Seeking Guidance on Mental Health Support in Rehabilitation Facilities

Hello Dr. Wu: I would like to inquire about issues related to nursing homes?

Hello,
1.
Background
1.
My late father suffered from schizophrenia and was often verbally and physically abused during my childhood.

2.
My parents had a rather unusual marriage and social life, and as I grew older and entered society, I realized how much their learned values affected me, often unconsciously harming others.
I always felt burdened by guilt.

3.
I was betrayed by a close classmate to a professor, leading me to believe that friendships are insincere and making it difficult for me to form new relationships, which now seem more transactional.

4.
I feel that my family has caused me to miss many pivotal moments in my education and career, which are now hard to reverse.
After growing up, I even physically assaulted my father and often displaced my emotions onto my family, but I know I ultimately have to take responsibility.

5.
I once attempted suicide by carbon monoxide poisoning.

6.
I often feel looked down upon by society in my work, and I find it hard to respond to this.
It’s frustrating that at critical moments, friends and family need connections.
As Chen Zhi-Fan said, sometimes when facing certain issues, I really don’t know who to blame—God?
7.
I tend to overgeneralize and exaggerate emotions, making them difficult to control.

8.
I think about certain unchangeable social issues, such as hoping that criminal policy does not lean towards punitive measures.
Why doesn’t Taiwan have a Second Amendment like the United States? I believe that the criminalization of assisted suicide is a legislative error.

9.
I easily sympathize with certain individuals, such as those involved in criminal cases triggered by the WTO around 2000.
However, my life experiences tell me that those who have endured hardship often develop different perspectives when they rise in the social hierarchy, leading me to feel that humanity is quite fickle.

10.
Consequently, I often feel that my moral reasoning is flawed, but I am genuinely in pain, regretful, confused, disappointed, exhausted, and burdened by guilt.
I sometimes fantasize about retaliating against those who have bullied me and feel that humanity is terrifying, as if society is a dog-eat-dog world.
Perhaps I am not suited to be human.

11.
I find it easy to remember being hurt, but I forget the times I have hurt others.
I truly dislike myself and humanity.

12.
If it weren’t for my concern for my mother, I might engage in actions I believe would benefit society.
Rather than support the wealthy who already have advantages, I would prefer to pursue a distorted sense of justice.

13.
I have never had a girlfriend and do not want to pass on my issues to future generations.
Life feels like just getting through each day, and I am really weary of various struggles and suspicions.

2.
Current Situation
1.
I am taking Lindin and Easyfor twice a day, along with sleep medication at night.

2.
I have discussed similar topics with a doctor, and after being reprimanded, I realized my behavior was inappropriate, but I felt that a medical student who violated criminal law 272 was likely in a similar situation.

3.
I believe there are many doctors skilled in issues related to marriage, family, and gender, but very few understand my situation, possibly due to a lack of focus on criminal psychology, which makes it easy for others to reject me.

4.
I find it hard to let go of these thoughts, often leading to headaches, chest tightness, and difficulty breathing.

5.
rTMS seems difficult to afford and appears to have effects lasting about a year.

3.
Questions
I would like to ask how a psychiatric ward in a rehabilitation center or hospital could assist in this situation.
Alternatively, if you have any suggestions, please feel free to share.
Thank you.

Mr. Chen, 30~39 year old female. Ask Date: 2024/07/04

Dr. Wu Enliang reply Psychiatry

It is highly recommended that you collaborate closely with a physician you are familiar with, and consider seeking psychological therapy to address these internal conflicts.
Dr.
Wu En-Liang.

Reply Date: 2024/07/04

More Info

It sounds like you are going through a very challenging time, and I commend you for seeking guidance on mental health support. Your background reveals a complex interplay of past trauma, familial issues, and current emotional struggles, which can significantly impact your mental well-being. Understanding the resources available to you is crucial in navigating this difficult journey.

Rehabilitation Facilities and Support
1. Inpatient Treatment: Given your history of severe emotional distress, including suicidal ideation and attempts, inpatient treatment may be a beneficial option. Hospitals with psychiatric wards can provide a structured environment where you can receive intensive therapy and medication management. This setting allows for close monitoring of your mental health and can help stabilize your condition. Inpatient care often includes individual therapy, group therapy, and medication adjustments, which can be crucial for someone experiencing the level of distress you describe.

2. Therapeutic Approaches: Within a rehabilitation facility, various therapeutic modalities can be employed. Cognitive Behavioral Therapy (CBT) is commonly used to help individuals identify and challenge negative thought patterns and behaviors. Dialectical Behavior Therapy (DBT) may also be beneficial, especially if you struggle with emotional regulation and interpersonal relationships. These therapies can provide you with tools to manage your emotions and improve your interactions with others.

3. Support Groups: Many rehabilitation facilities offer support groups where individuals can share their experiences and coping strategies. This can be particularly helpful in reducing feelings of isolation and fostering a sense of community. Hearing from others who have faced similar challenges can provide validation and hope.

4. Family Involvement: Engaging your family in the treatment process can be beneficial. Family therapy sessions can help address the dynamics within your family that may contribute to your distress. It can also educate your family members about your condition, enabling them to provide better support.

5. Community Resources: In addition to inpatient care, consider exploring community mental health resources. Many areas have outpatient programs that offer therapy, medication management, and support groups. These programs can provide ongoing support after you leave a hospital setting.

Addressing Specific Concerns
- Financial Assistance: If financial constraints are a concern, inquire about sliding scale fees or financial assistance programs at local mental health facilities. Many hospitals and community organizations offer resources to help cover the costs of treatment.

- Long-term Support: After stabilization, long-term support is crucial. Look for community rehabilitation centers that focus on vocational training, social skills development, and ongoing therapy. These programs can help you reintegrate into society and improve your quality of life.

- Self-Care Strategies: While professional help is essential, incorporating self-care strategies into your daily routine can also be beneficial. Mindfulness practices, such as meditation or yoga, can help reduce anxiety and improve emotional regulation. Engaging in physical activity, even in small amounts, can also have a positive impact on your mood.

Conclusion
Navigating mental health challenges is a complex process, and it’s important to approach it with a multifaceted strategy. Rehabilitation facilities can provide the structured support you need, while community resources can offer ongoing assistance. Remember that recovery is a journey, and it’s okay to seek help along the way. You are not alone in this, and there are people and resources available to support you through your healing process. Please consider reaching out to a mental health professional to discuss your options further.

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