Navigating Mental Health: Seeking Help for Emotional Struggles

Initial consultation, medical examination issues?

Since sixth grade, I have experienced a lot of things.
The most serious issue during middle school was that I would cry without realizing it.
When I feel anxious or want to cry, I have engaged in self-harm, such as hitting walls and cutting my hands and feet.
I have also had thoughts of ending my life.
In the second year of middle school, I asked the guidance counselor, "Could I have depression or something?" He administered a test, and although I don't remember the results now, I recall him telling me not to dwell on negative thoughts, that I didn't have depression, and he kept urging me not to overthink.
However, that feeling has returned, and I don't want my parents to know.
Every time I talk to my dad, he asks me, "Why do you think so much? Just focus on studying; why waste money on that?" But I understand that seeing a psychiatrist might require parental consent, and I don't know what to do.
I've also heard that the costs can be quite high.
Would it be better to go to a clinic?

Jhen, 10~19 year old female. Ask Date: 2017/11/23

Dr. Huang Huiqun reply Psychiatry

Dear Jhen,
I’m sorry to hear about your situation.
I understand that you have experienced a period of severe emotional distress and self-harm in the past.
I want to acknowledge how difficult that must have been for you.
Now that you are experiencing fluctuations in your mood again, I strongly recommend seeking a professional evaluation for clarity.

For minors, it is advisable to have a guardian accompany you or provide a consent form during your first visit.
You might consider discussing this with a school counselor or a trusted teacher to see if they can help facilitate a conversation with your parents about the necessity of seeking medical evaluation.
Additionally, you could find some online resources about adolescent depression or emotional issues to share with your parents, helping them to better understand the situation.
I hope you can prioritize getting an evaluation soon.
I am including the website for the Taipei City Mental Health Center for your reference: http://mental.health.gov.tw/WebForm/External/ArticleDetail.aspx?ArticleID=89&Type=09.

Furthermore, mental health clinics are quite common now, and their consultation fees are generally lower than those at hospitals, which could be another option to consider.

Wishing you all the best.

Reply Date: 2017/11/23

More Info

Navigating mental health issues can be incredibly challenging, especially when you're dealing with intense emotions, self-harm, and thoughts of self-harm or suicide. Based on your description, it sounds like you have been experiencing a range of distressing symptoms for quite some time, including emotional instability, impulsive behaviors, and feelings of hopelessness. These symptoms can be indicative of various mental health conditions, such as depression, anxiety disorders, or even borderline personality disorder, but only a qualified mental health professional can provide an accurate diagnosis.

It's important to acknowledge that seeking help is a vital step in managing your mental health. You mentioned feeling hesitant to involve your parents due to their reactions in the past. This is a common concern among young individuals, but it’s crucial to prioritize your well-being. Here are some steps you can consider taking:
1. Confidential Support: If you feel uncomfortable discussing your feelings with your parents, consider reaching out to a trusted adult, such as a school counselor or a teacher. They can provide support and may help you navigate the process of seeking professional help.

2. Therapy Options: While it’s true that some mental health services may require parental consent, there are also options available for young people to seek help independently. Many therapists and clinics offer sliding scale fees based on income, which can make therapy more affordable. You can also look for community mental health centers that provide services at lower costs.

3. Online Resources: There are numerous online platforms and hotlines that offer mental health support. Websites like the National Alliance on Mental Illness (NAMI) provide resources and can help you find local services. Additionally, hotlines like the National Suicide Prevention Lifeline (1-800-273-TALK) offer 24/7 support and can guide you through your feelings.

4. Self-Care Strategies: While seeking professional help is essential, incorporating self-care strategies can also be beneficial. Engaging in activities that you enjoy, practicing mindfulness or meditation, and maintaining a routine can help stabilize your emotions. Journaling your thoughts and feelings can also provide an outlet for your emotions and help you process what you’re going through.

5. Educate Yourself: Understanding mental health conditions can empower you. Reading about symptoms, coping strategies, and recovery stories can provide insight and hope. Books on dialectical behavior therapy (DBT) or cognitive-behavioral therapy (CBT) can offer practical tools for managing emotions and behaviors.

6. Emergency Situations: If you ever feel that you are in immediate danger of harming yourself or having thoughts of suicide, it is crucial to seek help right away. Contact a crisis hotline, go to the nearest emergency room, or call emergency services. Your safety is the top priority.

In conclusion, while it may feel daunting to seek help, remember that you are not alone in this journey. Many people experience similar struggles, and there are resources available to support you. Taking the first step towards seeking help can lead to significant improvements in your emotional well-being. Your feelings are valid, and reaching out for support is a sign of strength.

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