Struggling to Communicate: Navigating Workplace Challenges in Psychiatry - Psychiatry

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Why does everyone have difficulty understanding what I want to express?


I recently started working at a hospital, and my job is divided among three departments (A, B, and C; I belong to department A).
It's been a month now, and I heard that before I arrived, the workload was distributed among everyone, but since they were overwhelmed, they decided to hire someone.
After I reported for duty, no one taught me anything, and I had to figure things out on my own.
Every day, I would bring work home and back up my work data on my home computer, as it gave me a sense of security.
I finally became familiar with my current job responsibilities.
Recently, a senior member from department B has been trying to increase my workload, but these tasks belong to department B, not A.
During meetings, my supervisor defended me, but when the senior member became assertive, my supervisor compromised (even though my supervisor's rank is higher).
Initially, the senior member from department B introduced me to the hospital and mentioned that if I was deemed unsuitable after my three-month probation period, she had the authority to recommend my dismissal to my supervisor.
She has repeated this statement multiple times, which has left me feeling a lack of belonging.
Since starting work, I've begun to experience restless sleep; if I drink water or use the bathroom at night, I wake up after three minutes and find it hard to fall back asleep.
As a result, I often feel exhausted.
I tend to double-check my work multiple times but hesitate to submit it to my supervisor.
When I finally do submit it, I often discover minor errors two to three days later but am too afraid to correct them for fear of being reprimanded, which only increases my anxiety.
Since no one from department B is teaching me, I have to look up information myself, but my computer was not functioning at the time, so I had to seek help from others, which was difficult as they were hard to find.
I feel helpless because no one from the three departments acknowledges me as part of their team; everyone shifts responsibility onto each other.
When I need assistance, everyone claims I belong to their department.
Recently, I've noticed that I struggle to understand what they are saying, and they also seem to misunderstand my intentions.
Is there something wrong with me? Since no one is willing to teach me, I have to rely on research to catch up, but others perceive me as being idle.
After finally getting my computer working, I started creating reports, but when others saw my progress, they would ask, "Is the report not ready yet after all this time?" It feels like I am doing everything wrong, whether it's working or researching.
What exactly am I supposed to do right? I remember when I was acting in a previous position, everyone was very supportive of me, saying I was incredibly well-behaved and had no temper.
However, now that my office is isolated, I feel very alone.
Additionally, I have a fear of crowds because people often comment on my weight, which I gained due to illness, but my colleagues (the doctors and nurses) mistakenly believe it is due to overeating.
Therefore, I try to avoid crowds whenever possible.
Recently, the senior member from department B has been piling on more work without providing guidance, and I feel increasingly pressured.
I feel like I'm reaching a breaking point.
I work on the 10th floor, but there are no windows in the office.
When I look out into the hallway, I often feel an impulse to jump.
I am now very afraid of going to work, feeling overwhelmed by many tasks but unable to handle any of them well.
I want to leave, but jobs are hard to come by.
I want to stay, yet I feel like I'm sitting on pins and needles every day.
Sometimes I have to work on Saturdays, and when the stress builds up, I seek comfort from my mom because I can't help but feel like crying every day.
My colleagues say my mom is very smart, so why am I not like her? I look forward to weekends, but when I have to work on Saturday or after the weekend, I start to feel irritable.
I feel very helpless now and no longer dare to communicate with my colleagues because I can't understand what they are saying, and they don't understand what I am trying to express.
The senior member from department B pressures me relentlessly, and if I can't produce results, she constantly berates me.
If I don't understand her instructions, she becomes angry, and the more upset she gets, the less I comprehend her words and the less I dare to ask questions.
If I have a question and she happens to be on leave, she gets upset.
Recently, I've wanted to explore other resources to understand the new tasks, but I find everything incomprehensible and have started to resist looking at those materials.
I feel increasingly distressed; the more I read, the more confused I become.
I truly don't know what to do.

Youzi, 20~29 year old female. Ask Date: 2005/06/05

Dr. Lin Yanhong reply Psychiatry


Hello: You described your current work situation and the difficulties you are facing.
To be honest, I feel quite sympathetic towards your predicament.
It can truly feel like being caught in a difficult position.
If resigning is not an option for you, it would be best to request that your employer clearly outline your job responsibilities and duties.
This way, you will know exactly what is expected of you.
If the stress is affecting your sleep for more than a week, it’s important to seek help from a mental health professional.

Reply Date: 2005/06/05

More Info


Navigating workplace challenges, especially in a psychiatric setting, can be particularly daunting, especially when faced with communication barriers and overwhelming pressure from colleagues. Your situation reflects a common struggle many individuals face when transitioning into new roles, particularly in environments that are fast-paced and require collaboration among multiple departments. Here are some strategies and insights to help you cope with your current challenges.


Understanding Your Situation
Firstly, it’s important to recognize that your feelings of anxiety, confusion, and frustration are valid. Starting a new job, especially in a complex environment like a hospital, can be overwhelming. The pressure to perform well, coupled with a lack of support and guidance from colleagues, can lead to feelings of isolation and inadequacy. The fact that you are experiencing sleep disturbances and heightened anxiety suggests that the stress is taking a toll on your mental health.


Communication Barriers
You mentioned difficulties in understanding your colleagues and feeling misunderstood in return. This is a significant barrier that can exacerbate feelings of isolation. It may be beneficial to consider the following approaches:
1. Clarify Expectations: If possible, schedule a meeting with your supervisor to discuss your role and responsibilities clearly. Express your concerns about the workload being assigned by the B department and seek clarification on what is expected of you. This can help establish boundaries and ensure that you are not overwhelmed by tasks that are outside your primary responsibilities.

2. Seek Mentorship: If there are individuals in your department or even in the B department who seem approachable, consider asking them for guidance. A mentor can provide you with insights into the workplace culture and help you navigate the complexities of your role.

3. Utilize Written Communication: When verbal communication feels challenging, try to communicate through emails or written notes. This allows you to articulate your thoughts more clearly and gives your colleagues a chance to respond thoughtfully.


Managing Workload and Stress
Given the increasing demands from the B department, it’s crucial to manage your workload effectively:
1. Prioritize Tasks: Create a list of tasks and prioritize them based on urgency and importance. This can help you focus on what needs to be done first and reduce feelings of being overwhelmed.

2. Set Boundaries: It’s essential to establish boundaries regarding your workload. If you feel that the tasks being assigned are beyond your capacity, communicate this to your supervisor. It’s important to advocate for yourself and your well-being.

3. Practice Self-Care: Engage in activities that help you relax and recharge outside of work. This could include exercise, meditation, or spending time with loved ones. Taking care of your mental health is crucial, especially in high-stress environments.


Seeking Professional Help
If your feelings of anxiety and depression continue to escalate, it may be beneficial to seek professional help. A mental health professional can provide you with coping strategies tailored to your specific situation. Therapy can also offer a safe space to express your feelings and work through the challenges you are facing.


Building a Support Network
Lastly, consider reaching out to friends or family members who can provide emotional support. Sharing your experiences with someone who understands can alleviate feelings of isolation. Additionally, if you have access to employee assistance programs or support groups within your workplace, these can be valuable resources.


Conclusion
In conclusion, navigating workplace challenges, particularly in a psychiatric setting, requires a multifaceted approach. By clarifying expectations, seeking mentorship, managing your workload, practicing self-care, and considering professional help, you can create a more supportive work environment for yourself. Remember, it’s okay to ask for help and advocate for your needs. Your mental health is paramount, and taking proactive steps to address your concerns is a sign of strength.

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