Dear Sir/Madam, I am aware of the difficulties you have been experiencing and the concerns you have outlined in your correspondence. With regard to the symptoms of depression you mentioned during your junior high school years, although you have not undergone a formal medical examination, your description does correspond with some of the typical manifestations of depression.
Despite an improvement in his current condition, he continues to experience social anxiety, school refusal, poor sleep quality, and gastrointestinal problems.
The results of a hospital diagnosis are typically evaluated based on a series of standards and scales, which serve as a reference point. However, the diagnosis of depression is not solely based on these automated assessments; it also relies on the clinical experience of medical professionals.
Should you have any reservations regarding the diagnosis, you may wish to seek a second opinion from a specialist.
In consideration of your present circumstances, it is recommended that you consider the following options:
Psychological counseling is defined as face-to-face communication with a psychological counselor for the purpose of exploring emotional problems and concerns, as well as identifying more appropriate coping strategies.
Social training: It is recommended that the individual gradually participate in social activities such as group discussions and team activities in order to improve their social skills and experience.
It is recommended that one avoids napping immediately after lunch. Allowing sufficient time for gastric digestion is advised. Following meals, it is beneficial to engage in a 10-minute walk and then rest. When sleeping, it is advisable to adopt a position that allows for a flat or reclined posture, thus avoiding the pressure of sleeping on the stomach and the cervical vertebrae, as well as respiration.
It is recommended that you adjust your diet to include healthy foods and avoid those that are excessively greasy or irritating. You may wish to consider trying a diet that is beneficial for your stomach and intestines.
It is important to remember that depression is a treatable illness and that one should not underestimate the severity of one's own problems. However, it is also crucial to avoid excessive worry or self-blame. Seeking professional assistance is a prudent decision.
We extend our best wishes for a prompt and complete convalescence.


Comments
I understand how complex these feelings can be. Even if the diagnosis feels off, it's important to talk openly with your doctor about what you're experiencing and consider all treatment options they suggest.
Sometimes we don't fully recognize our own symptoms. Maybe stepping back and reflecting on how you've been feeling could provide some clarity. It's okay to question things but also good to trust medical advice.
It sounds like you've been through a lot. If medication doesn't sit right with you, perhaps discussing alternative therapies with your doctor might lead to a solution that feels more comfortable for you.
The fact that you took the initiative to get checked out shows strength. If the prescribed path doesn't feel right, exploring other methods of support, such as therapy or lifestyle changes, might help align your treatment with how you feel.
Even mild to moderate depression can have a significant impact. If the medicine seems like too drastic a step, maybe starting with small adjustments in daily habits and seeking counseling could offer relief without feeling overwhelming.