Depression makes me tired

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  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

    Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

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    For additional resources, please visit the SAMHSA Store.

Last Updated: 08/30/2022

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Depression. The monotony of my life depresses

CounselingApathy. Depression


May 31, 2018


Hello. My name is Sofia. I'm 19 years old. I work as a cashier in a cafe. Work exhausts me emotionally and physically. The monotony of my life is depressing. Home work. Work home. Not in the mood to do anything at all. I would like to discuss this with someone. Find a way out of this situation.. I can't do it myself.

May 31, 2018
(modified on Nov 30, 2019)

Svetlana Administrator

Sofia0000, Sofia, hello!
How long have you been in this condition?
I recommend reading the signs and symptoms of depression
What would you like to get as a result of the consultation?

May 31, 2018


I think for a long time. But such detachment (if I may say so) is rare. Usually it's just a frequent mood change. Everything seems to be fine, but I want to cry. Wrap yourself in a blanket and see no one. Maybe I'm just screwing myself. I think I'm just tired0005

Jun 01 2018

Svetlana Dremova Psychologist

Sofia, hello!
Do you live alone?
How long have you been working in a cafe? How did you choose to take this job?
Can you think of a few activities that have brought you pleasure lately? Not necessarily serious and meaningful.

Jun 01



I have been living alone for about a year. I have been working in the cafe for almost 2 years. I chose this job because I really wanted to start earning. There was no cafe at that time. We worked as a food delivery service. After the opening of the cafe, problems began with studies and with the emotional state.
Pleasure.. I don't even know. Night walk around the city I think. When there is no one, you can just walk around and think


Svetlana Dremova Psychologist

Thank you for your reply! Is studying interesting in itself? How much longer to study? What perspectives does it open?

Imagine not having to go to a cafe. Suppose you were released, but the money remained. What will you do? What will happen to the mood? What will change in your life? Try not to think from the mind, but to dream.

Jun 01 2018


Another year. Due to work, I rarely go to school, so I can’t understand if I’m interested. Without a job... I think I would go somewhere. To some other city. I would have more time for my favorite activities. Maybe I should start painting. I don't know... It's hard to dream when you're sad

Jun 1


Svetlana Dremova Psychologist

Dreaming is hard. So you dream, and you will find a rich inner content in yourself. And it obliges, you will have to deal with them somehow - "pot, do not cook." Once you want something for yourself, then it's hard to stop. In the everyday rut, the checkout house is safer, albeit sad.

Fantasies help us get out of our routine. Maybe not all dreams come true - especially if they are fantastic. But behind dreams is the power of real desires.
What is valuable in your city? What/who is there, and what/whom should you categorically not let in there?

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  • Burnout syndrome

    Burnout syndrome is a state of emotional, mental exhaustion, physical fatigue resulting from chronic stress at work. May be characterized by impaired productivity at work, fatigue, insomnia, increased susceptibility to somatic diseases, alcohol or other psychoactive substance use, and suicidal behavior.

    The development of this syndrome is typical, first of all, for professions where the provision of assistance to people dominates (medical workers, teachers, psychologists, social workers, rescuers, law enforcement officers, firefighters). Work with “heavy” clients also predisposes to burnout (gerontological, oncological patients, aggressive, suicidal patients, patients with addictions.

    EBS is seen as the result of an unfavorable resolution of stress in the workplace.

    Signs of burnout:

    • Behavioral change: boredom, resistance to going to work, tardiness, substance use, accident susceptibility, decreased creativity.
    • Change in feelings: depression, gallows humor, feelings of failure, guilt, bitterness, irritability, nitpicking.
    • Changes in thinking: decreased concentration, rigidity, suspicion, incredulity, victim mentality, callousness.
    • Changes in health: sleep disturbance, fatigue, reduced immunity.


    Evaluation of the syndrome of emotional burnout.

    Phases of development of the CMEA (according to Selye).

    • I Voltage phase.
      It is a harbinger and a “triggering” mechanism in the formation of emotional burnout. The development of CMEA is preceded by a period of increased activity, when a person is completely absorbed in work, refuses needs that are not related to it, forgets about his own needs. If these efforts of an employee are adequately assessed and supported, if a person receives a sense of the importance and significance of his work, the CMEA does not develop. If not, and there is a collapse of ideas, then the CMEA gets its development.
    • II Phase resistance.
      A person strives for psychological comfort and therefore tries to reduce the pressure of external circumstances.
    • III Phase of exhaustion.
      It is characterized by a drop in the overall energy tone and a weakening of the nervous system. "Burnout" becomes an integral attribute of personality.

    Metastases of "burnout" penetrate into the value system of the individual. There is an anti-humanistic attitude. The personality claims that working with people is not interesting, does not give satisfaction, and does not represent social value.

    Prevention and treatment of burnout syndrome.

    What protects against the development of EBS can also be used in the treatment of an already developed syndrome.

    Two aspects can be distinguished here: individual protection and organizational approach.

    Consider the qualities that help a specialist avoid professional burnout.

    First, these are the following individual personality traits of a person:

    • Conscious, purposeful care of one's physical condition (for example, playing sports and maintaining a healthy lifestyle).
    • High self-esteem and confidence in oneself, one's abilities and capabilities (working with unstable self-esteem, reading psychological literature or contacting a psychotherapist who will point out directions in this matter).
    • High professional self-esteem (the need to constantly improve their professional level).

    Secondly, burnout is avoided by people who have experience of successfully overcoming professional stress; capable of constructive change under stressful conditions.

    Thirdly, an important distinguishing feature of people who are not subject to CMEA is the ability to form and maintain positive, optimistic attitudes and values ​​in themselves, both in relation to themselves and other people and life in general. At the end of a brief review of personal protective equipment, I would like to say that "Calllessness to yourself is also a mutilation."

    Be attentive to yourself. At the first manifestations of SEB, take action: take a break, meet friends, change the environment, discover your creative abilities. If improvised means do not help, seek help. This can be attending trainings (from personal growth training to creativity training), individual or group work with a psychotherapist. Remember, the CMEA will not go away on its own, you must take steps to protect yourself. If you feel that you cannot cope with the problem yourself, do not delay the trip to a specialist.

    By leaving your personal data, you give your voluntary consent to the processing of your personal data. Personal data refers to any information relating to you as a subject of personal data (name, date of birth, city of residence, address, contact phone number, email address, occupation, etc.). Your consent extends to the implementation by the Limited Liability Company Research and Production Association "Volgograd Center for Disease Prevention "YugMed" of any actions in relation to your personal data that may be necessary for the collection, systematization, storage, clarification (updating, changing), processing (for example, sending letters or making calls), etc.

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