Struggling with Mental Health: Can Self-Control Replace Professional Help?

Have you always wanted to seek medical care, but reality just doesn't allow it?

Initially, it was self-harm, seeking release through the sensation of hurting myself.
This has been a state I've been in for nearly ten years, during which I've constantly suppressed myself (including suicidal thoughts), resulting in frequent self-inflicted bruises.
My physical condition has evolved from long-term sleep disturbances, often unable to sleep, feeling that just one hour of sleep is sufficient; at times, I would sleep inadequately, even to the point of being unresponsive when called.
These two states would alternate, lasting one to two months each.
However, recently, the level of fatigue and the desire to sleep has become unusually high, accompanied by feelings of nausea.
Yet, when I do manage to sleep, I often experience difficulty breathing, and no matter how much I sleep, I never feel rested.
Additionally, I frequently experience numbness in my limbs (not due to pressure), persistent headaches (to the point of needing IV treatment in the emergency room), and dizziness, all of which are new and distressing symptoms.

I have consulted nearly all specialties aside from psychiatry, and all tests have returned normal results.
Only the neurologist prescribed antidepressants, which significantly improved my condition during the treatment period.
Moreover, more than two doctors have subtly suggested that I consider seeing a psychiatrist for further evaluation.

What I want to ask is, if I do not seek treatment and try to manage this on my own, is that feasible? Recently, my ability to control my situation has spiraled out of control.
While I am not at the point of seriously harming myself or others, I increasingly prefer to isolate myself and engage in conversations with an imagined version of myself (which has been ongoing for several years).
Seeking treatment could impact my job (as a public servant) and my custody of my child (which I currently have sole custody of).

In addition to asking whether self-management is possible, I would like to know if self-control can be maintained, what symptoms might arise in the future? I have attempted many changes, but I feel no special emotional connection to those around me, including my child and family.
Maintaining custody gives me a sense of victory and a reason for my existence.

L, 20~29 year old female. Ask Date: 2016/06/28

Dr. Wang Yixiang reply Psychiatry

Hello, it is evident that you are experiencing significant emotional and sleep issues, and you have been struggling with some recent stress.
However, you have concerns about seeking medical help.
In fact, many people suffering from insomnia are now seeking treatment from psychiatrists, and the stigma surrounding mental health has decreased.
Additionally, medical records are protected and restricted by privacy laws, so you can feel secure about that.
Furthermore, you mentioned your worry about losing control; if something unfortunate were to happen, it could have an even greater impact on your work and custody rights.
I recommend that you seek medical attention as soon as possible.
The Psychiatry Department at Nantou Hospital is here to support you.

Reply Date: 2016/06/28

More Info

Struggling with mental health issues can be incredibly challenging, and the question of whether self-control can replace professional help is a complex one. Based on the symptoms and experiences you've described, it is clear that you are dealing with significant emotional distress, self-harm behaviors, sleep disturbances, and a sense of isolation. While self-control and personal strategies can be beneficial in managing mild stress or anxiety, they are often insufficient for more severe mental health issues, especially those that have persisted for years.

Self-harm, as you've mentioned, can provide a temporary sense of relief or release from emotional pain, but it is not a healthy coping mechanism. It often leads to a cycle of guilt and shame, which can exacerbate feelings of depression and anxiety. The fact that you have been experiencing these behaviors for nearly a decade indicates that this is not just a phase but a serious issue that requires attention.

Your sleep disturbances, including extreme fatigue, difficulty breathing while sleeping, and persistent headaches, are also concerning. These symptoms can significantly impact your daily functioning and overall quality of life. The fact that you have sought help from various medical professionals and have been prescribed antidepressants suggests that there is a recognition of the seriousness of your condition. It is important to note that while medication can help alleviate some symptoms, it is often most effective when combined with therapy.

You mentioned concerns about seeking professional help due to potential impacts on your job and custody of your child. These are valid concerns, but it is crucial to prioritize your mental health. Many mental health professionals understand the stigma and fears associated with seeking help, and they can work with you to ensure confidentiality and provide support tailored to your situation. Additionally, mental health treatment is protected under privacy laws, which means that your medical records are confidential and cannot be shared without your consent.

If you choose to rely solely on self-control, it is essential to recognize that this approach may not address the underlying issues contributing to your distress. Over time, unresolved mental health problems can lead to more severe symptoms, including increased isolation, worsening mood, and potential crises. It is also possible that without professional intervention, you may develop maladaptive coping strategies or experience a decline in your emotional well-being.

In terms of potential future symptoms if you manage to control your emotions on your own, it is difficult to predict. Some individuals may find temporary relief, but without addressing the root causes of their distress, they may continue to experience emotional instability, anxiety, or depressive episodes. Moreover, the lack of emotional connection with loved ones, as you described, can lead to further isolation and loneliness, which can perpetuate a cycle of mental health struggles.

In conclusion, while self-control and personal strategies can play a role in managing mental health, they are often not enough for serious conditions. Seeking professional help is a crucial step in understanding and addressing your mental health issues. It can provide you with the tools and support necessary to navigate your feelings, improve your emotional regulation, and ultimately enhance your quality of life. Remember, prioritizing your mental health is not only beneficial for you but also for your child and your ability to maintain custody. Seeking help is a sign of strength, and it can lead to a healthier, more fulfilling life.

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