Emotional Turmoil: When to Seek Professional Help - Psychiatry

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Psychological counseling


I lack confidence and care a lot about what others think.
Sometimes, I don't understand why I suddenly become irritable, and I often feel emotionally distressed and have trouble concentrating.
When I hear noise, it makes me feel very anxious and frustrated, and I can't focus, which leads me to pull my hair.
This is especially troubling during class.
When I don't do things well, I blame myself and feel useless.
Sometimes, I even have suicidal thoughts.
Even when I'm feeling down, I don't want others to know, so I force myself to smile and pretend that everything is fine.
What is wrong with me? Should I see a doctor? However, I don't want my family to know and hope the doctor can respond to me.
Thank you.

Lai Tongxue, 10~19 year old female. Ask Date: 2020/06/04

Dr. Wu Enliang reply Psychiatry


Hello, online friend: Thank you for your hard work.
It seems that you are experiencing quite a bit of emotional distress.
Have you considered talking to a school counselor? The guidance counselors are trained professionals in psychological counseling and can provide an initial assessment of your situation.
If your emotional state does not improve, it may be necessary to consider whether you are experiencing a medical condition that requires treatment.
If you need to seek medical help, since you are still young, it is important to inform a trusted adult, such as your mother.
Dr.
Wu Enliang

Reply Date: 2020/06/04

More Info


It sounds like you are experiencing a significant amount of emotional distress, and I want to commend you for reaching out to seek help. Your feelings of low self-esteem, irritability, difficulty concentrating, and even thoughts of self-harm are serious indicators that you may be struggling with mental health issues, such as anxiety or depression. It’s important to understand that you are not alone in feeling this way, and many people experience similar struggles.

From what you’ve described, it seems that you are caught in a cycle of negative thoughts and emotions. You mentioned feeling overwhelmed by others' opinions, which can lead to a lack of confidence and self-worth. This is often exacerbated by the pressure to maintain a façade of happiness, which can be exhausting and isolating. The fact that you are experiencing sudden emotional outbursts and compulsive behaviors, like pulling your hair, suggests that you may be dealing with heightened anxiety or stress.

The symptoms you are experiencing—such as irritability, difficulty concentrating, and feelings of worthlessness—are commonly associated with anxiety and depressive disorders. These conditions can manifest in various ways, including physical symptoms (like tension headaches or fatigue) and emotional symptoms (like sadness or anger). The thoughts of self-harm are particularly concerning and should be taken seriously. It’s crucial to address these feelings before they escalate.

Seeking professional help is a vital step toward understanding and managing your emotions. A mental health professional, such as a psychologist or psychiatrist, can provide you with a safe space to express your feelings and help you develop coping strategies. They can also assess whether you might benefit from therapy, medication, or a combination of both. Therapy can be particularly effective in helping you explore the underlying causes of your feelings and develop healthier thought patterns.

If you are worried about your family finding out, it’s important to remember that your mental health is a priority. Many mental health professionals offer confidential services, and you can discuss your concerns about privacy with them. They are trained to handle such situations sensitively and can help you navigate your feelings while respecting your need for confidentiality.

In addition to seeking professional help, there are some self-care strategies you can consider implementing in your daily routine. These may include:
1. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help you manage stress and improve your emotional regulation.

2. Physical Activity: Regular exercise can significantly boost your mood and reduce anxiety. Even a short walk can help clear your mind and improve your overall well-being.

3. Journaling: Writing down your thoughts and feelings can provide an outlet for your emotions and help you process what you are experiencing.

4. Limit Exposure to Stressors: If certain environments or situations trigger your anxiety, try to limit your exposure to them when possible.

5. Reach Out for Support: While you may not want to burden your family with your struggles, consider confiding in a trusted friend or a support group where you can share your experiences without fear of judgment.

In conclusion, your feelings are valid, and it’s essential to take them seriously. Seeking professional help is a courageous and important step toward healing. Remember, you don’t have to go through this alone, and there are resources available to support you on your journey to better mental health.

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