Should I Seek Help? When to Consult a Psychiatrist - Psychiatry

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Should I see a doctor?


Hello, Doctor.
I would like to ask if I need to see a doctor.
About six months ago, I experienced an assault from my ex-boyfriend, and since then, my condition has been very poor.
Although the school arranged for a counselor immediately and the court provided a mental health professional to help me, I have not been able to connect with the counselor, so I recently stopped the sessions.
Now, the scenes from that time sometimes appear in my dreams, and I often have nightmares and insomnia, resulting in poor sleep quality.
Additionally, I sometimes feel sudden irritability and sadness.
At times, I even think about self-harm and have considered suicide, but I always hesitate because I don't want to hurt the people who love me.
I would appreciate your guidance.
Thank you.

H, 10~19 year old female. Ask Date: 2016/04/19

Dr. Song Chengxian reply Psychiatry


Hello, classmate: Your condition sounds quite serious.
Don't hesitate, seek medical attention as soon as possible! Sincerely, Dr.
Song.

Reply Date: 2016/04/19

More Info


It sounds like you are going through an incredibly difficult time, and I want to emphasize that seeking help is a crucial step towards healing. Based on what you've shared, it is clear that you are experiencing significant distress following a traumatic event. The symptoms you describe, such as nightmares, insomnia, irritability, and thoughts of self-harm or suicide, are serious and warrant professional attention.

First and foremost, it is important to acknowledge that what you are feeling is valid. Trauma can have profound effects on mental health, leading to conditions such as Post-Traumatic Stress Disorder (PTSD), depression, or anxiety. The fact that you are experiencing flashbacks and nightmares suggests that your mind is struggling to process the trauma you endured. This is not something you should have to face alone, and there are professionals who can help you navigate these feelings.

Here are some steps you can take:
1. Reach Out for Professional Help: It is essential to consult a psychiatrist or a licensed therapist who specializes in trauma and PTSD. They can provide you with a safe space to talk about your experiences and feelings. If you felt that your previous counseling sessions were not effective, it might be worth trying to find a different therapist. Sometimes, it takes a few tries to find the right fit. Look for someone who has experience with trauma and can offer evidence-based treatments, such as Cognitive Behavioral Therapy (CBT) or Eye Movement Desensitization and Reprocessing (EMDR).

2. Emergency Support: If you ever feel like you might harm yourself or have thoughts of suicide, it is critical to seek immediate help. You can contact a crisis hotline or go to the nearest emergency room. Many places have 24/7 crisis services that can provide immediate support.

3. Talk to Someone You Trust: Sharing your feelings with a trusted friend or family member can help alleviate some of the burden you are carrying. They can provide emotional support and encourage you to seek professional help.

4. Self-Care Strategies: While professional help is vital, incorporating self-care practices can also be beneficial. This might include mindfulness exercises, journaling, engaging in physical activity, or finding creative outlets. These activities can help manage stress and improve your mood.

5. Educate Yourself: Understanding trauma and its effects can empower you. There are many resources available, including books and online materials, that can provide insights into what you are experiencing.

6. Confidentiality Concerns: If you are worried about confidentiality, rest assured that mental health professionals are bound by strict confidentiality laws. Your privacy is protected, and they cannot disclose your information without your consent, except in certain situations where there is a risk of harm to yourself or others.

In conclusion, your mental health is just as important as your physical health, and seeking help is a sign of strength. You deserve support and care as you navigate through this challenging time. Please take the step to reach out to a mental health professional who can guide you on your path to recovery. Remember, you are not alone in this, and there are people who want to help you heal.

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