Your Mental Health: When to Seek Psychiatric Help - Psychiatry

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I...
am not quite sure if I have a problem...
or if I should see a psychiatrist...
I tend to overthink things, which sometimes leads to feeling down.
Recently, the situation has worsened because I just broke up with my girlfriend, and on top of that, I'm retaking my university entrance exams.
The psychological pressure feels overwhelming...
My mood fluctuates, and I can't talk to my family about it.
My old friends have gone to university and have their own social circles, leaving me in a nearly isolated state.
I don't know what to do and hope the doctor can give me some advice, as I really don't want to fail the exams.
As long as I can stabilize my mood, I believe I can do very well.
Thank you for listening to my concerns!

Hank, 10~19 year old female. Ask Date: 2001/04/14

Dr. Tang Xinbei reply Psychiatry


Dear friend: It seems that you are quite confused about your situation, feeling helpless and lonely, and overthinking things.
A person's emotions can fluctuate due to external environments and life stressors.
However, emotions are also influenced by one's own thought patterns.
For example, when a person scores fifty-nine on a test, a pessimistic person might think: "I'm done, I failed, I'm not good enough, I'm terrible!" Such negative thoughts can undermine self-esteem and lead to feelings of sadness.
In contrast, an optimistic person might think: "Fortunately, I still have a chance to retake the exam; at worst, I can take summer classes or retake the course.
I was so close to passing; my poor performance can help me identify where I need to improve!" This kind of positive and proactive thinking does not undermine confidence and helps maintain emotional stability.
Instead of worrying about failing again, it would be better to focus on preparing for your studies.
Positive thinking is a habit that can be practiced! Another reason affecting your mood is your recent breakup with your girlfriend, which naturally brings feelings of loss.
Many activities that you used to share with her now leave you unsure of what to do, so it is necessary to establish "new habits" to reconstruct your life.
My motto shared online is, "Reality is more important than perfection!" Those who overthink often have high expectations, but life is not limited to one path; you have many choices! Wishing you peace and joy!

Reply Date: 2001/04/14

More Info


It sounds like you are going through a very challenging time, and I want to acknowledge the feelings of isolation, pressure, and uncertainty that you are experiencing. It's completely normal to feel overwhelmed, especially after a breakup and while preparing for an important exam like college entrance. Your concerns about your mental health are valid, and seeking help can be a crucial step toward feeling better.

Firstly, it’s important to recognize the signs that indicate you might benefit from psychiatric help. If you find that your mood swings are becoming more frequent or intense, or if you are experiencing feelings of hopelessness, anxiety, or persistent sadness, these could be signs of a mental health issue that warrants professional attention. Additionally, if you are feeling isolated and unable to connect with friends or family, this can exacerbate feelings of loneliness and despair.

Given your situation, here are some points to consider:
1. Understanding Your Feelings: It’s common to feel a range of emotions after a breakup, including sadness, anger, and confusion. These feelings can be compounded by the stress of preparing for exams. It’s important to allow yourself to feel these emotions without judgment. Journaling can be a helpful way to process your thoughts and feelings.

2. Recognizing the Need for Support: You mentioned feeling isolated and unable to talk to family or friends. This can be a significant burden. Seeking support from a mental health professional can provide you with a safe space to express your feelings and develop coping strategies. Therapists can help you understand your emotions better and guide you through this difficult time.

3. Seeking Professional Help: If you are unsure whether you need to see a psychiatrist, consider scheduling an initial consultation. Many mental health professionals offer a free or low-cost first session, which can help you determine if ongoing therapy is right for you. You don’t have to have a diagnosed mental illness to seek help; sometimes, just needing someone to talk to is enough reason.

4. Coping Strategies: While you are considering professional help, there are also self-care strategies you can implement. Regular physical activity, a balanced diet, and sufficient sleep can significantly impact your mood and stress levels. Mindfulness practices, such as meditation or yoga, can also help you manage anxiety and improve your emotional well-being.

5. Building a Support Network: Although you feel isolated, it’s important to reach out to others. This could be family members, old friends, or even new acquaintances. You might consider joining study groups or clubs related to your interests, which can help you meet new people and reduce feelings of loneliness.

6. Setting Realistic Goals: As you prepare for your exams, try to set achievable goals for yourself. Break your study material into manageable sections and reward yourself for completing each section. This can help reduce the feeling of being overwhelmed and give you a sense of accomplishment.

7. Emergency Situations: If at any point you feel like you might harm yourself or have thoughts of self-harm, it’s crucial to seek immediate help. Contact a mental health crisis line or go to the nearest emergency room.

In conclusion, your mental health is just as important as your physical health, and seeking help is a sign of strength, not weakness. You deserve support during this difficult time, and taking the step to consult with a mental health professional can be a pivotal move toward feeling better. Remember, you are not alone in this, and there are people and resources available to help you navigate through these challenges.

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