I'm a 23 year male. I was good in my studies at school level. Gradually it decreased. I've never took my studies seriously, I had a confidence that even if I study a week before exams, I'd pass. During my graduation I had a breakup and to come out of it wasn't easy for me. I can't explain it in this mail but every day was like hell to me, I couldn't sleep, eat properly and what not. Slowly I've started getting out of my self pity thoughts. In these situations I thought that I wouldn't pass my xams but somehow I did. After that I've done a course but I didn't had enough confidence in me, by that time I was different than what I was in my early days. I could hardly remember or understand the concept. I couldn't think creatively, so I thought to go for another course, now i've completed that but same again. I'm out of my confidence, cannot concentrate on anything, after failing in an interview I thought that at least from now I'll prepare again but I can't even start a thing. My job profile needs creative thinking, but I cannot even think normally. Some times I feel my cognitive functions aren't normal. What should I do to get out of my situation? I need to improve the functioning of my brain. I should have confidence, passion. Should I consult a psychiatrist? Please someone suggest me a detailed answer.

Dr. Tarun VermaPsychologist7yrs exp

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lybrate-user, you began by telling about your problems with studies and how your grades/marks have lowered in recent years since you completed schooling. As I can see, much of your concerns are about how your abilities and thinking are not matching upto your expectations. You have taken different courses and did your best to keep yourself confident but it hasn't helped you much. You seem to be having greater worries about how you think and why your thoughts are not focused on any particular goal. A bad experience in a relationship also added up to your worries and distressing mental condition. A relationship usually distracts and preoccupies with attachment issues which makes life difficult to handle. These long series of negative events and circumstances have reduced your overall motivation and lead to a distressing mental state where you constantly worry about your abilities. From a clinical perspective, it would not be possible to make any valid diagnosis as of now. For that more interviewing is needed and clinical tests need to be done (psychological assessments). Many times due to repeated failures, we develop a negative attitude towards ourselves and remain in a constant state of depressed mood and low energy. In your situation, it seems you do require medical consultation. But medicines won't help you for long and may not alleviate all the problems. Negative thinking develops over time and mostly it is not a direct effect of one or two circumstances. Low confidence, self-pity thoughts, poor concentration, low motivation, lack of energy and low self esteem are some of the persistent effects of negative thought process. You also believe that you may not be having normal cognitive functions. You seem to over-think about your performance, which is impacting your life achievements. Negative thoughts result from negative beliefs about self. When we think we are unworthy then we lose the confidence to take initiatives and get biased towards seeing all negative outcomes. We don't welcome any new changes in our life cheerfully. This has happened with you that with every new goal you have set for yourself, you have gradually become hopeless with that achievement. This is mainly because you don't feel much confident towards yourself. Deep into your mind, you believe you don't deserve a positive outcome. We can say that you think in a very black-and-white mode of thought process. This implies that either things should be all good for you or all bad. There is no mid-way for you currently. You are achieving some things in your life but you don't see them as worthy to change your life altogether. Here comes the importance of understanding your own thoughts and beliefs. It is important for you to know how your long held beliefs about yourself have impacted your mental state. It is not entirely some brain chemical which is causing this distress. Body is equally effected by how we think, than being just the other way around. So for temporary benefits, you may take medicines. But for long term relief and cure, you need to see a Clinical Psychologist and take Cognitive Behavior Therapy (CBT) which is a form of psychotherapy. CBT is a very effective therapy for long term benefits from depression and anxiety. All the Best. 

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