self-harm and death indicate a serious problem. You seem to be suffering from chronic depression. Your description suggests there was no reason around you, and you started having these thoughts just like that. It could be either genetics or hereditary, or due to hormonal imbalance. If counseling is not working and the condition worsens, you may also opt for medicines. I would be happy to help you.

Thank you.