Why have my anxiety and depression worsened even with medication?

Question

Hello doctor,

I was diagnosed with depression and separation anxiety when I was 16 years old and was on anxiety medication. I am now 18 years old, but lately, my symptoms have worsened, and my behavior has changed. I am taking medicines for depression, but still, my outlook on life has become negative. I constantly have mood swings, one minute I am happy, and the next minute, I am sad. I have lost interest in activities. I do not want to be around people, and I constantly feel guilty, like I am not good enough. I recently got into a drug habit, so I can stop feeling this way. I have a phobia about hospitals. I have had it since I was super young. I also dream about sex. I constantly feel stressed and tired and lack energy. I took a test online, and it said I could have bipolar or other personality disorder. I really want to know what is wrong with me.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query, and I can understand your concern.

Your description matches a depressive disorder or early manifestation of schizoaffective disorder. However, further evaluation is needed for proper diagnosis. I would suggest you undergo a thyroid profile test from any recognized laboratory. Medications and psychotherapy are also necessary for treatment. Additionally, I would suggest the following:

Meditating daily for at least half an hour in the morning will help.
Share your feelings with family or close friends as it helps.
Maintain a journal and daily write down your thoughts, retrospect, and try to change certain habits.
Routinely exercise and take a balanced diet rich in antioxidants and omega fatty acids.
Performing aerobic exercises for at least half an hour thrice a week is useful.
Refrain from substance use and avoid caffeinated drinks.

I hope this information will help you.

Thank you.