Everything becomes dull if indulged in for too long?
Good afternoon, Dr.
Chen: I am currently facing the most frustrating situation that has led me to have suicidal thoughts, but it seems that fate is not on my side.
I may not have cut deep enough.
I am alive.
When I think about living, my first thought is to improve myself and restore my self-confidence.
I tend to get stuck on things that I do poorly, and I am fixated and unwilling to let go.
Regarding my romantic issues, I still cannot figure out what I want, driven by human greed.
Sometimes I misplace my belongings or money, and I suffer from chronic insomnia, which has resulted in dark circles under my eyes.
Rohypnol for three days has no effect on me; I still wake up at the same time but feel groggy the next day.
Oh dear, I am becoming somewhat dependent on medication.
However, I have stopped taking sleeping pills and am trying to use my willpower to fall asleep.
I occasionally experience chest pain and sometimes even have auditory hallucinations telling me to end my life.
Such terrifying thoughts.
Xiao Qian, 20~29 year old female. Ask Date: 2003/10/07
Dr. Chen Wenyu reply Psychiatry
Hello Xiaoqian: Based on the situation you described, it appears that you may be experiencing "severe depression with psychotic features." Relying solely on willpower, psychotherapy, or sedatives and sleeping pills will not resolve your current issues.
The best course of action is to seek treatment from a psychiatrist.
Currently, the treatment options and medications for depression in psychiatry are constantly evolving, so it is crucial not to hesitate in seeking medical help in order to overcome your current difficulties.
Thank you for your letter.
Reply Date: 2003/10/07
More Info
Dear friend,
I want to start by acknowledging the immense pain and despair you are currently experiencing. It’s clear that you are facing a multitude of challenges that are deeply affecting your mental and emotional well-being. The feelings of hopelessness, self-doubt, and the presence of suicidal thoughts are serious and should not be taken lightly. It’s commendable that you are reaching out for help and seeking to understand your situation better.
From what you’ve shared, it seems you are grappling with a combination of mental health issues, including depression and anxiety, which can manifest in various ways such as insomnia, physical pain, and intrusive thoughts. The feelings of being stuck in a cycle of despair can be overwhelming, and it’s important to recognize that you are not alone in this struggle. Many people experience similar feelings, and there is help available.
Firstly, I want to emphasize the importance of seeking professional help. A mental health professional, such as a psychiatrist or psychologist, can provide you with the support and guidance you need. They can help you navigate through your feelings, offer a proper diagnosis, and suggest treatment options that may include therapy, medication, or a combination of both. It’s crucial to address the underlying issues that are contributing to your mental health struggles, and a professional can help you do that.
You mentioned experiencing suicidal thoughts and feelings of worthlessness. These are serious symptoms that require immediate attention. If you ever feel that you might act on these thoughts, I urge you to contact a crisis hotline or seek emergency help. Your safety is the top priority, and there are people who care and want to help you through this.
In terms of your current coping mechanisms, it’s understandable that you may be relying on substances like Rohypnol for sleep. However, as you’ve noted, this can lead to dependency and may not address the root cause of your insomnia. It’s commendable that you are trying to rely on your willpower to sleep, but it may be beneficial to explore other strategies for improving your sleep hygiene. This can include establishing a regular sleep schedule, creating a calming bedtime routine, and avoiding stimulants before bed.
Additionally, you mentioned feelings of being stuck and unable to let go of certain thoughts or situations. Cognitive-behavioral therapy (CBT) has been shown to be effective in helping individuals reframe negative thought patterns and develop healthier coping strategies. A therapist can work with you to identify these patterns and help you develop skills to manage them more effectively.
It’s also important to focus on self-care and finding activities that bring you joy or a sense of accomplishment. Engaging in physical activity, practicing mindfulness or meditation, and connecting with supportive friends or family can help improve your mood and overall well-being. While it may feel difficult to take these steps, even small changes can lead to significant improvements over time.
Lastly, I want to remind you that recovery is a journey, and it’s okay to take it one step at a time. It’s normal to have setbacks, but with the right support and resources, you can find hope and healing. Please consider reaching out to a mental health professional who can help you navigate this difficult time and work towards a brighter future.
Take care of yourself, and remember that there is hope and help available. You are worthy of support and healing.
Warm regards.
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