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20 yo, no trauma, blood tests ok. Why am I so depressed?

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I've been constantly depressed for years. It started when I was a child, can't remember when. When I was 15 it escalated rapidly without reason and I became severely depressed (suicidal and started selfharming). Since then I've been constantly severely depressed. I'm 20 now, and this isn't normal. An untreated depression only lasts for a couple of months, maybe a year. I've been in therapy for five years, without getting better. I've talked to over 20 different tharapists. I've been on fluoxetin, remeron, effexor and cipralex for months at a time without any positive effect. I've never experienced trauma and I had a good childhood (though I was depressed and had (have) social anxiety). All blood-tests are fine, and always have been. Why am I depressed? Why don't I get better? I dropped out of school long ago and I've lost all my friends. I only leave the house for grocery-shopping. I have no life. I don't think I'll survive this much longer...

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replied September 8th, 2014
Depression Answer A49152
Thank you for asking

Easy kid. Life is too short to be wasted on depression. We can see the bright aspect of life.

As they say charity begins at home. Modify your lifestyle and routine and make sure the only thing of wor th importance is you and just you.

Don't give up. Keep moving on. Get back to school. Get a friend. Share your experience. Seek a group therapies sessions. It's slow and steady process and it needs effort and optimism.

1)insomnia depression and panic disorders
Following general principles help the sleep trouble reduce

Develop regular sleep habits; this means keeping a regular sleep and wake time, sleeping as much as needed to feel refreshed the following day, but not spending more time in bed than neededAvoid staying in bed in the morning to catch up on sleepAvoid daytime naps; if a nap is necessary, keep it short (less than 1 hour) and avoid napping after 3 pmKeep a regular daytime schedule; regular times for meals, medications, chores, and other activities helps keep the inner body clock running smoothlyDo not read, write, eat, watch TV, talk on the phone, or play cards in bedAvoid caffeine after lunch; avoid alcohol within 6 hours of bedtime; avoid nicotine before bedtimeDo not go to bed hungry, but do not eat a big meal near bedtime eitherAvoid sleeping pills, particularly over-the-counter remediesSlow down and unwind before bed (beginning at least 30 minutes before bedtime (a light snack may be helpful); create a bedtime ritual such as getting ready for bed, wearing night clothes, listening to relaxing music, or reading a magazine, newspaper, or bookAvoid watching TV in the bedroom or sleeping on the sofa and then going to bed later in the nightAvoid stimulating activities prior to bedtime (eg, vigorous exercise, discussing or reviewing finances, or discussing stressful issues with a spouse or partner or ruminating about them with oneself)Keep the bedroom dark, quiet, and at a comfortable temperatureExercise daily; this is best performed in the late afternoon or early evening (but not later than 6-7 pm)Do not force yourself to sleep; if you are unable to fall asleep within 15-30 minutes, get up and do something relaxing until sleepy (eg, read a book in a dimly lit room, watch a non-stimulating TV program); avoid watching the clock or worrying about the perceived consequences of not getting enough sleepCognitive behavioural therapies help the issue includesSleep hygiene educationCognitive therapyRelaxation therapyStimulus-control therapySleep-restriction therapyTry Acupressure too, it works like charm on insomnia issues.Avoid caffeinated beverages in the late afternoon or evening, since the stimulant activity of adenosine antagonism can promote hyperarousalAvoid alcohol in the evening, since this can worsen sleep-disordered breathing leading to frequent arousals; furthermore, while alcohol promotes sleep early in the night, it leads to more sleep disruption later in the eveningAvoid large meals near bedtime, particularly with gastroesophageal reflux disease or delayed gastric emptying.

Exercise in the late afternoon or early evening (at least 6 hours before bedtime) can promote sleep. However, vigorous physical activity in the late evening (< 6 hours before bedtime) can worsen insomnia.

2)Depression is next.

Behavior therapyCognitive-behavioral therapyFamily therapyGroup psychotherapyInterpersonal psychotherapyInterpersonal therapyMindfulness-based cognitive therapyPsychodynamic psychotherapySupportive psychotherapyTranscranial Magnetic stimulation is good and works like charm.vagal nerve stimulation is proved effective too.Electroconvulsive therapy is good too.

3) Social phobia and panic attacks will also get managed with these cognitive therapies too.
4)FOllowing things have proved effective for agoraphobia and other social phobias. i am sure they will help

Social anxiety disorder (social phobia) - Self-exposure monotherapy, computer-based exposure training, clinician-led exposure, or combination therapies (eg, self-exposure and cognitive-behavioral therapy (CBT)/self-help manual)Specific phobia - CBT-based approach, including gradual desensitization; relaxation and breathing control techniques; exposure therapy}Agoraphobia - Combination of exposure therapy, relaxation, and breathing retraining.

Get a psychiatrist and visit our psychiatric health centre for further guidance.

Take care

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