Seeking Help: Should I Consult a Psychiatrist or a Life Coach?

Q: Seeking Help: Should I Consult a Psychiatrist or a Life Coach?

Hello： You have had a difficult past, and unpleasant memories may resurface during times of hardship or depression. <br>The issues with your parents and past family problems are not your fault. <br>You have grown up now and should affirm and love yourself, develop your identity,

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I had a very troubled family relationship during my childhood.
In my early years, I often witnessed my parents arguing and fighting.
I would frequently be awakened in the middle of the night by my drunken father, who would hit me for no reason.
After my parents divorced, my mother had high academic expectations and would beat me almost every day, causing me to bleed.
At that time, just seeing my mother raise her hand would make me instinctively shrink away, and the sound of the door opening would fill me with inexplicable fear, anxiety, and tension.
When I was about seven years old, I was kicked out of the house for not finishing my breakfast.
I was often called worthless, garbage, and mentally disabled, with comments like "Why don't you just die?" and "Why did I even have you?" My mother even threatened me, saying it was either my death or hers.
I have self-harmed before and stood on the balcony contemplating jumping off.
I frequently have sudden suicidal thoughts, such as imagining jumping from a high building or being hit by a car.
I have tested myself on a depression scale, and the results indicate moderate depression.
I would like to know if I should seek professional help or just consult with a counselor like Teacher Zhang.
Thank you.

Yan, 10~19 year old female. Ask Date: 2016/11/09

Dr. Liang Sunyuan reply Psychiatry

Hello: You have had a difficult past, and unpleasant memories may resurface during times of hardship or depression.
The issues with your parents and past family problems are not your fault.
You have grown up now and should affirm and love yourself, develop your identity, and create a different future.
If you find it hard to overcome feelings of depression, psychological counseling or outpatient treatment can be effective interventions, and it is advisable to seek assistance.
Wishing you all the best.

Reply Date: 2016/11/09

More Info

Given your background and the experiences you've shared, it's clear that you're facing significant emotional and psychological challenges stemming from a difficult childhood. The trauma you've described—witnessing domestic violence, experiencing physical and emotional abuse, and dealing with feelings of worthlessness—can have profound effects on mental health. This includes symptoms of anxiety, depression, and even suicidal ideation, which you've mentioned.

In deciding whether to consult a psychiatrist or a life coach, it's essential to understand the differences between these two types of professionals and what they can offer you.
Psychiatrists are medical doctors who specialize in mental health. They can diagnose mental health conditions, prescribe medication, and provide therapy. Given your history of trauma and the symptoms you've described, a psychiatrist would be well-equipped to assess your mental health needs comprehensively. They can help you understand the underlying issues contributing to your feelings of depression and anxiety, and they can offer treatment options that may include therapy, medication, or a combination of both.
On the other hand, life coaches typically focus on helping individuals set and achieve personal goals. They can provide support and guidance in various areas of life, such as career development, personal growth, and improving relationships. However, life coaches do not have the training to diagnose or treat mental health disorders. If your primary concerns are rooted in trauma and mental health issues, a life coach may not be the best fit for your needs at this time.

Given your self-reported moderate depression and the history of self-harm and suicidal thoughts, I strongly recommend seeking help from a mental health professional, specifically a psychiatrist or a licensed therapist. They can provide a safe space for you to explore your feelings, help you develop coping strategies, and work through the trauma you've experienced.
Moreover, it's crucial to address the suicidal thoughts you've mentioned. If you ever feel overwhelmed or in crisis, please reach out for immediate help. This could be through a crisis hotline, a trusted friend or family member, or by going to the nearest emergency room. Your safety is the top priority.

In addition to professional help, consider integrating supportive practices into your life. This might include mindfulness techniques, journaling, or engaging in creative outlets that allow you to express your feelings. Building a support network of friends, family, or support groups can also be beneficial.
In summary, given your history and current mental health concerns, consulting a psychiatrist or a licensed therapist would be the most appropriate step. They can provide the necessary support and treatment to help you navigate your feelings and work towards healing. Life coaching may be beneficial in the future, but addressing your mental health needs should take precedence. Remember, seeking help is a sign of strength, and you deserve support on your journey to recovery.

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