Coping with Painful Memories: Finding Help for Mental Health Struggles - Psychiatry

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I suddenly feel very sad, remembering bad memories, and it's hard for me to stop crying?


Sometimes I suddenly feel very sad, as if my mind is stuck in bad memories.
I force myself to recall the times when my family treated me poorly during my childhood.
Several years ago, I was often physically abused by my boyfriend, and I keep reliving those painful moments.
I felt like I wanted to die, but I didn't want to see my family sad, so I always put on a cheerful and caring facade.
My interpersonal relationships are generally good, but I don't have a close friend, often referred to as a best friend.
When I'm very sad and start thinking about painful things and feel like I want to die, I never dare to share these feelings with anyone.
Sometimes, when I'm angry or sad, I hit myself to feel a sense of release.
I don't want others to know how often I'm really hurting.
I often experience a feeling of heartache and sharp pain.
Although I don't want to die now, I constantly feel exhausted and useless just being alive.
Additionally, my memory is very poor; I can't remember if it has always been this way.
I don't know what to do.
Currently, I am afraid to see a doctor and don't know how to express what I'm feeling or where to start.

Lin, 10~19 year old female. Ask Date: 2016/12/11

Dr. Wu Enliang reply Psychiatry


Hello Lin,
Your situation resembles post-traumatic stress disorder (PTSD) and depression.
I still recommend seeking treatment at a mental health facility.
I'm not sure why you are hesitant to see a doctor.
In fact, mental health issues are similar to physical illnesses like a cold; sometimes, medical assistance is necessary.
If you are uncomfortable going to a large hospital's psychiatry department, you can also visit a nearby psychosomatic clinic.
In any case, it's important to seek help! Wishing you a speedy recovery.

Best,
Wu Enliang

Reply Date: 2016/12/11

More Info


Coping with painful memories and mental health struggles can be an incredibly challenging journey, especially when those memories are tied to trauma and distressing experiences. It sounds like you are dealing with a complex mix of emotions stemming from past abuse and family dynamics, which can understandably lead to feelings of sadness, hopelessness, and even physical symptoms like chest pain.
First and foremost, it’s important to acknowledge that what you are experiencing is valid. Many people who have gone through traumatic experiences, such as physical abuse or difficult family relationships, often find themselves haunted by memories that resurface unexpectedly. This can lead to a cycle of negative thoughts and feelings that can be overwhelming.
The feelings of wanting to appear happy and put-together while internally struggling are common among those who have experienced trauma. This phenomenon is sometimes referred to as "masking," where individuals hide their true feelings to avoid burdening others or to conform to societal expectations. However, this can lead to increased isolation and emotional pain, as it prevents you from expressing your true feelings and seeking the support you need.

It’s also concerning that you mentioned self-harm as a way to release pent-up emotions. This is a sign that you are in significant distress and need to find healthier coping mechanisms. Self-harm can provide temporary relief but ultimately does not address the underlying issues and can lead to further emotional turmoil.

Here are some steps you can consider taking to help cope with your painful memories and improve your mental health:
1. Seek Professional Help: Although you mentioned feeling hesitant to see a doctor, reaching out to a mental health professional is one of the most effective steps you can take. A therapist can provide a safe space for you to explore your feelings, help you process your trauma, and teach you coping strategies. You don’t need to have everything figured out before your first appointment; simply expressing that you are struggling is enough to start the conversation.

2. Journaling: Writing down your thoughts and feelings can be a powerful way to process your emotions. It allows you to express what you’re going through without fear of judgment. You can write about your memories, your feelings, or even your day-to-day experiences. This can help you gain clarity and may even reveal patterns in your thoughts that you can address.

3. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, or yoga can help ground you in the present moment and reduce anxiety. These techniques can help you manage overwhelming emotions and create a sense of calm.

4. Build a Support Network: While you may not have close friends to confide in, consider reaching out to supportive family members or acquaintances. Sometimes, just talking about your feelings with someone who listens can provide relief. You might also explore support groups, either in-person or online, where you can connect with others who have similar experiences.

5. Establish Healthy Routines: Regular physical activity, a balanced diet, and adequate sleep can significantly impact your mental health. Engaging in activities you enjoy can also help lift your mood and provide a sense of accomplishment.

6. Educate Yourself: Understanding trauma and its effects can empower you. Reading books or articles about trauma recovery can provide insights into your experiences and help you feel less alone.

7. Set Small Goals: If the idea of seeking help feels overwhelming, start with small, manageable goals. This could be as simple as researching therapists in your area or writing down your feelings. Celebrate each step you take, no matter how small.

Remember, healing is a process, and it’s okay to take your time. You are not alone in this journey, and there are people and resources available to help you navigate through your pain. Your life is valuable, and seeking help is a courageous step toward reclaiming your well-being.

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