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I think I might be suffering form depression... how can I

find out if I need...
I think I might be suffering form depression... how can I find out if I need to seek further counseling?
I am tired all the time but struggling to sleep, no appetite at all even though I am ten weeks pregnant, feeling overwhelmed, I can see that I have a lot to be grateful for and to feel happy about and yet I feel an unreasonable sense of numbness. The amount of effort required is out of proportion to the output I can achieve! Like twenty km's worth or distance run for only 2 km's distance traveled. I think in analogies and can be accidentally obscure, I hope this description makes sense...
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Answered in 29 minutes by:
5/17/2013
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4,723
Experience: MD Psychiatry
Verified

Hi there,

Welcome to Just answer !

Well from your description it does seem like you are suffering from depression , but still I will like to ask you some additional questions so that I can be more sure of your present state of mind.

1) Is there low mood almost persistently present throughout of the day and having been present since more than 2 weeks duration ?

2) Do you lack pleasure in previously pleasurable activities like going out with friends and family , watching television, etc ?

3) You have mentioned that you have poor sleep and appetite ?kindly validate this ?

4) Do you get tired rapidly and feel fatigued almost all the time ?

5) Your work and interpersonal and social responsibilities and life have begin to suffer owing to this ?

6) Do you have negative ideas and feel worthless ?

I will get back to you once you reply to these queries in yes or no and you are free to add something if you want to.

Regards..

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Customer reply replied 4 years ago
1) Is there low mood almost persistently present throughout of the day and having been present since more than 2 weeks duration ?
The low mood comes and goes in its intensity so no, it has not been present for a constant period of 2 weeks. Sometimes its like a thin film and other times (like the last week) it feels like a heavy blanket. But the most persistent 'feeling' is rapid heart beat and a sensation of needing to breathe fast. I am fidgety and restless and frustrated that I cant seem to function efficiently or get things done without my body resorting to exhaustion!
2) Do you lack pleasure in previously pleasurable activities like going out with friends and family , watching television, etc ?
Yes, I find I am avoiding all social contact, not calling friends back (it all seems like too much effort and I dont want to have to pretend to be my usually bubbly positive self).
I have had a few days off work after a bleed/scare. Doctors orders were bedrest and I would normally have loved to think about a few days of resting and watching tv but I have found the reality impossible to relax into. I am a busy productive woman and the support system in my family as well as for some of my friends. My job is a supportive role (I manage a Naturopathic clinic and am helping to build the business and support the principal). i am hoping that I have not learned over the years to define my sense of self worth or ok-ness from what I do, from my productivity. Or I hope I am not avoiding facing my own 'stuff' by supporting others as a distraction. I am willing to look at these options.
3) You have mentioned that you have poor sleep and appetite ?kindly validate this ?
I should be eating and feeling hungry being pregnant but I just have no interest in eating. I am forcing myself to eat healthily but only because I want to provide great nutrition for my baby, not for the pleasure or hunger/desire to eat.
I am very tired all the time but cannot stay asleep or fall back to sleep easily after waking. I am sure that it doesnt help having to get up constantly to pee (the joys of pregnancy) but I am noticing my 'fragile' sleep patterns and tendency to be busy in my head all the time.
4) Do you get tired rapidly and feel fatigued almost all the time ?
Yes, yes and yes
5) Your work and interpersonal and social responsibilities and life have begin to suffer owing to this ?
Yes, I normally work three long days per week (12 hour days). These hours have been structured (as opposed to full time) because I already have a ten year old son and so he, my husband and home are my first priority. I have had all week off which has put substantial pressure on my boss. She has been gracious about it but I feel the rest hasnt 'touched the sides'. Originally my time off was about my bleeding and need to rest but I am realising that it runs deeper than that. The clearing of my agenda has made feelings rise that I feel I must have a look at.
6) Do you have negative ideas and feel worthless ?
I dont feel worthless. I feel loved and valued by my husband and son. I like me and I normally enjoy being me. I am happy we are expecting and my husband is a beautiful and supportive man. My 10 yr old son is a delight and I am grateful for my family.
I was a single parent for the first 8 years of his life and it was very tough but happy at the same time. I do concede that it is possible it took a toll that I have not fully processed.
Its empowering to find the strength to leave an abusive situation and then to find happiness. I learned that I had chosen poor treatment in my relationship with my son's father but then I felt empowered to have left that situation, mothered my son well on my own and then attracted and been attracted to a healthy balanced man who loves me as much as I love him.
My being pregnant is reminding me of some severe emotional and psychological abuse I suffered with my first partner but I feel quietly confident that my life now is a process of re-writing some sad memories with some beautiful ones. My son's dad was repulsed by me when pregnant and it hurt me deeply to hear his insults, suffer his flaunted infidelity and feel rejection. My husband now is the complete opposite... he loves me, accepts me and demonstrates it regularly in many ways. I feel certain of him and unafraid of a repetition of the treatment and yet the reminder of that past hurts sometimes. Like mourning?
I realise that I am having trouble adjusting to the physical difficulty I am experiencing with this pregnancy. I am ten years older so I realise I need to cut myself a little slack! My last pregnancy was trouble free - I glowed! But this time, I am very ill all the time, very tired and just not well. This has surprised me because obviously I had a memory of loving being pregnant and enjoying every second of it... but any suffering is still completely worth it in the end.
It is affecting my ability to work, my productivity around the home and I notice that I struggle with accepting that about myself. I am disappointed and feel let down by my body in a way. My husband is very helpful and happy/willing to do everything around the house but I feel bad about it.
Its my stuff that I need to define and process. Intellectually I can acknowledge the value of growing a baby and the beauty of a team mentality and support network in my home but I feel like I am failing to 'pull my weight'.
When I read it all back, I feel tired. So many words but it only scrapes the surface. I lot for you to take on and wrap your head around but I do so very much appreciate you for hearing me.
Customer reply replied 4 years ago
Relist: Other.
I realise my assigned doctor may be busy with another case but I really want a quicker reply please
Elliott, LPCC, NCC
Elliott, LPCC, NCC, Psychotherapist
Category: Mental Health
Satisfied Customers: 7,664
Experience: 35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
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Seeking expert counseling is a sign of strength. A personal relationship with a caring professional is proven clinically effective.

Dear friend,

I believe that I can help. It seems that you are suffering from depression, as your symptoms seem to indicate this. You have several factors which may contribute to your low mood. Statistically, about 20% of pregnant women suffer from depression during pregnancy. Half of those experience major depression.

A rapid rise in hormone levels during pregnancy is frequently triggers depression. Furthermore, you do not have the physical stamina that you did 10 years ago and this puts more stress on your body, and you feel the effects of adding those extra years. You have less stamina to bounce back physically, and this is reflected in your general feeling of well-being, which contributes to feel you are not quite the woman you were.

Being depressed can take its toll on your developing fetus. However, the antidepressant medications formerly given to pregnant woman (the SSRIs Zoloft, and Celexa, and the tricyclic antidepressants, such including Pamelor, Tofranil, and Elavil) are now only used very guardedly because of possible birth defects and respiratory problems.

Regarding your original question, the answer is YES, it would be most helpful in finding a counselor or therapist, particularly one who works with pregnant women and has acquired some insight into situations such as yours.

Your obstetrician or gynecologist may be able to suggest such a person.

You may be able to get information here. You will have to sign in.

http://www.pregnancysupport.com.au/

although the most helpful site to turn to first would be this one:

http://www.pregnancycounselling.com.au/about-us.htm

I wish you great success with your pregnancy and in reducing your depression. I believe that you can with the proper guidance that the help from that wonderful husband who can make all the difference in the world for you.

I shall keep you in my prayers

Warm regards,

Elliott, MAE, LPCC, NCC, CCMHC

Studies have shown that women with a history of previous abuse are at higher risk.
Elliott, LPCC, NCC
Elliott, LPCC, NCC, Psychotherapist
Category: Mental Health
Satisfied Customers: 7,664
Experience: 35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
Verified
Elliott, LPCC, NCC and 87 other Mental Health Specialists are ready to help you
Ask your own question now
Thank you so much. May God bless you.

Elliott
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Elliott, LPCC, NCC
Elliott, LPCC, NCC
Elliott, LPCC, NCC, Psychotherapist
Category: Mental Health
Satisfied Customers: 7,664
7,664 Satisfied Customers
Experience: 35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.

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