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  #1  
Old 09-26-2014
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Default So DEPRESSED, will meds help studying?

Hi guys, I have become severely depressed as of late and I cannot even study for 15 minutes anymore. I am extremely tired, I sleep all day and I don't even have motivation to brush my teeth or take a shower. It feels like life is over and I hate having to wake up and face another day.

Will some type of anti-depressant medication help me to be able to better focus or is it best to avoid such medications if possible? Will it also show on my record when I apply to residency?


I know that people can feel unmotivated and really tired on the meds so I don't think that would help me study.
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  #2  
Old 09-26-2014
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EXTRA INFO:

I finished basic sciences 3 years ago and gave up studying about 1.5 years ago due to stress/adhd/depression. Now I see all my friends going into residencies or applying for residencies and it makes me really upset about my own life.

I have to start studying from day 1 since I have totally forgotten my basic sciences and it just seems SO overwhelming to learn this all on my own. When I open first aid it feels like it is impossible to remember so many details from this book. I have no confidence
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Old 09-26-2014
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If I may suggest, I think you should really see a counselor (for doing with studying for this exam) and even a psychiatrist if you've been experiencing the sx you mentioned for longer than 3-4 weeks.

Also remember that medicine is not that only field. There are many other health care fields that let you care for patients, assume responsibilities (albeit in different ways) and earn well.

If you want to do nothing but medicine and only want to practice it in the US, then you should first get yourself in the proper condition (both physically and mentally) as the process of taking steps is a laborious, nerve-wracking process even. Try exercising as regularly as you can and force yourself to a eat a balanced diet even if you don't feel like it.

Good luck!
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Quote:
Originally Posted by qirkergaard View Post
If I may suggest, I think you should really see a counselor (for doing with studying for this exam) and even a psychiatrist if you've been experiencing the sx you mentioned for longer than 3-4 weeks.

Also remember that medicine is not that only field. There are many other health care fields that let you care for patients, assume responsibilities (albeit in different ways) and earn well.

If you want to do nothing but medicine and only want to practice it in the US, then you should first get yourself in the proper condition (both physically and mentally) as the process of taking steps is a laborious, nerve-wracking process even. Try exercising as regularly as you can and force yourself to a eat a balanced diet even if you don't feel like it.

Good luck!
Thank you for taking the time to help. It has been a month now and the symptoms aren't getting any better at all, instead I'm becoming more stressed as I see time passing me by.

My psychiatrist simply said "you are depressed, lets try anti-depressants", I refused for now since I don't know how it will effect my ability to actually study and process so much material for such a big exam.

I understand there are other fields, but I am approaching 30 now and have no other real qualifications so age is becoming a stressor as well.

I do need to improve my diet, I have lost 10-15 pounds in the past month because I have so much anxiety that I can't eat. Another thing I forgot to mention is that my school is going to kick me out if I don't give this exam soon or show them some NBME's.
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Old 09-26-2014
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I'm sorry to hear that you're going through such a rough patch.

I think whatever you do, at least aim for a pass on Step 1 (so that you don't get kicked out.) Have you seen a counselor in your school that could give you any advice on how to prepare for the exam?

I know someone who struggled through medical school (had ADHD, bipolar disorder with rather extreme moods of depression). He graduated medical school 4 years back (barely scraping by each subject) and passed his steps with very low scores (which probably ruled out his chances of getting into any residency.) However, a few months after he graduated, he got into this amazing pharm firm and started making big money and moving up the corporate ladder. I believe he eventually quit the job for a prestigious offer at Goldman Sachs.

So trust me when I say there are opportunities for doctors out there. We just have to look for them. Many don't even need experience as they prefer fresh grads whom they can train.


Nevertheless, whatever you do, do try to get your physical health sorted out first because I'm sure that'll have a positive impact on your mental well-being.

I'm sorry I didn't mean a psychiatrist. I meant a psychologist as those folks utilize more of psychotherapeutic methods in achieving outcomes. And if this psychiatrist you went to recommended anti-depressants, ask him if they've have any impact on memory, learning process, concentration etc.
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  #6  
Old 09-27-2014
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Thanks for all your help and support, it's funny how at a time like this it's only strangers on the internet who are able to really help me calm down and think more clearly. I truly appreciate you taking the time to reply, you have no idea how much a couple of motivational words can mean to someone in my current state.

My original goal was a 250+ as I was getting 80%+ on kaplan qbank subjectwise, but I burnt out badly, I was taking months per subject, but I was only studying about 8-12 hours per week (MAJOR ADHD). I spent all day at the library, but was productive for less than 50% of my time there. My scores were really high so I wasn't too worried, but I just ran out of energy after so long and than the depression hit.

Right now a 210 is all I want and if I end up with 200, I won't even be upset I'll be damn happy to move on in life. I think passing the exam will help my mental state a lot and I can focus on improving for step 2.

I think if I start fresh now and go for 12 months I might be able to squeeze a passing score out, I just need to find the motivation to at least try the exam without giving up. I have no difficulty with the material at all, I just have trouble focusing and staying positive and confident.



Quote:
Originally Posted by qirkergaard View Post
I'm sorry to hear that you're going through such a rough patch.

I think whatever you do, at least aim for a pass on Step 1 (so that you don't get kicked out.) Have you seen a counselor in your school that could give you any advice on how to prepare for the exam?

I know someone who struggled through medical school (had ADHD, bipolar disorder with rather extreme moods of depression). He graduated medical school 4 years back (barely scraping by each subject) and passed his steps with very low scores (which probably ruled out his chances of getting into any residency.) However, a few months after he graduated, he got into this amazing pharm firm and started making big money and moving up the corporate ladder. I believe he eventually quit the job for a prestigious offer at Goldman Sachs.

So trust me when I say there are opportunities for doctors out there. We just have to look for them. Many don't even need experience as they prefer fresh grads whom they can train.


Nevertheless, whatever you do, do try to get your physical health sorted out first because I'm sure that'll have a positive impact on your mental well-being.

I'm sorry I didn't mean a psychiatrist. I meant a psychologist as those folks utilize more of psychotherapeutic methods in achieving outcomes. And if this psychiatrist you went to recommended anti-depressants, ask him if they've have any impact on memory, learning process, concentration etc.
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  #7  
Old 09-27-2014
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Default say to STRESS: Let's break up

Hello, good morning, good afternoon, good evening, can't say good night. OK if u gonna sleep today goodnight too.

Look you are not depressed, u are just stressed,
-When you get bored doing something repeatedly for example the fear you mentioned with your first aid try doing which is easy like listening to pathoma lectures or there is Conrad Fischer.
- Yes fishy, fishy u got videos of him watch first episodes of endocrine he motivates people.
- Develop interest or you will not last long.
- take breaks and do things which interest you, of your choice.
And those who ignore you or criticize you just ignore them.
- Look on this site there are so many users who study and work at the same time.

Ponder over their life. How hard it is for them to manage their time. They have to study, work, cook, wash etc etc

ENJOY YOUR LIFE THIS TEST IS NOT SO TOUGH.

And ask our creator to guide you through. With his help you will not remain helpless.
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  #8  
Old 09-27-2014
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A friend has come through the same situation and i know it is awful.
Just think the problems one by one...
First of all, contact med school and tell them you have psychological issues...maybe they need confirmation by a psychiatrist...if your med school is awfful like mine,probably they will not care...but serious people take into account people with problems...
i don't know if you have depression, but the test preparation is really tough..i even think i have bipolar disorder...so, you must just get rid of all the other problems you have and focus on exams...if you have depression, you may just have psychotherapy or even take medication...because our health is what comes first...
Because i have experienced similar situation as i told you before...if you just say inside the house it will not help...putt a programme in you everyday routine...go to the gym,start dancing...anything that will make you not think of the exams...
FORGET the past...you cannot change it..everything is happening for a reason in order to make us what we are...everything is an experience we have to pass through to know ourselves...so, don't be worried about the past...
there are solutions to your problem...
you just have to take the decision and mmove on...
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  #9  
Old 09-27-2014
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Quote:
Originally Posted by Panmedic View Post
Hello, good morning, good afternoon, good evening, can't say good night. OK if u gonna sleep today goodnight too.

Look you are not depressed, u are just stressed,
-When you get bored doing something repeatedly for example the fear you mentioned with your first aid try doing which is easy like listening to pathoma lectures or there is Conrad Fischer.
- Yes fishy, fishy u got videos of him watch first episodes of endocrine he motivates people.
- Develop interest or you will not last long.
- take breaks and do things which interest you, of your choice.
And those who ignore you or criticize you just ignore them.
- Look on this site there are so many users who study and work at the same time.

Ponder over their life. How hard it is for them to manage their time. They have to study, work, cook, wash etc etc

ENJOY YOUR LIFE THIS TEST IS NOT SO TOUGH.

And ask our creator to guide you through. With his help you will not remain helpless.

This is great advice, that is actually exactly what I've been doing. I've been reading about people who are still in school or are working in research with children who managed to study and do other things. It gives me hope that it's possible, but sometimes I feel like those people are just better than me in life and I must really suck. I have pretty bad ADHD so time management and concentration are a disaster for me.

Maybe I need some coaching on self worth and self esteem lol

I'm going to skip anatomy for now and start from Kaplan Physio since I find it interesting and I've done the videos before so it won't be as stressful and difficult. Maybe this can get me into a routine and help build confidence.
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  #10  
Old 09-27-2014
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Quote:
Originally Posted by usmlerun View Post
A friend has come through the same situation and i know it is awful.
Just think the problems one by one...
First of all, contact med school and tell them you have psychological issues...maybe they need confirmation by a psychiatrist...if your med school is awfful like mine,probably they will not care...but serious people take into account people with problems...
i don't know if you have depression, but the test preparation is really tough..i even think i have bipolar disorder...so, you must just get rid of all the other problems you have and focus on exams...if you have depression, you may just have psychotherapy or even take medication...because our health is what comes first...
Because i have experienced similar situation as i told you before...if you just say inside the house it will not help...putt a programme in you everyday routine...go to the gym,start dancing...anything that will make you not think of the exams...
FORGET the past...you cannot change it..everything is happening for a reason in order to make us what we are...everything is an experience we have to pass through to know ourselves...so, don't be worried about the past...
there are solutions to your problem...
you just have to take the decision and mmove on...

My med school doesn't really care at all about the students. When they told me I will be kicked out if I don't write "soon" that is when I began to suffer from crippling anxiety. I couldn't eat even one bite of food for the first 2 weeks, I ate about half a granola bar all day and struggled to drink protein shakes just to get some nutrition. The stress and pressure of being "kicked out" is destroying me mentally and has really hindered my ability to focus.

You're right about leaving the house, I haven't gotten any sunlight in a long long time. I'm in bed 12+ hours and when I wakeup I just lay in bed thinking about life and all my regrets and mistakes in life. Like you said I need to somehow forget the past and stop thinking about what I "should have done", but it's been difficult to do that.

I really want to just become tougher and shutup and study all day, all night, but the depressive feelings just kill me and prevent me from doing anything. It's not like I'm distracted, I watch no TV, don't go out, don't talk to people, I just sit in my room doing nothing... if only I could sit here and study all day instead.
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Old 09-27-2014
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Just take a break for one or two weeks and start again..Kindly avoid Meds..
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Quote:
Originally Posted by helpless View Post
Hi guys, I have become severely depressed as of late and I cannot even study for 15 minutes anymore. I am extremely tired, I sleep all day and I don't even have motivation to brush my teeth or take a shower. It feels like life is over and I hate having to wake up and face another day.

Will some type of anti-depressant medication help me to be able to better focus or is it best to avoid such medications if possible? Will it also show on my record when I apply to residency?


I know that people can feel unmotivated and really tired on the meds so I don't think that would help me study.
Hi folk,
I was in the same condition when i worked in my home country 2and 1/2 years ago (i was a hard working student and after graduating...a hard working young physician- i slept like 3-5 hours/daily and spent the whole my time in Medical school+ in the University Hospital + surgery room). You re depressed obviously and need to go see a psychiatrist ASAP, any anti depressant might not need for now if you make some changing: Spending more time with family, playing sport ( any kind at least 2hours/day), go traveling. The exam is important but you can re-schedule it as well until you get back to the trail.
about me: asian IMGs graduated 2011, not native english speaker ( English is really big struggle). Came to U.S 2012 and have to work 5-6 hours/day ( to survive) + learning step 1 at the same time.

Ps: If you live nearby Dallas, we could hang out. Strip club is a good place for us tho. Best wishes for you...and don't care about your friends got in to residency.
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