Work-Related Challenges: A Mental Health Perspective - Psychiatry

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Work-related issues?


Hello Doctor: I am currently facing some issues and I am unsure how to frame my questions, so I will describe my situation to see if you can help me identify what the problem might be.
I graduated from university over a year ago, and during this time, I have found jobs, but I have been unable to stay in any position for more than three months due to my insufficient reaction time.
Recently, I managed to stay in my current job for three months, but I still received a warning from my supervisor for not understanding the tasks assigned to me (which ultimately relates back to my reaction time).
I have been given a month to improve.
This issue has persisted for over a year, leading to problems with my family (our financial situation is poor, and the constant criticism has made my emotions unstable, compounded by my student loans).
Although my family tells me that I am smart, I do not feel that way at all.
I constantly worry about not performing well at work, and I also struggle with forgetting tasks assigned to me almost immediately.
I have considered whether this might be an issue with my attitude or personality, but I still cannot pinpoint the problem.
I would appreciate your help in understanding what might be going on.
Thank you.

Ji Ting, 20~29 year old female. Ask Date: 2016/10/23

Dr. Zhong Mingxun reply Psychiatry


I'm not quite sure if your issue is due to a genuine adverse reaction or a lack of confidence.
I recommend visiting a hospital's psychiatry department for cognitive and personality assessments, as this will help determine the underlying problem.

Reply Date: 2016/10/23

More Info


It sounds like you are experiencing a significant amount of stress and anxiety related to your work situation, which is affecting both your mental health and your relationships. The challenges you face in the workplace, such as difficulty understanding tasks and a fear of making mistakes, can be overwhelming. Let’s break down some of the issues you mentioned and explore potential strategies for coping with these challenges.

Firstly, it’s important to recognize that many people experience difficulties in the workplace, especially when they are new to a job or when they feel pressure to perform. Your concerns about your reaction time and ability to understand tasks are valid, and they can be exacerbated by anxiety. Anxiety can impair cognitive function, making it harder to concentrate and remember instructions. This can create a vicious cycle where anxiety leads to poor performance, which in turn increases anxiety.

One effective approach to managing anxiety and improving your work performance is through cognitive-behavioral therapy (CBT). CBT focuses on identifying and changing negative thought patterns and behaviors. For instance, if you find yourself thinking, “I’m not smart enough to do this job,” you can challenge that thought by reminding yourself of your accomplishments and the skills you possess. Working with a mental health professional can help you develop these skills and provide you with coping strategies tailored to your specific situation.

Additionally, practicing mindfulness and stress-reduction techniques can be beneficial. Mindfulness involves being present in the moment and can help reduce anxiety by allowing you to focus on the task at hand rather than worrying about potential mistakes. Techniques such as deep breathing, meditation, or even short walks can help clear your mind and reduce stress levels.

In terms of your work environment, communication is key. If you are struggling to understand tasks, don’t hesitate to ask for clarification from your supervisor or colleagues. It’s better to ask questions upfront than to make assumptions that could lead to mistakes. You might also consider taking notes during meetings or when receiving instructions, which can help reinforce your memory and provide you with a reference to look back on.

Regarding your concerns about your family situation and financial stress, it’s crucial to address these issues as well. Open communication with your family about your struggles can help alleviate some of the pressure you feel. They may not fully understand the extent of your anxiety and its impact on your work performance. By sharing your feelings, you can foster a supportive environment that encourages understanding and patience.

Lastly, consider seeking support from a career counselor or a mentor in your field. They can provide guidance on navigating your career path, help you identify your strengths, and suggest ways to improve your skills. It’s also worth exploring opportunities for professional development, such as workshops or courses that can enhance your abilities and boost your confidence.

In summary, while the challenges you face at work can feel daunting, there are effective strategies to help you cope. Engaging in therapy, practicing mindfulness, improving communication, and seeking support can all contribute to better mental health and improved work performance. Remember, it’s okay to seek help, and taking proactive steps toward managing your anxiety can lead to positive changes in your life. You are not alone in this journey, and with the right support and strategies, you can overcome these challenges.

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