Do You Really Need to See a Doctor for Mental Health Issues?

Do I really need to see a doctor?

Since I started high school, I have had issues with substance addiction.
At that time, I enjoyed the feeling of being out of it, but later I developed a dependence on alcohol.
When my partner wasn't around, I would drink until I fell asleep and then continue drinking upon waking.
I also experimented with stimulants, mixing them with alcohol as a way to escape reality.
I would finish a month's supply of sleeping pills or anti-anxiety medications in just three to four days.
I was even prescribed FM2 and enjoyed the drowsy feeling from taking medication without sleeping.
When I visited doctors, they believed I was just anxious, but I was too afraid to disclose my actual medication usage.
Eventually, I went to a major hospital where the doctor prescribed me a different set of medications, which were much more effective and made me fall asleep quickly.
However, I felt more anxious after sleeping too long and disliked the feeling of not being able to get out of bed, so I stopped taking the medication, thinking I was finally awake.
Last year, I suddenly experienced hormonal imbalances and faced relationship issues that caused me significant stress.
I believed that my problems with alcohol and sleeping pills might stem from my boyfriend's influence, and ultimately, I ended a five-year relationship.
It has been a year since then, and my life has been relatively normal, but recently I have been feeling quite negative.
After the breakup, I didn't confide in anyone, and it feels like my normal life is just a facade.
I no longer know if I am truly sad or anxious, but I am afraid that if I return to the clinic for medication, I will end up in the same situation as before.

Niming, 20~29 year old female. Ask Date: 2023/09/06

Dr. Qiu Junda reply Psychiatry

Hello.
Please seek medical attention as soon as possible to address your mental and physical distress as well as issues related to substance use.

Reply Date: 2023/09/06

More Info

It's clear from your message that you've been through a lot, and it's understandable to feel overwhelmed by your experiences with substance use, anxiety, and emotional distress. The question of whether to see a doctor for mental health issues is a significant one, especially given your history with substance dependence and the emotional challenges you've faced.

First and foremost, it's essential to recognize that mental health is just as important as physical health. Many people struggle with mental health issues, and seeking help is a sign of strength, not weakness. Given your history of substance use and the feelings of emptiness and anxiety you're currently experiencing, consulting a mental health professional could be very beneficial.

Substance use, particularly alcohol and prescription medications, can complicate mental health issues. It often serves as a coping mechanism for underlying problems such as anxiety, depression, or unresolved trauma. The fact that you've used substances to escape reality indicates that there may be deeper emotional issues that need to be addressed. A mental health professional can help you explore these feelings in a safe and supportive environment.

You mentioned that you have concerns about returning to a doctor for medication, fearing that it might lead to a repeat of past experiences. It's important to understand that not all doctors approach treatment in the same way. A good mental health professional will take the time to listen to your concerns, understand your history, and work with you to develop a treatment plan that feels right for you. This may include therapy, medication, or a combination of both, depending on your needs.

Therapy can be particularly effective for addressing the feelings of emptiness and anxiety you've described. Cognitive-behavioral therapy (CBT), for instance, can help you identify and change negative thought patterns that contribute to your emotional distress. Additionally, therapy provides a space to process your feelings about your breakup and any other life changes you've experienced.

Moreover, it's crucial to be open and honest with your healthcare provider about your substance use history and current feelings. This transparency will allow them to provide the best possible care tailored to your unique situation. If you're worried about stigma or judgment, remember that mental health professionals are trained to handle these issues with empathy and understanding.

If you're hesitant about returning to a previous doctor, consider seeking a second opinion or finding a new provider. Look for someone who specializes in addiction and mental health, as they may have a better understanding of your experiences and how to help you navigate them.

In summary, yes, you should consider seeing a mental health professional. Your experiences with substance use, emotional distress, and the complexities of your feelings warrant professional support. Remember, seeking help is a proactive step toward understanding yourself better and finding healthier coping mechanisms. You deserve to feel better and to have the support you need to navigate these challenges.

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