Should I Seek Help from a Psychiatrist for My Mental Health?

Should I seek treatment at a psychiatric hospital?

Hello Doctor, I am currently a high school sophomore.
Since childhood, I have experienced unexplained feelings of anxiety or stress that lead me to bite my nails and constantly pick at my hands.
In middle school, I harmed myself several times due to interpersonal and academic pressures.
Now in high school, I try to control myself to avoid worrying my family.
I fear that my friends might suddenly ignore me or that I might lose what I currently have.
I force myself to think about things I shouldn’t be thinking about.
I have low self-confidence and a low tolerance for stress.
I have previously received psychological counseling from teachers, but I cannot stop myself from dwelling on negative emotions.
Recently, I have suddenly felt very frustrated with the world, lost interest in many things, and often wish to disappear.
I frequently experience low moods, chest tightness, dizziness, nausea, fatigue, and I have been sleeping much longer than before.
I have tried talking to many people, but my situation has not improved.
I am very afraid that I might have anxiety disorder or depression, especially since someone in my family has suffered from depression and panic disorder.
I am hesitant about whether I should go to the hospital to check for a mental illness.
Thank you, Doctor.

Niming, 10~19 year old female. Ask Date: 2018/04/01

Dr. Liang Sunyuan reply Psychiatry

Hello Nicky, since childhood, you have been biting your nails and picking at your skin, which can be harmful to yourself and is often associated with anxiety and depression.
It is recommended to first recognize and accept this part of yourself, and then try to learn new and different coping strategies to deal with stress and feelings of emptiness every day.
Finding your strengths and passions in life can often help combat feelings of emptiness and worry.
If you find it difficult to adjust, it is advisable to seek medical assistance.
Wishing you a swift return to tranquility.

Reply Date: 2018/04/01

More Info

It's clear from your description that you're experiencing significant emotional distress and mental health challenges. The symptoms you've outlined, such as anxiety, self-harm, feelings of worthlessness, and physical symptoms like chest tightness and dizziness, are serious and warrant professional attention. Seeking help from a psychiatrist or a mental health professional is not only advisable but essential for your well-being.

Firstly, it's important to understand that mental health issues, such as anxiety and depression, are common and can affect anyone, regardless of age or background. The feelings of tension and pressure you've experienced since childhood, along with your compulsive behaviors like nail-biting and skin-picking, suggest that you may be dealing with underlying anxiety. Additionally, your history of self-harm and the current feelings of hopelessness and disinterest in activities you once enjoyed indicate that you might be experiencing depressive symptoms as well.

Given your family history of mental health issues, it's understandable to be concerned about your own mental health. Family history can play a significant role in the likelihood of developing similar conditions, and being aware of this can help you take proactive steps toward your mental health.
You mentioned that you've tried talking to friends and have had some counseling in the past, but it seems that these efforts haven't led to the relief you need. This is a common experience; sometimes, informal support from friends or even school counselors may not be enough. Professional help from a psychiatrist or psychologist can provide you with a structured approach to understanding and managing your feelings. They can offer therapy options, such as cognitive-behavioral therapy (CBT), which is effective for both anxiety and depression. Additionally, if necessary, they can discuss medication options that may help alleviate your symptoms.

It's also important to recognize that seeking help is a sign of strength, not weakness. Many people feel apprehensive about visiting a psychiatrist due to stigma or fear of being judged. However, mental health professionals are trained to provide a safe, confidential space where you can express your feelings without fear of judgment. They are there to help you navigate your emotions and develop coping strategies.

In terms of immediate steps, I encourage you to reach out to a mental health professional. You can start by discussing your feelings with a trusted adult, such as a parent or teacher, who can help you find the right resources. If you're feeling overwhelmed, consider contacting a mental health hotline or a local mental health service for guidance on how to proceed.

Lastly, it's crucial to take care of yourself during this time. Engage in activities that promote relaxation and well-being, such as mindfulness, exercise, or creative outlets like drawing or writing. These can serve as temporary relief while you seek professional help.

In conclusion, your mental health is important, and seeking help is a vital step toward feeling better. You deserve support and care, and there are professionals who can help you navigate this challenging time. Don't hesitate to reach out for the assistance you need.

Similar Q&A

Should I Seek Help for My Mental Health Struggles?

Hello, doctor. I have been considering seeking medical help for many years, but due to various factors, I do not want my family to know. I am also not fully capable of making decisions on my own, which has prevented me from going. In recent years, my condition has worsened; I bre...

Dr. Liang Sunyuan reply Psychiatry
Hello, Xiao Nian: Most psychiatrists are very friendly. If you feel that these symptoms are troubling you, you can seek consultation. We do not require a confirmed diagnosis to see a doctor; if you have concerns, you can register for an appointment for an evaluation. It's si...

Should I See a Psychiatrist for My Recent Emotional Instability?

Doctor, I apologize, but I have never had a history of depression or bipolar disorder. However, recently I have been feeling very emotionally unstable, experiencing tightness in my chest, poor appetite, and negative thoughts such as thoughts of death. I am also having trouble sle...

Dr. Zhou Sunyuan reply Psychiatry
Compared to the past, many people are now more aware of their emotional changes and may consider seeking medical help, but there may still be some hesitation regarding "psychiatry," unlike with general internal or external medical conditions. Therefore, for your current...

Do I Really Need to See a Doctor for Mental Health Issues?

Hello, Doctor: I feel that I get anxious quite easily, my social situation is very poor, my emotions are unstable, I have a history of obsessive-compulsive disorder, I was diagnosed with Asperger's syndrome, I have a fear of vomiting, and I tend to have health anxiety. Since...

Dr. Wang Yazhen reply Psychiatry
Hello, based on your description, it is important to consider the tendency towards anxiety. Currently, the most mainstream treatment for anxiety issues is cognitive behavioral therapy (CBT), which can be combined with medication if necessary. The available channels for psychologi...

Understanding Mental Health: When to Seek Help and How to Cope

As mentioned before, aside from the first situation, all others are present. In this case, is it necessary to see a psychologist? If not seeing a doctor, what methods can be used to improve this situation? Because I previously suggested he see a mental health specialist, but he a...

Dr. Lin Yanhong reply Psychiatry
Hello: It is not easy for your boyfriend to improve his issues on his own; he needs to consult a psychiatrist for a detailed understanding. Sometimes, a period of psychotherapy is necessary, and with your support, the chances of improvement should be greater. I suggest you accomp...