Do I Need Therapy? Emotional Distress and Healing

Do symptoms require treatment?

Recently, I have been feeling emotionally down and have been hesitating about whether I should seek psychological counseling.
I want to ask if I need treatment.
During my middle school to high school years, I experienced several instances of sexual harassment.
There was an occasion when someone touched my thigh, and I felt uncomfortable, but I was too scared to react or refuse, so I just left the scene without saying anything.
I have never told anyone about it.
There was another time during a club activity when we stayed overnight, and I felt someone touching my chest while I was sleeping.
I also didn't dare to speak up then and pretended nothing happened.
Since then, I have realized that I haven't worn skirts or shorts, and even now, whenever the topic of sexual harassment or sexual education comes up, I feel uncomfortable all over and want to escape the situation.
I start to have negative emotions.
I have self-harmed in the past, but no one found out.
Now, I have thoughts of self-harm again, although I am trying hard to distract myself.
I'm just not sure if these impulses will lead me to re-experience or recall past traumas and end up hurting myself or others.
Additionally, I often feel that I am very rude.
I believe that when speaking, I should look the other person in the eye to show that I am listening or paying attention, but I am afraid to make eye contact.
Recently, I have enjoyed being alone and don’t want to talk.
When others invite me out, I reluctantly agree, fearing rejection.
I am very afraid of being disliked or having others discover my weaknesses.
I often lack confidence in myself and tend to think negatively about everything, which may make my supervisors feel that I lack determination at work.
This has led to feelings of depression, and after work, I don’t want to go back to my place; I just want to be in a place where no one knows me.
I have always felt weak, and to prevent others from noticing my depression, I put on a brave face and smile.
I often wish someone would notice that something is wrong and help me out of this low point, but I also force myself not to be a burden to others, which is why I want to ask if there are any solutions.
My mind is very chaotic, so I don’t know what I have written.
I used to be very good at sharing my worries with others, but after experiencing the events mentioned above, I no longer share my inner thoughts and struggle with verbal expression.
Even when I want to share, seeing people frown or hear their reproachful words makes me retreat even more.
I am seeking help.
What should I do?

Ying, 20~29 year old female. Ask Date: 2022/02/27

Dr. Peng Liyun reply Psychiatry

Hello, thank you for your hard work! I can sense the pain you have been enduring for a long time, which is truly heartbreaking.
I recommend that you seek treatment from a mental health specialist as soon as possible.
An evaluation and treatment by a professional can help improve your condition.
Thank you for your inquiry.
Wishing you a speedy recovery.
Dr.
Peng Liyun, Department of Child and Adolescent Psychiatry, Chianan Psychiatric Hospital.

Reply Date: 2022/02/27

More Info

It sounds like you are going through a very difficult time, and I want to acknowledge the pain and confusion you are experiencing. The emotional distress you describe, stemming from past traumatic experiences, is significant and can have a profound impact on your mental health and overall well-being. Seeking therapy is not only a valid option but often a necessary step toward healing and regaining control over your life.

From what you’ve shared, it appears that you have experienced trauma related to sexual harassment during your formative years. These experiences can lead to a range of emotional responses, including anxiety, depression, and feelings of worthlessness. It’s understandable that you might feel uncomfortable discussing these topics or even expressing your emotions, especially if past attempts to share your feelings have been met with negative reactions. This can create a cycle of silence and isolation, making it even harder to seek help.

Therapy can provide a safe space for you to explore these feelings without judgment. A trained therapist can help you process your past experiences, understand how they affect your present, and develop coping strategies to manage your emotions. It’s important to find a therapist who specializes in trauma and understands the complexities of sexual harassment and its long-term effects. They can guide you through the healing process, helping you to reclaim your sense of self and rebuild your confidence.

You mentioned having thoughts of self-harm and feeling overwhelmed by negative emotions. These are serious concerns that should not be taken lightly. If you ever feel like you might harm yourself, it’s crucial to reach out for immediate support. This could be a trusted friend, family member, or a mental health professional. There are also hotlines available where you can talk to someone who understands what you’re going through.

In addition to therapy, there are several self-care strategies you can incorporate into your daily life to help manage your emotional distress. Here are a few suggestions:
1. Journaling: Writing down your thoughts and feelings can be a powerful way to process your emotions. It allows you to express yourself without fear of judgment and can help clarify your thoughts.

2. Mindfulness and Meditation: Practicing mindfulness can help you stay grounded in the present moment and reduce anxiety. There are many apps and online resources available to guide you through mindfulness exercises.

3. Physical Activity: Engaging in regular physical activity can significantly improve your mood and reduce feelings of anxiety and depression. Whether it’s walking, yoga, or any form of exercise you enjoy, moving your body can be beneficial.

4. Creative Outlets: Engaging in creative activities, such as art, music, or dance, can provide an emotional release and help you express feelings that may be difficult to articulate verbally.

5. Building a Support Network: While it may feel challenging, try to connect with people who are supportive and understanding. This could be friends, family, or support groups where you can share your experiences with others who have gone through similar situations.

6. Setting Boundaries: It’s okay to say no to social invitations if you’re not feeling up to it. Prioritize your mental health and take time for yourself when needed.

As for your concerns about therapy, it’s important to know that mental health services can vary in terms of cost and coverage. In many places, therapy sessions can be covered by insurance, but it’s best to check with your provider to understand your options. Therapy sessions typically involve a one-on-one discussion with a therapist, where you can talk about your feelings, experiences, and goals for treatment.

In conclusion, seeking therapy is a courageous step toward healing. You deserve to feel better and to have the support you need to navigate through this challenging time. Remember, you are not alone, and there are people who want to help you. Take that first step, and reach out for the support you need.

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