Am I Sick? Mental Health Struggles and Seeking Help - Psychiatry

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Hello Dr.
Lin,
Actually, I'm not sure how to describe my situation because it feels like I haven't moved past certain events, even things that happened in my childhood still resurface at times.
It's quite lengthy, and I apologize for trying to condense it.
My family members express their emotions very directly.
My father tells me that having a daughter is useless, my uncle laughs at me saying, "How come you're so bad at science?" My aunt comments on everything, as if she needs to prove how great she is.
As a child, I couldn't handle their ridicule and often questioned myself, wondering if I was really that stupid or inadequate.
I even reflected on why I was a girl.
When I got angry at their teasing, my aunt said I had a "princess syndrome," implying that I couldn't handle being mocked, so they needed to tease me more to "train" me.

In middle school, I transferred schools due to a strict teacher, and after I left, two or three classmates also transferred because of that teacher.
At my new middle school, I wanted to give myself a fresh start, so I set a psychological goal to redefine my personality, forcing myself to be cheerful and rational (which is quite funny, haha).
I also created a hypothetical rival to motivate myself academically, always feeling that I could achieve something significant.
I was a class monitor for two years, but in my final year, I had poor relationships with my peers, perhaps due to my arrogance.

I got into a girls' high school, which everyone praised, but I began to question why I needed to study and why a good job equated to happiness in life.
So, I transferred to a religious school where leaving was only allowed during winter and summer breaks.
At that school, I was often misunderstood by teachers, which affected my emotions negatively.
Some classmates would come to me and say, "You have too much karma," which, although perhaps well-intentioned, only added fuel to the fire.
I once skipped class and cried during group activities, and for the last two years, I was almost always in an emotional state.

What troubled me even more was why the deity I believed in didn't come to save me.
Was everything I learned in school a lie? During mock exams, I wondered why my middle school grades were so good, yet I was struggling in high school.
After the college entrance exams, I left my application blank and decided to retake the exams.
The pressure and atmosphere of that year were intense, and even when I eventually got into a good national university, I found myself uninterested in my major.
I had to retake the exams at home, and my uncle once told me in Taiwanese, "You’ve lost face." My father was also unwilling to provide any help, saying it was fine to attend a private university later, but I questioned what all my hard work was for if I sacrificed time with friends and leisure activities.

When I got to university, I moved out and rarely returned home.
Later, I worked at a massage shop for the visually impaired and started dating a visually impaired boyfriend.
However, when I learned that a girl I used to compete with in elementary school was studying for her master's degree abroad, all my inner voices erupted.
Why was my family unfair to me? Why could my family speak irresponsibly, while I worried about being mocked during every exam, even when I was first in my class? Why did my life end up like this? My emotions fluctuated for weeks, especially around my boyfriend, where I often felt more burdened than other girls.
There were times I would suddenly lash out at him in the middle of the night, hitting him and banging my head against the wall because I truly didn't understand why my life was like this.

During those weeks, I decided to give myself a long break, especially since I felt invisible in university and often worried about being excluded by classmates.
So, I decided to take a long break, not thinking about anything, just wanting to relax because, even though I’m only 23, I felt exhausted and devoid of energy for the future.
Although this summer, I finally stopped working and felt much more relaxed, I still fear that I seem particularly straightforward and struggle to handle certain situations, often finding myself in a negative state for weeks.
Because of my high school experiences, I distrust anyone labeled as a teacher or classmate.
While working, I realized that people live based on others' moods; even if you are right, if your supervisor dislikes you, you become wrong, leading to a general distrust of everyone.
Past grievances keep resurfacing.
What should I do? Am I sick? If I seek treatment from a psychiatrist, will it affect my future applications for civil service or healthcare positions?

Melody123, 20~29 year old female. Ask Date: 2016/04/14

Dr. Lin Niqi reply Psychiatry


Hello, the content describes the process of growing up while receiving many negative evaluations from others about your personal character, which often leads to self-doubt and self-denial.
Past life experiences can influence a person's personality, thought processes, attitudes towards handling situations, values, and emotions.
It is advisable for you to seek treatment from a psychiatrist and consider undergoing psychotherapy.
In theory, seeking treatment from a psychiatrist should not affect your employment rights; however, you should be aware that poor emotional or mental health may impact your performance in the workplace.

Reply Date: 2016/04/14

More Info


It sounds like you are going through a very challenging time, and I want to acknowledge the pain and confusion you are experiencing. From your description, it appears that you have been dealing with a range of emotional struggles, including feelings of inadequacy, anxiety, and possibly depression. These feelings can stem from various sources, including family dynamics, academic pressures, and personal expectations.

Firstly, it’s important to understand that what you are feeling is valid. Many people experience similar emotions, especially when faced with difficult family relationships and societal pressures. The comments from your family members, such as feeling that being a girl is a disadvantage or being ridiculed for your academic performance, can deeply affect your self-esteem and mental health. These experiences can lead to a cycle of negative self-talk and feelings of worthlessness, which you seem to be grappling with.

Your attempts to redefine yourself and set goals for improvement are commendable, but it’s also crucial to recognize that it’s okay to seek help when you feel overwhelmed. The emotional turmoil you describe, including the outbursts and feelings of anger towards yourself and others, suggests that you may benefit from professional support. Therapy can provide a safe space to explore these feelings, understand their origins, and develop coping strategies.

Regarding your concerns about seeking help from a mental health professional, it’s important to know that mental health treatment is confidential. In the United States, healthcare providers are required to maintain patient confidentiality, meaning that your information will not be shared without your consent. This confidentiality can help you feel more secure in seeking help.

As for your worries about how seeking help might affect your future career prospects, particularly in public service or healthcare, it’s worth noting that many employers are increasingly recognizing the importance of mental health. They often value candidates who are self-aware and proactive about their mental well-being. Additionally, mental health issues are common, and seeking help is a sign of strength, not weakness.

You mentioned feeling distrustful of authority figures like teachers and classmates due to past experiences. This is a common reaction when individuals have faced criticism or misunderstanding in educational settings. Building trust takes time, and it might be helpful to work on this in therapy, where you can explore these feelings in a supportive environment.

In summary, you are not alone in your struggles, and it’s okay to seek help. A mental health professional can assist you in navigating your feelings, improving your self-esteem, and developing healthier coping mechanisms. Remember, taking care of your mental health is just as important as taking care of your physical health. You deserve support and understanding as you work through these challenges. Please consider reaching out to a therapist or counselor who can help you on this journey.

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