How to Cope with Mental Health Challenges: A Personal Journey

Doctor, what should I do?

My name is Hsu Kuei-Jung.
Doctor, I previously showed you my health check-up results, and later, one or two months after a follow-up examination, I showed you again.
However, the report was returned by the Zhongli City Office, stating that I only had emotional distress.
They told me not to seek further treatment and to sign a declaration stating that I do not have this illness.
After joining the military, I still experience insomnia, fear, excessive anxiety, memory issues, and even suicidal thoughts.
Currently, I am stationed in Matsu and have discovered that I have chest pain.
Today, I returned to Taiwan for medical treatment, and after undergoing ultrasound, ECG, and X-ray examinations, it seems there are no significant issues.
I also plan to see a psychiatrist.
While in the military, I was referred to Keelung Hospital for psychiatric care, where I was prescribed medication for depression and advised to return for a follow-up on March 1, but I may not go because it is too far.
Today, I am supposed to visit the Tri-Service General Hospital, but I am currently in Matsu, waiting for a flight.
I have only taken three days of sick leave, and the flights have been canceled, so I am unsure if I can return to Taiwan for treatment.
When I was in fifth grade, my mother passed away.
After entering junior high, my classmates extorted money from me or made me run errands, so I had very few friends.
After graduating from junior high, I attempted to enter a military school but could not adapt and returned home after a month.
In high school, I was a troubled student and did not learn much in class.
I was bullied and even wrongfully accused and beaten.
After graduating from high school, I tried to enter a non-commissioned officer training program but returned home after a week due to inability to adapt.
I started looking for work, but everything was different.
I only thought about finding a job that paid well, so I went to many interviews, but there were too many direct sales jobs, which wasted my time.
When I found a job, I often felt bored and exhausted, leading me to switch jobs frequently, resulting in no stable employment.
My family criticized me, and my brother scolded me.
My brother has been taking care of the family since graduating from junior high and is now frustrated with me.
He says I do not think about the family and restricts my time to find work.
If I do not find a job, I am punished by being made to kneel or not allowed to return home.
I know I am at fault, but I feel overwhelmed and exhausted.
Doctor, how should I face this situation?

A Gui, 20~29 year old female. Ask Date: 2005/02/18

Dr. Chen Qixiang reply Psychiatry

Dear Mr.
Hsu,
I understand your concerns, but this is quite complex and cannot be clearly explained in just a few lines.
It would be better for you to come to my clinic for a face-to-face discussion to address your questions more effectively.

Reply Date: 2005/02/18

More Info

Dear Xu Guirong,
Thank you for sharing your journey and the challenges you are facing. It’s clear that you have been through a lot, and it’s understandable to feel overwhelmed given your experiences. Coping with mental health challenges, especially in the context of a difficult past and current pressures, can be incredibly tough. Here are some thoughts and suggestions that may help you navigate this journey.

Firstly, it’s important to acknowledge the impact of your past experiences on your current mental health. Losing a parent at a young age is a significant trauma, and the bullying and lack of support you faced during your school years likely compounded this trauma. These experiences can lead to feelings of isolation, anxiety, and depression, which you seem to be experiencing now. It’s crucial to recognize that these feelings are valid and that seeking help is a brave and necessary step.

You mentioned experiencing insomnia, anxiety, and even suicidal thoughts. These symptoms are serious and indicate that you may be dealing with a mental health condition that requires professional support. It’s good that you have sought help from a psychiatrist and have been prescribed medication for depression. Medication can be an effective part of treatment, especially when combined with therapy. If you are hesitant about traveling for appointments, consider asking if telehealth options are available, which could make it easier for you to receive care without the stress of travel.

In addition to medication, therapy can provide you with tools to cope with your feelings and experiences. Cognitive Behavioral Therapy (CBT) is particularly effective for anxiety and depression, helping individuals to reframe negative thoughts and develop healthier coping strategies. If you can, try to find a therapist who understands your background and can work with you on building resilience and self-esteem.

You also mentioned feeling pressure from your family, particularly from your brother. Family dynamics can be challenging, especially when there are expectations and misunderstandings about mental health. It might be helpful to have an open conversation with your family about what you are experiencing. If they are not receptive, consider seeking support from friends, support groups, or online communities where you can share your experiences and feelings without judgment.

Engaging in self-care practices can also be beneficial. This includes maintaining a routine, getting regular exercise, eating well, and ensuring you have time for activities that bring you joy or relaxation. Mindfulness and relaxation techniques, such as meditation or deep-breathing exercises, can help reduce anxiety and improve your overall mood.

Lastly, it’s essential to be patient with yourself. Healing is not linear, and it’s okay to have setbacks. Celebrate small victories, whether it’s getting out of bed, completing a task, or reaching out for help. Remember that you are not alone in this journey, and there are people and resources available to support you.

In summary, I encourage you to continue seeking professional help, consider therapy alongside medication, communicate openly with your family about your struggles, and practice self-care. Your life has value, and there is hope for a brighter future. Please take care of yourself, and know that it’s okay to ask for help when you need it.

Wishing you strength and healing,
Doctor Q&A Teams

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