everything seems exausting

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am 19 .I have been diagnosticated with depression and anxiety and prescribed lexpro 20 mg.I do not feel it is working and i think i know the cause.Here it goes.....I always have the feeling that i have an emotional issue unsolved,i am not sure what  is this emotinal issue(i know it sounds weird) or maybe i do not want to reconise it because it is too painfu l.Whenever i try to be positive,do something i used to like,act normal, i feel that there is no use doing it,it feels hard,exausting, because it is not the same it used to be because i have this unresolved issue,it really *****.You might say go to a therapist and sort your issues but i have analysed and overanalysed what the unresolved issue could be ,what it really bugging me and i don't know what it is,i have even been to therapy but nothing.Everything i do feels different because of this unresolved issue,feels boring,useless.I feel frustrated because i can not solve this problem,it affects all aspects of my life,i do not want to eat,i have big anxiety when talking to people and i always feel guilty and frustrated because i think it is my fault i feel this way because i do not solve this emotional issue and i prefer to avoid it.I am so stressed ,i tried to figure out what could this issue might be and because i felt guilty about masturbating i thought this might be the issue so i told my parents i masturbate to relieve myself but it didn't work,i still feel guilty and feel i didn't  solve my emotional issue .This is why i think i am depressed and suffer from anxiety .I wish i could forget about this obssession with the unresolved emotional issue but whenever i try to go on with my life everything seems too hard too exausting and i imediately feel guilty and think it is my fault everything seems so exausting because i didn't not solve this issue.It annoys me and frustrates me everyday.
This is the biggest problem of my life..do you think chemical imbalance in the brain could make me think this way?

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I wish i could be hypnotised,but i feel this emotional issue will prevent me from being hypnotised,i almost feel i won't be able to be hypnotised but i want to.I live in Romania ,hypnotherapist are very hard to find here.Do you think i may be hypnotized even if i can not clear my mind,even if i have this emotional issue?How about self hypnosis,is it possible to work on me?

[Ted A Grossbart, Ph.D.]

I don't see the ability to relax as an issue.  (For instance while hypnosis often includes relaxation, it can be done while walking or running).  Many very anxious people do well in therapy.

If you feel at an impasse with this therapist, I suggest you see another with a different approach and get a second opinion and consider changing therapists if that is indicated.

To keep beating your head against the same wall after five years does not seem to be a good plan.

tg

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Yes i have described my experienee to the therapist.But his techinques can not work on me because i can not do anything to the full extent because my mind blocks it because of this unresolved issue.So things like "imagine that,relax your body,think of..."do not work on me...i can never fully relax,if i could be able to relax i wouldn't ask for help in the first place.Something is keeping me locked and i spent five years to find out what it is and i still don't know.Everything i do it is more harder than it should be because of this issue

[Ted A Grossbart, Ph.D.]

I'm unclear if you feel you have fully described your experience to your therapist and he/she understands what you are up against?  

Blocks like this are common in psychotherapy.  There are a bunch of techniques that usually do the job.  Often it is less useful to focus on defining Issue X, than questions like "What if everyone in town knew all about you and Issue X?"  "What if Issue X were to totally vanish at midnight?"

Hope this helps.

tg

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I feel everything i do is blocked by my mind because of this unresolved issue.So when my therapist told me to relax my muscles i couldn't because of this issue.Absolutely everything i do is blocked mentally and the thing is that in my mind all this barriers make sense but i can not explain them.I feel this issue pulls me back literally from everything i do.and i don't see a way out.

[Ted A Grossbart, Ph.D.]

Certainly anxiety and especially can produce pervasive feelings of fatigue.  Biochemical issues can contribute to both.  OCD with a biological component could make the thought "I have an unresolved issue" nagging and persistent.  

You should go back to whoever prescribed the Lexapro and discuss dosage or another medication.

On the other hand I would not be too quick to dismiss the feeling without fuller exploration.  I would suggest another go at psychotherapy.  Perhaps try a therapist with a different orientation, gender, set of techniques.  

A good therapist who is also trained in hypnosis would be one possibility, as this technique can sometimes get at things in a particularly effective way.  The Society for Experimental and Clinical Hypnosis has a site and referral list.  I'm a member and have been impressed with the group.  The American Society of Hypnosis is the other particularly good source.

Let us know how it goes.

tg