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I Think I May Have Depression and a Kind of Anxiety

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Hi, I’m a 13 year old trans guy and I’ve just moved to a foreign country, I don’t speak the language. I’ve been feeling very depressed for over 6 months. Lately I’ve also been noticing how much anxiety I feel when doing things like going to school, talking to people, going to the store and generally going out of my house and socializing. I think people here dislike me and judge me all the time. But other than that, I’ve just been generally feeling very very sad all the time and I don’t know why. I know that gender dysphoria is a factor, seeing as I hate my body and all, but I don’t think it’s everything. I just generally see my life and myself as stupid and hopeless. Sometimes I harm myself too. That’s the short summary.

Now I thought about seeking professional help, but my parents are heavily against the idea of me being this way. I’ve tried telling them that I feel sad and anxious all the time, but they’d laugh, call me crazy or tell me to get over it. I think their reaction would be very bad if I told them I want to seek help. Also this language barrier makes it impossible for me to actually talk to a psychiatrist here, right? Nobody here speaks good English either. I asked and it doesn’t seem like my gymnasium has a counselor or something like that that I could talk to about my problems. I’m sorry if you’ve answered something like this before. I just really don’t know what to do. I don’t want to feel like this all the time. (From Austria)

I Think I May Have Depression and a Kind of Anxiety

Answered by on -


I understand this type of isolation and am glad you wrote. The culture and language barriers set you apart in a way that increases rather then diminishes your anxiety. I believe it is worth the effort to find a therapist who speaks English. It may not be as difficult as you think. Until then, I recommend you connect on our forums so you can chat with others — at least virtually. You may also want to ask your parents about a network of other families who have come to Austria before you — to see if they might be of help.

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

I Think I May Have Depression and a Kind of Anxiety

Therapists live, online right now, from BetterHelp:

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). I Think I May Have Depression and a Kind of Anxiety. Psych Central. Retrieved on December 3, 2020, from
Scientifically Reviewed
Last updated: 8 May 2018 (Originally: 24 Apr 2015)
Last reviewed: By a member of our scientific advisory board on 8 May 2018
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