I am 24 year old and have type 1 diabetes for last 15 years I have psychological problems due to lack of interest in all those things I feel depressed and lack of self confidence and loose in my studies and carrier and keep distance from the society. So I need psychological councelling and advice to improve my self confidence and avoid infriority complex and to achieve something in this competitive society.

Dr. Saul PereiraPsychologist47yrs exp

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You are right about needing counseling and help. The depression may be related to the diabetes too, and the other things you mention may be an offshoot of this. I have known some people who have been afflicted with juvenile diabetes and have initially responded with despair but have later picked up the cudgel and done better than the normal population. If your depression is induced by the diabetes, my recommendation is for you to accept that and go beyond that and become someone of note, because of that! Any way, if the counselor feels that you need medication, then you will need to work in conjunction with that too. In the meantime do as much as is permissible of the following: You must be active and work towards your reformation. Many lifestyle changes need to be made to progress away for the condition. When you are depressed, you will feel lazy though I would like to call it lethargy. There is an inertia and lack of energy to even think, let alone act. This may overlap with the diabetic low too. You are required to literally do the opposite of what you feel like doing. Depression makes you want to withdraw, lie down, sleep, become lethargic, slow down, make you too lazy to even think etc. So when I suggested doing the opposite, you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, eat more of proteins, nuts, fruits, and vegetables, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least 30 minutes but not in the scotching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three things, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don?t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. The counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Self confidence, self esteem, and the inferiority complex can all become things of the past, if you fight a pitched battle with this depression and diabetes. 

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