Ask a Psychiatrist and Get Answers to Mental Health Questions ASAP
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Hi, I'd like to help you with your question.
Although a therapist cannot diagnose you without seeing you face to face for an evaluation (it is considered unethical), I can give you an idea of what you might have and you can have it ruled out by your psychologist. A full psychological evaluation, including symptoms, current social and physical issues as well as a family history are needed to do an accurate evaluation and diagnosis.
Many of the symptoms you describe sound like depression, but they do not seem prominent enough to be considered cyclothymia. It sounds somewhat like dysthymia or even Depressive Disorder NOS. It may be SAD, but if you feel ok during the winter months and your depression is there during the summer months, SAD will not fit for a diagnosis.
The symptoms you have that do fit a depression diagnosis-
Lack of energy
Negative thinking (can also just be a personality trait)
Occasional loss of interest
Irritation (can also be a personality issue)
Spending sprees- if you consistently spend beyond your ability to pay
The other symptoms can just be personality. For example, your desire to be away from others and your dislike of crowds can indicate you are introverted in personality. That is not a mental health issue, just a preference. Or it can be a social anxiety disorder, depending on how the symptom interferes with your ability to live your life.
If you have a family history of depression, particularly Bipolar, that is also a factor in your diagnosis. A family history of depression can predispose you to an increased chance of developing depression yourself. Also, Bipolar is a brain disorder, which increases the chances it can be passed on through genetics. Although your symptoms do not fit Bipolar, it does not hurt to have it ruled out if you have a family history.
You may want to ask your psychologist for a new evaluation, especially if these symptoms began within the past year, when you have not been in treatment. Also, your previous diagnosis can help you determine if you may have a depressive disorder. Someone with a previous depressive disorder is more likely to develop the disorder again. A full physical exam by your doctor is also indicated, just to rule out any possible physical cause for your symptoms.
I hope this has helped you,Kate
You should have had a diagnosis before you started treatment last year. Most likely, your therapist already evaluated you during your first session so you just need to ask. It is your right to know what your diagnosis is.
It is normal to have periods of time in your life where you feel depressed. As long as you are able to function in your day to day life, there is usually no need for concern. Your mother's personality disorder can affect you only in that it is stressful to deal with someone with a personality disorder. You have to find ways to cope, which can cause you to feel depressed. But that is usually an environmental/ stress related cause which is easily treated through therapy. Personality disorders are not passed on through genetics.
I would recommend another evaluation for you just to rule out a depression diagnosis. If you do have one, it sounds like it is easily treatable.
You're welcome! Anytime, David. It was nice talking with you.