Should I see a psychiatrist?
Since childhood, there have been various conflicts at home, sometimes escalating into hysterical arguments with my mother.
After each fight, I feel terrified, as if the person who was yelling and throwing things is not really me.
Normally, I smile and seem unbothered, but whenever my mother goes into a rage, I also become hysterical.
This continued until three years ago when my father moved into a nursing home.
My mother, who suffers from depression, initially argued with me but gradually became less confrontational over the next two years.
I felt she was sorry for me, which made me feel very lonely.
She often stayed locked in her room but occasionally sent me negative messages through LINE.
Her friends also disappeared, often asking me about my parents' situation.
My mother told me to take care of myself and manage my own burdens, so I took on all responsibilities except for rent.
Everyone says I am strong and filial, encouraging me to help my mother recover.
Last year, I surprised her for her birthday, and she cried, although her face was still pale.
Since then, she has occasionally joined me for meals and sent messages, mostly negative but showing some improvement.
However, the day before her birthday, I visited my father, whom I hadn’t seen in a long time and thought I hated.
I broke down and asked him to write "Happy Birthday" for my mother.
The next day, I surprised her again for her birthday, and her friends said she looked much better.
She hugged me and cried, acknowledging my struggles.
I also broke down, but she seemed to be doing a bit better.
Recently, I have been feeling unwell.
I thought it was due to the side effects of the medication for my hives, but at school, my friends said I looked like I was about to faint, and even the instructor commented on my pale appearance.
I told him I had a severe headache and felt dizzy.
He thought my hands and feet were too cold and suggested a brain scan.
Over the past few days, I noticed that whenever I am in crowded places, I start sweating profusely, my heart races, and I feel nauseous.
My friends often tell me to stay away from them, but when they ignore that and come close, I inexplicably get angry.
I am afraid to tell my mother about this, fearing she might think it’s her fault, so I chose to confide in my boyfriend instead.
He understands my family situation but believes I should go to a major hospital for a physical check-up rather than seeing a psychiatrist.
He wants to help me, but I often refuse, leading to some arguments.
I have started to question what is wrong with me; I don’t want to be seen as neurotic.
I even joked with my friends that I might have social anxiety, which they dismissed as nonsense.
I wonder if I am overthinking or if there is a real issue.
Now, I am more worried because I have to attend my graduation ceremony, where I will receive an award.
However, I fear that my suspicions about my condition might be correct, and I don’t know what to do.
Xuan Xuan, 10~19 year old female. Ask Date: 2016/05/22
Dr. Zhong Mingxun reply Psychiatry
I only experience excessive sweating, rapid heartbeat, dizziness, and nausea when I am in crowded places.
This is likely a symptom of anxiety or panic, but it could also be a physiological issue.
I recommend that you first visit an internal medicine specialist for an evaluation.
If there are no physiological problems, it is probably related to anxiety or panic symptoms, and you may want to seek treatment from a psychiatrist.
Your symptoms can be alleviated with medication, but psychological issues still require psychotherapy for a more comprehensive resolution.
Reply Date: 2016/05/22
More Info
It sounds like you are experiencing a significant amount of emotional distress and anxiety, particularly in relation to your family dynamics and your own mental health. The feelings of fear, panic, and discomfort in social situations, as well as the physical symptoms you describe, such as sweating, rapid heartbeat, and dizziness, can be indicative of anxiety disorders, including social anxiety disorder or panic disorder.
From your description, it seems that your family environment has been quite challenging, especially with your mother's struggles with depression and your father's situation. These factors can contribute to feelings of isolation, stress, and a sense of responsibility that may feel overwhelming. It’s understandable that you would feel a mix of emotions, including anger, frustration, and sadness, especially when you feel the need to support your mother while also managing your own mental health.
The fact that you are experiencing physical symptoms in social situations, such as rapid heartbeat and sweating, suggests that your body is reacting to stress and anxiety. This is a common response when someone feels overwhelmed or threatened, even in situations that may not be dangerous. It’s important to recognize that these feelings are valid and that you are not alone in experiencing them.
Your boyfriend's suggestion to see a psychiatrist is a constructive one. Mental health professionals can provide you with a safe space to explore your feelings and experiences without judgment. They can help you understand whether what you are experiencing is part of a larger mental health issue and can offer strategies to cope with anxiety and stress. Cognitive-behavioral therapy (CBT) is one effective approach that can help you challenge negative thought patterns and develop healthier coping mechanisms.
It’s also important to consider that seeking help does not mean you are "crazy" or that you have a severe mental illness. Many people seek therapy for various reasons, including stress management, coping with life changes, or simply wanting to understand themselves better. Mental health is just as important as physical health, and addressing your concerns early can prevent them from escalating.
As for your upcoming graduation ceremony, it’s natural to feel anxious about such a significant event, especially if you are receiving an award. It may help to prepare yourself mentally for the event. Consider practicing relaxation techniques, such as deep breathing or mindfulness, to help calm your nerves. Visualizing a positive outcome can also be beneficial. Remember that it’s okay to feel anxious, and you can take steps to manage those feelings.
In summary, it would be wise to consult with a mental health professional who can provide you with the support and guidance you need. You deserve to feel better and to have the tools to manage your anxiety effectively. Remember, seeking help is a sign of strength, and taking care of your mental health is crucial for your overall well-being.
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