Can a Doctor Diagnose Mental Health Issues You Can't Discuss?

Q: Can a Doctor Diagnose Mental Health Issues You Can't Discuss?

Hello： You mentioned that "hiccups, hand tremors, sweating, dry heaving, facial flushing, and a blank mind" only occur in specific situations, which you previously described as "being on stage, performing, facing a crowd, or speaking with unfamiliar or unknown individuals." This

I'm not sure if a doctor's visit can reveal that?

Thank you, doctor, for answering my questions last time.
Regarding my previous inquiry, I would like to ask again.
I don't feel comfortable discussing my issues with my parents because I'm afraid that if I tell them and they take me to see a doctor, it might turn out that I'm just overthinking and actually have no problems.
I'm not sure how they would react.
The first two questions I raised only occur in specific situations and rarely happen in my daily life.
As for my third question, it only lasted for more than a month during the second year of junior high and last time.
At other times, I generally don't think about it; it only comes up when I'm at school or in class.
However, if I watch documentaries about my idols or similar content and get really into it, I can go for almost a month without those thoughts occurring.
So, I'm not sure if a doctor would be able to assess this.

F, 10~19 year old female. Ask Date: 2024/05/05

Dr. Wu Menghuan reply Psychiatry

Hello: You mentioned that "hiccups, hand tremors, sweating, dry heaving, facial flushing, and a blank mind" only occur in specific situations, which you previously described as "being on stage, performing, facing a crowd, or speaking with unfamiliar or unknown individuals." This is very likely indicative of "social anxiety disorder." Individuals with social anxiety disorder often worry about performing poorly in these situations or exhibiting anxiety-related symptoms, fearing negative evaluations from others, such as being criticized, disliked, or rejected.
Consequently, they experience intense anxiety and fear in these contexts and may wish to avoid them.
It is recommended to visit a child and adolescent psychiatry clinic for a professional evaluation and appropriate treatment.
Treatment options include medication and cognitive-behavioral therapy (CBT).
CBT primarily helps individuals recognize their irrational automatic thoughts (such as catastrophic thinking, overgeneralization, and underestimating their own abilities) and replace them with more flexible and logical cognitions.
Additionally, patients learn relaxation techniques and gradually practice exposure to feared situations.
You mentioned that engaging in activities you enjoy (such as watching documentaries about your idols) is a good way to distract yourself and interrupt negative thoughts.
However, if these negative thoughts increase, become unmanageable, and affect your daily life, academic performance, and social interactions, it may be important to consider the possibility of "depression." It is advisable to have a family member accompany you to a child and adolescent psychiatry clinic for an evaluation.
The doctor will understand your past and present circumstances through conversation, just as one would seek medical attention for a physical illness.
Mental health issues also require attention from a mental health professional, so there is no need to overly worry about or be concerned with others' opinions.

Reply Date: 2024/05/05

More Info

It's understandable to feel apprehensive about discussing mental health issues, especially when it comes to sharing your concerns with family members. Many individuals experience similar fears about being misunderstood or judged, which can prevent them from seeking help. However, it’s important to recognize that mental health is just as crucial as physical health, and addressing your concerns is a significant step toward well-being.

To answer your question, yes, a doctor can diagnose mental health issues even if you find it difficult to discuss them openly. Mental health professionals are trained to recognize signs and symptoms of various mental health conditions through a combination of interviews, questionnaires, and observational assessments. They can also use standardized diagnostic tools that help in identifying specific disorders based on your reported experiences and behaviors.

When you visit a mental health professional, they will likely ask you a series of questions about your feelings, thoughts, and behaviors. They may also inquire about your family history, daily functioning, and any significant life events that could be impacting your mental health. This process is designed to create a comprehensive picture of your mental health, even if you struggle to articulate your feelings.

It's also worth noting that mental health issues can manifest in various ways. For instance, you mentioned that certain thoughts only arise in specific situations, such as during school or while engaging with certain media. This context is essential for a mental health professional to understand your experiences better. They can help you explore these triggers and develop coping strategies to manage them effectively.

If you're concerned about the stigma associated with mental health issues, it might be helpful to approach the topic with your parents in a way that emphasizes your desire for understanding and support rather than focusing solely on the possibility of having a mental illness. You could express that you’ve been feeling overwhelmed or anxious and that you believe talking to a professional could provide clarity and help you cope better.

Moreover, many mental health professionals prioritize confidentiality and create a safe space for you to express your thoughts without fear of judgment. They are there to help you, not to label you or dismiss your feelings. If you feel uncomfortable discussing your issues in person, consider starting with an online consultation or a mental health hotline, where you can express your concerns anonymously.

In summary, while it may feel daunting to discuss your mental health issues, seeking help is a courageous and vital step. A mental health professional can diagnose and provide support for your concerns, even if you find it challenging to articulate them. Remember, you are not alone in this journey, and there are resources available to help you navigate your feelings and experiences. Taking the first step to reach out for help can lead to significant improvements in your mental well-being.

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