Managing Mental Health: Should I See a Specialist or Self-Treat? - Psychiatry

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What should I do?


Hello, doctor.
I am the person who asked question #131783.
Should I follow your advice for a week, or should I first see a psychiatrist or a similar specialist? I feel that my symptoms are worsening, but I am afraid that if I see a doctor and get prescribed medication, I might develop a dependency on it.
Is my current situation solely related to mental health issues? It is really troubling me, and I am becoming increasingly irritable.
Are there any methods I can try on my own to help change these symptoms?

Jiang, 20~29 year old female. Ask Date: 2018/01/01

Dr. Liang Sunyuan reply Psychiatry


Hello: If you are concerned, you can seek medical attention first.
A visit does not necessarily mean that medication will be prescribed; even if medication is prescribed, most situations do not lead to dependency.
The best way to interrupt anxiety is to break the negative cycle with positive actions.
Seeking medical care, starting work, and adjusting your routine are all considered positive actions.
Wishing you well.

Reply Date: 2018/01/01

More Info


It's understandable to feel overwhelmed when dealing with mental health issues, especially when you're unsure whether to seek professional help or try to manage things on your own. Based on your description, it seems that your symptoms are becoming more pronounced, which is a significant indicator that consulting a mental health professional may be beneficial.

Firstly, it's essential to recognize that mental health conditions can manifest in various ways, including anxiety, mood swings, and obsessive-compulsive behaviors. These symptoms can significantly impact your daily life, relationships, and overall well-being. While self-management strategies can be helpful, they may not always be sufficient, especially if your symptoms are worsening.

One of the most effective treatments for anxiety and related disorders is Cognitive Behavioral Therapy (CBT). This therapeutic approach helps individuals identify and challenge negative thought patterns and behaviors, replacing them with healthier ones. If you have access to a school counseling service or a licensed therapist, utilizing these resources can be a great first step. Regular sessions can provide you with coping strategies and a safe space to express your feelings.

Regarding your concerns about medication, it's important to understand that medication is not always necessary for everyone. Many individuals benefit from therapy alone, while others may find that a combination of therapy and medication is the most effective approach. If medication is recommended, a good psychiatrist will monitor your progress closely and adjust your treatment plan as needed. The goal is to alleviate your symptoms without leading to dependency.

If you're hesitant about seeking help due to fears of medication dependency, consider discussing these concerns openly with a mental health professional. They can provide you with information about the types of medications available, their potential side effects, and how they can be used safely. It's also worth noting that not all medications lead to dependency, and many are designed to be used short-term to help stabilize symptoms.

In the meantime, there are several self-care strategies you can implement to help manage your symptoms:
1. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, and yoga can help reduce anxiety and improve emotional regulation. These techniques encourage you to focus on the present moment and can provide relief from racing thoughts.

2. Regular Physical Activity: Exercise is a powerful tool for managing mental health. It releases endorphins, which can improve mood and reduce feelings of anxiety. Aim for at least 30 minutes of moderate exercise most days of the week.

3. Healthy Sleep Hygiene: Ensure you're getting enough restful sleep. Establish a regular sleep schedule, create a calming bedtime routine, and limit screen time before bed.

4. Balanced Nutrition: A well-balanced diet can impact your mood and energy levels. Incorporate plenty of fruits, vegetables, whole grains, and lean proteins into your meals.

5. Social Support: Reach out to friends or family members who you trust. Sharing your feelings with someone who understands can provide comfort and reduce feelings of isolation.

6. Limit Caffeine and Alcohol: Both substances can exacerbate anxiety and mood swings. Consider reducing your intake to see if it helps improve your symptoms.

Ultimately, while self-help strategies can be beneficial, they may not replace the need for professional intervention, especially if your symptoms are worsening. Seeking help from a mental health professional can provide you with the support and tools necessary to navigate your challenges effectively. Remember, taking the step to seek help is a sign of strength, and prioritizing your mental health is crucial for your overall well-being.

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