Mental Health Struggles: Seeking Help for Depression and Anxiety

Mental health issues

Dear Dr.
Tang,
I apologize for bothering you again and taking up a bit of your time!
1.
Recently, I have been experiencing persistent memory issues, even while taking psychiatric medication.
Should I consider consulting a neurologist for treatment?
2.
I have recently started working with a CNC lathe, which I find quite challenging.
There are times when I feel overwhelmed, yet I also experience a slight interest, which feels contradictory.
Yesterday, my parents had an argument that really stressed me out.
My dad kept lecturing me, and I told him that I would only work until the end of this month because I don't want to continue due to him.

Since yesterday, I have started to engage in unhealthy habits; I used to not smoke, but now I find myself with a cigarette in my mouth.
I also skipped dinner and did not take my medication.
I am genuinely afraid of a relapse, but I feel helpless.
Yesterday was particularly depressing; my mood was unstable, and I couldn't eat, feeling like a zombie.
I feel like society is sick, and I have thoughts of wanting to die, believing that death would free me from worries and pain.
Perhaps my depression is resurfacing.
Freud once said, "A person without worries does not exist."
Today, I don't know what's happening, but I feel as if I'm on the brink of death, and I am truly terrified! Lastly, I hope you can guide me to escape this sea of suffering and despair.
Thank you.

Xiao Jie, 20~29 year old female. Ask Date: 2001/07/07

Dr. Tang Xinbei reply Psychiatry

Dear Xiao Jie,
I apologize for the delay in responding to your inquiry.
I was out of the country for a conference for the first half of the month, and upon my return, I had a heavy workload.
Regarding your first concern about poor memory, which persists even with psychiatric medication, I do not believe it is necessary to consult a neurologist.
Memory is influenced by many factors, such as emotional anxiety and depression, lack of concentration, sleep quality, and whether one is engaged in activities of interest.
I still recommend discussing this further with your psychiatrist for a more comprehensive evaluation.
In fact, there is no medication that can guarantee improved memory; if there were, the entire world might be filled with geniuses!
As for your second concern about feeling unable to continue with work, it seems that your emotions are having a significant impact on you.
The arguments between your parents, your father's nagging, and your own inner turmoil make it difficult for you to concentrate on work.
This has led you to smoke as a way to cope with your emotions.
Additionally, your poor emotional state has caused you to skip meals and medication, which may exacerbate your difficulties.
I strongly encourage you to learn to view your situation from a different perspective.
Such experiences are part of the process of personal growth and learning.
Your parents' arguments are their issue, not something you caused; you are working for your own future, not to meet your parents' expectations; and your emotions can be managed by you.
I also hope you can adhere to your medication regimen, as this is the first step in taking good care of yourself and the first responsibility you can take for your own well-being.
Wishing you peace and joy!

Reply Date: 2001/07/07

More Info

It sounds like you are going through an incredibly challenging time, and I want to acknowledge the pain and confusion you are experiencing. Mental health struggles, particularly depression and anxiety, can feel overwhelming and isolating. It’s important to remember that you are not alone in this journey, and seeking help is a crucial step toward healing.

Firstly, regarding your memory issues despite taking psychiatric medication, it may be beneficial to consult a neurologist. Memory problems can arise from various factors, including stress, anxiety, and even the side effects of medications. A neurologist can help determine if there are underlying neurological issues contributing to your memory difficulties. It’s essential to communicate openly with your healthcare providers about all your symptoms, including any side effects from medications you are taking.

You mentioned feeling conflicted about your job operating a CNC lathe. It's normal to feel both interest and frustration in a new role, especially when it comes with a learning curve. It might help to set small, achievable goals for yourself at work. Celebrate the small victories, and don’t be too hard on yourself when things don’t go as planned. It’s also important to establish a support system at work, whether through colleagues or supervisors, who can provide guidance and encouragement.

The situation at home, particularly the arguments between your parents, can add significant stress to your life. It’s understandable to feel overwhelmed by this environment. If possible, try to create a personal space where you can retreat when things get too intense. Engaging in calming activities, such as deep breathing, meditation, or even going for a walk, can help alleviate some immediate stress.

You mentioned turning to smoking and skipping meals, which can be harmful coping mechanisms. While it might feel like a way to cope with your emotions, these behaviors can exacerbate feelings of depression and anxiety. Instead, consider healthier alternatives, such as talking to a friend or family member about how you’re feeling, or engaging in a hobby that brings you joy. It’s crucial to maintain a routine that includes regular meals and sleep, as these are foundational to mental health.

The feelings of hopelessness and thoughts of wanting to escape from your pain are serious and should not be taken lightly. If you are experiencing thoughts of self-harm or suicide, it is vital to seek immediate help. Contact a mental health professional, a crisis hotline, or go to the nearest emergency room. Your safety is the top priority, and there are people who want to help you through this.

Freud’s quote, “Without worries, one does not exist,” reflects the complexity of human emotions. While it’s true that life comes with challenges, it’s also filled with opportunities for growth and healing. Therapy can be a powerful tool in navigating these feelings. A mental health professional can provide a safe space to explore your thoughts and feelings, helping you develop coping strategies and work through the underlying issues contributing to your depression.

In conclusion, please take the time to reach out for help. Whether it’s through a therapist, a support group, or trusted friends and family, you don’t have to face this alone. Healing is a journey, and it’s okay to take it one step at a time. You deserve support and understanding as you navigate through these difficult emotions. Remember, it’s okay to ask for help, and doing so is a sign of strength.

Similar Q&A

Overcoming Anxiety and Depression: Seeking Help for Mental Health Challenges

Hello, doctor. I sometimes experience anxiety and depression, which have affected my school, academics, and interpersonal relationships. A few months ago, I took an online depression assessment and found that my score was in the moderate to severe range. This has led to frequent ...

Dr. Li Guanying reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. I recommend that you visit our outpatient clinic for an evaluation and testing to determine if there are any psychosomatic issues or related concerns. Our clinic is open Monday to ...

Struggling with Mental Health: Understanding Common Symptoms and Solutions

1. Feeling down, lost, and finding life uninteresting. 2. Occasionally zoning out while riding a bike, fearing that I might hit someone, and sometimes worrying about colliding with others due to forgetfulness of recent memories. 3. When feeling irritable and helpless, I find ...

Dr. Xie Yongfeng reply Psychiatry
Psychological treatment should be conducted through face-to-face consultations. Please visit a mental health institution nearby or make an appointment for therapy.

Feeling Lost and Overwhelmed: Seeking Help for Mental Health Struggles

I've always had great relationships with people throughout my life, but recently in middle school, I've encountered some issues where my classmates don't understand me. I'm really scared because I've never been disliked before. Suddenly, I feel so helples...

Dr. Zhao Mengqi reply Psychiatry
Hello, stranger: I believe you are feeling quite confused, and the misunderstandings with your classmates are troubling you. However, this also indicates that you are gradually entering a stage of growth, where you will begin to experience the complexities of society and your lif...

Overcoming Mental Health Stigma: Seeking Help Without Fear

I am afraid to seek medical treatment because I worry that my family will go crazy if they find out. I have always struggled with self-confidence, and whenever negative thoughts flood in, I contemplate self-harm. I often hear about people choosing to leave this world due to vario...

Dr. Huang Weiqin reply Psychiatry
To the inquiring netizen: I understand that you are suffering due to psychological distress, and I would like to offer some suggestions. If you are still in school, you can discuss your situation with a counselor at your school's counseling center to see if you would benefit...