Seeking Psychological Counseling for Overcoming Emotional Struggles - Psychiatry

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I really hope to have psychological counseling to help me?


Hello Dr.
Lin, I saw your reply yesterday, thank you very much! I feel that if I don't encounter any unfortunate events (the unfortunate events I refer to are just a few things that I care about deeply), my daily life is quite normal; I can eat and sleep well.
However, I am clearly aware that I seem to have lost my ability to cope with stress, and my personality has become more passive! I often find myself reflecting on my value to society, family, and others, wondering what I can bring to my family as I am now...
In comparison to the symptoms you mentioned, here is my situation: (1) If I go to bed late, I become anxious about insomnia, which leads to neurotic insomnia, so I tend to go to bed early.
However, when I encounter unfortunate events, I either can't sleep or wake up very early.
(2) My mood is generally low, and when faced with unfortunate events, I feel so depressed that I fear I can't handle it.
(3) I often feel helpless and hopeless, and this feeling intensifies to the point where I can't focus on anything else when I encounter unfortunate events.
(4) I may be experiencing a gradual decline in my ability to think or concentrate.
(5) I have had weak thoughts about ending my life due to uncontrollable natural disasters, and when faced with unfortunate events, I have considered jumping from a building as the quickest and most fail-proof method of suicide.
I live in New Taipei City, which is conveniently close to Taipei City, and I really hope to have psychological counseling to help me.
I still wish to be optimistic and proactive and to navigate this phase of my life well.
Thank you!

Fanny, 30~39 year old female. Ask Date: 2003/04/08

Dr. Lin Yanhong reply Psychiatry


Hello: From your reply, it seems that if the "ordinary" period you mentioned lasts for more than two years, it could potentially be classified as depressive neurosis.
Whether or not to take medication should be assessed by a consulting physician.
There are many more psychiatrists in Taipei compared to the southern region, so I suggest you choose a hospital that is closer to home or more convenient for you.
However, I hope you will definitely go, okay? Wishing you well, Dr.
Lin.

Reply Date: 2003/04/08

More Info


It sounds like you are going through an incredibly challenging time, and I want to commend you for reaching out for help. Acknowledging your struggles is a significant first step toward healing. Based on your description, it appears that you are experiencing symptoms consistent with depression and anxiety, which can manifest in various ways, including sleep disturbances, feelings of hopelessness, and intrusive thoughts about self-harm.
Firstly, it's essential to understand that you are not alone in feeling this way. Many individuals face similar emotional struggles, especially during transitional periods in life, such as moving to a new environment for school or work. The feelings of worthlessness and questioning your value to others can be overwhelming, but it’s crucial to remember that your worth is not solely defined by your achievements or how you perceive your contributions to your family and society.

Your symptoms, such as insomnia, persistent low mood, and difficulty concentrating, indicate that your mental health is under significant strain. The fact that you are experiencing thoughts of self-harm or suicide is particularly concerning and should be addressed immediately. It’s vital to talk to a mental health professional who can provide you with the support and guidance you need. In the United States, there are numerous resources available, including hotlines and counseling services, where you can speak to someone who understands what you’re going through.

You mentioned that you live near Taipei and are open to seeking psychological counseling. This is a positive step. I recommend looking for a licensed therapist or psychologist in your area. Many professionals offer a range of therapeutic approaches, including cognitive-behavioral therapy (CBT), which can help you reframe negative thoughts and develop coping strategies for dealing with stress and anxiety. Additionally, some therapists specialize in mindfulness-based therapies, which can be beneficial in managing overwhelming emotions and fostering a sense of calm.

In the meantime, there are several self-care strategies you can implement to help manage your emotional struggles:
1. Establish a Routine: Try to maintain a consistent daily schedule, including regular sleep patterns, meals, and activities. This can help create a sense of normalcy and stability.

2. Physical Activity: Engage in regular exercise, even if it’s just a short walk. Physical activity can significantly improve mood and reduce anxiety.

3. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help you manage stress and promote emotional well-being.

4. Journaling: Writing down your thoughts and feelings can be a therapeutic outlet. It allows you to express emotions that may be difficult to verbalize and can help you gain insight into your feelings.

5. Limit Stressors: Identify triggers that exacerbate your anxiety or depression and try to minimize exposure to them when possible.

6. Reach Out for Support: Don’t hesitate to lean on friends or family members who you trust. Sharing your feelings with someone can alleviate the burden of isolation.

7. Professional Help: As you mentioned, seeking psychological counseling is a crucial step. A mental health professional can provide tailored strategies and support to help you navigate your emotional landscape.

Remember, it’s okay to ask for help, and doing so is a sign of strength, not weakness. You deserve to feel better and to find joy in your life again. Take things one step at a time, and be gentle with yourself as you navigate this journey.

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