Your Mental Health: Seeking Help Without the Pain

I want to know what my problem is during the consultation. I don't want to suffer like this anymore?

Hello, my current situation is as follows: I am currently unemployed and have not had the courage to actively submit my resume, as doing so in the past caused me anxiety to the point of palpitations and even nausea.
While I still have some energy, I want to find a suitable job after resolving my issues; I do not want to rush into a job that is not a good fit and then struggle with the decision to leave.
Recently, while reading online comments about stress, I remembered that during extremely difficult times, I would hit my head against the wall to feel better.
However, I later realized that it affected my thinking speed, so I switched to hitting my thighs or the wall, and eventually added my chest, which was somewhat helpful in temporarily forgetting my emotions, but it was not as effective as hitting the wall, which I no longer dare to do.
I usually feel low, and it worsens before my menstrual period.
I often have thoughts of wanting to escape life, and I haven't been in touch with classmates for a long time.
I don't want to go out and have lost interest in many things, feeling that life is exhausting.
Additionally, when washing my hands, I can't help but count to a specific number while repeating the use of dish soap or hand wash more than 2 to 3 times.
I have tried not to wash my hands repeatedly, but I feel uneasy and start again.
Normally, I fall asleep easily, but sometimes I stay up until 3 or 4 AM due to the fear of facing unemployment the next day.
Is this considered a sleep disorder? Lastly, I have always been hesitant to seek counseling because I feel I cannot afford the costs.
I have a general aversion to seeking medical help and only go when I can't stand it anymore.
The cost of psychological counseling is significantly different from that of general allergy treatments, and I do not want my family to know (previously, I had a skin hemangioma, and after the scar treatment, my family said I no longer needed to see a doctor).
If my situation becomes serious enough to require medical attention, which specialty should I consult? I want to understand what my issues are and do not want to continue suffering.
Thank you.

ff, 30~39 year old female. Ask Date: 2022/10/13

Dr. Qiu Junda reply Psychiatry

Hello.
The text reveals many negative emotions.
I suggest you visit a mental health clinic for treatment to facilitate improvement.
If you are concerned about the cost of psychological counseling, you can first use the Ministry of Health and Welfare's安心專線 (1925) for online counseling.
Additionally, for the issue of skin vascular tumors, you should first consult a dermatologist.
If other specialties need to be involved, the hospital will assist in the referral process, so there is no need to worry.

Reply Date: 2022/10/13

More Info

It sounds like you are experiencing a significant amount of distress and anxiety related to your current situation, particularly with unemployment and the emotional toll it has taken on you. It’s important to recognize that what you are feeling is valid and that seeking help is a courageous step towards improving your mental health.

From what you’ve described, it seems you may be dealing with symptoms of anxiety and possibly depression. The physical symptoms you mentioned, such as heart palpitations and nausea when thinking about job applications, are common manifestations of anxiety. Additionally, the repetitive behaviors like counting while washing your hands could indicate obsessive-compulsive tendencies, which often accompany anxiety disorders. The feelings of disinterest in activities you once enjoyed, along with the low mood, especially before your menstrual cycle, are also concerning and suggest that you might be experiencing a depressive episode.

It’s crucial to understand that mental health issues are not a sign of weakness; they are medical conditions that can be treated effectively. Here are some steps you can take to address your situation:
1. Seek Professional Help: While you mentioned concerns about the cost of therapy, many communities offer sliding scale fees based on income, and there are also online therapy options that can be more affordable. You could look for local mental health clinics or community health centers that provide services at reduced rates. If you feel overwhelmed, consider reaching out to a mental health hotline for immediate support and guidance on how to proceed.

2. Consider Medication: If your symptoms are severe, a psychiatrist may evaluate you for medication that can help alleviate anxiety and depression. This could be an important step in managing your symptoms effectively.

3. Cognitive Behavioral Therapy (CBT): This is a highly effective form of therapy for anxiety and depression. It focuses on identifying and changing negative thought patterns and behaviors. A therapist can help you develop coping strategies to manage your anxiety about job searching and other stressors.

4. Practice Self-Care: Engage in activities that promote relaxation and well-being. This could include exercise, mindfulness meditation, or hobbies that you enjoy. Even small steps, like taking a walk or practicing deep breathing exercises, can help reduce anxiety.

5. Connect with Others: Although you mentioned feeling disconnected from friends, reaching out to someone you trust can provide emotional support. Isolation can exacerbate feelings of depression, so maintaining social connections, even if they are minimal, is important.

6. Set Small Goals: Instead of overwhelming yourself with the idea of job hunting, set small, manageable goals. For example, you could aim to update your resume or research one job opportunity per day. Breaking tasks into smaller steps can make them feel less daunting.

7. Monitor Your Symptoms: Keeping a journal of your feelings and behaviors can help you identify patterns and triggers. This information can be valuable when discussing your situation with a mental health professional.

8. Educate Yourself: Understanding more about mental health can empower you. There are many resources available online that provide information about anxiety, depression, and coping strategies.

In summary, it’s essential to prioritize your mental health and seek the support you need. You deserve to feel better and to have the tools to manage your emotions effectively. Remember, reaching out for help is a sign of strength, and there are people and resources available to support you through this challenging time.

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