Navigating Family Pressure: Finding Peace Amidst Mental Health Struggles - Psychiatry

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The term "罩門" translates to "s


I left a well-paying and relatively easy job at the end of April to prepare for the entrance exam for the university's continuing education program in July, and I finally got accepted into my ideal school.
However, since three months ago, my former classmates, colleagues, and supervisors, as well as my tutoring classmates, have all been encouraging me.
On the other hand, my parents, whom I know love me dearly, constantly remind me why I am only now choosing to study, why I didn’t pursue further education right after graduating from vocational school (when I felt they were always asking me why I wasn’t working right away), and why I am going to university now when I will be in my thirties by the time I finish.
They question why I initially chose vocational school (which was their decision; I had wanted to attend high school!).
They often say things like "If I had known it would be like this, I would have done it differently." My younger siblings are almost graduating from graduate school, and another sister is about to study abroad in Europe.
From my perspective, even if it’s not just for a diploma, surviving in such a rapidly changing industrial and commercial society makes it difficult to compete without continuous self-improvement.
I do not regret my decision at all; it’s just hard to feel happy when I hear discouraging words from my loved ones.
I have tried to communicate with them, but perhaps due to my personality, the messages I receive only seem to blame me for my past mistakes.
All the errors are my fault, as if no matter how hard I try now, it cannot compensate for past failures.
Every time I hear them say such things, I feel sad for several days and struggle to sleep.
This isn’t a recent issue; ever since I didn’t get into my first-choice school after the high school entrance exam, whenever I appear at family gatherings, my mother always criticizes me in front of everyone.
As a result, I started to dislike attending these gatherings and would intentionally keep my distance.
Even after ten years, she still brings up this old story without mercy in front of others, which feels like my self-esteem is being trampled again.
Occasionally, I have nightmares about failing exams, and I began to feel hopeless about myself.
I also didn’t enjoy the major I studied in vocational school, my grades plummeted, and I didn’t want to attend classes; I just wanted to sleep to escape reality.
While other classmates graduated, I spent three years in school making up credits, and when I finally received my diploma, I struggled to find a job and also went through a breakup at that time.
Because of this, my self-confidence diminished further, and I became even less inclined to work.
I don’t know when it started, but I began to experience painful menstrual cramps, often sweating profusely and vomiting, to the point where I couldn’t even take painkillers, which gave me even more reason to do nothing.
However, I later realized that staying at home all day was frustrating, and I worried about my health affecting my employability.
So, I studied computers for six months and took a part-time job to regain some sense of work.
During this time, a close classmate often came to me to vent about her job struggles, and perhaps because I became a sounding board for her, I started to see some similarities between her thoughts and my past self.
I asked myself, "Do I want to become a person filled with negative thoughts like her? No, I don’t want to be like her." From that point on, I began to learn how to face reality and my own failures, which is why I wanted to try doing something to resolve this long-standing emotional knot.
However, even so, my parents still occasionally remind me of my past, sometimes saying things that feel like hindsight wisdom.
I really wish they would stop bringing up the past, but it often leads to arguments between us.
Every time I hear them say such things, it hurts deeply.
I wish I could be the one taken away by the time machine in "The Legend of the Condor Heroes" instead of Xiang Shaolong.
Although I usually express my sadness through writing, it often just makes me feel worse.
Sometimes I wonder why I was born a human.
I even told my sister that it would be better if I didn’t exist in this world.
But in the end, I choose to dry my tears and continue living; it’s not worth disappearing from this world over such matters! I can only consider these disappointments as essential lessons in the university of life.
I apologize for writing so much; I feel like I’m just venting to myself, which always leaves my eyes swollen.
It might be better to talk to a professional doctor, even if they are a stranger, about my feelings.
I initially wanted to see a psychologist, but I feel like I wouldn’t be able to express myself face-to-face.
Moreover, I’m unsure if my situation warrants seeing a doctor.
If I talk to friends, I tend to hold back on certain things, leaving some issues unresolved.
Additionally, I want to know if my previous situation could be considered depression.
Thank you for your patience and answers!

Eva, 20~29 year old female. Ask Date: 2002/08/21

Dr. Tang Xinbei reply Psychiatry


Dear EVA: "Reality is more important than perfection!" This is a motto I share with some online users seeking advice, and it is also a principle I apply to myself! Life inevitably comes with many setbacks, and everyone will "choose" their own path to face difficulties and challenges.
In your early years, you may have "chosen" to attend a vocational school based on various factors (such as parental advice, family financial considerations, etc.), but it seems you have always hoped for a better educational background.
Now, ten years later, you have "chosen" to re-enter university.
However, it appears that you feel your parents provide less support, encouragement, or affirmation compared to others around you? It seems you have been living under the "influence" of your parents' decisions, and you deeply desire their recognition and approval? This effort to "please your parents" seems to create a gap between their expectations and your own self-expectations, leading your emotions to become trapped in pain, which in turn affects your physical and mental health—resulting in various discomforts and negative thoughts.
Your situation may not meet the clinical criteria for depression, but prolonged negative emotions can significantly impact you.
I suggest you find a psychiatrist, psychologist, or counselor who can support you in therapy, to discuss your feelings and possibly change your thoughts or attitudes.
Wishing you peace and joy!

Reply Date: 2002/08/21

More Info


Navigating family pressure while managing mental health struggles can be incredibly challenging, especially when familial expectations and past experiences weigh heavily on your emotional well-being. Your situation reflects a common struggle faced by many individuals who feel caught between their aspirations and the expectations of their family members.
Firstly, it’s important to acknowledge the emotional turmoil you are experiencing. The feelings of inadequacy and self-doubt stemming from your parents' comments about your educational choices are valid and can significantly impact your mental health. The pressure to conform to familial expectations can lead to anxiety, depression, and a sense of hopelessness. It’s crucial to recognize that your journey is unique, and pursuing further education at this stage in your life is a commendable decision, regardless of what others may think.

Your parents' remarks, while likely rooted in concern and love, can often come across as criticism. This can create a cycle of negative self-talk, where you internalize their words and begin to believe that you are not good enough or that you have made poor choices. It’s essential to challenge these thoughts. Cognitive Behavioral Therapy (CBT) techniques can be beneficial in this regard, as they help individuals identify and reframe negative thought patterns. For instance, instead of thinking, “I should have done this earlier,” you might reframe it to, “I am taking a positive step now, and that’s what matters.”
Additionally, it’s important to establish boundaries with your family regarding discussions about your past. You might consider having an open conversation with them about how their comments affect you. Expressing your feelings can sometimes lead to greater understanding and support from your family. If direct communication feels daunting, writing a letter can be a less confrontational way to express your thoughts and feelings.

In terms of your mental health, it’s crucial to seek professional help if you feel overwhelmed. A mental health professional can provide you with tools to cope with anxiety, depression, and the stress of familial expectations. Therapy can also offer a safe space to explore your feelings and develop strategies to manage them effectively. If face-to-face therapy feels intimidating, consider online therapy options, which can provide a more comfortable environment for you to express yourself.

Your physical symptoms, such as severe menstrual pain and feelings of nausea, may also be linked to your emotional state. Stress and anxiety can manifest physically, and it’s essential to address both your mental and physical health. Consulting with a healthcare provider about your physical symptoms is advisable, as they can help rule out any underlying medical conditions and provide appropriate treatment options.

Lastly, it’s important to practice self-compassion. Acknowledge that it’s okay to feel lost or uncertain about your path. Life is not a straight line, and many people take unconventional routes to find fulfillment and success. Celebrate your achievements, no matter how small, and remind yourself that your worth is not defined by your past choices or by comparisons to your siblings.

In conclusion, navigating family pressure while managing mental health struggles requires a multifaceted approach. By seeking professional help, establishing boundaries, practicing self-compassion, and reframing negative thoughts, you can begin to find peace amidst the chaos. Remember that you are not alone in this journey, and there are resources and support available to help you thrive.

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