Your Mental Health Score: Should You Seek Help? - Psychiatry

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Hello, Dr.
Chou! I scored 49 points on the Dong's Foundation website test.
Is this considered severe? Should I seek medical attention? I previously visited Chiayi Hospital, but I was probably too nervous to explain my situation in detail, and they didn't ask many questions.
In the end, I was diagnosed with neuroasthenia, but I felt it wasn't very accurate, so I didn't take the medication prescribed and didn't return for a follow-up.
What should I do now? Should I seek medical attention? Thank you!

Xiao Yi, 20~29 year old female. Ask Date: 2004/12/17

Dr. Zhou Sunyuan reply Psychiatry


The Dong's Foundation provides screening questionnaires, which do not represent a psychiatric diagnosis and should not be used to determine severity.
The reason is that subjective standards can vary greatly among individuals; some may downplay their symptoms while others may exaggerate them.
Therefore, if a higher risk is identified through screening, it is advisable to seek a professional evaluation.
Your decision to seek medical attention is the right one.

Reply Date: 2004/12/17

More Info


Hello! Thank you for reaching out and sharing your concerns regarding your mental health. Based on your score of 49 from the assessment you took, it appears that you may be experiencing significant emotional distress. While I cannot provide a diagnosis, I can offer some insights into what this score might indicate and the importance of seeking professional help.

Firstly, mental health assessments often use scoring systems to gauge the severity of symptoms related to anxiety, depression, and other mental health conditions. A score of 49 could suggest that you are experiencing moderate to severe symptoms, which may warrant further evaluation and intervention. It’s important to remember that these assessments are tools to help identify areas of concern, but they should not replace a comprehensive evaluation by a qualified mental health professional.

You mentioned that you previously visited a psychiatrist but felt that your concerns were not fully addressed during that visit. This is not uncommon; many individuals feel nervous or overwhelmed during appointments, which can hinder effective communication. It’s crucial to find a mental health provider with whom you feel comfortable and safe to express your thoughts and feelings. If you felt that your previous experience was not satisfactory, consider seeking a second opinion or finding a different provider who may better suit your needs.

In terms of your diagnosis of "nervous system fatigue," it’s essential to understand that this term can encompass a range of symptoms, including fatigue, anxiety, and cognitive difficulties. However, without a thorough assessment, it is challenging to determine the underlying causes of your symptoms. Conditions such as anxiety disorders, depression, or even stress-related disorders can manifest similarly and require tailored treatment approaches.

If you are hesitant to return to a psychiatrist, consider starting with a mental health counselor or therapist. They can provide a supportive environment to explore your feelings and experiences in more depth. Therapy can be an effective way to develop coping strategies, improve emotional regulation, and address any underlying issues contributing to your distress.

Additionally, it may be beneficial to engage in self-care practices that promote mental well-being. This can include regular physical activity, maintaining a balanced diet, practicing mindfulness or meditation, and ensuring you have a strong support system of friends and family. These practices can help alleviate some symptoms and improve your overall mood.

As for medication, it’s understandable to have reservations, especially if you felt that the prescribed treatment was not appropriate for you. However, if your symptoms are significantly impacting your daily life, medication may be a necessary component of your treatment plan. It’s essential to have an open dialogue with your healthcare provider about your concerns regarding medication and to discuss any side effects or apprehensions you may have.

In conclusion, based on your score and the symptoms you’ve described, I strongly encourage you to seek professional help. Mental health is just as important as physical health, and addressing your concerns with a qualified provider can lead to significant improvements in your quality of life. Remember, it’s okay to ask for help, and taking that step is a sign of strength. You deserve to feel better and to have the support you need on your journey to improved mental health. Thank you for sharing your story, and I wish you the best in your pursuit of healing and well-being.

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