Nearly 20 million Americans struggle with depression each year. People with depression tend to experience a specific set of symptoms that can seriously affect their ability to cope with daily activities, work or school responsibilities, and relationships. Fortunately, help is available in California in the form of depression treatment.
mental health treatmentThe centers are able to treat people who need help managing symptoms of mental disorders such as clinical depression. Like physical illnesses, mental illnesses like depression require special treatment. If you are suffering from severe depressive disorder symptoms and are looking for treatment centers in California, we can help. Here at Montare Behavioral Health, we offer California depression treatments to improve the mental health of our patients.
What is depression?
Depression is amood swingsnegatively affecting how a person feels, thinks and acts. Major depression not only affects a person, but also that person's environment, situations, and interpersonal relationships. Depression is a serious mental illness. So many times,treatment is needed to manage it.
People with depression experience intense feelings of sadness, helplessness, worthlessness and hopelessness that can last for days or weeks. Clinically, depression is defined as the persistence of five to seven symptoms over a two-week period. If left untreated, depression can have devastating effects. Symptoms of depression can include:
- frequent irritability
- Persistent sad, anxious, or "empty" mood
- Constantly feeling hopeless or pessimistic
- Feelings of guilt, worthlessness, or helplessness
- Loss of interest or pleasure in previously loved hobbies and activities
- Decreased energy levels or frequent tiredness
- Move or speak more slowly than usual
- Feeling restless or having trouble sitting still
- Difficulty concentrating
- memory problems
- problems in decision making
- Trouble sleeping, waking up early, or sleeping too much
- appetite and weight changes
- Suicidal thoughts (suicidal thoughts) or suicide attempts
- Body aches or digestive problems without a clear physical cause
nomonthly behavioral healthWe know that depression can become so severe that people need help from a depression treatment center to overcome and manage their symptoms. Our experienced team of physicians and medical professionals will work to address the root cause of depression through comprehensive and comprehensive treatment.holisticDepression treatment plan at our psychiatric clinic in Southern California.
What causes depression?
Depression is a complex mental illness. Also, many people wonder what is the cause of this condition. Although there is no consensus on the cause of depression, many different factors are thought to contribute to the development of depression or a co-occurring depressive disorder.
Among the many factors that can contribute to depression are the following:
- life events
- personality traits
- brain chemistry
- History of childhood abuse or neglect
- Stressful life events
- hormonal imbalances
In addition, depression is also more common in people with certain chronic illnesses, such as heart disease or cancer. The life-altering nature of these conditions can produce feelings of depression that require treatment to overcome the depression. Whatever the cause of depression for a particular person, California depression treatment is available to provide relief.
types of depression
Depression can be devastating and affect your ability to enjoy everyday life. An estimated 7% of the United States have had at least one depressive episode in the past year. However, it is important to remember that depression is treatable. However, people cannot simply snap out of depression or wait for it to go away. People suffering from depression need to be treated with therapy, medication, and/or a combination of both.
Depression is not a one size fits all mental health disorder. There are different types of depression that can affect a person.
Most forms of depression have similar symptoms. However, they differ in how and why they develop. The most common form of depression is major depression, which can be severe enough to require treatment. The most common depressive disorders are:
Major Depression (MDD)
MDD affects over 16 million Americans each year. Additionally, major depressive disorder is the major disorder under which the Diagnostic and Statistical Manual of Mental Health Disorders (DSM-5) lists all other forms of depressive disorders.
It is characterized by persistent feelings of sadness, hopelessness, despair, tiredness, weight gain or loss, change in sleeping habits, loss of interest in usual activities or hobbies, slow motor movements, and suicidal thoughts and attempts. For an official diagnosis of major depression, these symptoms must last for more than 2 weeks. People who suffer from major depression tend to have multiple depressive episodes throughout their lives.
Dysthymia is characterized as a form of major depression lasting two or more years. The symptoms of dysthymia can be milder than major depressive disorder, but they are more chronic. Due to the duration of depressive episodes in people with dysthymia, antidepressant treatment is highly recommended.
People with dysthymia have a low or gloomy mood that lasts most days and lasts most of the day. If they don't have symptoms, it usually doesn't last more than two months. This condition can exist alone or as a type of depression concurrent with another mental illness.
persistent depressive disorder
If you have symptoms of depression that last for two years or longer, it's also known as persistent depressive disorder. This term has also been used in place of dysthymia (persistent mild depression) and chronic major depression. Symptoms of persistent depressive disorder can include major changes in appetite or sleep patterns, lack of energy, low self-esteem, and difficulty concentrating or making decisions.
This type of depressive disorder is considered milder than major depressive disorders. Regardless of its severity, depression is a serious condition. The ability of depressive disorders to affect a person's mental and physical health means that people with such disorders require treatment for depression from a psychologist at a mental health treatment center.
The birth of a baby brings with it many different emotions that can range from excitement and joy to fear and worry. It can also trigger an unexpected condition like depression.
More than 3 million new mothers will be affected by postpartum depression each year. Most new mothers experience postpartum “baby blues” after giving birth. Common symptoms that affect the mental health of new mothers include mood swings, crying spells, anxiety and trouble sleeping.
More than 85 percent of new mothers experience some sadness after the birth of their baby, but up to 16 percent of new mothers experience enough sadness to be diagnosed with some form of depression. Postpartum depression is characterized by feelings of extreme sadness,Anguish, fatigue, loneliness, fear of hurting the baby and a feeling of separation from the baby. It usually occurs within weeks to months after the child is born, but it can also develop within a year after a woman gives birth.
Postpartum depression can be severe enough to require treatment for depression if it poses a risk to the baby or mother. A form of postpartum depression called postpartum psychosis can be potentially life-threatening for either the mother or the baby. This is because one of the symptoms of this type of postpartum depression is thoughts of violence towards you or your child. Fortunately, a treatment center can provide relief and restore the mother's mental health.
About 20 percent of people with depression have depressive episodes severe enough to develop psychotic symptoms. Psychotic depression usually occurs when psychosis is present with a concomitant depressive disorder. Psychosis is a mental state characterized by disorganized thinking or behavior, false beliefs, delusions, false images or sounds, and hallucinations.
According to the National Institute of Mental Health, a psychotic person is an escapist. This person may hear voices or have strange and illogical ideas.
An example of delirium or a form of psychosis caused by psychotic depression is when a person believes that other people can hear their thoughts. Another example would be when a person believes that strangers want to harm him. These severe symptoms of psychotic depression make depression treatment in California potentially life-saving.
People suffering from psychotic depression can get angry for no reason. Some also spend a lot of time alone or in bed, sleeping most of the day and staying awake at night. Psychotic depression can even lead to poor hygiene and self-neglect, such as not showering or changing clothes. People who suffer from psychotic depression may have difficulty speaking or hardly speak at all, and when they do, the things they say don't make sense.
premenstrual dysmorphic disorder
Premenstrual dysphoria, or PMDD, is a type of depression that affects women in the second half of their menstrual cycle. PMDD is characterized by extreme sadness, hopelessness, moodiness, anxiety, tension, irritability and/or anger. Symptoms include depression, anxiety and mood swings. This condition may exist alone or be accompanied by a concomitant depression.
Unlike premenstrual syndrome, or PMS, which affects up to 85% of women and has milder symptoms, PMDD is more severe, affecting around 5% of women. Other factors that may contribute to women suffering from premenstrual dysphoric disorder are thyroid disorders, including being overweight, a mother with a history of the disorder, and lack of exercise.
Most women with PMDD also suffer from seasonal affective disorder (SAD), which further affects their mental health. Unfortunately, this can increase symptoms of depression, especially at certain times of the year. However, treatment centers can provide relief to women suffering from these serious illnesses.
seasonal affective disorder
Seasonal Affective Disorder is a type of depression related to the change of seasons. SAD usually starts and ends around the same time each year, draining your energy and affecting your mood. Seasonal Affective Disorder, or SAD, usually begins in early winter and peaks in spring. Also, about 4 to 6% of people in the United States suffer from this type of depression.
SAD is characterized by symptoms such as sadness, anxiety, irritability, daytime sleepiness and weight gain. SAD usually occurs in winter climates due to lack of natural sunlight. Less commonly, people who experience the opposite pattern of SAD have symptoms of depression that begin in the spring or summer. In both cases, however, the symptoms of depression start out mild but become more severe as the season progresses.
Some signs and symptoms of seasonal affective disorder can include feeling depressed most of the day, losing interest in activities, having trouble sleeping, lacking energy and concentration, and feeling hopeless, worthless, or guilty. Some specific symptoms of winter SAD, sometimes referred to as "winter ailment," include sleeping too much, losing appetite, gaining weight, and fatigue or lack of energy. People experiencing summer-onset seasonal depression, or "summer depression," may experience symptoms such as insomnia, loss of appetite, weight loss, and restlessness or anxiety.
Depression can be devastating and affect your ability to enjoy everyday life. An estimated 7% of the United States have had at least one depressive episode in the past year.
Depression is caused by a variety of factors. These include genetic, biological, environmental and psychological factors. It's important to remember that depression has treatment. People cannot simply snap out of depression or wait for it to go away.
People suffering from depression need to be treated in treatment centers with therapy, medication and/or a combination of both. Montare Behavioral Health's inpatient depression treatment program uses individualized treatment plans in a therapeutic setting to treat depression.
Depressiontreatment plansat our California treatment center include psychotherapy, medication, Exercise,Neurofeedback, phototherapy, brain stimulation and holistic treatments. The sooner someone signs up for depression treatment, the better.
For those who suffer from depression, it can be beneficial to seek help for depression treatment in California. At Montare Behavioral Health, here in California, we treat a variety of depressive disorders and can help you regain control of your life.
What is the most effective way to treat depression?
No two people with mental disorders are alike. This applies to individuals with anxiety disorders, mood disorders, depressive disorders, or any type of mental health disorder. Therefore, treatment options for mental illnesses need to be individualized for each patient suffering from a mental health disorder.
The following therapeutic interventions, available at treatment centers in California, can be included in your clinical treatment plan for depression:
- individual psychotherapy: Psychotherapy is extremely useful in the treatment of mental illness and is often incorporated into the treatment of depression. This is the most common type of therapy offered by mental health treatment centers.
- group therapy: During group therapy, patients are brought together so that patients with similar problems can talk to each other in a safe and constructive environment. Group therapy sessions also provide clients with the knowledge that they are not alone in their depression treatment program.
- family therapy: Family programs are helpful for patients who are struggling to form and maintain healthy relationships with their families. Depressed patients and their families can also learn more about depression in these therapy sessions.
- Cognitive Behavioral Therapy(TCC): Treatment centers offer this type of therapy because it is so effective in helping patients with major depression to think more positively. During sessions, a therapist helps the patient manage depression by identifying and examining painful or uncomfortable feelings that are contributing to depression symptoms.
- Dialectical Behavior Therapy (DBT): DBT is strongly recommended for patients with major depression and concomitant behavioral problems. This type of therapy helps people being treated for depression make better choices in their daily lives.
Therapy is the cornerstone of effective depression treatment programs. Other therapies, such as interpersonal therapy,art therapy, eterapia musicalare used by treatment centers in California. These treatments are evidence-based and are also offered at anxiety treatment center programs.
Treatment Programs Available to Treat Depression in California
If you suffer from a co-occurring mental illness or depression, a combination of the above therapies can help give you the tools you need to manage your mental illness. Depression treatment centers offer programs to treat mental disorders such as major depressive disorder.
These programs provide mental health therapies and support tailored to the individual needs of patients experiencing mental health crises. While depression treatment centers offer programs for people living with depression, these programs can also benefit those with co-occurring mental health disorders.
Inpatient treatment programs
DepressionhospitalizationThe programs, also known as inpatient depression treatment programs, treat major depression and any accompanying mental health issues. These programs require a patient to remain in a depression treatment center day and night while receiving treatment for their depression and any accompanying mental health issues.
During the day, patients participating in an inpatient program at our California depression treatment center attend multiple therapy sessions. These can include group therapy, family therapy or individual therapy. The goal of inpatient psychiatric care is to provide patients with 24-hour access to psychiatric care.
Inpatient programs can last from 3 to 9 months. The length of an inpatient or inpatient depression treatment program depends on many factors, including the severity of a patient's depression or the presence of a co-occurring mental health disorder, such as an anxiety disorder.
Outpatient Treatment Programs
Outpatient Treatment Programsare similar to hospital treatment programs. During the day, patients can participate in therapies, group sessions and holistic treatments. However, patients enrolled in an outpatient program at a depression treatment center are allowed to return home after treatment.
There are three levels of outpatient care. They all offer different levels of treatment depending on how much time the patient needs to dedicate to the therapy. The different levels of outpatient care at a depression treatment center include the following:
Traditional outpatient program
Outpatient programs (ORs), similar to inpatient treatment, are used to treat major depression or co-occurring mental health issues. During a traditional outpatient program, patients attend a few hours of therapy each day, usually in the morning or afternoon. The duration of the outpatient program depends on the severity of the depression and other problems faced by the patient.
Intensive Walking Program
Intensive Outpatient Programs (IOPs) are designed for people who need additional outpatient care to manage their depression symptoms. Patients with IOP typically see a therapist three times a week, while also participating in local support groups, individual therapy sessions, and educational programs. Treatment time for IOP treatment is typically four hours a day, with some patients choosing to attend nearly 12 hours every day of the week.
Partial stay program
In addition to traditional outpatient treatment and IOPs, some treatment centers offer partial inpatient treatment (PHP). PHPs for treating depression are similar in many ways to traditional outpatient programs but have slightly different protocols. These programs require patients to stay in their treatment centers most of the day during the week to receive treatment for depression. Similar to other types of outpatient treatment for depression, PHP patients come home in the evening, giving them a chance to practice skills learned in treatment.
California Depression Treatment at Montare Behavioral Health
California Inpatient Depression Treatment at Montare Behavioral Health uses individualized treatment plans in a therapeutic setting to treat depression. treatmentThe options are psychotherapy, medication,Exercise, Neurofeedback, phototherapy, brain stimulation and holistic treatments.
The sooner someone signs up for depression treatment, the better off they are. For those who suffer from depression, seeking help through depression treatment can be beneficial.
If you are looking for depression treatment centersanxiety treatmentcenters in California, the depression treatment offered here at Montare Behavioral Health is designed to treat depression and the mental health issues associated with it.
Not only do we treat a variety of depressive disorders, we can also help you regain control of your life and continue to support you after treatment is complete. In addition, we offer treatments for various diseases, such as:bipolar disorderor generalized anxiety disorder.
If you are looking for outpatient or inpatient treatment for depression in Californiacontact us todayto find out more about how we can help you overcome depression or any other co-occurring disorders you may be dealing with.
What is the most widely used treatment for depression? ›
Medications and psychotherapy are effective for most people with depression. Your primary care doctor or psychiatrist can prescribe medications to relieve symptoms. However, many people with depression also benefit from seeing a psychiatrist, psychologist or other mental health professional.What treatments for depression are available today? ›
If your depression is mild to moderate, psychotherapy may work as well as an antidepressant. You can get talk therapy on your own, with your family, or in a group. Your doctor will help you find the best type for you. Exercise is another good treatment for mild depression.What are the three treatments for depression? ›
Three of the more common methods used in depression treatment include cognitive behavioral therapy, interpersonal therapy, and psychodynamic therapy.What is the most effective treatment in the management of depression? ›
TREATMENT FOR MAJOR DEPRESSION For the initial treatment of major depression, we suggest a combination of antidepressant medication and psychotherapy. Well-designed studies have shown that combination treatment is more effective than either treatment on its own.What is the first drug of choice for depression? ›
SSRIs are usually the first choice medicine for depression because they generally have fewer side effects than most other types of antidepressant. As well as depression, SSRIs can be used to treat a number of other mental health conditions, including: generalised anxiety disorder (GAD)Which is better therapy or medication for depression? ›
Research generally shows that psychotherapy is more effective than medications, and that adding medications does not significantly improve outcomes from psychotherapy alone.Is depression curable or just treatable? ›
There's no cure for depression, but there are lots of effective treatments. People can recover from depression and live long and healthy lives.What is the new medicine for depression? ›
Esketamine can trigger new connections in your brain too. You may start to see improvements in your depression within hours or days of using it, Sanacora says. Esketamine offers lifesaving hope for people with suicidal thoughts and relief for people with treatment-resistant depression.What kind of therapy is used to treat depression? ›
Cognitive Behavioral Therapy (CBT)
Cognitive behavioral therapy, or CBT, helps an individual identify and change negative thoughts and associated behaviors. People who suffer from depression often struggle with negative thought patterns. These thought patterns can influence our behavior.
- Psychotherapy. Psychotherapy is the therapeutic treatment of mental illness provided by a trained mental health professional. ...
- Medication. Medication does not outright cure mental illness. ...
- Hospitalization. ...
- Support Group. ...
- Complementary & Alternative Medicine. ...
- Self Help Plan. ...
- Peer Support.
Can you completely treat depression? ›
It's one of the most common and most treatable mental health disorders. With early, continuous treatment, people can gain control of their symptoms, feel better, and get back to enjoying their lives.What is the best initial treatment for a person with moderate to severe depression? ›
The main medical treatment for depression is antidepressant medication. Antidepressant medication may be prescribed, along with psychological treatments, when a person experiences a moderate to severe episode of depression.Which treatment leads to the best outcomes for depressive disorders? ›
Effective treatments are available: antidepressant medication and talking therapies are included in most guidelines as first-line treatments. These treatments have changed the lives of countless patients worldwide for the better and will continue to do so in the coming decades.What is the safest antidepressant? ›
Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed antidepressants. They can ease symptoms of moderate to severe depression, are relatively safe and typically cause fewer side effects than other types of antidepressants do.How can I increase serotonin levels naturally? ›
- Adjust your diet. ...
- Get more exercise. ...
- Bring in the bright light. ...
- Take certain supplements. ...
- Try massage therapy. ...
- Try mood induction. ...
- Manage emotions and stress levels. ...
- Think about sleep deprivation.
SSRIs. This group of drugs, including fluoxetine (Prozac), paroxetine (Paxil), fluvoxamine (Luvox), citalopram (Celexa), escitalopram (Cipralex) and sertraline (Zoloft), is usually the first choice for treatment of depression and anxiety disorders.What is the gold standard treatment for depression? ›
Cognitive behavioral therapy (CBT)
Cognitive behavioral therapy is the gold standard therapy for treating children and adolescents with depression.
Taking medicine for your depression can help you get your life back to normal, especially if you also get counselling. But if your symptoms are mild, lifestyle changes and counselling may be all you need. You don't need to be ashamed about taking antidepressants.How do I know if I need antidepressant? ›
So, when should I take an antidepressant? If your depression or anxiety is mild to moderate, and if time and a talking treatment have not helped, and especially if things are getting worse, then you should consider taking an antidepressant.What would happen if depression is not treated? ›
Untreated depression increases the chance of risky behaviors such as drug or alcohol addiction. It also can ruin relationships, cause problems at work, and make it difficult to overcome serious illnesses. Clinical depression, also known as major depression, is an illness that involves the body, mood, and thoughts.
How long will an untreated major depression last? ›
Major depressive disorder (MDD)
MDD episodes can last between 6 and 18 months or longer. If you start treatment soon after you experience the first symptoms, you might be more likely to recover and prevent future episodes.
Reversing the effects
Research suggests that some of the physical brain changes caused by depression can be reversed. A 2016 study showed that interventions, such as antidepressants and cognitive behavioral therapy, may help reduce inflammation caused by depression.
In August 2022 the FDA approved a drug called Auvelity which may offer faster relief for depression symptoms than other commonly used drugs. The medication is from the company Axsome, and is a combination drug that can be taken orally at home.Which antidepressants work the fastest? ›
- SSRIs such as fluoxetine (Prozac), citalopram (Celexa), and sertraline (Zoloft)
- serotonin-norepinephrine reuptake inhibitors (SNRIs) such as venlafaxine (Effexor), desvenlafaxine (Pristiq), and duloxetine (Cymbalta)
Auvelity is an N-methyl D-aspartate (NMDA) receptor antagonist, marking the first new type of medication to be approved for clinical depression in 60 years.What are the 2 treatments for depression explain each? ›
Depression can be serious, but it's also treatable. Treatment for depression includes: Self-help: Regular exercise, getting enough sleep, and spending time with people you care about can improve depression symptoms. Counseling: Counseling or psychotherapy is talking with a mental health professional.What three types of therapy have been found most effective in treating depression? ›
Three common types of psychotherapy for the treatment of major depressive disorder and generalized anxiety disorder are cognitive behavioural therapy (CBT), interpersonal therapy, and supportive therapy.Which hormone is responsible for sadness? ›
Serotonin. Serotonin is another hormone that affects mood, appetite and sleep. It is also a neurotransmitter, which means that it transmits messages between nerve cells.What are 2 common treatments for mental illness? ›
- Antidepressants. Antidepressants are used to treat depression, anxiety and sometimes other conditions. ...
- Anti-anxiety medications. ...
- Mood-stabilizing medications. ...
- Antipsychotic medications.
Vitamin D is possibly the most studied vitamin for the treatment of SAD, and it's an essential hormone for bodily processes, especially mood management.
What is the most treatable mental illness? ›
Depression is among the most treatable of mental disorders. Between 80% and 90% percent of people with depression eventually respond well to treatment. Almost all patients gain some relief from their symptoms.Which is the most widely used treatment today for mental disorders? ›
Psychotherapy or counseling.
This also is called talk therapy. It is one of the most common treatments for mental health disorders.
Psychotherapy is the treatment of mental disorders provided by a trained and experienced mental health professional. Psychotherapy investigates thoughts, sentiments, feelings, and behaviors and seeks to further improve a person's overall well-being.What are the 3 levels of depression? ›
You may be diagnosed with mild, moderate or severe depression. Your mental health professional may diagnose you with depression if these symptoms: happen most days.How long does it take to treat major depression? ›
Once a patient starts taking an antidepressant that is effective, they may start to see changes in 2 weeks, while other patients may not see a change in their symptoms for four to six weeks. Some patients may need to take antidepressants for over a year before achieving remission.How do you stop chronic depression? ›
To make the most of depression treatment:
- Stick to your treatment plan. ...
- Stop drinking or using recreational drugs. ...
- Manage stress. ...
- Sleep well. ...
- Get regular exercise.
Medications and psychotherapy are effective for most people with depression. Your primary care doctor or psychiatrist can prescribe medications to relieve symptoms. However, many people with depression also benefit from seeing a psychiatrist, psychologist or other mental health professional.What is the final stage of depression? ›
Depression creates a sensation of isolation as if you are lost in the wilderness with no direction. The final stage is acceptance, which means you have finally made peace with the reality of your mental illness.What is the fastest and most effective treatment for severe cases of depression? ›
SEVERE MAJOR DEPRESSION For people with severe depression, we suggest a combination of antidepressant medication and psychotherapy. It's also reasonable to try antidepressants alone. (Psychotherapy is generally not used alone for patients with severe depression.)What are 3 strategies you can use to cope with depression? ›
- Stay in touch. Don't withdraw from life. ...
- Be more active. Take up some form of exercise. ...
- Face your fears. Don't avoid the things you find difficult. ...
- Don't drink too much alcohol. For some people, alcohol can become a problem. ...
- Try to eat a healthy diet. ...
- Have a routine.
Are there any new exciting treatments and therapies available to treat depression? ›
The new treatments for depression promise to relieve distressing symptoms, including suicidal thinking, faster than any previous treatment. They include ketamine, an anesthetic that is also abused as a street drug, and a derivative of ketamine called esketamine.Are there any new treatments for treatment-resistant depression? ›
These promising therapies include rapid-acting novel antidepressant drugs as well as neurostimulation interventions. The discovery that ketamine, a glutamatergic modulator, has antidepressant properties has led to a mechanistically new treatment option for individuals with TRD.What treatment is most successful for people who suffer from severe depression a depression that has been unresponsive to other treatments? ›
Psychological counseling. Psychological counseling (psychotherapy) by a psychiatrist, psychologist or other mental health professional can be very effective. For many people, psychotherapy combined with medication works best.Are there any new antidepressants 2022? ›
The Food and Drug Administration (FDA) recently approved two new antidepressant medications that represent new approaches to treating depression: brexanolone and esketamine. Both of these medications carry a black box warning, which is the most serious warning from the FDA.What works instead of antidepressants? ›
Exercise. Research suggests that regular exercise may be a more effective treatment for mild depression than antidepressants. Exercise helps boost levels of chemicals called serotonin and dopamine in the brain, which can lift your mood.Can you heal without antidepressants? ›
The fact is, you don't need pills to reduce depressive symptoms or even to recover from depression. By making a few lifestyle changes at home, your symptoms may decrease significantly or disappear altogether.Is there a permanent form of depression? ›
Persistent depressive disorder is a continuous, long-term form of depression. You may feel sad and empty, lose interest in daily activities and have trouble getting things done. You may also have low self-esteem, feel like a failure and feel hopeless.