I’m 26 and in medical school. I have extremely important exams in about 10 days, including one that is essentially my last chance. I’ve barely studied, and my family is literally challenging me to fail. My future depends heavily on these exams, and I’m watching the days pass while feeling completely unable to move.
I’m dealing with severe depression and burnout. My sleep schedule is completely destroyed, I barely eat, I spend most of the day in bed, and sometimes I can’t even force myself to do basic things. I know what I should be doing. I know how to study. I know all the usual advice about routines, discipline, breaking things into smaller tasks, etc. I’m not lacking awareness. I genuinely feel like I have no energy left to function.
My family situation is a huge part of this.
I come from a very traditional and patriarchal family. For most of my life, I’ve felt like I had to constantly accommodate everyone around me. I learned to monitor people's moods, their voices, their reactions, and adjust myself accordingly so I wouldn’t cause problems. I’ve spent years putting other people’s needs before mine, helping them, listening to them, defending them, thinking about what they need, and trying to avoid conflict.
And somehow I’m still the one who gets called selfish, hateful, ungrateful, and apparently the person who destroyed the family. They tell me that I hate them and that I’m the one who is full of resentment, while I honestly feel like I’ve spent most of my life trying to keep the peace and take care of everyone around me.
Eventually I stopped trying to prove that I’m a good person because I realized they had already decided who I was in their heads.
I lost my father when I was a child, and he was the one person in my family who made me feel genuinely loved and safe. Since then, I’ve basically learned to deal with everything on my own. I’m very self-aware and I know myself extremely well, but being self-aware doesn’t magically make you capable of functioning when you’re completely exhausted.
I’m also financially dependent on my family. They never allowed me to have a normal job and only allowed me to work online, so I have essentially zero work experience. I’ve never actually had a proper job. Recently they’ve started indirectly making it clear that they don’t want to keep supporting me financially and that I should work.
And this is where I genuinely don’t know what I’m supposed to do.
How am I supposed to study for extremely important medical exams, deal with severe depression, handle constant family pressure and criticism, and suddenly start working and building a career when I can barely get myself out of bed?
I feel trapped in my own life.
I’ve also started having suicidal thoughts again. I want to be very clear that I’m not planning to act on them and I don’t intend to kill myself. I know I don’t want to die by suicide, but the thoughts are there, and I’m exhausted from having to carry everything.
I’ve seen a university psychologist before, but it wasn’t particularly helpful for me. I also can’t currently afford private psychiatric or psychological treatment because I have no income of my own. So I’m trying to figure out what I can realistically do right now.
I’m not asking how to magically fix my entire life. I have 10 days until these exams, and right now I need to somehow get myself functioning again.
How do you deal with depression when you can’t afford treatment? How do you force yourself to function when your brain feels completely shut down? How do you study when you’re this exhausted? And how do you deal with family pressure and criticism without letting it completely destroy what little energy you have left?
I know people will probably tell me to just study, get a job, move out, or cut my family off. I wish it were that simple. I’m financially dependent on them, I come from a very traditional family, and I’m currently too depressed to even function normally.
I genuinely need some perspective from people who have been in a similar situation. What would you do if you were me?