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Why am i feeling down for no reason


SAMHSA’s National Helpline | SAMHSA

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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.

  • Suggested Resources

    What Is Substance Abuse Treatment? A Booklet for Families
    Created for family members of people with alcohol abuse or drug abuse problems. Answers questions about substance abuse, its symptoms, different types of treatment, and recovery. Addresses concerns of children of parents with substance use/abuse problems.

    It's Not Your Fault (NACoA) (PDF | 12 KB)
    Assures teens with parents who abuse alcohol or drugs that, "It's not your fault!" and that they are not alone. Encourages teens to seek emotional support from other adults, school counselors, and youth support groups such as Alateen, and provides a resource list.

    After an Attempt: A Guide for Taking Care of Your Family Member After Treatment in the Emergency Department
    Aids family members in coping with the aftermath of a relative's suicide attempt. Describes the emergency department treatment process, lists questions to ask about follow-up treatment, and describes how to reduce risk and ensure safety at home.

    Family Therapy Can Help: For People in Recovery From Mental Illness or Addiction
    Explores the role of family therapy in recovery from mental illness or substance abuse. Explains how family therapy sessions are run and who conducts them, describes a typical session, and provides information on its effectiveness in recovery.

    For additional resources, please visit the SAMHSA Store.

Last Updated: 08/30/2022

SAMHSA Behavioral Health Treatment Services Locator

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Welcome to the Behavioral Health Treatment Services Locator, a confidential and anonymous source of information for persons seeking treatment facilities in the United States or U.S. Territories for substance use/addiction and/or mental health problems.

PLEASE NOTE: Your personal information and the search criteria you enter into the Locator is secure and anonymous. SAMHSA does not collect or maintain any information you provide.

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The Locator is authorized by the 21st Century Cures Act (Public Law 114-255, Section 9006; 42 U.S.C. 290bb-36d). SAMHSA endeavors to keep the Locator current. All information in the Locator is updated annually from facility responses to SAMHSA’s National Substance Use and Mental Health Services Survey (N-SUMHSS). New facilities that have completed an abbreviated survey and met all the qualifications are added monthly. Updates to facility names, addresses, telephone numbers, and services are made weekly for facilities informing SAMHSA of changes. Facilities may request additions or changes to their information by sending an e-mail to [email protected], by calling the BHSIS Project Office at 1-833-888-1553 (Mon-Fri 8-6 ET), or by electronic form submission using the Locator online application form (intended for additions of new facilities).

What to do to stop feeling overwhelmed

August 10, 2016 Productivity

Do you feel that your strength is at the limit, and the work has not been going well for a long time? Find out why this happens and what to do to correct the situation and enjoy life again.

You have a lot of things to do, but critically little time to complete them. Too many people want you to pay attention to them, but you can't because you're always in a hurry somewhere. You don’t understand how you can do everything on time, and even so that there is time for your personal life. Familiar situation? nine0003

At the dawn of the digital age, we firmly believed that gadgets would make our lives easier and less stressful in many ways. It seems like we've never been so wrong.

We have started working much harder than before and we can't stop even if we really want to: smartphones, Skype, instant messengers and e-mail have become an integral part of modern life. Yes, and colleagues from different time zones who want to be in touch around the clock. We are stuck at work. It is not at all surprising that with such a frantic pace of life, we often feel unwell. nine0003

Reasons why people feel overwhelmed

Sometimes it can be quite difficult to understand what exactly caused your depression. It seems like it all came crashing down at once. But think about this: fatigue is just a feeling that will pass sooner or later, you just need to identify what caused it and eliminate the cause.

Here is a short list of the most common causes of depression.

  • Someone is constantly taking advantage of you, and you don't know how to handle the situation and get rid of unpleasant obligations. nine0022
  • You are very much afraid that you will get into a compromising situation and will not be able to get out of it with dignity.
  • You are too responsible and are afraid to admit to yourself that you are no longer able to deal with the accumulated problems on your own.
  • You do not understand what you are asked to do, but you are afraid to confess, and this weighs on you.

What to do if everything went wrong

When it seems to you that everything in the world is infinitely sad and hopelessly bad, it is quite natural that you begin to feel the same way. Being depressed and tired from time to time is absolutely normal, but if this condition has become your constant companion, then you need to take appropriate measures. nine0003

  • Understand the real reason for your bad condition. What really upsets you? Or who?
  • Think about what you can change. Look at the problem realistically, honestly evaluate whether the situation can be turned around for the better, and do whatever is necessary to do so.
  • Make a plan. Draft a to-do list of several items that will help solve the problem. Commit changes as you go. Feel free to ask for help. nine0022

It also happens that you are simply unable to influence the current situation. Then you just need to accept it. Yes, it is not easy, but it makes a valuable contribution to the treasury of your life experience.

Done with the general advice. Let's move on to specific actions that you need to perform daily in order to feel much better.

1. Delegate

Do only what you are really good at. Sometimes people take on extra tasks just because they're easy enough, done quickly, and don't require a lot of effort. Sometimes - because of distrust of other people or because they believe that no one else is able to cope with them. Sometimes it's just out of habit. nine0003

All these tasks can easily be delegated to someone else so that you no longer feel like a loaded donkey. Ask yourself: Am I really the only person who can do this? In most cases, the answer will be no.

2. Question

Too often we do things just because we have to, or because we always did them. But are they really necessary? It is quite possible that we regularly spend a lot of time on absolutely useless activities. To stop wasting precious minutes, ask yourself two questions: Do I really have to complete this task? Will anything change if I don't do it? If both answers are negative, feel free to cross this item off your to-do list. nine0003

3. Take breaks

Find time to take a break. No matter how busy your schedule is, it is quite possible to allocate at least 15 minutes in it. This time will be enough for your brain to take a break and start working much more efficiently.

Imagine that these 15 minutes are the kind of mini-vacation you miss so much. Close your eyes for a couple of minutes and allow yourself to relax a little. And then, as if from the outside, try to look at the problem that worries you. We assure you, a solution will definitely be found. nine0003

4. Ask for help

When we feel overwhelmed and overwhelmed, we need support more than ever. For her, we turn to friends, family and even colleagues. Complaining about life within reasonable limits is perfectly acceptable, but know the measure: if you start constantly telling everyone about how difficult it is for you, you will achieve exactly the opposite effect. You don't need a reputation as a whiner, do you?

It is often helpful to look at a situation through the eyes of another person. nine0003

Tell someone about your concerns and ask for advice. Ask how your interlocutor would act in a similar situation and what actions he would take. Sometimes a fresh look helps to find rather unexpected ways out of a critical situation. And in general, maybe you are winding yourself up in vain and the problem is not as terrible as it seems?

5. Learn to refuse

Assess your abilities adequately: if you cannot cope with a large amount of work on your own, do not burden yourself with things just because it is inconvenient for you to refuse. Set reasonable boundaries and learn how to finally say the word "no". Every time before agreeing to something, think twice whether you can really cope with the obligations entrusted to you. nine0003

Don't know how to politely refuse? Be diplomatic. If your requester is a boss or an important client, try saying things like, “This is going to be pretty difficult given our current priorities. Let's try to find other ways to solve the problem?

6. Think about the people closest to you

If you can't cope with the growing tension, think about your closest people and how they would support you if they suddenly happened to be nearby. Instead of worrying about what a new colleague or some unfamiliar person will think of you, it’s better to remember those whose opinion you really value. This will give you the strength you need right now. nine0003

causes of drowsiness, weakness and fatigue

Periods of moral fatigue occur even in stress-resistant people. By unconsciously pausing emotions, a person protects himself from the more severe consequences of mental stress. Therefore, a short-term decrease in social and psycho-emotional activity is considered the norm. We can talk about violations of mental health, if the depressed state drags on - indifference to life appears.

In clinical psychology and psychiatry, apathy is considered as an independent syndrome of loss of motivation or a symptom that accompanies mental disorders, addiction, neurological diseases. It is quite difficult to get out of this state without the help of a specialist. Especially if the situation is aggravated by misunderstanding of relatives. How does it manifest itself, why does apathy arise? Should she be treated with medication as a mental illness? We will answer these other questions in the article. nine0003

What is apathy?

Apathy and demoralization belong to a group of symptoms that combine deviations in the psychobehavioral, emotional, and cognitive spheres. There are several opinions about the typological affiliation of apathy in the structure of psychopathological disorders. Many experts characterize the apathetic state as the suppression of goal-directed behavior against the background of preserved intelligence and physical capabilities. Banal laziness and apathy are not identical concepts. A lazy person tries to avoid duties, but at the same time does not lose emotions, motivation for things that interest him. An apathetic patient lacks any initiative, cognitive activity and emotional response sharply decrease. nine0003

Along with mental and motor retardation, apathy is included in the symptom complex of depression. This allows us to classify the apathetic state as a psycho-emotional dysfunction:

  • Anhedonia is the loss of the ability to experience positive emotions: pleasure, delight, joy. A person cannot enjoy pleasant things, people, situations. The brain refuses to act because it does not receive a “reward” in the form of positive emotions.
  • Abulia - lack of will, psychological inability to perform actions, seek and make decisions. The patient does not lose consciousness, but cannot do anything. nine0022

Sustained decrease in mood (hypothymia), indifference to ongoing events are characteristic of different types of depressive disorders. With true major or minor depression, a person is haunted by feelings of guilt, obsessive negative thoughts about the past, present, and future. With apathetic depression, there is no concern about what happened, the desire to participate in what is happening, the motivation for life planning. A person does not care about either negative or positive events. Relatively speaking, the toggle switch "desires - feelings - interest" is turned off. nine0003

Types of apathy

Many clinical cases are presented by passive apathetic depression. Loss of motivation is accompanied by severe symptoms that are noticeable to others. A person is changing before our eyes, without hiding it. From a sociable and hardworking employee, an attentive relative, he turns into a closed "beech", devoid of emotional reactions.

Active apathy is much less common. The patient loses interest in what is happening, loses the meaning of life, but diligently disguises it with imaginary activity. With difficulty, a person continues to perform daily duties, experiencing severe mental discomfort. This condition is considered more dangerous, since it gradually destroys the psyche, leads to the degradation of the personality, and provokes suicidal thoughts. nine0003

The difference between apathy and anhedonia is the lack of separation of life aspects. Anhedonia can be partial, that is, cover one side of life - social, physical or intellectual-aesthetic. An apathetic state is almost always total - a complete loss of interest in any aspect of life.

Causes of psycho-behavioral and emotional disorders

The basic trigger for apathetic depression in healthy people is mental exhaustion resulting from:

  • occupational burnout;
  • prolonged psychological stress;
  • exhausting and unbearable loads against the background of lack of proper sleep;
  • hypertrophied responsibility, perfectionism, "excellent student syndrome";
  • long struggle with severe illness.

Post-traumatic stress disorder (PTSD) can cause lethargy. Indifference to the outside world develops against the background of psychotrauma. For example, the death of a loved one, a difficult divorce, loss of property. The degree of indifference depends on the personality accentuation - personal vulnerability to certain psychogenic factors. Etiologically, the condition is comparable to a protracted reactive psychosis - a distortion of the worldview in the patient's mind. nine0003

Other factors that provoke an indifferent attitude to life include:

  • Shift in the level of hormones and neurotransmitters, damage to the frontal lobes of the brain. Changes are typical for infectious lesions of the membranes of the brain, craniocerebral injuries, neurogenic, endocrine diseases. Endogenous disorders play a leading role in the development of apathetic depression in women in the postpartum or menopausal period.
  • Mental disorders. These are all types of schizophrenia, schizoid psychopathy, Alzheimer's disease, especially uncompensated forms (lack of treatment with specific drugs). The condition is complicated by the loss of the ability to separate the main from the secondary, to establish connections between phenomena. nine0022
  • Addictions - alcoholism, drug addiction. The loss of motivation and the meaning of life is associated with severe withdrawal symptoms when alcohol and drugs are given up. The withdrawal syndrome is accompanied by a feeling of fear, irritability, psychosis, which is replaced by complete indifference.
  • Side effect of sleeping pills. Medicines inhibit the synaptic transmission of nerve impulses, so in the morning many people feel detached, indifferent.

In men, the causes of psycho-emotional dysfunction are more often associated with the professional sphere, in women - with interpersonal relationships, hormonal changes. Despite this, women are less prone to apathy. The gender imbalance is explained by the lability of the female psyche, the high involvement of women in social and family ties, and the excess of social roles. nine0003

Symptoms

In case of mental disorders, endogenous disorders, neurogenic diseases, addictions, apathy accelerates the impairment of cognitive functions and reduces the quality of life. Apathy is manifested by refusal of treatment. Melancholy grows, unwillingness to perform any actions - get out of bed, leave the house, wash, comb your hair.

In contrast to depressed patients, who usually acknowledge their hopelessness and the need for medical help, apathetic people rarely acknowledge their condition. The following symptoms help to suspect psycho-emotional dysfunction in a person:

  • Detachment from family, social, professional problems. A person does not want to take part in discussions, take the initiative.
  • Striving for loneliness, seclusion.
  • Exhausted look - a haggard face, circles under the eyes, a detached look.
  • Absence of emotional reactions. Do not cause reciprocal experiences sad or joyful news.
  • Reticence, reticence, monotonous and poor speech. An apathetic patient avoids communication with relatives, colleagues, friends, easily breaks off old ties, refrains from making new acquaintances. nine0022
  • Stingy facial expressions, gestures. A smile practically does not appear on the face, the movements are constrained, a little clumsy.
  • Decreased appetite, physical activity. There is a retardation of attention, thinking.
  • Changing habits. It includes giving up hobbies, participation in family and friendly gatherings.

In women, the symptoms of lethargy are reflected in appearance. They stop wearing make-up, dressing beautifully, because appearance, like everything else, ceases to be significant. nine0003

Internal state is characterized by:

  • Chronic fatigue. Physical and moral weakness is always present (regardless of the time of day).
  • Daytime sleepiness, decreased quality of night sleep. There are different types of insomnia - frequent awakenings at night, inability to fall asleep quickly.
  • Oppression of sexuality. There is no libido, psychophysical pleasure from tactile sensations.
  • Indifference to former pleasures. For example, a person refuses delicious food, outdoor recreation, SPA treatments, etc.
  • Loss of desire to develop, contemplate the beautiful - listen to music, travel, watch movies, read books.

Psycho-emotional state affects physical health. There are regular headaches that are difficult to remove with painkillers. Aches in the bones, dyspepsia, problems with bowel movements appear, muscle tone decreases.

Treatment

When the psyche is not destroyed, and the patient himself is aware of the causes of apathy, rest, good sleep, healthy nutrition, physical activity help to cope with indifference. If apathy continues for two weeks or more, specialist help is required. Therapy is aimed at stabilizing the functioning of the nervous system, restoring mental health, and maintaining physical fitness. nine0003

Comprehensive treatment includes: