Finding Relief from Emotional Turmoil: A Guide to Mental Health Support - Psychiatry

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Hello: I have been troubled by my emotions for a long time, and recently I often feel overwhelmed and unstable.
I have seen a doctor before, but I can only take the medication for one or two weeks before I can't continue due to the unpleasant taste of the pills.
Later, I tried to find a therapist for face-to-face sessions, but I didn't feel comfortable; the therapist made me feel like I couldn't express anything and just kept crying.
Now, I really want a way to return to normal, but I don't know what to do.
I even feel like I have to suppress thoughts of death and can't act on them.
Why is this so painful?

Yo, 10~19 year old female. Ask Date: 2004/08/23

Dr. Chen Wenke reply Psychiatry


I should say that emotional issues are something that almost everyone experiences in their lifetime.
However, when emotional problems become so severe that they affect your daily life and work, it may indicate an underlying illness, such as depression.
I believe these issues do not develop overnight; they often stem from certain personality traits combined with stressors that lead to illness.
Therefore, treatment is unlikely to show improvement in just one to two weeks.
Generally, medications for emotional disorders require at least two to three weeks to take effect, and given your current duration of medication, it is simply not enough time for improvement.
Additionally, psychotherapy is certainly one of the methods for treating emotional issues.
Based on your description, I think wanting to cry is not a bad thing; crying is a natural way to express emotions.
In summary, my advice is to promptly resume medication treatment and work closely with your physician, while also being a bit patient.
I believe you will recover.
Take care and best wishes.

Reply Date: 2004/08/23

More Info


It sounds like you are going through an incredibly challenging time, and I want to acknowledge the pain and turmoil you are experiencing. Emotional distress can feel overwhelming, and it’s important to know that you are not alone in this struggle. Many people face similar feelings of anxiety, depression, and emotional instability, and there are ways to find relief and support.

First and foremost, it’s crucial to understand that seeking help is a sign of strength, not weakness. You mentioned that you have tried medication in the past but found it difficult to continue due to side effects or the taste of the medication. This is a common experience for many individuals, and it’s important to communicate these concerns with your healthcare provider. There are various medications available, and sometimes it may take a few tries to find one that works for you without unpleasant side effects. If medication is not a viable option for you, there are alternative treatments and therapies that can be beneficial.

You also expressed that your experience with a therapist was not positive, which can happen. The therapeutic relationship is vital for effective treatment, and it’s okay to seek out a different therapist if you don’t feel comfortable with the one you’ve seen. Finding a therapist who you feel safe with and who understands your needs can make a significant difference in your healing process. Consider looking for a therapist who specializes in trauma, anxiety, or depression, as they may have specific strategies and tools to help you cope with your emotional turmoil.

In addition to professional help, there are several self-care strategies you can incorporate into your daily routine to help manage your emotions. Here are some suggestions:
1. Mindfulness and Meditation: Practicing mindfulness can help you stay grounded in the present moment and reduce feelings of anxiety. There are many apps and online resources available that can guide you through mindfulness exercises and meditation practices.

2. Physical Activity: Regular exercise is known to have a positive impact on mental health. It can help reduce symptoms of anxiety and depression by releasing endorphins, which are natural mood lifters. Find an activity you enjoy, whether it’s walking, dancing, yoga, or any form of movement.

3. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process your emotions. It allows you to express what you’re going through and can provide clarity and insight into your feelings.

4. Connect with Others: Reach out to friends or family members who you trust and feel comfortable with. Sharing your feelings with someone who listens can provide relief and support. You don’t have to go through this alone.

5. Establish a Routine: Creating a daily routine can provide structure and stability, which can be comforting during times of emotional upheaval. Include activities that bring you joy and relaxation.

6. Limit Stressors: Identify any sources of stress in your life and see if there are ways to reduce or manage them. This could involve setting boundaries, saying no to additional responsibilities, or finding ways to delegate tasks.

7. Seek Support Groups: Sometimes, connecting with others who are experiencing similar challenges can be incredibly validating and supportive. Look for local or online support groups focused on mental health.

Lastly, if you ever feel overwhelmed to the point of considering self-harm or suicide, it’s crucial to seek immediate help. Reach out to a crisis hotline, a trusted friend, or a mental health professional. Your life is valuable, and there are people who care and want to help you through this difficult time.

Remember, healing is a journey, and it’s okay to take it one step at a time. Be gentle with yourself, and allow yourself the space to feel and process your emotions. You are deserving of support and care, and there are paths to finding relief from the emotional turmoil you are experiencing.

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