Mental Health Struggles: Symptoms and Seeking Help

I'm very troubled?

Currently, my condition involves long-term issues such as difficulty concentrating with my eyes, slight hearing loss, and an inability to focus mentally.
I personally believe these problems stem from a mental issue, which has led to the eye and ear problems.
The first day of these symptoms was on February 21.
That day, I felt completely off.
I was supposed to sleep, but when I closed my eyes, it felt like there was no future ahead of me, filled with anxiety and a heavy sense of fear.
Since then, I have been in a state of instability, making it difficult for me to communicate normally with those around me.
Here are some important events from before February 21:
1.
One and a half years ago, my mother had an unpleasant dispute with relatives over money, which caused me to lose contact with friends and peers of the same age.
2.
One year ago, I broke up with my girlfriend (she cheated), but it was an amicable split; however, it left me feeling somewhat distrustful of others.
3.
One year ago, I had feelings for a girl (someone I was close to), but I discovered she was quite unfaithful, which left me uncertain about whether pursuing her was a good idea.
My relationships with colleagues also deteriorated (we were previously very close) because I felt jealous that they all had girlfriends (I had one before, but they did not).
Here are some events after February 21:
- From February 21 to March 8, I was preoccupied with the third point from February 21, which caused my mind to dwell solely on her, making it impossible to concentrate on work or life.
- From March 9 to March 31, I had clarified my thoughts regarding events before February 21 and no longer dwelled on those unpleasant matters.
However, I found it difficult to return to my previous natural interactions with people (symptoms: increased distrust of others, sluggish thinking, inability to concentrate, wandering eyes, slight hearing loss, dizziness, headaches, depression, and significant mood swings).
- From April 1 to April 14, I also stopped thinking about events before February 21, but I still experienced "difficulty concentrating with my eyes, slight hearing loss, inability to focus mentally, dizziness, headaches, depression, and unstable emotions."
Family medical history: My aunt has schizophrenia (living in a nursing home), and my cousin also has it (living in a nursing home).
My father has issues (not receiving treatment but somewhat disconnected from society).
I have not previously experienced any mental illness (I also feel I am not schizophrenic).
Personal analysis of my condition:
1.
I believe that being in an unhappy environment for the past year, combined with my personality of not expressing stress, has led to my symptoms after February 21.
I feel as though I might be suffering from depression, but why is it that even though I no longer think about the things that made me depressed, I still cannot return to my original happy self?
2.
Could I have middle ear inflammation, which might be causing the ear and brain issues?
I would like to ask:
1.
What illness do I have? Is it necessarily a mental illness? Should I see a doctor? Can I recover through willpower alone, and how long might that take? How long would medication or treatment take to eliminate the symptoms of "difficulty concentrating with my eyes, slight hearing loss, inability to focus mentally, dizziness, headaches, depression, and unstable emotions," and return to my original self, enabling me to communicate normally with others?

Xiao Cheng, 20~29 year old female. Ask Date: 2006/04/20

Dr. Wang Chongren reply Psychiatry

Dear Mr.
Hsiao-Cheng,
I hope this message finds you well.
In your letter, you mentioned several causes and consequences that have led to your current state of mental distress.
Given that your difficulties with concentration, pessimistic thoughts, and depressive emotions have persisted for several months without self-adjustment, I strongly recommend that you seek medical attention.
This will help you address your situation from physiological, psychological, and interpersonal perspectives, assisting you in overcoming your challenges and rediscovering your true self.
Additionally, your hearing impairment may require evaluation by an otolaryngologist to determine if it is caused by otitis media.
Wishing you a speedy recovery!
Sincerely,
Dr.
Chung-Jen Wang
Department of Psychiatry
Tainan Hospital, Department of Health, Executive Yuan

Reply Date: 2006/04/20

More Info

It sounds like you are experiencing a range of distressing symptoms that are affecting your mental and emotional well-being. Your description suggests that you may be dealing with anxiety, depression, and possibly some cognitive difficulties. Let's break down your concerns and explore the potential underlying issues, as well as the importance of seeking help.

Understanding Your Symptoms
1. Concentration Issues: You mentioned having difficulty focusing, which can be a common symptom of anxiety and depression. When the mind is preoccupied with negative thoughts or stress, it can be challenging to concentrate on tasks or engage in conversations.

2. Physical Sensations: The feelings of heaviness in your ears and the sensation of dizziness could be related to anxiety. Stress can manifest physically, leading to symptoms such as tension headaches, ear pressure, and a general feeling of being unwell.

3. Emotional Distress: The anxiety and fear you experienced on February 21, along with the feelings of hopelessness, are significant indicators of emotional distress. It’s not uncommon for individuals to feel overwhelmed by their circumstances, especially after experiencing significant life changes, such as a breakup or family conflicts.

4. Social Withdrawal: Your difficulty in trusting others and maintaining relationships can be a result of past experiences, such as your breakup and the conflicts within your family. These experiences can lead to feelings of isolation and a reluctance to engage socially.

5. Family History: Given your family history of mental health issues, it’s important to consider that you may be at a higher risk for developing similar conditions. This does not mean you will definitely experience mental illness, but it does suggest that seeking professional help is a wise choice.

Seeking Help
Based on your symptoms and the impact they are having on your daily life, it is advisable to seek professional help. Here are some steps you can take:
1. Consult a Mental Health Professional: A psychologist or psychiatrist can provide a thorough assessment of your symptoms. They can help determine whether you are experiencing depression, anxiety, or another mental health condition. This assessment is crucial for developing an appropriate treatment plan.

2. Consider Therapy: Therapy, such as cognitive-behavioral therapy (CBT), can be very effective for anxiety and depression. It can help you learn coping strategies, address negative thought patterns, and improve your emotional regulation.

3. Medication: While some individuals may prefer to manage their symptoms through willpower and lifestyle changes, medication can be an important part of treatment for many people. Antidepressants or anti-anxiety medications can help stabilize mood and improve concentration. If medication is recommended, it may take several weeks to notice improvements.

4. Lifestyle Changes: Incorporating regular exercise, a balanced diet, and adequate sleep can significantly impact your mental health. Mindfulness practices, such as meditation or yoga, can also help reduce anxiety and improve focus.

5. Support System: Engage with friends or family members who can provide emotional support. Sharing your feelings with someone you trust can alleviate feelings of isolation and help you feel understood.

Conclusion
Your symptoms are significant and warrant professional evaluation. While it is possible to make improvements through self-help strategies, many people find that professional guidance is essential for recovery. Mental health conditions can be complex, and addressing them often requires a multifaceted approach. Remember, seeking help is a sign of strength, and taking the first step towards recovery can lead to a more fulfilling and balanced life. Don't hesitate to reach out to a mental health professional who can provide the support and guidance you need.

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