Should I See a Psychiatrist? Mental Health Struggles

Please help me, should I see a psychiatrist?

Before this happened, I thought of myself as a positive thinker and someone who enjoyed life.
However, last year, I suddenly had a strange fantasy, wondering if everyone in the world was lifeless.
I ended up believing in this fantasy, and for a period of time, I suffered greatly, feeling an immense pressure as if I was the only one left in the world.
Despite this, I continued to live a normal life and didn't tell anyone, thinking that talking about it would be pointless.
I nearly couldn't bear the pressure and had suicidal thoughts, but I managed to pull through with a glimmer of hope.
I later told myself not to overthink and that things would gradually get better, but I couldn't fully recover.
I started to worry excessively about various things and couldn't stop the fantasies, which caused me significant stress.
I couldn't return to my previous life.
For example, after watching a movie called "The Truman Show," I would fantasize about becoming the main character.
This situation has persisted for a year and a half.
Sometimes, I manage to relax a bit, but the relapses keep occurring.
Should I see a doctor? I’m afraid to tell my family because I worry they might think I have a mental health issue.

Boy, 10~19 year old female. Ask Date: 2016/05/05

Dr. Zhong Mingxun reply Psychiatry

Your condition may simply be a state of anxiety, or it could be an early sign of a mental health disorder.
It is advisable to seek evaluation from a psychiatrist as soon as possible for a comprehensive assessment, which will help put your mind at ease.

Reply Date: 2016/05/05

More Info

It sounds like you are experiencing a significant amount of distress related to your mental health, and it's important to take your feelings seriously. The thoughts and feelings you've described, including the sense of pressure, persistent fantasies, and suicidal ideation, are concerning and indicate that you may benefit from professional help.
Firstly, it's crucial to understand that seeking help from a psychiatrist or mental health professional is a sign of strength, not weakness. Mental health struggles can affect anyone, regardless of their previous outlook on life or how they perceive themselves. The fact that you once considered yourself a positive thinker does not negate the reality of your current struggles. Mental health issues can arise due to various factors, including stress, trauma, or even biological predispositions, and they can affect anyone at any time.

Your experience of feeling detached from reality, as if the world around you is not alive, can be a symptom of derealization, which is often associated with anxiety and depression. This feeling can be incredibly disorienting and can lead to increased anxiety and distress. The fact that you have had thoughts of self-harm is particularly concerning and should not be taken lightly. It's essential to talk to someone who can help you navigate these feelings safely.

You mentioned that you have been able to cope somewhat by telling yourself not to think too much, but this approach may not be sufficient for long-term relief. Mental health conditions often require more than self-management strategies; they may need professional intervention, such as therapy or medication. A psychiatrist can provide a comprehensive evaluation and help determine the best course of action for your specific situation.
It's understandable to feel hesitant about discussing your feelings with family members, especially if you fear being judged or misunderstood. However, consider that mental health issues are increasingly recognized as legitimate health concerns, and many families are becoming more supportive and understanding. If you feel comfortable, you might start by discussing your feelings with a trusted friend or a school counselor, who can help guide you toward professional help.

In therapy, you can explore the underlying causes of your thoughts and feelings, learn coping strategies, and develop a better understanding of yourself. Cognitive-behavioral therapy (CBT), for example, is effective for many people dealing with anxiety and depression, as it focuses on changing negative thought patterns and behaviors.

In summary, yes, you should consider seeing a psychiatrist or a mental health professional. Your experiences are valid, and you deserve support and help in navigating through this difficult time. Remember, reaching out for help is a courageous step toward healing and reclaiming your life. You are not alone in this, and there are people who can and want to help you.

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