Mental Health Struggles: Seeking Help and Hope for Recovery - Psychiatry

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Mental illness


Hello Doctor: I am still troubled by mental health issues.
Yesterday, I visited the Sacred Heart Hospital for treatment, and after taking the medication, I felt much better physically.
I explained my symptoms to the doctor: I still have poor memory, a strange feeling in my head, occasional suicidal thoughts, difficulty concentrating (my field of vision feels narrow), some neck stiffness, low energy, fear, occasional shortness of breath, emotional instability, and symptoms of panic disorder.
Additionally, I have had obsessive-compulsive disorder since childhood.
The doctor prescribed me three medications: Sepazon 2mg, Luvox 50mg, and Tido (Sinwell).
I had stopped taking my medication for a week last week due to work, and during that time, I felt extremely distressed, with very little patience and sometimes even thoughts of harming others due to frustration.
I would like to ask the doctor if I might be showing early signs of schizophrenia (as I have my own doubts), and whether I can work or apply for a disability certificate.
If I am not working, my financial situation seems to add to my stress! I want to work, but I also feel scared! I fear I won't perform well and feel inadequate (I think of myself as weak), but I don’t want to feel this way! Every morning, I wake up feeling very tired and wanting to sleep, and it’s not because I’m lazy.
Lastly, Doctor, I would like to ask when my symptoms might improve.
This is really difficult for me, and I truly want to be my former self again!

Xiao Gou, 20~29 year old female. Ask Date: 2001/06/05

Dr. Lin Yanhong reply Psychiatry


Hello, your symptoms appear to be what is referred to in the field of psychiatry as comorbidity of multiple disorders, including anxiety, depression, panic, and obsessive-compulsive symptoms.
This condition can be challenging to treat, but there is still hope.
Your medication is designed to address these symptoms; however, its effectiveness may take time or depend on individual factors.
It is also essential to incorporate other therapeutic approaches.
Regarding the possibility of schizophrenia, it would be best to discuss this in detail with your physician.
Regular follow-up is crucial, and for disability certification, certain severe illnesses must be treated for over two years without improvement.

Reply Date: 2001/06/05

More Info


It sounds like you are going through a very challenging time with your mental health, and I want to acknowledge the courage it takes to reach out for help and seek answers. Mental health struggles can be incredibly complex, and it’s important to understand that you are not alone in this journey. Many people experience similar feelings and symptoms, and there are effective ways to manage and improve your situation.

From what you’ve described, it seems you are dealing with a combination of anxiety, depression, and possibly obsessive-compulsive disorder (OCD). The symptoms you mentioned—poor memory, feelings of hopelessness, difficulty concentrating, physical discomfort, and emotional instability—are common in individuals facing mental health challenges. It’s also understandable to feel fearful about the future, especially when considering work and financial stability.

The medications prescribed to you, such as Sepazon (a benzodiazepine), Luvox (an SSRI often used for OCD), and Tido (which may refer to a medication for anxiety), are commonly used to help manage symptoms of anxiety and depression. However, it’s crucial to communicate openly with your doctor about your concerns regarding the effectiveness of your treatment and any side effects you may be experiencing. If you feel that your current medication regimen isn’t adequately addressing your OCD or panic symptoms, it’s important to discuss this with your healthcare provider. They may consider adjusting your medications or adding additional treatments that specifically target those symptoms.

Regarding your concerns about potential early signs of schizophrenia, it’s essential to understand that many symptoms of anxiety and depression can overlap with those of other mental health conditions. However, only a qualified mental health professional can provide an accurate diagnosis. If you have doubts or fears about your mental health, it’s crucial to bring these up during your appointments. Your doctor can help clarify your symptoms and guide you through the diagnostic process.

As for your ability to work, it’s understandable to feel apprehensive about returning to the workforce, especially when dealing with mental health issues. Many people find that starting with part-time work or flexible hours can help ease the transition back into a work environment. It’s also worth exploring whether your employer offers any mental health resources or accommodations that could support you in your role. If you feel that your symptoms significantly impair your ability to work, you may want to discuss the possibility of applying for disability benefits with your healthcare provider.

Recovery from mental health issues is often a gradual process, and it’s important to be patient with yourself. While it’s difficult to predict exactly when you will feel “normal” again, many people find that with the right treatment, support, and self-care strategies, they can experience significant improvements over time. Engaging in therapy, whether cognitive-behavioral therapy (CBT) or another form, can be particularly beneficial in addressing negative thought patterns and developing coping strategies.

In addition to medication and therapy, consider incorporating self-care practices into your daily routine. Regular physical activity, a balanced diet, mindfulness practices, and maintaining social connections can all contribute positively to your mental health. It’s also important to establish a support system—whether through friends, family, or support groups—where you can share your experiences and feelings without judgment.

Remember, seeking help is a sign of strength, and taking steps toward recovery is an important part of your journey. You deserve to feel better and to reclaim the joy and fulfillment in your life. Keep advocating for yourself and your health, and don’t hesitate to reach out for support when you need it.

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