Severe anxiety, moderate depression, what if I'm afraid of the people around me?

As you wish.

I'm Kelly.

[Severe anxiety, moderate depression, and fear of others]

You seem to be experiencing severe anxiety and moderate depression, and you don't want to take medication.

Maybe you want to help yourself in other ways?

[About self-help]

Are we doctors or do we measure ourselves to see if we're anxious or depressed?

Who in the family will care about you?

If we have been diagnosed by a doctor, we still need to calm down and think about what we can do to help ourselves.

Anxiety Some people have family relationships that are ⚠️ in the early stages. My mother is very anxious.

You say there are no good people out there.

If something goes wrong, we say our life is over.

Seeing someone with a flaw makes us cautious.

Everyone has shortcomings, including us. Who first taught us this?

I also learned about myself by talking to a counselor. My beliefs were influenced by family, friends, and others.

When we realize we have these feelings, we start to fear others and humanity.

Seeking help shows you want to change and are ready to be helped. This is good because it starts self-help.

We don't take medicine. We can build a new relationship with a counselor or listener.

It will also change how we see things and give us strength.

We can also see our own potential, including courage. As long as we have confidence, anxiety and depression can be improved.

Thank you for talking to us about your situation.

Depression and anxiety are common, but you can still take care of yourself.

[About emotions]

When we're depressed, we lose confidence.

If we don't trust ourselves, we're afraid of others.

You can try to sort it out.

In the past, people made you feel loved and cared for. They were there for you when you were feeling down. Who helped you?

Depression can also make you think negatively.

Do you think other people want to hurt you?

We can think about why they were kind to you, even if they had another reason.

What makes us worthy of others wanting to get close to us?

If you want others to get close to you, you may have the potential and ability to do so.

We can join more eco-friendly groups.

For example, a psychology group.

For example, by joining a growth group.

We can also learn in a structured way and change as a result.

Psychological problems don't last forever.

I've been there. You'll learn more about yourself, what you like, and your true thoughts. You'll also learn that the world is about you and that there are no others out there.

We can focus on ourselves, learn, and seek help from those around us.

Talk to someone, like a friend, or share your feelings with others.

Just accept yourself, have any thoughts, do what you want, eat what you want, and be happy.

Depression and anxiety help us love ourselves, care for ourselves, and protect our emotions.

The world loves you.

Recommended books: The Power of Self-Care, Growing Through Relationships, Life Is Worth Living.

Good morning, My name is Shu Yaping, and I am a psychological coach at One Mind. I can see that you are aware of your current situation, that you are nervous and scared, and that you have a force within you that is moving you towards goodness. This force is very precious. Please accept my best regards.

01. First and foremost, you have experienced a multitude of negative emotions and feelings. You have worked diligently, and it has undoubtedly been challenging. Therefore, it is essential to recognize your efforts and provide yourself with the necessary support.

While these issues are a source of concern, have they also provided insight into your resilience and capacity to persevere?

I believe that understanding one's own tenacity is valuable enough to make one sensitive and adept in certain areas. Therefore, I ask that you accept this self. Is that acceptable?

Anxiety and depression are akin to emotional colds that cause discomfort. However, if you have confidence in yourself, you will be stronger on the other side.

02. Interpreting Anxiety, Depression, and Fear

It is not uncommon for individuals to self-identify as anxious or depressed, and to experience fear regarding their own existence and interpersonal relationships due to a lack of security.

It is therefore important to understand the importance of emotions, to be self-aware of our feelings and needs, and to seek professional treatment and support in a timely manner.

Anxiety can also be attributed to a disregard for the established rhythm and rules, leading to the formation of unwarranted beliefs about "must" and "should" and influencing our perception of feelings and needs.

It should be noted that there is also a positive aspect to healthy anxiety. When we understand the pattern of how things develop and adapt our approach accordingly, we will feel less anxious and more relaxed.

By discarding unreasonable beliefs and refraining from excessive concern about the future, we can truly embrace the present.

If we can be assured of three meals a day, the sun rising each day, flowers blooming, and a spring breeze, and if we can enjoy peace, our hearts will be happy and comfortable.

The second factor to consider is the depressive mood.

It is rare to find an individual who has not experienced some form of trauma. If we dwell excessively on the aspects of our upbringing that lacked emotional support and fixate on recognition that is beyond our reach, we may succumb to feelings of inferiority, loneliness, and a lack of belonging, which could potentially give rise to a sense of despair.

This can result in feelings of "uselessness," "helplessness," and "hopelessness," as well as depression.

Similarly, refraining from dwelling on past events, focusing on the present, enjoying natural beauty, engaging in physical activity, pursuing creative outlets, or seeking guidance from a professional can all contribute to a sense of contentment and self-acceptance.

Fear is a natural emotion that serves an important function in our lives. It helps us to avoid danger and stay safe. However, if left unchecked, fear can also lead to unhealthy behaviors and a lack of motivation.

Fear is the most fundamental emotion that humans experience, and it is driven by our intrinsic needs. Fear also motivates us to feel awe, adhere to rules, and maintain order.

In the event of catching a cold, it is advisable to rest, seek medical attention, follow the prescribed course of medication, and adhere to the doctor's instructions.

Previously, a common cold would typically resolve after a period of rest and medication. However, the emergence of novel coronaviruses and other viruses has led to a shift in the presentation of cold symptoms. It is therefore essential to approach colds with the same level of seriousness, employ active treatment, adhere to medical advice, and utilize medication in a prudent manner to prevent the disease from becoming prolonged and causing complications.

It is also necessary to actively seek professional assistance from a counselor and to actively explore and care for oneself with the help and guidance of a teacher in order to facilitate growth and development.

03. What steps can be taken to assist in self-help?

Firstly, it is advisable to seek professional assistance.

Confronting the wounds inflicted on you during your formative years will undoubtedly be painful. However, it will also provide you with resilience and experiences that others will never have.

It is recommended that you find a trusted counselor who makes you feel safe and connected. This will enable you to experience acceptance and being seen in this relationship.

It is also important to be compassionate towards yourself and to love yourself.

Do not be overly critical of yourself or assume responsibility for every situation. Learn to accept your own mistakes, imperfections, sensitivity, and strengths.

When you establish a connection with yourself, you can also build a trusting, comfortable, and nurturing relationship with others.

In the event of emotional distress, it is recommended that you provide yourself with a comforting gesture and words of encouragement to facilitate emotional regulation and foster a sense of warmth and strength.

The flapping of a butterfly's wings is analogous to the act of self-comfort and self-care. This process can facilitate psychological and physical recovery, leading to a state of emotional stability.

It is recommended that you participate in group activities.

You may participate in group activities on the platform, grow together with a group of like-minded people, or engage in public welfare activities.

When others feel warm because of your giving, they will also reciprocate with something beautiful. At that moment, you can clearly feel the warmth of the connection and trust between you.

Emotional support can facilitate positive connections between individuals. Therefore, it is important to have confidence in one's abilities and to believe in the safety of the world. It is also essential to be open to trust and to engage in connections.

I extend my best wishes to you and the world. I hope this is of some assistance.

I hope my answer helps you.

I have severe anxiety and moderate depression. I refuse to take medication, and my physical symptoms are obvious. Recently, I have begun to fear the people around me, and I fear humans.

I know I'm wrong to think other people want to harm me, and that they're being nice to me for a reason. I know I have psychological problems, and I'm going to get help. I know there's no way to solve psychological problems with medication.

I understand how you feel. I also had a period of depression. When we're depressed, we're hostile towards people and afraid to meet them. But now, my emotional and psychological states have improved, and I feel differently about people. I feel their kindness and friendliness, and I'm no longer afraid to meet them. This fear of people is just a symptom. As long as we get proper treatment, it will improve.

I advise you to:

1. You must treat the "mental illness" correctly. Don't feel ashamed or afraid of it. It's not your fault. As long as you actively seek treatment, you will get better and better.

If the doctor assesses that we need medication for our physical condition, then we should follow the doctor's advice. This is the most effective way to facilitate our recovery. You say that there is no way to solve a mental illness with medication. This is incorrect. Our body and mind are one, and severe depression and anxiety also have physical causes. Taking medication can improve our physical function, but taking medication alone is not a complete solution. This is because the causes of psychological problems are complex. In addition to physical causes, there are also psychological causes (accumulated emotions, unreasonable cognition, past traumatic experiences, etc.), as well as social causes (lack of support systems, etc.).

Therefore, we must combine multiple approaches to achieve better results when undergoing treatment.

Talk to your doctor about your concerns. Find a matching psychological counselor to provide emotional counseling, cognitive adjustment, and trauma healing. Gain stable acceptance and support, which are all conducive to your recovery. Seek effective help and support because it is difficult to come out on your own at this time. This is also a kind of wisdom and courage.

2. You must also learn to heal yourself, grow your inner strength, and achieve self-growth in addition to combining medication with psychological counseling.

If you can afford it, get your own psychiatrist and counselor. They're here to help. They'll give you meds and counseling based on your situation. When the meds stop, you'll only need counseling to keep the effect going. You also need to learn to heal yourself. The ultimate change is growing your inner strength. When you face difficulties and setbacks, you'll have the strength to grow and develop. This will become your resources and wealth.

You may think the pain you are feeling now is bad, but it is actually an opportunity for growth. It is here to teach us some life skills and help us grow our minds. For self-healing, read two books: "Cognitive Therapy: Foundations and Applications" and "The Eight-Week Mindfulness Journey".

If you have access to professional resources, such as psychological growth groups, you should participate. You will receive social support and gain a better understanding of yourself, learn how to help and grow yourself, and gain more confidence and strength through the sharing of resources among members. If you are interested, you can also participate in group discussions and roundtable discussions on the platform, where you can also gain support and strength.

This is for your reference. Best wishes!

Hello, my friend! I would absolutely love to hug you, but then I thought about your fear of humans, and I was suddenly filled with joy that I was far away from you, so far away that we are on opposite ends of the phone. Together, we can explore this issue, and it's very safe.

Anxiety, depression, and fear are indeed difficult emotions to deal with. But there is hope! Psychological problems really need psychological medicine. Just like the saying goes, "the person who started the trouble should end it."

Does your friend like going out? If she is afraid of people, we can go to places with absolutely gorgeous scenery and not too many people!

For example, in the morning, the air is crisp and clean, and there are relatively few people around, which makes it the perfect time to enjoy some fresh air!

I absolutely love nature! Whenever I encounter something unhappy, I go close to nature to discover its beauty with all my heart. It doesn't say anything, but it is so powerful and full of vitality. I like to play, walk, run and jump in the embrace of nature, trying to stretch and relax my body...until I'm beaming!

I'm not sure what your anxiety and depression points are, but I'm excited to find out! And I'm also curious about whether you're anxious and depressed about everything.

I'd love to tell you two stories about me!

The first story is about depression, postpartum depression. During the confinement period, I was overcome with emotion, unable to shake off my sadness. I could cry for a long time over the smallest things. At first, my husband was there for me, wiping away my tears, but then he simply let me have space, not to mention he was so understanding of my emotions... My family couldn't quite understand it either, and neither could I. I was amazed that I, a tomboy who normally didn't cry much, could shed so many tears after giving birth... I didn't take any medicine or see a doctor, and at that time I didn't even know that this behavior was called depression, called postpartum depression.

After the confinement period, I was thrilled to start walking more, going outdoors, interacting with my child, talking to my family, speaking to friends, and connecting with others. I kept myself busy, and I'm happy to say that I got better and stopped crying so much.

Later, as I learned more, when I looked back on this incident, I felt that during the postpartum period, I had dug up all the unhappiness that had built up in my subconscious since childhood, and gone through it all, bidding farewell to it with tears that felt like a very ritualistic experience. It was truly an incredible journey! Whenever I think back on it, I go from feeling lost to treasuring the experience.

I truly believe that everything is the best arrangement! This incident happened to me for a reason, and I am more than capable of solving this problem and moving on to higher levels of challenges. I absolutely believe that I can do this!

I'm so excited to share my firm belief and trust with you, a friend with the same frequency!

The second story is about anxiety. For a long time, I was a giant in terms of ideas, but I had almost no execution power. Then I fell into a state of extreme anxiety and internal conflict that was extremely inconsistent. But I got through it!

For example, I want to become a writer. I have always thought about it, and now I'm finally ready to start writing! I focus on thinking about the plot, wondering if readers will like it, thinking about this and that. The more I think about it, the more excited I become, and the more I'm looking forward to doing it. So I just keep focusing on the positive, and I'm excited to start! I'm going to make time for it, and I'm going to do it! I'm going to accomplish something! I'm going to write! I'm going to be a writer! I'm going to be a writer, and I'm going to be great!

One day, I suddenly woke up and told myself, "It doesn't matter if I'm a writer or not, I'm going to write first!" I also told myself to finish first and then be perfect.

So as you can see, I am writing to you now!

Those are my two amazing stories! Thanks so much for listening.

I'm not anxious anymore. I've realized that it's better to focus on the present and live in the moment. Every breath you take is a gift, and every moment is a chance to embrace the beauty of life. What's meant to be will be, and worrying about what's not is a waste of time. I'm choosing to live with a positive, down-to-earth attitude and focus on the things I can control. I'm letting go of obsessions and forgiving myself. I'm excited to experience everything in the present!

I'm happy to say that I didn't become depressed afterwards. I didn't become depressed after giving birth to the second child during the postpartum period. I feel that it also has a lot to do with reading. I listened to books during the postpartum period and wrote for about 15 minutes every day. It may also be related to the state of my body. It is also possible that after experiencing the first child, my heart has become stronger.

Starting today, let's eat well together, enjoy light meals that are better for the body, and keep warm together, no matter what the season is. Let's embrace our inner warmth as women! Read classic books together and explore the world of literature together. You can even read book reviews and listen to how others understand the book. What are the similarities and differences with my understanding? What can I learn from the book reviews?

And we can even bask together under the same sky to get some vitamin D! We can work out together and become a better version of ourselves!

Give the host a hug.

You mentioned you have severe anxiety and moderate depression. Have you been diagnosed by a doctor? You said you're not taking medication. Did a doctor prescribe it?

If you've been diagnosed by a doctor and prescribed medication, it's important to follow the doctor's advice and take the medicine as prescribed. Depression isn't just a mental illness; it's also related to the body. Medication can help adjust physiological abnormalities, thereby improving psychological and emotional states.

Depression treatment and medication have been around for a while, and the techniques are pretty well-developed. While there are side effects to consider, the benefits of the medication outweigh them.

In this case, it's important to follow the doctor's instructions and not make any changes on your own. If you feel unwell while taking the medication, you can let the doctor know right away so they can adjust it for you.

You say you're afraid of the people around you, which is a symptom and effect of depression. When you're depressed, your mind and thinking tend to be negative, and you see everything as negative and harmful, even though it's not real.

In this case, chatting with someone online isn't enough to solve the problem.

So, you should follow the doctor's instructions, take your medicine on time, and work with a psychological counselor to help you cope. When you're feeling better, these negative thoughts will slowly disappear, and so will your fear.

Mental illness is just like a cold or a fever. It can affect the mind in the same way it affects the body. If you're willing to face the illness head-on and get the right treatment, you can recover just the same. There's nothing to fear.

You've got this!

I can understand why typing on a mobile phone might seem like a hassle. Reprinted from Zhihu

Firstly, it is a common concern that taking medication may result in a decline in cognitive abilities.

It is a common misconception that taking medication will make a person slow-witted, with dull expressions and drooling.

I am often asked this question.

I inquired, "Could you please tell me who told you that?" "Our neighbor," "Our colleague"...

I wonder if I might ask you to consider this: if you don't believe what the doctor says, might you be more inclined to believe your neighbor?

A diagnosis of depression is typically a relatively brief process, followed by a more in-depth education on the topic of depression and the role of medication in managing it.

It's worth noting that antidepressants don't typically cause these effects. It's possible that this impression was shaped by the use of older antipsychotic drugs. While current antidepressants don't have these side effects, it's important to recognize that depression can sometimes lead to slower responses, memory loss, and slower thinking.

It is often the case that it is the disease itself, rather than the medication, that is the cause.

Secondly, it is important to note that once a medication is started, it is often not possible to stop taking it. This is a reason why I did not initially choose to take any medication.

I believe this is a very real concern.

One example that comes to mind is a broken bone. In such a case, a crutch is often a helpful tool.

It is commonly understood that it takes 100 days to heal a broken bone. Antidepressants can be seen as a similar kind of support.

It could be likened to a walking stick that allows you to keep walking.

It is worth noting that drugs often require time to work and to maintain their effect. In most cases, people can eventually stop taking them.

Thirdly, it is worth noting that traditional Chinese medicine tends to have fewer side effects than Western medicine.

I've come to realize that it's not the most productive use of my time to continue debating this topic. It can take a while to explain that Chinese medicine doesn't have a clear effect on antidepressants (the same is true for other diseases), and that many people turn to private practitioners to receive all kinds of homemade Chinese medicine. I've seen "Wake Up," "Calm Down," and "Serenity"... Some of these products don't seem to work at all, while others combine the cheapest Western medicine that has been eliminated in the clinic due to its severe side effects.

It might be best to avoid taking Chinese medicine by itself. If it were only effective with Chinese medicine, it could potentially lead to recovery without the need for medication.

It is worth noting that Western medicine can also have side effects. For instance, some drugs, such as the world's most widely used antidepressant, Cymbalta (Duloxetine hydrochloride sustained-release capsules), are not specifically advertised for this potential side effect.

One of the most commonly prescribed drugs in the United States, produced by Eli Lilly.

Many patients informed me that the side effects were quite pronounced. I decided to try one as well (I must admit, I was a bit self-congratulatory about it).

I felt quite unwell, to a degree that I hadn't experienced during my pregnancy. It was a sensation that I likened to the feeling you get when a plane is taking off: you sweat, you feel sick, you almost throw up.

I spent a significant portion of the day resting.

I believe this is a very good medicine.

I'm happy to say that the effect is very good.

I would be grateful for any advice on how to proceed. In discussing this with many patients, it seems that the starting dose should be small.

It may be helpful to increase the dosage gradually.

It is worth noting that the side effects of antidepressants (initial discomfort) are typically short-lived, lasting no more than a week.

It would be advisable to use the lowest possible dose to get through the first week.

By the following week, you may find that the sun is smiling at you as you open your eyes in the morning.

This is a quote from one of my patients.

Because of this, there is a glimmer of hope that shines into the heart that has been dark for many years. She has been unable to find her way out of the dark forest for many years, but there is a glimmer of hope that she will find her way out.

She had almost resigned herself to the belief that this was the way her life would continue to be.

As a result, I was able to gain a new perspective.

At that moment, she became quite emotional.

Fourth, it is worth noting that men may have concerns about the potential impact of antidepressants on erections.

I have heard this from many patients, but I have not yet been able to verify it. I have seen this claim in a great many materials, so for the time being, I will assume it to be true.

I would like to mention that I had previously recommended a medicine which, if I remember correctly, has the added benefit of not affecting erections and also prolonging them.

If you would like me to look into this further, I will do so and let you know in the comments.

I would like to conclude by noting that drug therapy and psychotherapy are currently the main methods of treating depression. In my experience, drug therapy is often the preferred option for treating depression due to its clear, direct, and rapid effects, which can be beneficial in comparison to psychotherapy.

Good day, question asker. I am Fairy, and I abstain from the consumption of alcoholic beverages. I am honored to respond to your inquiries and provide you with assistance.

Some theorists posit that life is a process of continually moving forward, navigating a series of confusing and challenging situations.

One might be forgiven for assuming that the present represents the most challenging period in one's life. However, upon reflection, it becomes evident that this is not necessarily the case.

You have already surmounted innumerable challenges that you previously believed to be insurmountable. Action is the antidote to confusion. Let us embark on a course of action and challenge the confusion within our hearts!

It is important to note that professional psychological counseling and treatment are essential components of depression management. While medication may not be the sole solution, in certain instances, it can assist in alleviating symptoms and facilitating the efficacy of other treatments.

In addition to pharmacological intervention, psychological therapies constitute an essential component of the management of anxiety and depression. Cognitive behavioral therapy (CBT) and psychodynamic therapy represent two such approaches that can facilitate the understanding and modification of maladaptive thinking patterns and behaviors, thereby reducing symptoms and enhancing quality of life.

It is recommended that you seek out an experienced counselor or psychotherapist to discuss your concerns and receive professional guidance and support.

Furthermore, there are self-management techniques that can alleviate the symptoms of anxiety and depression. These include establishing a regular routine, engaging in physical activity, learning relaxation techniques (such as deep breathing and meditation), and seeking social support (through communication with friends and family, participation in support groups, etc.).

While these methods cannot be considered a cure for anxiety and depression, they can assist in coping mechanisms and symptom reduction.

It is of the utmost importance to seek assistance from those around you. Speak with your friends and family members about your situation, as they may be able to provide you with support and understanding.

Additionally, it is recommended that you consult with a mental health professional who can provide guidance on the most appropriate course of action and treatment plan.

It is important to remember that one is not alone and that there are numerous individuals who are willing to provide assistance. Seeking professional support is an essential step in overcoming anxiety and depression, and it is imperative to recognize that one deserves attention and care.

It is recommended that you persevere in seeking help and believe in your ability to overcome your difficulties and move towards a healthier and more positive future. The world and I love you. I am a fairy and do not drink. It is my hope that this reply is helpful.

Hello,

You have mentioned that you are experiencing severe anxiety, moderate depression, and somatization, as well as a sense of victimization. However, you have indicated that you are reluctant to take medication, citing the belief that a heart disease cannot be cured with medication. At the same time, you have requested assistance here, which also demonstrates your desire to seek help.

Anxiety and depression are common mental illnesses in today's society, and many people experience them. There is no need to worry too much, as we have developed effective treatments, including medication and psychological counseling.

If left untreated, there is a possibility that this could lead to somatization, where your body is suffering from your inner pain. You have already noticed the signals and hints your body is sending you.

In regard to the fear and sense of victimization you experience in interpersonal relationships, it could be perceived as an overreaction or a distorted perception and experience brought about by anxiety and depression.

On the Yiyi Psychology platform, we have the privilege of offering the services of highly trained psychological counselors and psychologists who are available to provide professional assistance. In our experience, cognitive behavioral therapy has been shown to be an effective approach for addressing anxiety and depression.

We kindly suggest that you visit the psychiatric department of a hospital for a diagnosis. Whether or not he prescribes you medication, this diagnosis will be of some reference value to you and allow you to better understand your condition. If this pain has affected your normal eating, sleeping, or socializing, you may wish to consider taking medication to control the situation, as well as psychotherapy.

It might be helpful to communicate and chat more with family and those around you to gain their support.

It may be helpful to try to eat and sleep regularly and develop good habits. You might also like to consider learning some relaxation techniques, such as jogging or meditation, muscle relaxation exercises, etc.

I truly hope you feel better soon.

Hello, question asker. I'm here for you.

I'm sorry and I understand. You're in a lot of pain and it's hard to cope.

Anxiety and depression can make us distrust others. This is especially true when the illness gets worse.

I understand you feel helpless. Your feelings are real and caused by your illness.

From a psychological point of view, this fear and suspicion of others is called a "delusion" in the professional field. It is a serious symptom of depression and anxiety disorders.

When our brain is affected by negative emotions and biases, we may lose trust and security, leading to over-vigilance and defensiveness.

I remember a case in which a patient was also troubled by similar problems. After a period of struggle, he sought help and realized his fears were a manifestation of the disease.

He learned to identify and challenge irrational thinking patterns through cognitive behavioral therapy (CBT) and other psychological interventions. He also took drugs to regulate his neurotransmitter levels, which improved his emotional state and social phobia.

Your view that medication doesn't help mental illness is wrong.

Medication is important for severe anxiety and depression. It can help restore chemical balance in the brain, relieve symptoms, and make it easier to treat the problem.

Psychotherapy can teach you how to cope, change negative thinking, rebuild relationships, and adapt to change.

Get in touch with a professional psychiatrist or psychologist as soon as possible.

They will create a treatment plan for you, including medication and psychotherapy. In this process, trust your family, friends, or professionals. They can support you.

The first step in overcoming fear is to accept your situation and ask for help. Everyone recovers in their own way, so find what works for you.

Dear Question Asker,

From your description, it is evident that you are experiencing distress, elevated anxiety, and a perception that your condition is primarily psychological and therefore not amenable to pharmacological treatment. You report feelings of insecurity and a sense that others are close to you and are only being kind for ulterior motives. It is understandable that you are experiencing panic and anxiety.

It is important to note that anxiety does not originate from a single, isolated incident. Rather, it is the culmination of a series of experiences and events that gradually instill a sense of vulnerability and victimization. The lack of safety and security may be attributed to past experiences that have shaped an individual's perception, leading to feelings of suspicion and fear.

It may be beneficial to ascertain the source of the triggering event, which may assist in understanding the nature of the fears that have emerged. It is important to recognise that these fears have not materialised and that they are often based on conjecture and speculation.

It is first necessary to ascertain how one came to be in this situation. At the outset, circumstances may not have unfolded as anticipated, yet one has become ensnared in a web of self-perpetuating thought patterns, leading to the generation of increasingly extreme behaviors that have become indistinguishable from reality.

Secondly, it is essential to acknowledge the presence of irrational beliefs within one's own thought process. For instance, if an individual holds the belief that they are being harmed by another person, despite the absence of any evidence to substantiate this claim and the presence of evidence indicating the contrary, it is evident that these beliefs are not grounded in reality and are, in fact, biased.

It is essential to identify these irrational beliefs and refute them.

In conclusion, pharmacological agents can influence the onset of anxiety and depressive disorders. The underlying mechanisms of these conditions are also linked to physiological processes. By modulating hormones and neurotransmitters, pharmacological agents can regulate the physiological functions of the body, thereby affecting the progression of irrational thoughts.

Should the necessity arise, professional assistance is recommended, in conjunction with psychotherapy for the purpose of healing.

It is my hope that this information will prove useful to you. Best regards,

Dear Questioner, I can discern that your present circumstances are particularly challenging.

In the absence of pharmacological intervention, how might one mitigate the impact of severe anxiety and moderate depression on one's well-being? One potential avenue for exploration is as follows:

1. Seek professional psychological counseling. A counselor or psychotherapist can provide expert guidance and support to assist in identifying and modifying maladaptive thinking patterns and behaviors. Psychological therapies such as cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT) have demonstrated efficacy in alleviating symptoms of anxiety and depression.

2. Adopt a healthy lifestyle: Maintaining a balanced diet, sufficient sleep, and regular exercise are crucial for alleviating the symptoms of anxiety and depression. It is also essential to limit the consumption of stimulants such as alcohol and caffeine.

3. Learn relaxation techniques. Relaxation techniques such as deep breathing, progressive muscle relaxation, meditation, and yoga have been demonstrated to reduce tension and anxiety and increase a sense of calm.

4. Engage in social activities: It is beneficial to maintain contact with family, friends, or support groups to facilitate the sharing of feelings and experiences. These groups can provide emotional support and assist in the management of anxiety and depression.

5. Develop a Hobby: Engaging in activities that are personally enjoyable, such as painting, music, reading, etc., can assist in the diversion of attention, the alleviation of stress and anxiety, and the enhancement of one's sense of self-fulfillment.

6. Maintain a positive outlook. Attempt to focus on the positive aspects of life and cultivate an optimistic attitude. Although this may require time and effort, gradually changing one's way of thinking can positively impact emotional well-being.

It should be noted that these non-drug therapies do not produce immediate results and require persistence and patience. Additionally, it is important to recognize that each individual's situation is unique, and thus, it may be necessary to explore a range of approaches to identify the most suitable method for one's particular circumstances.

In the event that symptoms are significantly impairing daily functioning or if extreme thoughts are being experienced, it is imperative to seek immediate professional medical assistance, including the possibility of medication.

In light of your reluctance to consider medication, I am curious to ascertain the underlying reasons. Are your reservations related to concerns about the medication itself, psychological factors, a lack of trust in medical professionals, or are there other contributing factors?

In any case, it is still necessary to explain the importance of drug treatment for you at this time.

First and foremost, pharmacological intervention can effectively alleviate symptoms. In the case of major depressive disorder, pharmacological intervention can markedly reduce depressive mood, improve emotional imbalance, and reduce anxiety, thereby alleviating the condition.

Similarly, pharmacological agents can alter neurotransmitter function in the brain to regulate emotions, alleviate anxiety, relax muscles, and induce sedation and sleep.

Secondly, drug therapy is a common treatment for severe depression and anxiety disorders, particularly when the symptoms are more pronounced. Pharmacological agents can assist in controlling the condition and preventing further deterioration. Additionally, with drug therapy, patients can resume their normal activities and work more quickly, thereby reducing the impact of the disease on their quality of life.

It is important to note that drug treatment should be conducted under the guidance of a qualified medical professional. Given the potential for individual differences in response to pharmaceuticals, the physician must select an appropriate medication and dosage based on the specific circumstances of the patient.

Furthermore, drug therapy is not the sole treatment modality. It is typically employed in conjunction with other modalities, such as psychotherapy and social support, to optimize treatment outcomes.

I extend my sincerest wishes for a swift and complete recovery. It is my hope that the information I have provided will prove beneficial to you.

I am a listening therapist, Deng Hong. I am committed to listening to and understanding each individual with compassion and respect. I am available to engage in conversation and provide support.

Hug the questioner.

I can sense the immense difficulty and hardship that the questioner has been enduring. Has the psychological problem reached a moderate to severe level, accompanied by clear physical symptoms, and has it persisted for an extended period? It is nearly guaranteed that prolonged emotional accumulation, such as anxiety and depression, will inevitably result in physical harm. Therefore, prompt psychological counseling is imperative. You can confide in trusted friends or professionals.

You said you have severe anxiety and moderate depression. You should see a doctor about this. If your condition is moderate to severe, you should seek professional treatment from a counselor or therapist.

You said you refuse to take medication. Have you taken it before and had unsatisfactory results? Do you have serious side effects or dislike the psychological suggestion that taking psychotropic drugs brings to yourself?

Long-term psychological problems affect physical health, and physical health affects the psychological state. Take the medicine your doctor prescribes. Psychiatric drugs are no different from cold medicine, as long as they are the right ones for the symptoms!

"Recently, I have begun to fear the people around me, and I fear humanity. I am certain that other people want to harm me, and that even when they are nice to me, they have an ulterior motive.

"Tell your family and friends you need their help. Tell them about your vulnerability and fears."

Medication can solve or alleviate physical problems, and psychological counseling and therapy can help you get out of a psychological predicament. These two approaches can also be used together to cure heart disease.

I am confident that my answer will be helpful to you.

You're going to be okay. The world needs you, and I love you!

Good day, my name is Zeyu.

In regard to the questioner's reservations, we will begin by examining the rationale behind the decision to refuse medication. The primary concern is that treating a mental illness with medication may not be a comprehensive solution. Can medication effectively address the underlying cause of a mental illness? The answer is affirmative. Let us delve into the mechanisms through which mental illness can be managed with medication.

We are experiencing severe anxiety and moderate depression with obvious somatic symptoms. The first step is to take the medication as prescribed, which will help us reduce anxiety and relieve symptoms. It is important to understand how drugs work. If we take the medication regularly for about two weeks, we will be able to feel a change in our somatic symptoms. This is a change we can see. The side effects of the drug are much smaller than those of previous drugs, so we can safely take it as prescribed. If we are willing to try it, we might as well keep taking it for a while.

Medication works by acting on the neurotransmitters in our brain to secrete hormones that can improve mood, inhibit overactive brain regions, which will reduce anxiety to a certain extent and relieve symptoms of depression. Regular use can help us regain control of our cognitive processes, preventing catastrophic thoughts and allowing us to view current problems from an ideal perspective.

If the questioner still has concerns about taking medication after reading this, we can also try to involve psychological counseling as much as our abilities allow. Please be advised that professional counseling can help us solve problems better. The fear of humans that people around you have is that the questioner feels that someone wants to harm you. What about the people around you?

I believe there is a potential for harm to others. Otherwise, the questioner would not have said it is good for you. Therefore, we can use this evidence to disprove others' belief that they want to harm you. If the questioner feels that this evidence is not enough, we can also look for more evidence to disprove this view.

Regarding the assertion that being good to you also has a purpose, it would be helpful to understand if there are any exceptions to this claim. Is the questioner absolutely certain that this matter is true?

If the information is inaccurate, can we find a way to gain understanding and let go of this belief? If the information is accurate, what steps can we take to change the situation?

If this is the case, please advise as to when action will be taken.

Hello, I am Ying Keyu Xuan. I empathize with your current situation and recognize that it is not easy for you. I send you a virtual hug from afar.

You say you have severe anxiety and moderate depression, you refuse to take medication, you have obvious physical symptoms, and recently you have begun to fear the people around you, always feeling that others want to harm you and that they are being nice to you for a reason. It would be helpful to understand what makes you anxious and depressed.

Could you please tell me how long you have been in this state and where the somatic symptoms are manifesting?

Could I ask why you feel afraid of the people around you? Have they caused you psychological harm? When you went to the hospital, the doctor diagnosed you with symptoms of anxiety and depression. In my experience, medication is usually effective in this case, but you chose not to take the medicine. This suggests that you may not yet recognize that you have this disease, or that you don't want to label yourself as depressed. It also indicates that you're looking for ways to solve your mental problems that don't involve medication. From this, we can see that you've taken the first step to change yourself.

If you're not comfortable with medication, you might want to consider cognitive behavioral therapy (CBT). CBT is a type of therapy that can help you identify and change negative thinking and behavior patterns.

Cognitive behavioral therapy (CBT) can teach you healthier ways of thinking and coping with stress. You might also consider trying meditation and mindfulness exercises. Many people have found that practicing meditation and mindfulness exercises every day can help reduce anxiety and stress. It is thought that through meditation and mindfulness exercises, you can help calm your nervous system and improve physical symptoms and emotions.

It might be helpful to try to participate in some social activities. Interacting with others can help you build a sense of trust and reduce your fear of humans. You might also find that exercising releases endorphins into your body, which can help to improve your mood.

If you are unsure about how to use CBT therapy, you might like to consider finding a professional psychotherapist to help you analyze and deal with your inner fears and distress.

I hope my answer can be of some help. I believe that with time and patience, you can improve your mental health and overcome the challenges you are facing.

I believe in you and the world believes in you too.

I empathize with your situation. It is commendable to decline medication and pursue alternative methods to alleviate significant psychological distress.

It is important to note that physical symptoms are often evident in individuals experiencing anxiety and depression. These symptoms may include a fear of those around you, a fear of humans in general, and even the feeling that others are out to get you. It is also crucial to recognize that you are aware of your psychological problems. This awareness is an important aspect to address. To this end, I have a few suggestions for you:

I recommend that you consult with a professional counselor or psychiatrist. Both medication and counseling are effective treatments for severe anxiety and moderate depression.

While some may believe that medication is not an effective solution for psychological issues, it can be an invaluable tool for managing symptoms and better navigating the pressures and challenges of life. Additionally, professional psychological counselors or psychotherapists can provide invaluable insight into one's inner world, help identify the root causes of fears and anxieties, and explore effective coping strategies through cognitive behavioral therapy and psychodynamic therapy.

Secondly, it is recommended that you expand your support system, which could include friends, family, or professionals. It is important to share your feelings and concerns with them so that they can provide you with the necessary support and encouragement.

Additionally, you may wish to consider joining a mental health support group or forum. These provide an opportunity to share experiences and feelings with others who have been through similar situations, and to work together to find solutions.

Finally, it is important to live in the present and accept yourself. In order to address your concerns about human interaction and your suspicions of others, it is essential to gain a deeper understanding and acceptance of your emotions.

I would like to understand the specific content and process of your fear. I suggest that you view your feelings as something that needs to be addressed and resolved, rather than an emotion that needs to be avoided or rejected. You can address these emotions through meditation, relaxation techniques, or by keeping a diary, exercising through running, swimming, etc., and gradually learn to understand and accept your feelings.

Furthermore, it is recommended that you maintain a healthy lifestyle, including regular work and rest, a healthy diet, and frequent social interaction. These practices will contribute to your overall physical and mental well-being.

Given the finite nature of life, it is important to think clearly, see clearly, play well, lift heavy things, and let go of things. It is also crucial to avoid being too hard on oneself or feeling helpless.

I would like to take this opportunity to reassure you that your feelings are normal and that you have the right to seek help and support. Please remember that you are not alone and that there are many people who are willing to help you through this difficult time.

I recommend that you consult with an experienced, professional, and reliable counselor. They will provide you with safe and confidential counseling to help you gradually explore and understand your inner world.

During the course of psychological counseling, it is important to maintain an open mind and a positive outlook, while also learning to accept your emotions and feelings. It is essential to remember that everyone has their own unique process and path of growth, and there is no need to concern yourself with whether a particular approach is "normal" or "correct."

Psychological counseling is a process that requires time and patience. It is important to believe in your own strength and believe that you can overcome difficulties and achieve positive outcomes.

If you feel that you cannot cope with these emotions and symptoms on your own, please seek professional medical and psychological support in a timely manner. Please be assured that you are not alone, and I am here to support you.

Hello, question asker. I can see you're feeling confused, and I'm here to give you a big hug!

You mentioned you have moderate anxiety and severe depression. How did you get this diagnosis?

I'm just wondering, did you find out through a self-test or was it a doctor at the hospital who told you?

If the doctor at the hospital told you that, he may have prescribed medication.

If your doctor has prescribed medication, I would gently advise you to continue taking it as prescribed.

I'm really sorry to hear you're struggling with this. I'm wondering if you're afraid of the side effects?

If that's the case, I'd highly recommend chatting with the doctor who prescribed the medication about your current concerns.

You're absolutely right! Mental illness can't be solved by taking medicine alone.

I'd also suggest psychotherapy, if you're open to it.

I'd love to tell you more about psychotherapy and why I think it could be a great option for you!

Just a heads-up: a counselor can only give you psychological counseling, but cannot give you a medical diagnosis.

A psychotherapist is a different kind of help.

A psychotherapist can also help you adjust the dosage of your medication as your condition develops, and provide you with psychotherapy at the same time.

I'd love to help you understand why you feel fear towards those around you.

This might be linked to some childhood experiences you had, like your relationship with your mum.

If your mom didn't give you enough love and care when you were younger, it's totally normal to feel this way as an adult. It's like that little kid inside of you is coming out again!

I'm sure you came here today to ask questions because you want to change yourself, and I'm here to help you do just that!

There's a lovely saying in psychology that I think you'll find really helpful: "seeing is healing."

So the next time you feel fear towards someone close to you, you can tell yourself, "It's that little child inside of you coming out again."

But now you're an adult, and you're a totally different person from the child you once were.

For example, you'll be taller and stronger than you were as a child, and you'll feel more powerful inside.

If you think it might help, you could ask a psychotherapist to help you deal with your inner child.

I'd also really recommend reading Embracing Your Inner Child.

I also had depression for a while, so I really understand what you're going through. But I'm happy to say that I haven't had any relapses in recent years and I've made a full recovery.

My key point is: find a support group! The questioner, you can also see if there are mutual aid groups for depression and anxiety that you can join and so on.

I really encourage you to join them if you can.

In mutual aid groups, you'll find people who've been through similar experiences and are ready to offer you support and help.

If you can, I'd also really recommend that you try to fit in some exercise for at least half an hour every day.

When you exercise, your body produces endorphins and dopamine, which can really help to ease your physical symptoms.

I just want you to know that you're not alone in this. Depression and anxiety are very real issues, but they don't have to define you or your life.

You've got this! As long as you take your medication regularly as prescribed and undergo psychological treatment at the same time, you will definitely be able to recover.

I really hope the problem you're having gets solved soon.

All I can think about now is what I've shared with you above.

I really hope my answer helps and inspires you, the questioner. I'm the answerer, and I study hard every day.

Here at Yixinli, the world and I love you! Wishing you all the best!

Take care!

The questioner states that they have been diagnosed with severe anxiety and moderate depression, that they refuse to take medication, and that they have obvious physical symptoms. Recently, they have begun to fear the people around them and to experience an intense fear of humans.

I am prone to the belief that other individuals may have the intention of causing me harm, yet I also perceive that they are being cordial to me for a reason. I am aware that I have psychological issues, but I am uncertain about the most appropriate course of action. I am of the opinion that the use of medication is not an effective solution to my psychological problems.

It is this author's recommendation that the reader engage in further reading and engage in walking.

If one experiences positive affect, one may choose to express this through physical movement, such as clapping one's hands.

If one experiences positive affect, it may be beneficial to express that emotion through physical movement, such as stomping one's feet.

It is recommended that you offer yourself positive reinforcement.

I acknowledge your reluctance to take medication. When I was initially diagnosed with depression, I was perplexed and sought a multitude of external assistance and support. However, I subsequently discerned that their intentions were not wholly altruistic. Some were genuinely desirous of aiding me, while others were driven by ulterior motives.

It is therefore recommended that the individual in question seek to form a greater number of long-term, trustworthy friendships. These should be cultivated through regular communication, including informal conversation and the sharing of personal concerns.

If one believes oneself to be suffering from a mental illness, it is important to remember that this is not necessarily indicative of a pathological condition. Rather, it may simply be indicative of a heightened level of sensitivity. In such instances, it can be beneficial to record one's thoughts in a notebook. This may help to alleviate some of the distress associated with the thoughts in question.

At times, it may be beneficial to take a deep breath, inhaling and exhaling in a controlled manner. This process, repeated a few times, can provide a sense of relaxation. This method has proven to be effective in my experience, as you mentioned.

Furthermore, maintaining a positive outlook is crucial. One effective method is to create a daily log of positive experiences. For instance, on a given day, one might record the positive aspects of attending school and returning home, eating lunch in the classroom, and engaging in conversation with classmates.

It is permissible to be happy with oneself, even if the circumstances seem trivial. One's emotional state is of paramount importance.

One's emotional state is not a significant issue, except in the context of a minor illness.

The illness will soon abate, there is no need for concern.

I am of the opinion that you are capable of achieving this goal. Furthermore, I would like to express my love and support for you and the world.

I am a middle school student.

Hello. I can see you're in a bad way.

As a counselor, I'll share my understanding from a psychological perspective.

I have severe anxiety, moderate depression, refuse to take medication, and obvious physical symptoms. I'm afraid of people.

I feel other people want to harm me, even when they seem kind. I know I have a psychological problem, but I don't know what to do. I don't think medication is the solution.

You have already been diagnosed at a regular hospital. You don't like the doctor's recommendations and refuse medication. Is psychological treatment right for you? Have you tried physical therapy?

Have you talked to your counselor about your views on medication? If you want help, you need to learn to express your thoughts so that you can get more attention. Use professional knowledge to help you, rather than letting your anxiety and depression get worse.

How do you resolve your conflicts?

Know yourself. What are your traits?

Your distrust of the outside world is because you lack security. What was your relationship with your parents like? What happened that triggered your symptoms?

How do you understand and deal with it? You need to be aware of yourself and think about it. You need to talk about it in a safe and stable counseling relationship.

Second, accept yourself. What are your strengths and weaknesses?

You can think about yourself and control your emotions. These are your strengths. But you find it hard to trust others. You need to be aware of this. You can learn, communicate and interact to adjust yourself, accept your limitations, and improve your shortcomings. You can also change your thinking patterns and deal better with other people.

Third, learn to love yourself. You have difficulty expressing your thoughts, which allows negative emotions to accumulate. This causes anxiety, depression, and paranoia. You must learn to express your thoughts and choose things you like to relieve stress and negative emotions. If you still feel unsafe, you also need to seek help from a professional organization and believe in science.

Believe in a safe environment and professionals can help you adjust your mindset and relieve anxiety.

Love yourself. Understand yourself. Accept yourself. Find ways to focus on your inner self. Release your inner conflicts. Do what you want to do. You will get out of your predicament and grow into the most authentic you. Good luck!

Hello, question author! I'm sending you a big, warm hug and feeling so sorry for you when I read this text.

I can see that you are very aware that you are making yourself feel uncomfortable, and you really want to recover as soon as possible and feel better. I know you can do it! It will take some time, but you will get there. You just need to face the reality that your current state will take some time, and it will also take a lot of courage to face it.

It's so great to see that you're willing to write down your state of mind to find a way that may make you feel better! And it's fantastic that every response brings you a little warmth. Many people see the difficulty you're experiencing and give you a hug, which is so wonderful!

Your symptoms remind me of my younger sister, who is also experiencing depression and anxiety. It is difficult for her to make herself happy, and she sees everything around her developing in a negative direction. The people she is willing to trust around her are either our parents or my sister and brother. When she is under relatively high pressure, she will contact us. I listen to her complaints and try to catch these bad emotions of hers, so that she has a channel to pour out her heart. I think this will make her feel a little more comfortable psychologically and free up a little space in her heart to continue facing her life and work.

I was really excited to suggest that she find a counselor or listener on the Yi Xinli platform, but she basically refused. I knew in my heart that it was not easy to take this step, and I didn't push her too hard.

I'm so excited to share my journey with you! I went through a lot of anxiety because of the pressure, and my sister's situation also caused a lot of negative emotions. But I found a counselor and kept going to counseling for more than 20 sessions! I feel a little lighter, and my mental state has become more confident about my life. Looking back on this long-term counseling process, I have faced myself bravely, and I am also very grateful to the counselor for accompanying me. The process of my state slowly getting better was not easy, but it was worth it! I experienced anger, disgust, hatred, panic, fear, and worry, but I got through it. When these emotions arose, I needed to face them alone during the time when I was not accompanied by the counselor, and I did it! It was a very difficult process, but I'm proud of myself for getting through it.

I don't know if you've ever chosen to consult or listen, but I really hope that these contents can give you a good understanding of the consulting process. Maybe one day when you are ready, you can have more courage in your heart. I really wish you well!

Hello, question owner. I can see that you are actually in a lot of pain, and you say that you have severe anxiety and moderate depression, and you are full of fear for the people around you. I'm so sorry to hear that.

I just wanted to check with you, dear questioner, whether the results of your severe anxiety and moderate depression are from an authoritative hospital examination or from a test you took somewhere else. This is important because it depends on whether you've reached the point where you need to take medication.

I understand you've said you're not comfortable taking medication. But, if it's been diagnosed and prescribed by a doctor, it's not really up to us to decide whether to stop taking it or not.

The original poster also mentioned that they've been experiencing severe somatization recently, which has led to some concerns about their loved ones. It's totally understandable to feel this way, especially when you're going through something as challenging as this. It's like having these paranoid delusions that someone is trying to harm you when there's no reason for it.

It's totally normal to think that medication isn't the answer to mental illness. We all have different ways of thinking, and that's okay! There are so many ways to treat mental illness, and medication is just one of them. When there's a psychological problem, it's important to find the root cause. But you've already tried that, and now you're ready to try something new. That's great! You'll still get to work with a doctor and take medication, but you'll also get to do psychological treatment at the same time. When you've made enough progress, the doctor will reduce the dosage or even say that you don't need the medication anymore.

So, the questioner needs to understand that you can go to a matching psychological counselor and take medication. With a two-pronged approach, everything may get better! I also wish the questioner an early escape from confusion. At Yi Xinli, the world and I love you ??