Your Mental Health: When to Seek Psychiatric Help

I would like to ask the doctor a question?

I would like to ask Dr.
Lee: Last year, in early October, I experienced dizziness for one to two months and then went to see a doctor.
The doctor prescribed medication, which I took for two to three weeks, and I felt somewhat better.
However, I later experienced sensations while sleeping, feeling as if I wasn't on the bed, and sometimes when standing, I felt as if I wasn't touching the ground.
I then informed an ENT specialist, who advised me to see a psychiatrist.
I don't understand why the doctor wants me to go.
To be honest, I don't want to see a psychiatrist.
I had previously visited one because I couldn't sleep, and I have mitral valve prolapse and anxiety issues.
I communicated with a therapist about these situations, but the results were not satisfactory, so I stopped going.
I have been there a total of seven times; during the first three visits, I was laughing throughout the conversations, while in the last four visits, I was crying continuously.
I can't control my emotions, and sometimes I have thoughts of wanting to die.
I haven't seen a doctor for the feelings of unreality; the doctor probably won't think it's a big deal, right? Thank you...

Xiao Xiao, 20~29 year old female. Ask Date: 2001/02/17

Dr. Li Junren reply Psychiatry

Regarding your experience of feeling like you are not sleeping on your bed and sometimes feeling like you are not touching the ground while standing, it is difficult to determine the cause due to a lack of relevant information and examinations.
I also recommend that you consult a neurologist or psychiatrist for a more detailed evaluation and assessment, as this may help clarify the issue.
From your description, it seems you have undergone psychological therapy, is that correct? The process of therapy is not easy, and you may feel the urge to escape or feel overwhelmed at certain stages of treatment.
I suggest discussing these feelings with your therapist, as this can often be a crucial moment in the therapeutic process.
Do not worry about whether your discussions will upset your therapist; their training equips them to handle a variety of situations.
Regarding your insomnia, anxiety, difficulty managing your emotions, and occasional thoughts of self-harm, appropriate assessment and treatment are still very important.
I recommend seeking help from a psychiatrist or clinical psychologist to address these issues.

Reply Date: 2001/02/17

More Info

It sounds like you are going through a very challenging time, and I want to acknowledge the courage it takes to reach out for help. Mental health issues can manifest in various ways, and it's important to understand that seeking psychiatric help is a crucial step toward recovery, especially when you are experiencing symptoms that affect your daily life and emotional well-being.

From what you've described, it seems that you have been dealing with a range of symptoms, including feelings of unreality, emotional instability, and thoughts of self-harm. These symptoms can be indicative of underlying mental health conditions, such as anxiety disorders, depression, or even dissociative disorders. It's not uncommon for individuals to feel hesitant about seeking psychiatric help, especially if previous experiences with therapy were not beneficial. However, it's essential to recognize that mental health treatment is not one-size-fits-all; different therapists and treatment approaches can yield different results.

The sensations you described—feeling as though you are not sleeping on your bed or not feeling the ground beneath your feet—can be signs of dissociation, which is often a coping mechanism in response to overwhelming stress or trauma. This feeling of detachment from reality can be distressing and may require professional intervention to address effectively. Additionally, your mention of having thoughts of self-harm is particularly concerning and should be taken seriously. It's crucial to talk to a mental health professional who can provide the support and guidance you need.

When considering whether to seek psychiatric help, here are a few key points to keep in mind:
1. Severity of Symptoms: If your symptoms are impacting your ability to function in daily life—such as affecting your work, relationships, or self-care—it's a strong indication that you should seek help. The presence of suicidal thoughts is particularly urgent and should be addressed immediately.

2. Previous Experiences: While your past experiences with therapy may not have been positive, it’s important to remember that not all therapists or treatment modalities are the same. You might benefit from trying a different therapist or a different approach, such as cognitive-behavioral therapy (CBT), which is effective for many individuals.

3. Support System: Having a supportive network of friends or family can make a significant difference in your recovery journey. If you feel comfortable, consider sharing your feelings with someone you trust who can encourage you to seek help.

4. Professional Guidance: If your primary care physician or an ear, nose, and throat (ENT) doctor has recommended seeing a psychiatrist, it’s likely because they recognize that your symptoms may have a psychological component. Psychiatrists are trained to evaluate and treat mental health conditions and can prescribe medication if necessary.

5. Crisis Resources: If you ever feel overwhelmed or have thoughts of self-harm, please reach out to a crisis hotline or mental health professional immediately. In the U.S., the National Suicide Prevention Lifeline is available at 1-800-273-TALK (1-800-273-8255) and offers confidential support 24/7.

In conclusion, while it’s understandable to feel apprehensive about seeking psychiatric help, it’s crucial to prioritize your mental health. The symptoms you are experiencing are valid and deserve attention. Seeking help can lead to a better understanding of your feelings and provide you with coping strategies to manage your symptoms effectively. Remember, you are not alone in this journey, and there are professionals who can help you navigate through these difficult times.

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