Emotional Struggles: Seeking Help Without Fear - Internal Medicine

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I would like to ask the doctor a question?


Thank you, doctor, for your concern.
I really do not want to see a psychiatrist.
After mid-August last year, I considered seeing a psychiatrist, but I had a bad impression of the doctor, so I really do not want to meet her.
I later attended some mind-body feedback sessions, and the therapist taught me many things, but I couldn't absorb any of it.
I went a total of seven times; I laughed during the first three sessions, but I cried during the last four.
Doctor, I really cannot manage my emotions; even when I am angry, I still smile.
My emotions are being suppressed, and I am still like this to this day.
I also hate who I am right now.
My primary care physician did not suggest that I see a psychiatrist, so I do not want to go.
I hope you can understand my reasons for not wanting to go.
During my follow-up appointment on September 14, the doctor asked me to get blood tests (T3, T4, TSH), and I will return on October 5 to review the results.
I am very troubled by this; sometimes I feel so sad that I want to die.
Thank you very much for your concern, doctor...
I truly appreciate your kindness...
I also wish you well...
Thank you...

Youyou, 20~29 year old female. Ask Date: 2001/09/25

Dr. Li Huixiong reply Internal Medicine


Take care!

Reply Date: 2001/09/25

More Info


It sounds like you are going through an incredibly challenging time, and I want to acknowledge the depth of your emotional struggles. It's clear that you are experiencing a range of intense feelings, including sadness, frustration, and fear, which can be overwhelming. Your willingness to express these feelings is an important first step toward healing.

From what you've shared, it seems that you have had some negative experiences with mental health professionals, which can understandably lead to reluctance in seeking help again. However, it’s crucial to recognize that not all therapists or psychiatrists will have the same approach or demeanor. Finding the right fit is essential, as a supportive and understanding therapist can make a significant difference in your healing journey.

You mentioned that you have been to therapy sessions where you initially felt positive but later found yourself crying. This fluctuation in emotions is quite common in therapy, especially when dealing with deep-seated issues. It’s important to allow yourself to feel these emotions rather than suppress them. Crying can be a healthy release, and it’s okay to express your feelings, even if it feels uncomfortable.

You also noted that you struggle to manage your emotions, often laughing when you are angry or upset. This might be a coping mechanism, a way to mask your true feelings to avoid vulnerability. It’s essential to explore these behaviors with a therapist who can help you understand the underlying reasons for them. Learning to identify and express your emotions authentically can be a powerful part of your healing process.

Regarding your concerns about seeing a psychiatrist, it’s understandable to feel apprehensive, especially if you’ve had a negative experience in the past. However, psychiatric evaluations can provide valuable insights into your mental health and help determine if medication might be beneficial for you. If you are uncomfortable with one psychiatrist, consider seeking a second opinion or asking for recommendations from trusted friends or family members.

You mentioned feeling overwhelmed by thoughts of wanting to end your life. This is a serious concern and should not be taken lightly. If you ever feel that you are in immediate danger or have thoughts of harming yourself, please reach out for help immediately. You can contact a crisis hotline or go to the nearest emergency room. Your safety is the top priority.

In the meantime, consider incorporating self-care practices into your daily routine. Activities such as journaling, exercising, spending time in nature, or engaging in creative outlets can help you process your emotions and provide a sense of relief. Mindfulness and meditation can also be beneficial in grounding yourself and managing anxiety.

Lastly, remember that seeking help is not a sign of weakness; it’s a courageous step toward taking control of your mental health. Surround yourself with supportive people who understand your struggles and can provide encouragement. You are not alone in this journey, and there are people who care and want to help you.

In conclusion, while it may feel daunting, reaching out for help can lead to significant improvements in your emotional well-being. Take your time, and when you feel ready, consider exploring different therapeutic options until you find the right support for you. Your feelings are valid, and you deserve to find peace and happiness in your life.

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