instruction: hello doctor I have been having depression symptoms hopelessness feeling worthless overwhelmed cannot focus on anything changes in sleep pattern loss of appetite suicidal thoughts isolation numb feel like everything is an effort cannot get out of bed and all that for the past six years but the thing is the low phase just last minimum of three days to one and a half week I have never been diagnosed with any mental health illnesses or taken any medications on other days I feel normal and hyper even it is just that when that low phase hit it hits hard like everything comes crashing down at once it is suffocating sometimes I feel like banging my head on the wall just to feel something and other times I would scratch myself to stop feeling too much it is intense so I want to know what that is actually because for someone to have depression the symptoms need to last for at least two weeks right but I am not it is just there it has been six years now but they just would not go away
output: hello you are describing quite a lot of depressive symptoms that have been present episodically for six years it is true that for a diagnosis of clinical depression the symptoms need to persist for two weeks but with such a prolonged history sub threshold symptoms may be present it will help if you can maintain a mood diary to objectively chart your mood you report feeling normal or hyper on other days it will be helpful to have more information to ascertain what you mean by hyper have you experienced any manic or hypomanic symptoms it looks like you are having a mood disorder with more information we can classify further and you can be supported accordingly you also report headache and stomach ache but no physical causes were found these are probably functional somatic symptoms they are common in people with emotional problems like depression and anxiety good thing is you will get better with appropriate support have you discussed with your parents or close family member about your problems I will suggest having an open chat with them you can even show them this icliniq query you can consult your family member who can refer you to a psychiatrist for treatment of your mood problems you will be benefited from talking therapy or counseling in severe cases medication to help your mood can be prescribed self help measures are also beneficial start by eating sleeping and exercising regularly try to follow progressive muscle relaxation exercises and deep breathing exercises I hope this helps talking therapy sari selective serotonin reuptake inhibitors medication