A junior high school girl who is diagnosed with severe depression does not want to go to school, has less interest in socializing, and hates herself.

Good day. I am a hospital psychotherapist. From your description, it is evident that you are experiencing significant distress and a sense of helplessness. You are grappling with internal struggles. I hope that I can provide assistance through the application of my professional expertise.

Firstly, a diagnosis of major depression requires a hospital admission or the use of medication and psychological treatment. The symptoms of depression include low mood, loss of interest, slow thinking, avoidance of social interaction and relationships, and physical symptoms such as sleep disturbance, early morning awakening, physical fatigue, and a reduced sense of self-worth. In severe cases, there may be thoughts or behaviors of self-harm or suicide. Hospitalization can provide regular treatment. If outpatient treatment is used, it is important to follow the doctor's advice and take medication, add psychological treatment, and express repressed emotions and confusion in a safe counseling relationship to obtain professional support and help. While your own efforts can solve temporary pain, encountering similar problems in the future will only make it worse.

Secondly, it is important to accept yourself. It is crucial to understand that we are all dealing with challenges and require support and understanding. Learn to express your feelings and seek guidance and assistance from your parents. They care about you and are there to support you. It is possible that the methods and resources you require are not currently available. In such cases, it is essential to learn to express yourself and seek external support.

Third, utilize your preferred activities to mitigate and alleviate internal depression. These may include listening to music, engaging in games, monitoring your mood, communicating, and exercising. By doing so, you can relax, minimize self-blame, and recognize that your actions are not your fault.

In conclusion, requesting assistance is an act of strength. The world and I support you, and you should support yourself even more. Please do not hesitate to contact me if you have any concerns.

The original poster also really wants to be like before, which is why they poured out their feelings online and sought help. The problem with your parents has had a certain impact on you, and it seems that your parents, who are supposed to be there for you, have been of limited help. But you can overcome this!

Oh my goodness, do they know you're sick?

I feel so sorry for you. I know there are a lot of things that are making you sad right now, but I want you to believe in the future!

You still have to take your medicine, and it'll all be worth it in the end! Stopping it will affect recovery, so stick with it. Many people with psychological problems rely solely on medication and neglect other non-drug adjuvant treatments, such as exercise.

The questioner should definitely start planning to do some exercise, such as running, which can help promote the secretion of dopamine!

Second, you will get better. Your grades were good before, and they will only get better from here on out!

You've got this! You don't need anyone to complete you. You're strong and capable. It's clear from your question that you have your own dreams and goals, and you're not letting anything get in your way. You're different from those who are completely devastated. You're thriving!

It doesn't matter whether others hate you or like you, they've all left the same school as you! So, how much influence will they have on you?

Think about your ideals. Students or grades are king! Once you're admitted to your dream school and major and start doing the job you love, all of these challenges will seem like a distant memory.

You can't choose your parents, but you can choose your future! First, take care of your health and take your medicine properly.

Good morning, I would like to extend a warm greeting from afar.

I am grateful for the opportunity to assist you in addressing your concerns. I hope that my input will prove beneficial and helpful. I also commend you for your keen awareness of your emotions and for your efforts to enhance your emotional well-being through your own actions.

From your description, it can be seen that although your parents' divorce did not have an overly strong impact on your emotions at that moment, it was more because you chose to disregard your emotions and not care at all out of necessity. This was your instinctive self-defense, because the emotional damage caused by the current marital crisis of your parents had far exceeded the limits that your body and mind could bear. If you chose to face, experience, and feel the emotions and feelings of that moment, you would feel particularly painful and unable to respond in a better way in a timely and appropriate manner. Therefore, choosing to suppress, hide, and avoid facing is a choice and decision that is better for protecting yourself at that moment. What are your thoughts on this matter?

It is important to note that suppressing and hiding emotions will not result in their disappearance. They will continue to be present until appropriate responses are identified and implemented. One effective approach is to maintain an emotional diary. This involves recording the genuine emotional feelings experienced due to one's parents' marriage. It is essential to embrace the hurt, powerless, and abandoned self during that period and then attempt to articulate the full range of emotional feelings towards one's parents. This includes inner anger, resentment, and the deep love for them.

Additionally, compose a letter to your younger self, in the role of a parent, expressing remorse and regret for the distress caused by the marital discord and your own profound affection. When emotions are acknowledged, articulated, and addressed, the detrimental impact will be mitigated.

My name is Lily, and I am the youngest member of the Q&A Museum team. On behalf of the entire team, I would like to express our love and gratitude to you, our valued customers.

Hello! I'm so happy to see your post, and I really hope my answer will be helpful to you.

Hi there! It looks like you're a junior high school student who really wants to go to school. It seems like your relationship with your classmates might have changed over time, or maybe you've started to resist going to school because your academic performance has declined. You also mentioned that your parents divorced two years ago, and you didn't feel anything in particular about it. It's totally normal to feel numb to this kind of situation. Later, I also saw you mention that your father hit you and that your parents always had arguments. It's understandable if you're afraid of your parents arguing, and if you've learned to suppress your emotions, that's a way to protect yourself. Try not to burden your mind too much!

I can see from your text that you're trying to handle things on your own. It's great that you've learned to "handle it," but it seems like you're just repressing your feelings in a different way. You're not numb, and that's not healthy. If we suppress our feelings for too long without letting them out, it can really take a toll on our mind. We can transform it into another form, like making more friends, talking to friends about our innermost feelings, changing our focus, or we can also turn pressure into motivation. We can also use learning to divert our attention a little. I see that in your description you wrote that your academic performance is also very good. It seems like you're just afraid now that your relationship with your classmates is not as good as it used to be, and you feel that your academic performance has regressed, so you don't want to go to school. In fact, the problem you are facing now is academic and the upcoming midterm exam. Why not let go of the fear in your heart? What if you don't do well in the midterm exam?

We don't only have this exam, there are many more waiting for us in the future. It's totally okay if you don't do well this time. Just do your best in the next one!

Your health is the most important thing right now. If you are healthy, everything else will be fine. You did so well in school before! It shows that you have a strong learning ability and are very smart. Let's go back to school and learn again. We'll catch up quickly and do even better than before!

You've got this! You just need to learn to slowly rebuild your confidence, and then you'll be able to face your studies calmly.

It's okay to feel whatever you're feeling. We all have emotions, and it's natural to experience them. The key is to find healthy ways to express them. You can release your emotions in the following ways:

1. It's so important to socialize with the right friends and confide in them about your worries and confusion. We all need a little support and encouragement sometimes, and it's great to have friends who you feel comfortable with.

2. Go for a walk, do some of those sports you love, and just relax your body and mind while you're at it.

3. Writing therapy: This is a great way to get all those inner feelings and thoughts out of your head and onto paper! Don't worry about whether your handwriting is clear and neat, or about the logic of the content. Just let it all out and express your feelings as much as you like!

4. Have you ever punched a pillow or a sandbag to release your anger by hitting a soft object?

5. Here's another great technique: use the empty chair technique to release those emotions! All you have to do is place an empty chair in a room, and then assume that the person you want to confide in is sitting in it. You can then express yourself to the chair—it's totally fine to let out any anger or abuse you're feeling!

It just keeps getting better and better, my love! ?

Hello, questioner!

From your description, it's clear you want to go to school like other students. However, you may have become resistant to going to school because of interpersonal relationships or your own deteriorating studies. You understand that you will take the high school entrance exam next year, and the pressure of your studies, combined with psychological reasons, has put you under tremendous pressure. You need care and support from others, and I'm here to give you strength.

You mentioned the divorce of your parents two years ago. You said you felt numb and not sad about it. You also said your father hit you and that your parents had many arguments. It's clear that you've suppressed your fear and emotions in this environment. You feel numb, but it's more like a way for you to protect yourself.

You think you can handle it, but you're not as numb as you say. You have emotions inside. You're suppressing them, which is unhealthy.

Your body is a reflection of your mind. Insomnia and the depression that was later diagnosed are the result of a build-up of these negative emotions. You need to learn to release your negative emotions.

Your insomnia has improved, but you still feel bad and easily irritated. You know you attach great importance to your studies, and you're right to do so. Insomnia affects your ability to concentrate, which has led to a drop in your grades and a fall behind in many courses. This is causing you stress.

You want to change the situation and you know you can do it. You're not going to let this problem stop you.

When someone faces a difficult problem, they seek help. You need to do the same. The problem you are facing now is academic and the upcoming high school entrance exam. You can overcome this. Let go of your fear.

You're going to do well in the midterm exam. Your health is improving, and you had good grades at the beginning, so you will pull your grades back up.

You can rebuild your confidence and face your studies calmly. When you have confidence, you won't feel that your classmates hate you, and you won't hate yourself.

I am confident that you will find this information useful. Best regards!

I just wanted to check that you've been diagnosed with major depression and have stopped taking medication on your own. As a general rule, you can't stop taking medication for major depression. You need to keep taking it and go to regular follow-up appointments. It seems that you haven't sought psychological counseling in this situation, because many things can't be solved simply by medication.

It's possible that you've experienced some past trauma, domestic violence, or pressure from classmates and peers that's still affecting you. This can make it difficult for you to calm down and study. Additionally, severe depression often presents with more symptoms.

Some symptoms can also put your safety and health at risk, so it's important to take them seriously. Since you've been diagnosed with moderate depression, it's crucial to take your medication regularly and seek psychological counseling. It's also important to communicate with your parents about your situation and try to create a calm, supportive environment.

It's important to get support and recognition from them so you can get better faster. You're now in the third year of junior high school, and you're facing the pressure of the middle school entrance exam. Many elementary school students have already experienced the pressure of the double reduction, so it's not going away forever. The middle school entrance exam and the college entrance exam still exist, so you're still under pressure.

As long as the college entrance exams and the gaokao are still around, the pressure to succeed will never go away. Under such high pressure, you may also become aware of some of your emotions and behaviors. You have experienced insomnia, depression,

Anxiety and stress, school refusal, and a psychological shadow of hating school may require more detailed treatment through psychological counseling. It's important to find someone you can talk to.

Instead of bottling it up, we should regulate our emotions, keep a diary, and talk to a counselor about what's going on. Of course, this can't be done without financial support from your parents, because in severe cases, more professional treatment and counseling would be better.

After all, your parents, friends, and classmates aren't professional psychologists or counselors. There's no way we can get complete help from them. We need to seek professional help. That's the only way we can grow up healthy. I also recommend reading books about depression healing, such as "I Overcame Depression," "Vipassana Cognitive Therapy for Depression," "The Noon Demon: Depression Is a Secret You and I Share," and "The Truth About Depression." Good luck.

ZQ?

Hello, question asker. I am Du Ying, a listening therapist, and I am confident my answer will help you.

I give the questioner a warm hug from afar. From your description, I can see the harm that your parents' divorce has done to you, as well as the pressure of your studies, insomnia caused by psychological problems, bad mood, and the pressure of facing the middle school entrance exam without knowing what to do. I believe you are eager to get out of this difficult situation. Let's analyze it together!

Each of us comes into this world with a blank slate. However, how a person is raised (usually by their parents) and the family atmosphere have a profound impact on that person, forming their initial perceptions, understanding, and thinking patterns about the world. The questioner said, "In the past, when my father hit me and my parents argued, I may have been a bit psychologically scarred."

These experiences will make the questioner think they are not good enough. They may suppress their emotions to avoid upsetting their parents. When their parents got divorced, they didn't care about your feelings or hurt.

This, combined with the increased secretion of hormones during puberty, rapid brain development, and unstable emotions, further aggravated the depression. The diagnosis was later severe depression. There was no cooperation with the doctor's treatment in the face of the college entrance examination. I did not have the strength to get out of this negative state and emotions on my own. The more I did not want to go to school, the more I would be in a vicious cycle of constant denial, doubt, and fear. Here are a few suggestions for the questioner. They are helpful.

First, you must face your own problems. The questioner has been diagnosed with major depression and needs to actively cooperate with the doctor's treatment. Depression causes negative perceptions and emotions because of negative experiences. This affects your motivation to do things, which will affect your actions and sleep. In turn, this affects your studies. Teachers and parents will give negative comments, and you will fall into this vicious cycle. You will also doubt and deny yourself.

You can't break out of this negative cycle on your own. You need to face your problems, listen to your doctor, actively seek treatment, take responsibility for your life, and let your parents take you for treatment, take medicine when necessary, and seek psychological counseling when necessary.

Second, change your perception. The original poster said that they feel that everyone else hates them, and they hate themselves too. This is likely due to past experiences of parental mistreatment and the dissolution of their family. It is important to recognize that these experiences do not reflect your inherent worth.

Your parents hitting you was their wrong way of educating you, and their divorce was a problem with their marriage. You had no choice in any of this.

You must learn to accept it. If you blame yourself and deny your feelings, or believe you are unlucky to have such parents, you will only suffer more. Accept it. This is your cross to bear. Without conflict, you can also see your own advantages (for example, you used to do quite well in school). Shift your inner focus from doubting and denying yourself to working on the aspects you can do better and improve.

If the land is full of crops, there will be no weeds. The questioner must record their negative and bad thoughts every day, and after becoming aware of them, promptly switch to positive and corresponding thoughts. By constantly training themselves in this way, they will allow more and more positive thoughts and beliefs to enter their hearts, and they will enter a virtuous cycle.

Third, take action. The questioner should do more exercise, such as running and yoga. Exercise regulates the brain and body, improving positive attitude and motivation, breaking the negative cycle, and helping to improve sleep.

I improved my own depression through a lot of exercise.

I am confident that the above suggestions will be helpful to the questioner. I believe that the questioner can truly take responsibility for their own lives, be proactive in seeking treatment, and that, even if they can't get into high school, they can go to college through a technical secondary school.

Dear anxiety/my-child-is-having-a-mental-breakdown-over-the-middle-school-entrance-exam-can-you-please-give-me-some-advice-1986.html" target="_blank">child, Upon reading your question, I experienced a profound sense of sadness and a desire to cry.

As a parent, I was also confronted with these challenges. At the time, I was experiencing anxiety and depression due to a failed investment, which negatively impacted my relationship with my spouse. I also tended to attribute my child's actions to their inherent problems. When I was in a negative mood, I found myself seeking out my child's issues and engaging in discussions with them, which served as a distraction from my anxiety. Five years have passed, and I still experience a sense of self-blame. However, our family has learned to navigate through this challenging period. My child is also preparing to commence their university studies this year.

From my own experience, I can attest that many people will experience this kind of pain. All the difficulties you currently face will eventually dissipate. It would be prudent to set your sights on the long term and take things slowly.

It is evident that you are a motivated and independent child with a multitude of aspirations for the future. The current predicament has caused you distress. You appear to be unable to discern a direction for your efforts, and due to depression, you lack the requisite self-confidence and motivation to act. You desire assistance, yet lack the resources to obtain it. I empathize with the anguish you are experiencing, and I am particularly attuned to your feelings. I am committed to providing you with the support you require.

The influence of the family unit on an individual's development is profound. The dissolution of a family through divorce and the subsequent disagreements and arguments that ensue can have a significant impact on a child's emotional and psychological well-being. In an effort to avoid negative feelings and avoid causing concern for their parents, children may internalize their emotions and refrain from expressing them.

Nevertheless, these experiences have influenced the development of your personality. Now in your adolescence, you are beginning to think about life: Who am I? What kind of person do I want to be?

The question then becomes: What is the true self? And, furthermore, how might one become the person they aspire to be?

One of the challenges commonly faced by adolescents is the discrepancy between their ideal self and their actual self, as well as the inconsistency between their thoughts and actions. This phenomenon is not exclusive to adolescents from less than optimal family environments; even those from more supportive and stable family backgrounds may experience it to a certain extent. The doubts and denial of self that adolescents often exhibit can be influenced by various factors, including those within their family systems, as well as their high expectations of themselves and their lack of self-acceptance.

It is important to note, however, that none of these difficulties are the result of any fault on the part of the child. All of the feelings and thoughts that the child experiences are valuable and meaningful in terms of their personal growth. They are a gift of life, just waiting to be unwrapped and understood.

It is this author's recommendation that:

1. It is imperative to adhere to scientific principles and to pursue medical intervention. While ensuring the regular intake of prescribed medication, it is also crucial to initiate psychological counseling and to seek external assistance.

Medication can assist in alleviating the symptoms, and although there are some side effects, it is an effective treatment. If possible, it is also advisable to undergo psychological counseling concurrently to gain insight into the confusion associated with your growth.

The ability to recognize one's own problems and seek medical assistance is a positive step towards addressing them. It is important to recognize that seeking help is an essential part of the healing process.

Once a problem is identified and discussed, the individual can begin to address it and initiate the healing process. If an individual is unable to verbalize the problem, reluctant to acknowledge it, or experiencing significant distress, it may appear more insurmountable than it truly is.

2. It is recommended that you speak with a mental health professional. The national hotline for youth rights and psychological counseling is 12355. Each session lasts 30 minutes and is free of charge.

Should you experience feelings of distress or be unable to make a decision, you are encouraged to contact the helpline for assistance. The professional teaching staff will engage in discussion with you to address the issue in a collaborative manner.

3. It is important to maintain connections with others. When one is in a positive emotional state, it is beneficial to spend time with friends and family. Despite the divorce of one's parents, it is not always the case that they fully comprehend one's feelings, and communication may be challenging. However, it is crucial to believe that they love and care about you.

It would be beneficial to discuss your confusion with a trusted individual. I recognize that you may have numerous concerns, but I encourage you to consider opening up and talking about them. It is acceptable if you are not ready to do so. You may also find it helpful to engage in solitary outdoor activities. This approach has proven effective for me in navigating personal challenges in a natural setting. It can positively impact your well-being and facilitate growth.

4. Psychological growth is a lengthy process that necessitates considerable effort and time. While the college entrance exam and academic performance are important, one's health is of even greater consequence. It is possible that this state of depression and distress will persist for an extended period, necessitating the development of coping mechanisms to manage the associated symptoms.

It is possible that you may experience setbacks along the way, but it is important to persevere. Focus on taking one action each day and performing one act of kindness daily. With consistent effort, success will eventually manifest.

5. With regard to the midterm examination, it is advisable to adopt a flexible approach and refrain from placing undue pressure on oneself. If one is able to take the examination, that is acceptable. Conversely, if one is unable to do so, that is also acceptable.

It is recommended that students discuss their psychological state with their instructors, who are likely to welcome such disclosures.

It is my sincere hope that this information is beneficial to you. I am grateful for your inquiry and encourage you to extend the same compassion and acceptance to yourself that you wish to receive from others.