instruction: hello doctor I am 24 years old I do not know what is wrong with me I feel depressed all the time I left home two years back because of my parent behavior they always use to make me feel I am worthless and not important for them they also beat me several times and I was facing emotional trauma on a daily basis now I stay away from family alone but seems like things will never change I am all alone here and people I trusted have backfired on me my office situation is very pathetic my manager harasses me emotionally or I do not know if I overreact I just do not know what is wrong I do not have any friends to talk I gave a lot of importance to one person in my life and that person did not understand me at all I cry all day in my room and do not even step outside I get super angry or emotional on little things I always stay alone in the office or at home I feel like there is nothing left for me in this life and I am worthless no one really needs me in there life for whom am I alive I do not know if I am depressed or not I am just done with this life just to add I am a cos patient for the past one year
output: hi the symptoms you have mentioned are symptoms of depression you left home because of the behavior of your parents and then you are continuously feeling low because of ongoing things at office and at personal space all these things are aggravating the depression in you the feeling of worthlessness emotional trauma crying spells emotional lability anger outbursts lack of interest in anything etc are part of depression but if these symptoms are persistent and are hampering your personal life and you have negative thoughts then yes we can think that you have a depressive disorder if the symptoms are not persistent then no need to get worried you just have to change your lifestyle try to not to expect anything from others just focus on your life and your things if anyone hurts you then try to ignore the thoughts this is difficult but in some days you will learn to suppress the thoughts and with the time you will be able to ignore any emotional trauma no need to get worried if you are not able to function properly then you can visit a psychiatrist in person and antidepressants can be started escitalopram is a good option in your case the drug is safe and has great efficacy this will help to make your mood better do you have any thoughts like killing or harming yourself any ongoing stress that is bothering you any relationship issue cos polycystic ovary syndrome too is an independent factor that aggravated depression because of hormonal changes control of cos also helps in improving mood symptoms