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How to stop having anxiety and depression
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Mental & Emotional Health
Question #19205
206 days ago
549

How to stop having anxiety and depression

Naganandini

Hello Doctor, I’m reaching out because I’ve been struggling with ongoing depression and anxiety. Part of this may be related to my chronic eczema / topical steroid withdrawal, which has affected my quality of life, sleep, and confidence. Beyond that, I’ve been experiencing deep loneliness and emotional distress connected to past trauma. I’m a survivor of sexual assault and sexual abuse, which has left me with significant difficulties around intimacy and trust. I’ve never had a stable family environment or healthy relationship examples, and I am currently not in contact with my family. I live alone. These experiences have been affecting my ability to form or commit to relationships, and I often feel emotionally overwhelmed and isolated. Lately, I’ve been feeling very hopeless about the future and find it hard to see things improving. I’m seeking professional help to understand my options, including whether therapy and/or medication might be appropriate for managing my depression and anxiety. I would appreciate a compassionate, trauma-informed approach. Also, I can’t physically go to a professional because I’m from Malaysia and everything is pretty much 8 to 5 and due to my TSW I can’t step out in the sun just yet. Thank you for your time and support.

Anxiety and depression
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Doctors' responses

Hello,

Your emotional responses (hopelessness, loneliness, difficulty with intimacy and trust) are normal trauma responses, not personal failures.

Trauma-informed therapy is strongly recommended, especially approaches like trauma-focused CBT, EMDR, somatic therapy, or IFS.

Online therapy is appropriate and effective given your situation in Malaysia.

Healing intimacy and relationships should come after stabilizing your mental health there is no deadline.

If at any point you feel unsafe or have thoughts of harming yourself: In Malaysia, you can contact: Befrienders: 03-7627 2929 (24/7) or online chat

Meanwhile: Sit and place one hand on your chest, one on your abdomen and breathe slowly for 2–3 minutes Name 5 things you can see, 4 you can feel, 3 you can hear Wrap yourself in a blanket or hold something warm (comfort matters)

You may need antidepressants but Medication + therapy together often works better than either alone.

I trust this helps Feel free to talk again Thank you

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Your difficulty with relationships is not because you’re incapable of love.

It’s because:

Your nervous system learned that closeness = danger

You never had safe models of connection

Your body is still in survival mode

This can heal but only in safety, not by forcing yourself into relationships

Please visit nearest physician.

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Hello dear In this era it’s major problem And I can understand what’s going through you

1️⃣ What you can start today

Calm the mind • Deep breathing (5–10 min, 2–3×/day) Inhale 4 sec → hold 4 sec → exhale 6 sec • Grounding (5-4-3-2-1 rule) when anxiety peaks • Limit overthinking time – write worries once daily, not all day

😴 Sleep is critical • Fixed sleep/wake time • No mobile 1 hour before bed • Avoid caffeine after evening

🚶‍♂️ Exercise (natural antidepressant) • 30 minutes walking, yoga, or light workout daily • Morning sunlight exposure helps reset mood hormones Tab amtyrptaline 10mg once before going to sleep 3 days Tab naxodom dsr once a day If you still feel anything TALK TO YOURSELF MAKE FRIENDS SHARE WITH ONE PERSON You can reachout to me Thanks

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Hello Naganandini I’m really sorry to hear that you’re going through such a tough time. It sounds like you’re dealing with a lot of pain and challenges, both physically and emotionally. Your feelings of loneliness and distress are completely valid, especially given your past experiences and current struggles.

Here are a few suggestions that might help you navigate this difficult period: 1. Online Therapy: Since you can’t physically go to a professional, consider seeking online therapy. Many therapists offer virtual sessions, which can be more flexible and accommodating to your needs. Look for professionals who specialize in trauma-informed care. 2. Support Groups: Online support groups can provide a sense of community and understanding. Connecting with others who have similar experiences can help reduce feelings of isolation. 3. Self-Care Practices: Focus on self-care activities that you can do at home, such as mindfulness, meditation, or gentle yoga. These can help manage anxiety and improve your mood. 4. Journaling: Writing about your feelings and experiences can be a powerful way to process emotions and gain insight into your thoughts. 5. Reach Out to Trusted Friends: If you have friends or acquaintances you trust, consider reaching out to them for support. Sometimes, just talking to someone can make a big difference. 6. Educate Yourself: Learning more about trauma and its effects can help you understand your feelings better and find ways to cope.

Please remember that you are not alone, and there are people and resources available to support you. If you ever feel overwhelmed, don’t hesitate to reach out for help. Your well-being is important. If you have any specific questions or need further assistance, feel free to ask.

Thank you

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Hello dear See anxiety is not a big issue It can be tackled by routine modification and regular physical exercise Please follow below precautions Do meditation Avoid overthinking Take regularly balanced diet Avoid junk food and alcohol consumption of applicable Engage in hobbies Indulge in social activities Hopefully improvement will occur in 1 month. If no improvement occur consult psychiatrist in person for better clarity Regards

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Considering the multifaceted nature of what you’re facing, addressing both the medical aspects and the emotional layers is crucial. For your anxiety and depression, a combination of therapy and medication can be effective. Cognitive-behavioral therapy (CBT) is often beneficial, especially in processing trauma and developing coping strategies. Since accessibility might be an issue for you, consider online therapy platforms which can offer flexibility and allow you to connect with a therapist without leaving your home. Make sure to find a therapist skilled in trauma-informed care, particularly given your past experiences. Antidepressant medications like SSRIs or SNRIs might be considered as well. These can help mitigate depression and anxiety symptoms. However, it’s essential to discuss potential medications and their usage with a physician or psychiatrist who can consider any interactions with treatments you may be using for eczema.

While topical steroid withdrawal can be challenging, maintaining your skin health is vital. Non-steroidal treatments like moisturizers or antihistamines might help manage symptoms. Consult with a dermatologist about alternatives that won’t exacerbate your withdrawal. Regarding your current dermatological challenges, staying out of strong sunlight is understandable; utilizing virtual consultations could provide some medical guidance. Engaging in regular routine activities, such as light exercises indoors, can somewhat alleviate symptoms of depression and anxiety. It’s also worth exploring support groups online for individuals going through similar issues, as this can reduce feelings of isolation. Since you mentioned not being in contact with your family, building a support network, even if it’s virtual, can be instrumental in fostering a sense of connection. Finally, should you feel any impulsive thoughts of self-harm or descent into deeper despair, it’s imperative to seek emergency medical attention. Crisis lines and mental health helplines can provide immediate support and are often available 24/7. These small steps can cumulatively pave the way toward stabilizing your mental health while managing eczema.

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