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I am 25 years old and a medical graduate. I am always having negative thoughts like I might fail my exams though I am a good student or I may not get an internship at a good hospital like I am a failure. I think that I should die, nobody likes me.I am lousy at anything I do. I have no energy to do anything that I even want to do. My sleep is also disturbed and I have gained weight despite normal diet. It all feels awful. Please help. Regards.


Answered by on -


While it would not be possible for me to make an accurate diagnosis on the basis of a letter, I can say that the range of symptoms you have identified — negative thoughts, anxiety, fear of dying, low self worth, low energy and weight gain — are the kind of indicators that point toward a depression. Since you are in the medical field, you may want to consult with a colleague about getting a physical evaluation first. This will help rule out certain physical causes and help identify which treatment is best.

But in addition to noting your symptoms, I would also take the time to honor the fact that you are attempting to correct this rather than do nothing. You have a sense that your feelings do not match the reality of your experience and are not passive about the discomfort. In other words, know that reducing symptoms isn’t the only way to promote change. Strengthening your healthy inclinations is just as important.

Wishing you patience and peace,
Dr. Dan
Proof Positive Blog @ PsychCentral


Daniel J. Tomasulo, PhD, TEP, MFA, MAPP

Dan Tomasulo Ph.D., TEP, MFA, MAPP teaches Positive Psychology in the graduate program of Counseling and Clinical Psychology at Columbia University, Teachers College and works with Martin Seligman, the Father of Positive Psychology in the Masters of Applied Positive Psychology (MAPP) program at the University of Pennsylvania. He is Director of the New York Certification in Positive Psychology for the Open Center in New York City and on faculty at New Jersey City University. Sharecare has honored him as one of the top 10 online influencers on the topic of depression. For more information go to: He also writes for Psych Central's Ask the Therapist column and the Proof Positive blog.

APA Reference
Tomasulo, D. (2018). Depressed?. Psych Central. Retrieved on March 21, 2019, from
Scientifically Reviewed
Last updated: 8 May 2018
Last reviewed: By a member of our scientific advisory board on 8 May 2018
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