Thank you for opening up. It takes a lot of courage to share when you’re feeling this way. What you are going through is real, and it’s okay to feel overwhelmed. You’re not alone, and things can get better with the right support. You need a full clinical assessment for Depression, and possibly a psychiatric referral for evaluation of antidepressants, especially since functional impairment is present. Your marital issues and chronic medical condition (uterine fibroid) may be contributing to your emotional state.
You’ve been holding a lot for a long time — issues in your marriage, your health, and work stress. Anyone in your position might feel exhausted. It’s okay to ask for help now.You may not be knowing how depression affects the brain, emotions, and energy levels Depression can make even simple things feel very hard. But this is not your fault — it’s a medical condition, just like uterine fibroids are. And just like that, it is treatable.
You’re going through a very tough time. I hear that you feel very tired, hopeless, and alone. But depression is not a personal failure — it is something we can treat. There is hope. With the right support — therapy, maybe medication, and self-kindness — you will begin to feel better. You are not alone in this, and I will walk this path with you, one step at a time.
Next Steps
Manageable activities:
• Daily routine: Structure her day with small, low-pressure tasks (e.g., 5-minute walks, journaling).
• Emotional expression: Encourage writing about feelings or talking with a trusted friend.
• Body-mind work: Suggest basic breathing techniques, yoga, or mindfulness (like guided meditation apps).
Structured therapy:
• CBT: To challenge negative thoughts (e.g., “I’ll never be normal”).
• Interpersonal Therapy (IPT): To work through marital strain and emotional isolation.