Does Mental Health Treatment Impact Education and Employment Opportunities?

Will psychiatric treatment records affect education or employment?

I am 24 years old and studying at a certain graduate school in the College of Engineering at National Chiao Tung University.
I have had social anxiety disorder since childhood.
I was diagnosed in my senior year and started medication treatment, but recently I have been experiencing frequent negative emotions and inexplicable crying.
My doctor indicated that I might be developing depression.
As a result, my academic performance has significantly declined.
I plan to take a year off from school if my symptoms do not improve.
However, this means I would have to return home, and my family has always believed that I am pretending to be ill and using it as an excuse to avoid entering society.
They also insist that I should not let anyone know that I have seen a psychiatrist, as it would be embarrassing and could lead to discrimination in future education and employment opportunities.
I would like to ask if psychiatric medical records will really be discovered.
Additionally, how long does it typically take to fully recover from social anxiety disorder? Thank you.

Nìngmíng, 20~29 year old female. Ask Date: 2016/05/13

Dr. Zhong Mingxun reply Psychiatry

Will psychiatric medical records really be discovered? --> No, medical records are personal private information, and unless you consent, others cannot access your medical records.

How long does it take to completely cure social anxiety disorder? --> There is no standard answer.
The key is whether, in addition to medication, you are receiving other treatments or training to overcome this anxiety.
Without addressing the underlying issues, long-term medication may be necessary.

Reply Date: 2016/05/13

More Info

Mental health treatment can significantly impact education and employment opportunities, particularly for individuals dealing with conditions such as social anxiety disorder and depression. Your situation highlights the complex interplay between mental health, academic performance, and societal perceptions, especially in cultures where mental health issues are stigmatized.

Firstly, it's essential to recognize that mental health conditions like social anxiety disorder and depression can severely affect one's ability to perform academically and professionally. Symptoms such as negative emotions, crying spells, and a lack of motivation can hinder your focus and productivity, leading to a decline in academic performance, as you've experienced. This decline can create a vicious cycle: poor performance can exacerbate feelings of inadequacy and anxiety, further impacting your mental health.

Regarding your concern about taking a break from your studies, it's crucial to prioritize your mental health. Taking a year off to focus on recovery can be beneficial, allowing you to engage in therapy, medication management, and self-care practices without the added pressure of academic responsibilities. However, the fear of stigma from your family and society can complicate this decision. It's unfortunate that many people still hold misconceptions about mental health, viewing it as a weakness or something to be ashamed of. This stigma can lead to feelings of isolation and reluctance to seek help.

In terms of your family's concerns about your mental health treatment being discovered, it's important to note that mental health records are typically confidential. In the United States, laws such as the Health Insurance Portability and Accountability Act (HIPAA) protect your medical information, including mental health treatment records. However, there may be exceptions in certain situations, such as legal proceedings or if you pose a danger to yourself or others. Generally, unless you disclose this information, it should remain private.

As for the duration of treatment for social anxiety disorder, it varies significantly from person to person. Some individuals may experience improvement within a few months of therapy and medication, while others may require a more extended period to see significant changes. Cognitive-behavioral therapy (CBT) is often effective for social anxiety, helping individuals challenge and change negative thought patterns and behaviors. Medication, such as selective serotonin reuptake inhibitors (SSRIs), can also help manage symptoms.

It's essential to approach your treatment with patience and a willingness to engage in the process. Recovery is not linear, and setbacks can occur. However, with the right support and treatment, many individuals with social anxiety disorder and depression can lead fulfilling lives, both academically and professionally.

In conclusion, mental health treatment can profoundly influence your educational and employment opportunities. Prioritizing your mental health is crucial, and seeking help is a sign of strength, not weakness. If you decide to take a break from your studies, use that time to focus on your recovery. Remember, you are not alone in this journey, and there are resources available to help you navigate your mental health challenges.

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