Should I See a Doctor? Mental Health Struggles - Psychiatry

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I'm not sure if I should see a doctor?


Hello doctor, I have been a rather repressed and quiet person with a bit of perfectionism since childhood.
Last year, I went through an experience that wasn't a true failure, but it made me feel terrible and useless.
On top of that, I started a long-distance relationship with my boyfriend and left my family to study in another city.
This past year has been very painful for me; I didn't want to attend classes or socialize, often cried, and my thoughts became more pessimistic than before.
Everything felt negative, and I often didn't want to do anything, sometimes only eating one meal a day.
Now that summer vacation has come and I can see my family and boyfriend every day, my situation hasn't improved much.
Although I don't cry as often, I still don't want to do anything and spend all day lying in bed.
To others, I seem to be doing fine, but I don't know if I should see a doctor.
I've thought about exercising to make a change, but the desire to do nothing far outweighs the motivation to engage in activities that would be beneficial for me.
I feel like I can't fight against this, yet there’s hardly anyone I can talk to about it.

E, 20~29 year old female. Ask Date: 2016/08/23

Dr. Qiu Junda reply Psychiatry


Hello: It seems that you are experiencing some negative emotions, which, combined with your personality traits, may exacerbate the severity of your symptoms.
I hope you can visit a nearby mental health clinic or psychiatric facility as soon as possible to facilitate the improvement of your emotional well-being.

Reply Date: 2016/08/23

More Info


It sounds like you are going through a very challenging time, and it's important to acknowledge that your feelings and experiences are valid. The struggles you've described—feeling down, lacking motivation, and withdrawing from social interactions—are common signs of mental health issues, particularly depression or anxiety. Given the context of your situation, it may be beneficial for you to consider seeking professional help.

Firstly, it's crucial to understand that mental health is just as important as physical health. Just as you would see a doctor for a persistent cough or a broken bone, you should also seek help for ongoing emotional or psychological distress. The symptoms you are experiencing—such as persistent sadness, lack of interest in activities, and changes in appetite—can significantly impact your quality of life and overall well-being. These symptoms are not just temporary feelings; they can be indicative of underlying mental health conditions that may require intervention.

You mentioned that you have been feeling particularly down since experiencing a setback and that the distance from your boyfriend and family has compounded these feelings. Life transitions, such as moving away for school or experiencing a significant change in relationships, can be stressful and may trigger or exacerbate mental health issues. It’s not uncommon for individuals to feel overwhelmed during such times, and seeking support can be a crucial step in navigating these challenges.

While you have considered exercising as a way to improve your mood, it’s understandable that motivation can be hard to muster when you're feeling low. Exercise is indeed beneficial for mental health, as it releases endorphins and can improve mood, but it can be difficult to start when you're in a negative mindset. This is where professional help can play a vital role. A mental health professional can provide you with strategies and support tailored to your specific needs, helping you to gradually re-engage with activities that you once enjoyed or find new ones that resonate with you.

Moreover, talking to a therapist or counselor can provide a safe space for you to express your feelings and thoughts without judgment. They can help you explore the underlying issues contributing to your feelings of inadequacy and hopelessness. Cognitive-behavioral therapy (CBT), for example, is an effective treatment for depression and anxiety that focuses on changing negative thought patterns and behaviors. This type of therapy can equip you with tools to challenge and reframe your negative thoughts, making it easier to take steps toward recovery.

It’s also important to consider that you are not alone in this experience. Many people struggle with similar feelings, and reaching out for help can be a sign of strength, not weakness. If you feel comfortable, you might also consider discussing your feelings with trusted friends or family members. They may provide support and encouragement, and you might find that they have experienced similar feelings themselves.

In summary, I strongly encourage you to seek help from a mental health professional. They can provide you with the support and guidance you need to navigate this difficult time. Remember, taking the first step to seek help is a significant move toward healing and regaining control over your life. You deserve to feel better and to find joy in your daily activities again. Don't hesitate to reach out for the support you need.

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