Struggling with Anxiety and Isolation: Seeking Help for Mental Health

Q: Struggling with Anxiety and Isolation: Seeking Help for Mental Health

Hello LISA： Based on your description of symptoms, it appears to be depression. <br>Currently, the first-line treatment for depression is pharmacotherapy, which can be combined with psychotherapy if deemed necessary. <br>There are many advanced medications available now with fewe

My concerns?

Hello Dr.
Chen! I am a finance professional working in mainland China.
Over the past three years, I have experienced significant psychological changes.
I had previously visited a family medicine doctor in Taiwan for issues such as anxiety, palpitations, and autonomic nervous system dysregulation.
Since coming to mainland China, I have not made any friends to confide in.
I often cry alone in my dormitory, and sometimes I even suppress my tears because my colleagues might knock on my door at any moment, and I have to pretend to be normal.
This makes it difficult for me to fully express my sadness, and I feel very distressed.
My mind often feels like it is overloaded and about to explode, and I gradually feel that life has no meaning.
I remember when I visited the family medicine doctor before, I was asked if I felt life was meaningless or if I had thoughts of suicide, and I always said no.
Now, I really do start to have such thoughts, and my relationship with my family is getting worse.
Although I don’t want to conflict with them, I always lose control of my emotions and speak to them poorly during phone calls.
I can't help but react negatively when I hear things I don’t want to hear, even though I know my parents mean well.
I haven’t been able to focus on reading for more than three minutes for a long time, and I constantly feel inexplicable anxiety.
Palpitations still occur frequently, and I don’t know what to do.
I haven’t seen a doctor in mainland China, so I brought the medication prescribed by my family medicine doctor before, but I feel that it’s not as effective as it used to be, and I don’t feel any effect at all now.
This makes me increasingly worried.
If I return to Taiwan for treatment, will it take a long time? Are there any other ways to improve my situation? I would appreciate your help in answering these questions.
Thank you!

LISA, 30~39 year old female. Ask Date: 2004/04/08

Dr. Chen Wenyu reply Psychiatry

Hello LISA: Based on your description of symptoms, it appears to be depression.
Currently, the first-line treatment for depression is pharmacotherapy, which can be combined with psychotherapy if deemed necessary.
There are many advanced medications available now with fewer side effects, convenient dosing, and generally good efficacy.
However, one of the important reasons for treatment failure is "patience." Often, patients stop taking their medication once they feel better, leading to recurrent episodes.
Clinically, the treatment course typically requires at least 1-2 years.
I'm not sure how long you stay in mainland China each time you visit, but you can provide proof of your flight to obtain a 60-day supply of medication, and then find a psychiatrist in China to prescribe the same medication.
Thank you for your letter!

Reply Date: 2004/04/08

More Info

Hello! Thank you for sharing your experiences and concerns. It sounds like you are going through a very challenging time, and I commend you for reaching out for help. Anxiety, feelings of isolation, and emotional distress can significantly impact your quality of life, especially when compounded by the stress of living and working in a different environment.

From what you've described, it seems that your anxiety has escalated over the past few years, particularly since moving to mainland China. The feelings of isolation, difficulty in expressing emotions, and the sense of life's meaninglessness are all significant indicators that you may be experiencing a more profound mental health issue. It's crucial to recognize that these feelings are valid and that seeking help is a strong and positive step.

Firstly, it’s important to address the feelings of anxiety and the physical symptoms you’re experiencing, such as palpitations and autonomic nervous system dysregulation. These symptoms can often be exacerbated by stress and emotional turmoil. Since you mentioned that the medications you brought from Taiwan are not as effective as they once were, it may be beneficial to consult with a healthcare professional in China. They can provide a fresh perspective on your treatment options, which may include adjusting your current medication or exploring different therapeutic approaches.

In addition to medication, therapy can be incredibly beneficial. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety disorders. It helps individuals identify and challenge negative thought patterns and behaviors, which can lead to improved emotional regulation and coping strategies. Given your feelings of isolation, finding a therapist who can provide support in a language you are comfortable with is essential. Many therapists offer online sessions, which could be a convenient option for you.

You also mentioned a lack of social support and feeling unable to express your emotions. Building a support network is crucial for mental health. While it may be challenging to find friends in a new environment, consider joining local groups or online communities where you can connect with others who share similar interests. Engaging in activities or hobbies can also provide a sense of purpose and help alleviate feelings of loneliness.

In terms of managing your emotions, practicing mindfulness and relaxation techniques can be beneficial. Techniques such as deep breathing, meditation, or yoga can help reduce anxiety and improve your emotional state. These practices encourage you to focus on the present moment and can provide a sense of calm amidst the chaos of your thoughts.

Regarding your family relationships, it’s understandable that stress can lead to conflicts, especially when you feel overwhelmed. It might help to communicate openly with your family about your feelings, even if it’s challenging. They may not fully understand what you’re going through, but expressing your emotions can help them provide the support you need.

Lastly, if you are experiencing thoughts of self-harm or suicide, it is crucial to seek immediate help. Reach out to a mental health professional or a crisis hotline in your area. Your safety and well-being are the top priority.

In summary, it’s essential to take proactive steps towards improving your mental health. This includes seeking professional help, exploring therapy options, building a support network, practicing mindfulness, and communicating openly with your family. Remember, you are not alone in this journey, and there are resources available to help you navigate through these difficult times. Take care of yourself, and I wish you the best on your path to recovery.

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