Do I Need to See a Psychologist? Anxiety and Isolation - Psychiatry

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Should I see a psychologist?


I have a difficult family.
Since I was young, I have not liked attending family gatherings, and this has continued into adulthood.
I often cry at night and can sleep for an entire day.
At other times, I feel very energetic and can go without sleep.
After leaving home, I frequently dream that I am running, not knowing what I am trying to escape from.
In crowded places, I become very uncomfortable and start to feel a bit anxious.
When walking on the street or taking the bus or subway, I feel tense and have the constant impression that someone is watching me.
Sometimes I experience headaches and find myself hitting my head repeatedly.
I always feel like I am facing everything alone.
Doctor, do you think I need to see a psychologist? However, I always feel that I am quite normal.

Kris, 10~19 year old female. Ask Date: 2004/02/09

Dr. Lin Yanhong reply Psychiatry


Hi, do you think you are completely normal? You just have some concerns, right? Seeking a doctor doesn't mean you have to be "abnormal" to get help.
Online resources cannot accurately assess your issues or fully assist you.
You might consider visiting a psychiatrist to gain a better understanding of your concerns; it should help alleviate those uncomfortable feelings.
It's very important for you.

Reply Date: 2004/02/09

More Info


It sounds like you are experiencing a range of emotional and psychological challenges that could benefit from professional support. Your feelings of anxiety, isolation, and discomfort in social situations are significant indicators that seeking help from a psychologist or mental health professional could be beneficial.
From what you’ve described, it seems you have a history of discomfort in family gatherings, which may stem from unresolved issues within your family dynamics. This discomfort can lead to feelings of loneliness and sadness, as evidenced by your crying episodes and prolonged sleep. The fact that you experience fluctuations in your energy levels—sometimes feeling very energetic and other times sleeping excessively—could indicate underlying mood instability, which is often associated with anxiety and depression.

Additionally, your experiences of feeling watched in public spaces and the physical symptoms like headaches and self-harm behaviors (hitting your head) are concerning. These could be manifestations of anxiety or panic attacks, which can occur when someone feels overwhelmed in social situations or perceives a threat in their environment. The dreams of running away suggest a desire to escape from something troubling in your life, which could be linked to your feelings of isolation and anxiety.

It's important to recognize that feeling "normal" in your current state does not negate the distress you are experiencing. Many people who struggle with mental health issues may feel that their experiences are typical or that they can manage on their own. However, mental health conditions can often be complex and may require professional intervention to help you develop coping strategies and gain a better understanding of your feelings.

Psychologists can provide a safe space for you to explore your thoughts and feelings without judgment. They can help you identify the root causes of your anxiety and isolation, teach you coping mechanisms, and guide you in processing your emotions related to your family and social situations. Cognitive-behavioral therapy (CBT), for example, is an effective treatment for anxiety that focuses on changing negative thought patterns and behaviors.

Moreover, it’s crucial to address the physical symptoms you mentioned, such as headaches and self-harm. These can be signs of deeper emotional distress and should be taken seriously. A mental health professional can help you find healthier ways to cope with these feelings and reduce the urge to harm yourself.

In conclusion, while you may feel that your experiences are normal, the distress you are feeling is significant enough to warrant professional help. Seeking therapy can be a proactive step toward understanding your emotions, improving your mental health, and ultimately leading a more fulfilling life. Remember, reaching out for help is a sign of strength, and it can be the first step toward healing and personal growth.

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