Am I Sick? When to Seek Help for Mental Health - Psychiatry

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Is it a disease?


Should I see a doctor? What can a doctor do to help me? Am I really sick? Everything in life seems to have less meaning to me; losing him makes me wonder what the point is in trying or being strong.
Day and night, I can't think of anything else.
I don't want to sleep, eat, or do anything.
The vitality of life is slowly fading away.
It's been five years; can I still hold on? I'm so tired...

Fan Er, 30~39 year old female. Ask Date: 2005/01/24

Dr. Tang Xinbei reply Psychiatry


Dear Fan-er,
It seems that you are experiencing a significant loss in your life.
This loss appears to have been affecting you for quite some time, leading your emotions to plummet.
It seems that your daily routines, social interactions, and important personal roles have been greatly impacted.
Depression is an emotional state that can be transient and mild, or it can persist for an extended period and severely affect an individual's life and functioning.
Clinically, the definition of 'illness' in this context refers to an emotional state that exceeds a certain duration and reaches a certain severity, although subjective experiences may vary from person to person.
Based on your current condition, you meet the diagnostic criteria for depression (lasting over two weeks).

I recommend that you seek professional medical treatment at a mental health facility you trust.
A physician can assist with diagnosis, medication prescriptions, psychological counseling or therapy, or refer you to specialized mental health professionals for further support.
After all, emotional distress requires appropriate treatment! While we may not be able to help you regain what you have lost, we can assist you in finding the significant meanings in your life journey and help you rebuild a new direction.
Additionally, some antidepressant medications could be quite beneficial for your current situation.

Wishing you peace and joy! May the New Year bring you fulfillment!

Reply Date: 2005/01/24

More Info


Hello, Fan'er. I want to start by acknowledging the immense pain and exhaustion you are feeling. It’s clear from your words that you are experiencing significant emotional distress, and it’s important to understand that you are not alone in this struggle. Many people go through similar feelings, and it’s a sign of strength to reach out for help.

From what you’ve described, it sounds like you may be experiencing symptoms of depression or another mental health condition. Feelings of hopelessness, loss of interest in activities, and a sense of meaninglessness in life are common indicators of depression. The fact that you have been feeling this way for five years is concerning and suggests that it may be time to seek professional help.

Seeing a doctor or a mental health professional can be incredibly beneficial. They can provide a safe space for you to express your feelings and experiences without judgment. A mental health professional can help you understand what you are going through, offer a diagnosis if applicable, and work with you to develop a treatment plan tailored to your needs. Treatment can include therapy, medication, or a combination of both, depending on your specific situation.

Therapy, such as cognitive-behavioral therapy (CBT), can help you identify and change negative thought patterns and behaviors that contribute to your feelings of despair. It can also provide you with coping strategies to manage your emotions more effectively. Medication, such as antidepressants, can help balance the chemicals in your brain that affect mood and emotional regulation. It’s important to note that medication can take time to work and may require adjustments to find the right fit for you.

You mentioned feeling like life is losing its meaning and that you are exhausted. These feelings can be overwhelming, but they can also be addressed with the right support. A mental health professional can help you explore these feelings and work towards finding meaning and purpose in your life again. They can also assist you in developing a support system, which is crucial in times of distress.

Confidentiality is a fundamental principle in healthcare, especially in mental health. Your doctor or therapist is legally and ethically obligated to keep your information private, so you can feel safe discussing your thoughts and feelings openly.

It’s also important to consider that reaching out for help is a courageous step. Many people fear being judged or misunderstood, but mental health professionals are trained to provide support and understanding. You deserve to feel better, and seeking help is the first step towards healing.

In summary, yes, you should consider seeing a doctor or a mental health professional. They can help you understand what you are experiencing, provide a diagnosis if necessary, and work with you to create a treatment plan that can lead to improvement in your quality of life. Remember, you are not alone in this, and there is hope for a brighter future. Please take care of yourself and reach out for the support you need.

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