I am a 28 yr old male and think I have been dealing with depression since I was 10 or so. I was never diagnosed and never sought help medically or really with any friends or family. I guess I'm too ashamed to admit to anybody how bad I feel about myself. I feel they would be sympathetic but that's not what I need. I want the feelings of self-worthlessness to go away and that won't happen with a pat on the back. I have struggled financially lately which doesn't help and for the first time I'm probably at a point where I realize I really need to be talking to someone and may be willing to. But I have no insurance and don't know where to go. This is the closest I've ever been to openning up about how bad I feel about myself. I think some friends and family have noticed over the years but I guess I do a good job of convincing them its only temporary and that I'm over it quickly. I don't know why I do that. I have made mistakes in my life that I don't think I'll ever recover from. I think I will always be a financial mess. I was never very good at making friends but have a few close ones that I feel comfortable around. But despite that I think I keep them at arms length about this. I guess I'm afraid of how it would affect those relationships if I do open up. I've never been in love and doubt I ever will. It's hard to meet someone when you don't feel yourself worthy of anyone. I wonder if depression is a result of some chemicle imbalance in the brain, or just the feelings that come up when so many things seem to go against you. I geuss I had a suicide attempt about a month ago. I swallowed about 50 tylenol after a few beers and tried to go to sleep. I felt myself really starting to lose it and got scared and forced myself to throw up. I must have been close though. I hadn't drank that much but could barely walk or keep myself awake. I thought afterwords that changing my mind would be a turning point and actually felt better for a few days. For the first time in a long time I was happy to be alive. But before long the same feelings starting coming back and now I'm back where I started. Everywhere I go on the web says that I should see my doctor. Not really an option. What do I do now?


I've tried for such a long time to find someone to be in a relationship with, but it so difficult. One thing I've got going on for me is my job. I've been at my job 11 years and I like it a lot. I get down and out sometimes when I start thinking about my problems. But I've realized that when I dwell on them I start to get really depressed. So instead of thinking about my problems and the bad stuff, I focus on the good things. If you think of something that makes you happy, and makes you smile focus on it.
And let me tell you you should talk to somebody. But talk to someone you know you can trust. There is nothing to be ashamed of. So many people are dealing with depression in this country these days. And it doesn't surprise me with the way things are these days, and the economy the way it is today. If I were you I would talk to somebody. It really does help! Well I hope you start feeling better and good luck to you! Take care!


You have a chemical imbalance and you need to seek professional help. I've been in love while depressed and that wasn't enough. I don't advocate going to a hospital unless you are contemplating suicide. Psych wards are not a place for the depressed. All they ask you is "do you want to hurt yourself or anyone else" and then you don't see anyone for the rest of the day and are surrounded by really unfortunately mentally ill people. You need to open up to your friends and family which takes humility and guts. THat will be the biggest load off of your shoulders b/c trust me they already know. You are not alone. People care. Stop isolating and tell someone. ITs the most therapeutic thing you can do for yourself.
I understand. I've been battling depression since about age 12 knowingly, but before that unknowingly I think, if that makes sense. Definitely don't go to a hospital unless you are going to die and don't want to. They will make you feel worse.
Be careful about telling your family. Don't tell your family if you think you can't trust your inner feelings with them. If they are part of the reason you're depressed, for instance if an abusive upbringing is part of why you are depressed, or some other type of upbringing is why you are depressed, it is not always a safe thing to tell your family. One way to judge, if you're not sure, is to reflect upon how they react to other types of things that are psychological or psychiatric. Do they scoff at those things? When it's reported on TV that someone, well known people (not just movie stars) or not, have psychological problems or commit suicide, do they make comments like "It's all in their head," or "Get over it"? Do your friends do the same? Or are your friends and family more compassionate. Were you bullied by your family or someone in your family when growing up? Is there someONE in your family who is more enlightened and sensitive about this issue than others?
It can make your situation worse if your family isn't receptive to hearing that you feel this way, and if they know they were part of the cause of your self-esteem problem. (For instance, there is a part of the brain called the "amygdala" which can get damaged as with PTSD that may have happened while growing up, and if your family was part of that damage process, telling them may bring out the behavior again, which will bring out the hurt again).
Depending on what part of the country you live in, and how big the town / city is where you live, there may be community resources available to you that are low cost. I don't know if anything is no-cost anymore. There are 800 numbers for suicide prevention as well. I have them somewhere, and will write another message with them when I find them, but you might also be able to Google them. They might be a way to have therapy if absolutely nothing else is available. I used to call the local suicide prevention hotline every night when I was 14, after I was sure my parents and sister were asleep because I was going to kill myself if I didn't. It helped me a lot.
There's a website that has all of the links for the contacts for the various pharmaceutical companies' phone numbers and their websites (if they have one) to apply for assistance if your doctor has prescribed their particular medicine. I'll try to find that, and post again, too.
That brings us to you not being able to go to a doctor. It makes me think that you might be in a small town where there is one doctor, or maybe only two, or a handful, and everyone knows your business. I lived in a town like that for three years, and it drove me crazy! I do know that although doctors are supposed to keep their confidentiality clause, maybe you've had a bad experience with the doctor in your town? Whatever the reason you can't go to the doctor, IF you can go to a low-cost clinic, they often have their own psychiatrist there, so that may take care of the doctor access issue.
There is usually a university with a medical center in every state. Is there a way you can take a trip, ostensibly for another reason, and go to a psychiatrist there? Universities with medical centers are teaching hospitals, and they usually have sliding scales. You wouldn't have to see that doctor for therapy, just "medication management" it's called. You have to go less often than seeing a therapist. They might also have a therapist you could have phone therapy with. When they see how motivated and desperate you are for help, but at the same time what a corner you're in, they may be willing to help / stretch their usual protocol. And, if you're in a rural setting, they may be used to patients like you who can't travel for every appointment.
Lastly, I'm not promoting this drug, and I'm not a psychiatrist and can't evaluate you or suggest anything for you, but anti-depressants like Cymbalta are also approved for other uses, like neuropathic pain and fibromyalgia, so doctors can go higher on the dosage than the normal anti-depressant dosage. It wasn't until I got up to the highest dose for fibromyalgia with Cymbalta that I felt any decent effects on Cymbalta. I felt better at the highest depression dose, but I felt a LOT better at the hightest fibromyalgia dose. By a LOT better for me, I mean that it only occurs to me to kill myself 3 or 4 times a week instead of all of the time. I, however, have a very resistant form of refractory Major Depression. My type is very rare, and chances are extremely good that yours isn't like mine.
A note about therapy: One thing that will be offered undoubtedly is Cognitive Behavioral Therapy. It can be very helpful. If it doesn't do magical things for you like is sometimes promised, however, and you are working your butt off with it, don't feel like a failure. Sometimes it just doesn't work. Sometimes it does, but sometimes it works part-way, a little or not at all. The Cognitive Behavioral folks publish a lot, and it does work for a certain subset of people (don't quote me, but I'm pretty sure it's minor to medium depression, minor without meds [these people usually don't need meds, just therapy] and medium depression with meds), but sometimes the depression is so deep that it needs more heavy equipment than Cognitive Behavioral Therapy. More real talking, real listening, a therapist who is extremely well-versed in many many modalities, and can meet you where you are, and not only offer the cookie-cutter modality of Cognitive Behavioral. You've been feeling badly for a long, long time. It's sometimes difficult to find a therapist, because you're interviewing people for that job; someone to take care of your feelings, and to help you work through them, and find a way through them to feeling differently, and ultimately better. That has to be a person you connect with as an equal (not someone who sees themselves above you), who respects you, and who knows their stuff. Sometimes it takes a couple of sessions to see how it's going to go, and it can be emotion-wrenching. I've had therapists even put me down, and therapists who seem to think that the time was for them to talk, taking a subject I bring up and yakking and yakking, no matter that I say I want to talk about something else, interrupt them blantantly, put my hand up in the air almost in their face in the "stop" position (and with this particular one, though she wanted me to be on time per her written instructions, for this, only our second session, she was 10 minutes late but wanted to end on time. I told her "No, you were 10 minutes late and you owe me 10 minutes, and I'm going to talk now," and then told her for about 4 or 5 to reflect back on how she had handled the session (constantly talking when I repeatedly told her to stop, etc.), and that I wouldn't be coming back. There are some real dooseys out there. I never thought that I would run into some of the abuse I have via therapists, but unfortunately, the same people who are human beings are also therapists. I didn't think they'd pick that job, but they do. I'm sorry if this is a downer, but I do wish someone had warned me, because I went home more than once very angry, worn out, and wanting to commit sucide even more because I was blindsighted by a profession that has just as many loonies as the next. This isn't foolproof either, but if you can get referrals from people you trust, it's much better than being assigned to someone.
I hope you are still hanging in there, and I hope you can tell at least one or two people. There are people who know in my life, but they are not supportive. I wish you the best in finding supportive people. I KNOW it would make a WORLD of difference in my life. I don't necessarily want to even talk about it, I just wish there were people who knew about it who wouldn't mind when I'm having a hard day (and I don't always have hard days), whose first thought isn't to tell me to "Snap out of it. We all have hard days," because they don't understand Clinical Major Depression as opposed to the blues, and don't care to educate themselves, and haven't read anything I've given them on the subject.
I'll do my absolute best to find those national suicide hotline numbers, and the 800 numbers and websites for the pharmaceutal companies' who offer help or free medicine for people who meet their qualifications. You might be able to find some, or a 800 suicide hotline for your state or county by calling information, or toll-free (800) information (1-800-555-1212).
Julie