Overcoming Anxiety and Helplessness: Finding Support for Mental Health - Psychiatry

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Anxiety, fear, and a sense of helplessness?


Hello, Doctor: Since graduating from university, I have been staying at home.
I have often felt that life has no value since my student days.
I am introverted, feel powerless about life, have no desire to go out, and lack interest in doing anything, which makes me very passive.
There have been some ups and downs in my family and social relationships, and during university, things worsened alongside some family issues.
As a result, even though I managed to graduate, I couldn't step outside.
I saw a doctor at that time, but since I didn't feel well, I didn't return for follow-up visits.
Now, I only have some work from home, and I want to go out and find a job, but I feel very scared and anxious, afraid of various people and situations.
On one hand, my mental state is very negative, and I often feel physically drained and have frequent headaches.
Sometimes, when my emotions hit rock bottom, I just want to escape… On the other hand, I think about my family, who are getting older and have had health issues in recent years.
I can't just be irresponsible, which adds to my anxiety about my own state.
I still want to find a job, but I can no longer handle my life rationally and objectively.
I am just barely maintaining behaviors and a lifestyle like a normal person.
I would like to ask if seeing a doctor can help me? Are there any other resources that can assist me? I truly feel helpless.

Zoe, 30~39 year old female. Ask Date: 2023/02/23

Dr. Lin Mianzhang reply Psychiatry


Hello Zoe: I can sense your feelings of helplessness and despair, especially since you are a more introverted person.
If you don't have a way to express your emotions, it can be very difficult to relieve the discomfort within.
Although your previous experience with the doctor was not good, sometimes finding a physician who resonates with you is a matter of fate.
If that doctor did not meet your needs, you can look for another physician.
I recommend that you seek help from a mental health specialist so that a doctor can assess your situation.
You may need to undergo psychological counseling or receive medication assistance.
With professional help, your condition should show significant improvement.
Wishing you peace and health!

Reply Date: 2023/02/23

More Info


It sounds like you are going through a very challenging time, and it's important to acknowledge the feelings of anxiety, helplessness, and lack of motivation that you are experiencing. These feelings can be overwhelming, especially when compounded by family issues and personal struggles. It's commendable that you are seeking help and looking for ways to improve your situation.

Firstly, it's crucial to understand that your feelings are valid. Many people experience similar emotions, especially during significant life transitions, such as graduating from university and entering the workforce. The pressure to succeed, coupled with personal and familial responsibilities, can create a heavy burden. It's not uncommon for individuals in your situation to feel paralyzed by fear and anxiety, making it difficult to take the necessary steps toward change.

Seeing a mental health professional can be incredibly beneficial. A therapist or psychiatrist can provide a safe space for you to express your feelings and thoughts without judgment. They can help you identify the root causes of your anxiety and feelings of worthlessness, and work with you to develop coping strategies. Cognitive Behavioral Therapy (CBT), for example, is a common and effective treatment for anxiety and depression. It focuses on changing negative thought patterns and behaviors, which can help you regain a sense of control over your life.

In addition to therapy, medication may also be an option worth discussing with a psychiatrist. Antidepressants or anti-anxiety medications can help alleviate some of the symptoms you are experiencing, making it easier for you to engage in therapy and take steps toward recovery. It's important to have an open conversation with your doctor about your concerns regarding medication, including any past negative experiences.

Beyond professional help, there are several self-care strategies you can implement to support your mental health. Regular physical activity, even if it's just a short walk, can significantly improve your mood and reduce anxiety. Exercise releases endorphins, which are natural mood lifters. Additionally, try to establish a routine that includes activities you once enjoyed, even if they feel less appealing right now. Engaging in hobbies or interests can help rekindle your sense of purpose and joy.

Social support is also vital. While it may feel daunting, reaching out to friends or family members can provide a sense of connection and understanding. You don't have to go through this alone; sharing your feelings with someone you trust can lighten the emotional load. If you feel comfortable, consider joining a support group where you can connect with others who are experiencing similar challenges.

Lastly, practice self-compassion. It's easy to be hard on yourself during difficult times, but remember that it's okay to struggle. Acknowledge your efforts, no matter how small, and give yourself credit for seeking help. Recovery is a journey, and it's important to be patient with yourself as you navigate through these feelings.

In summary, seeking professional help is a crucial step in addressing your mental health concerns. Therapy and possibly medication can provide the support you need to overcome anxiety and feelings of helplessness. Additionally, incorporating self-care practices and reaching out for social support can further enhance your well-being. Remember, you are not alone in this journey, and there are resources available to help you find your way back to a more fulfilling life.

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