Question:

I am feeling very teary and could cry at anything. I have been diagnosed with depression years ago and I'm on medication for it. I'm not sure if this sadness is PMS or my depression kicking back in. Is there a way I can tell? I am due for my period in approximately two weeks too.

Answer:

If we're honest, everyone feels sad or even teary sometimes. Sometimes it's something that happens that saddens us. Sometimes it can just be a mood. Sometimes, though, the depressed mood is more serious, and persists for weeks, months, or even longer. It can start to affect our life, our relationships, work, and how we feel about ourselves, causing ongoing distress.

As you were diagnosed with depression a few years ago, I'm sure you know all about this. However, whether your recent mood change is associated with a return of depressive symptoms is something only your doctor can assess, after discussing how you feel, as well as asking you about your general physical and mental health.

If this change in how you feel is associated with depression, then it may be that the treatment needs to be reviewed. This may involve a change in the type or level of antidepressant medication. You should also ask the doctor about a referral for psychological therapy as well. A GP can now refer patients to a psychologist for a course of therapy, with most of the cost covered by Medicare.

The sooner you discuss this with your GP, the sooner you will be able to tackle this teary mood and the reasons for it, and get the help you need.

If you would like to discuss this further, or need more information, please call the SANE Helpline on 1800 18 SANE (7263) or visit www.sane.org.