Should I See a Doctor? Navigating Mental Health Struggles

I'm not sure if I should see a doctor?

Last June, I cried almost every day, and then in October and November, I continued to cry daily.
Even now, I still cry a few times a week.
Just a few days ago, I finished my exams, and I suddenly did poorly in math, a subject I had previously excelled in.
My teacher kept criticizing me, saying I wasn't putting in enough effort.
On top of that, my classmates constantly call me derogatory nicknames because of my darker skin tone, referring to me as "nigger" or "gorilla." These names really make me feel insecure.
The day before yesterday, I cried for a long time again, and yesterday I even self-harmed with a utility knife.
I started to wonder if my existence in this world even matters; whether I'm here or not makes no difference.
I'm still unsure if I should see a doctor about this.
It's so expensive, and I don't dare to talk to my family about it.

You, 10~19 year old female. Ask Date: 2024/03/30

Dr. Wu Enliang reply Psychiatry

It can be tough for internet users.
If someone is giving you a nickname that you dislike, try talking to them directly and express that you don't like being called that.
Alternatively, you can discuss it with close friends or family to identify the reasons behind it and work on affirming yourself.
Everyone has their own strengths and a reason for being in this world! Additionally, you can seek assistance from a counseling office and listen to the counselor's advice.
If you're feeling down, you can call the 24-hour hotline at 1925, which is there to support you.
Seeking medical help is not expensive; typically, a visit to a mental health clinic costs around 150 to 200 NTD per session (excluding medication costs).
Dr.
Wu En-Liang.

Reply Date: 2024/03/30

More Info

It sounds like you are going through an incredibly difficult time, and I want to acknowledge the pain and confusion you are experiencing. Your feelings of sadness, self-harm, and the impact of bullying from your peers are serious issues that deserve attention and care. It’s understandable to feel overwhelmed, especially when faced with academic pressures and negative social interactions.
From what you've described, it seems that your mental health is being significantly affected. Crying frequently, feeling worthless, and resorting to self-harm are all signs that you may be struggling with depression or anxiety. These feelings can be exacerbated by external factors such as bullying, academic stress, and feelings of inadequacy. It’s important to recognize that these experiences are not just a phase; they can have lasting impacts on your mental and emotional well-being.

Seeing a doctor or a mental health professional can be a crucial step in addressing these feelings. While it may seem expensive and daunting, the cost of not seeking help can be much greater. Mental health professionals can provide you with the tools and support you need to navigate these challenges. They can help you develop coping strategies, work through your feelings of self-worth, and address the underlying issues that are contributing to your distress.

You mentioned that you are hesitant to talk to your family about your struggles. This is a common concern, but it’s important to remember that you don’t have to go through this alone. If you feel comfortable, consider reaching out to a trusted friend or a school counselor. They can provide support and may even help you find resources for professional help. Many schools have counseling services available, and some community organizations offer mental health services at reduced costs or on a sliding scale based on income.

Additionally, it’s essential to address the bullying you are experiencing. No one deserves to be treated poorly because of their appearance or any other reason. Speaking to a trusted adult about this situation can help you find ways to address the bullying and create a safer environment for yourself.

In terms of self-harm, it's crucial to seek help immediately. Self-harm is often a way to cope with overwhelming emotions, but it can lead to more severe consequences. A mental health professional can help you find healthier coping mechanisms and work through the emotions that lead to self-harm.

Lastly, I want to emphasize that your life has value, and you are not alone in this struggle. Many people have faced similar challenges and have found ways to heal and move forward. Seeking help is a sign of strength, not weakness. It shows that you are taking steps to care for yourself and your mental health.

In summary, I strongly encourage you to seek professional help. It may feel intimidating, but it is a vital step towards healing. You deserve support and guidance as you navigate these difficult emotions and experiences. Remember, reaching out for help is a courageous act, and there are people who want to support you through this journey.

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