Thank you for sharing your experience so openly. Maladaptive daydreaming, especially when tied with persistent feelings of hopelessness, suicidal ideation, and low self-worth, often signals underlying mood disorders such as Major Depressive Disorder (MDD).

You need assessment for depressive symptoms, medicine will help you, also CBT session

Hi Thank you for reaching out with such honesty—that in itself is a powerful act of courage. What you’re going through sounds incredibly heavy: maladaptive daydreaming becomes a mental escape when real life feels too painful to face, and over time, it can create a deeper sense of disconnection from the world and even from yourself. The hopelessness, suicidal thoughts, and low self-esteem aren’t just symptoms—they’re cries for healing, for safety, for a life that feels worth living. And I want you to know: you are not broken. You are a person in pain who has been surviving in the only way your mind knew how. It’s time now to reclaim your space from this emotional isolation. Therapy can help you understand why your mind retreats into these dreamscapes and gently guide you back into the present moment with compassion, not shame. We will work on strengthening your self-worth, challenging the negative self-talk, and reconnecting with real, nourishing experiences. You don’t have to figure it all out at once. Even small steps—like keeping a mood log, trying 5-minute mindfulness exercises, or setting goals for daily grounding—can open new pathways in the brain. Healing is real, and it is absolutely possible for you. Take therapy, and you can connect with me on nine two six six seven two six zero six five.

You might be having dysthymia or chronic depression. You need to consult a psychiatrist & get evaluated thoroughly. As symptoms are long-standing & distress is too much you need both medication as well as psychotherapy. Please get admitted in the nearest psychiatry hospital if you are having active suicidal thoughts or attempts.

Heyy I can help you better with further treatment course needed. U can connect me via whatsapp on seven zero eight two zero two two zero six two.

Hello, Thank you for sharing your feelings so openly — it takes courage to acknowledge these deep struggles. From what you describe — maladaptive daydreaming, persistent sadness, hopelessness, suicidal thoughts, low self-esteem, and emotional isolation — it sounds like you are carrying a heavy emotional burden that is understandably affecting your daily functioning and quality of life. Maladaptive daydreaming can sometimes be a coping mechanism developed to manage emotional pain or unmet needs, but over time, it can contribute to feelings of disconnection and loneliness. The emotional symptoms you mentioned, like persistent sadness and low self-esteem, could also be indicative of underlying depression or unresolved emotional wounds.

Hi.. this could be due to psychological or physical issues like vitamin deficiency. Will need further history regarding the same to advise appropriately. Medicines and counseling can help.

Although information is incomplete, it appears that you might be having Borderline personality disorder. Also, lot of daydreaming and inattention since childhood may point towards having ADHD.

Hi, I appreciate that you reached out with your concern. As you said you are feeling sad, negative, hopelessness with suicidal thoughts. I suggest to consult therapist who will help you to decode these feeling. Also consider psychometric testing to know the root cause and to also find out any personality issue that might cause these symptoms. Meanwhile, practice some energizing pranayamas like Bhastrika and Kapalbhati for instant energy first thing in the morning. Also talk to people you are close with, socialize more, try journaling, go for walks and start exercising or join Yoga classes.

Maladaptive daydreaming is, as it suggests, maladaptive. Meaning it is a coping mechanism for something that is emotionally difficult. So looking at that through therapy or introspection is important to modify it. A thorough evaluation and consistent psychotherapy will help.