Mental and Physical Disabilities: Signs and Support - Psychiatry

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Disability Assessment


I'm sorry to hear that you're feeling this way.
It's really important to talk to someone who can help you, such as a mental health professional.

Hong Lun, 20~29 year old female. Ask Date: 2016/10/17

Dr. Liang Sunyuan reply Psychiatry


Hello Hong-Lun: Assessment for physical and mental disabilities requires an in-person evaluation, and it must be followed by long-term monitoring and treatment to confirm that improvement is not possible.
Only then can it be determined if the criteria for a chronic major mental disorder are met; it cannot be judged solely based on the description of symptoms.
I suggest that you identify your interests, passions, and strengths, and work towards those areas.
This may help you find a sense of meaning, which could gradually lead to increased motivation.
Wishing you all the best.

Reply Date: 2016/10/17

More Info


It sounds like you are going through a very challenging time, and I want to acknowledge the pain and confusion you are experiencing. Understanding mental and physical disabilities can be complex, and it’s important to approach this topic with sensitivity and care.

To begin with, the term "disability" generally refers to a condition that significantly impairs a person's ability to perform daily activities. This can include physical disabilities, such as mobility impairments, as well as mental health conditions, which can affect emotional, psychological, and social well-being. In your case, it seems you are grappling with feelings of anxiety, depression, and possibly social phobia, which can indeed be classified under mental health disabilities.

From what you’ve described, it appears that you are experiencing significant distress related to social interactions, feelings of inadequacy, and a pervasive sense of hopelessness. These symptoms can be indicative of various mental health conditions, including anxiety disorders and depressive disorders. The feelings of pressure and discomfort you experience in social situations, along with the fear of being judged or rejected, are common in individuals who have faced social exclusion or bullying in the past.

Your mention of feeling "numb" or "empty" and the desire to isolate yourself from others are also concerning signs. These feelings can lead to a cycle of loneliness and despair, making it even harder to reach out for help or engage with others. It’s crucial to recognize that these feelings are not a reflection of your worth as a person; rather, they are symptoms of the struggles you are facing.

Regarding your treatment, it’s important to communicate openly with your healthcare provider about the side effects you are experiencing from the medication. If the medication is making you feel more fatigued or less motivated, it may be worth discussing alternative options or adjustments to your treatment plan. Mental health medications can take time to find the right fit, and it’s essential to work closely with your doctor to find what works best for you.

You also mentioned thoughts of self-harm and suicide, which are serious and require immediate attention. If you are feeling overwhelmed by these thoughts, I urge you to seek help from a mental health professional or a crisis hotline in your area. You do not have to go through this alone, and there are people who want to support you.

In terms of your feelings of being a burden or feeling like you have no purpose, it’s important to remember that everyone has intrinsic value, and your life has meaning, even if it may not feel that way right now. Engaging in activities that bring you joy, connecting with supportive friends or family, or even participating in online communities can help alleviate some of the feelings of isolation.

Lastly, regarding your question about whether you have a disability, it’s essential to understand that having a mental health condition does not define you as a person. Many people with mental health challenges lead fulfilling lives, and with the right support and treatment, it is possible to manage your symptoms and improve your quality of life.

In summary, I encourage you to reach out for help, whether through a therapist, a support group, or a trusted friend or family member. You deserve support and understanding as you navigate these difficult feelings. Remember, seeking help is a sign of strength, and there is hope for a brighter future.

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