I am a 27-year-old dentist, engaged, nothing to complain about. But I feel so depressed, stressed, overwhelmed. I wish someone would kill me and take me away from my misery. I don't want to kill myself (I'm Catholic). I am thinking of getting depression medication, but afraid what people might think. I opened my dental practice two months ago and don't have time to spend with friends. I used to like making love with my fiance, but now I don't really care for it. I seem happy outside, but inside I feel so empty, like there is nothing left to live for. Help.

Nina

There is nothing to be ashamed of in taking psychiatric medication ... and no need for anyone to know any kind of medication you're on (from antibiotics to antidepressants) unless you tell them. (However, if you use your insurance for visits to a psychiatrist or other professional who prescribes medication, and also use insurance to help pay for the medication, your confidentiality will be less secure.)

But I don't recommend antidepressant medication as being the first (and certainly not the only) treatment for depression or other conditions. If stress and other life factors are contributing to feelings of being overwhelmed (which can lead to depression), then taking antidepressant medication alone will be like treating the symptom rather than the cause. To use an analogy from your profession, it'd be like taking aspirin for a chronic toothache without ever discovering and addressing the source of the pain.

Since you mention the amount of stress you're under and that you no longer have time for friends (or, I would assume, many other pleasurable activities), I'd recommend working at reducing whatever in your life is contributing to burnout. I'd also make a point to schedule regular pleasurable activities (whether on your own, with your fiance or your friends) and other things that replenish rather than drain your energy. If you are unable to do that on your own, seek out a psychologist or other therapist to provide support and guidance.

You can also discuss with a therapist whether antidepressants might help in conjunction with therapy, or if a physical exam to rule out any possible medical conditions might be in order. Good luck.