Should I Seek Help? Navigating Mental Health Challenges

Do I need to seek medical attention?

Hello, I have been troubled by interpersonal relationships for a long time.
I had a falling out with a group of former friends from my class about a year and a half ago.
I saw a doctor back then, but I stopped going on my own.
Later, I got a boyfriend and focused all my attention on him, thinking I was fine.
However, I encountered a cheating partner and refused to accept his infidelity, so I left him.
Yet, he keeps reaching out to me repeatedly.
I know this is wrong, but I can't seem to cut ties completely.
I have been going through the motions for four months, feeling like a zombie, not wanting to do anything, and I haven't attended a single class seriously.
On top of that, the group of friends who hurt me is in the same class, and I really dislike school.
I have no appetite and only eat one meal a day, sleeping from 7 PM to the next morning.
I have an entrance exam for university in July, and I really want to study hard, but I can't seem to do it.
I have been regularly seeing the school counselor, and I genuinely want to overcome this, but my situation has worsened recently.
My emotions fluctuate so much that I find it frightening; one moment I feel like I have a bright future ahead, and the next moment I am crying uncontrollably.
I also feel hesitant to tell the counselor the truth because I feel guilty.
She encourages me and believes in me, but I just can't seem to move forward.
I feel so exhausted...
I know what I should do...
I really do...
but I just want to disappear...
Should I see a doctor?

Benben, 10~19 year old female. Ask Date: 2006/04/01

Dr. Wang Chongren reply Psychiatry

Dear [Recipient's Name],
This is Dr.
Wang Chong-Ren from the Psychiatric Department of Tainan Hospital, Ministry of Health and Welfare.
I am writing in response to your recent letter regarding your emotional fluctuations and interpersonal relationships, which are indeed concerning.
What you need most is to calm the negative thoughts that are causing turmoil within you.
Facing your issues bravely and seeking help from a professional mental health specialist is the best approach.
However, it would be beneficial to first discuss your feelings with someone you trust, such as a guidance counselor, to help alleviate your current stress and rediscover your strength to live.
The value of life can only be truly appreciated when we confront our pain sincerely and care for ourselves.
Please take good care of yourself and actively seek assistance.
Wishing you good health and all the best!
Sincerely,
Dr.
Wang Chong-Ren
Tainan Hospital, Ministry of Health and Welfare

Reply Date: 2006/04/01

More Info

It sounds like you are going through a very challenging time, and I want to acknowledge the emotional turmoil you are experiencing. From your description, it seems that you are dealing with a combination of relationship issues, academic pressure, and feelings of isolation, which can significantly impact your mental health.
Firstly, it's important to recognize that seeking help is a sign of strength, not weakness. You mentioned that you had previously seen a doctor but stopped going on your own. It's common for individuals to feel better temporarily and think they no longer need help, but mental health issues can be complex and may require ongoing support. Given the current situation you described—feeling overwhelmed, having difficulty concentrating on your studies, experiencing significant mood swings, and a lack of appetite—these are all indicators that it might be beneficial to seek professional help again.

Your feelings of sadness and hopelessness, along with the desire to "disappear," are serious and should not be taken lightly. These feelings can be symptoms of depression or anxiety, which are common mental health conditions that can be effectively treated with the right support. It’s also concerning that you feel unable to express your true feelings to your school counselor. Open communication is crucial in therapy, and if you feel comfortable, it might be helpful to share your struggles with them, even if it feels difficult.

In addition to professional help, consider reaching out to trusted friends or family members. Sometimes, just talking about what you’re going through can provide relief and help you feel less isolated. You mentioned that you have a history of friendship issues; it might be worth exploring those feelings further, as unresolved conflicts can contribute to your current emotional state.

You also mentioned that you have an important exam coming up in July. While it’s understandable to want to focus on your studies, it’s essential to prioritize your mental health first. If you are not in a good mental space, it will be challenging to perform well academically. Taking care of your emotional well-being should come first, and then you can gradually work on your academic goals.

If you decide to see a doctor or a mental health professional, they can help you explore your feelings, develop coping strategies, and possibly recommend therapy or medication if necessary. Cognitive-behavioral therapy (CBT) is one effective approach that can help you manage negative thoughts and feelings, especially in relation to your self-worth and relationships.

In summary, I strongly encourage you to seek help from a mental health professional. You deserve support, and there are people who can help you navigate through this difficult time. Remember, you are not alone in this, and there is hope for a brighter future. Take the first step by reaching out for help; it can make a significant difference in your life.

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