Struggles with Mental Health Treatment: A Patient's Frustrating Journey - Psychiatry

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The helplessness, confusion, and lack of solutions regarding mental health disorders?


It has been five years since the onset of my illness.
Before I got sick, I always thought that being ill simply meant seeing a doctor and taking medication to get better.
I initially believed that I had to cooperate with my physician and that they could help me.
However, now I feel nothing but aversion, confusion, and helplessness towards psychiatrists.
Over these five years, my experiences with the healthcare system have often made my situation worse, pushing me into more painful circumstances.
I once tried very hard to treat my illness, but the responses I received were always brief inquiries followed by prescriptions.
Since the onset of my illness, I have read about other treatment options myself, but my doctors have never informed me or suggested anything that could better assist my treatment.
I once committed to regular outpatient visits for a year, and each time I worried about wasting the doctor's time, I would jot down my symptoms briefly, hoping to quickly convey my discomfort.
Yet, the doctors were often impatient, and our interactions lasted only a few minutes.
After I hurriedly expressed my symptoms, I would often hear the doctor provide no other suggestions besides medication.
It felt like they were just typing out prescriptions and moving on to the next patient.
It seemed that regardless of my condition—depression, anxiety, or obsessive-compulsive disorder—they would simply prescribe the standard medications like fluoxetine or alprazolam.
Sometimes I even felt I could prescribe my own medications since they always seemed to be the same.
They rarely wanted to explore the underlying causes of my strange symptoms or negative emotions.
There have been numerous exaggerated instances.
After only a few visits with one doctor, he suggested I see someone else because he felt I was hostile towards him.
What?! I am a patient with emotional disturbances; why else would I be seeing a psychiatrist? He did not investigate why he felt I was hostile but instead referred me to another physician.
In another case, during my initial consultation with a doctor, I had been unemployed for a while, and my mental state had worsened.
He bluntly asked why others could be unemployed without becoming ill while I could not.
Seriously? Am I supposed to educate him about the professional knowledge he should already possess? There are many potential causes for illness, including external environments, family issues, or genetic defects.
How would I know? My thoughts were already muddled due to my illness, and even now, I still do not understand what my problems are because no doctor has taken the time to explain things to me.
There are so many patients outside, like a crowded market, and many more waiting to be seen.
I have also seen psychologists and have been on medication for a long time.
Is psychiatric medication really treatment? No matter how I look at it, I feel it is not.
I feel like a living lab rat, having taken medication for years, often feeling drowsy.
Some say that feeling drowsy leads to suicidal thoughts and a lack of energy.
Is that treatment? Sick people do not act out of depression or chaos, but is that what treatment is supposed to be? Treatment should restore a person to their original healthy state.
Instead, I see it as merely numbing them.
Not only does it prevent episodes, but it also renders them incapable of doing anything.
I feel that psychiatric medications, which are supposed to be treatment, are merely suppressing emotions, numbing symptoms, and damaging the brain.
Where is the treatment in that? At least from my experience as a lab rat, the medication only suppresses my symptoms; it does not alleviate them.
As soon as I stop taking the medication, the symptoms resurface.
If some doctors say it takes a while for the medication to take effect, I have been on it for one or two years—long enough, right? It feels like a different form of drug dependency.
Now, I feel I cannot stop taking it, and the longer I take it, the less effective it becomes.
Not to mention the hidden side effects.

Lurén, 20~29 year old female. Ask Date: 2006/10/23

Dr. Duan Yongzhang reply Psychiatry


Bystander: Hello! Your feelings of helplessness and confusion are truly profound.
I believe this is the result of five years of accumulated experiences, and it resonates with many friends who are seeing psychiatrists.
By asking these questions for yourself, you are also giving a voice to many others.
These frustrations are also shared by psychiatrists, who often have a high volume of patients and fear that they might delay care.
As a result, during consultations, doctors may inadvertently speed up the process or occasionally come across as more direct.
I hope you can understand these oversights, as doctors are human too and have their own emotions.
However, the vast majority of doctors strive to correct and improve their practices because we all want to provide the best medical assistance to all patients.

Doctors must take responsibility for any medications they prescribe and genuinely hope that the medications will alleviate patients' suffering, so there is no need to worry about being a guinea pig.
In psychiatry, medication changes are common, primarily because most patients require long-term treatment.
During this prolonged medication process, if a patient experiences adverse effects or if the medication does not achieve the desired results, doctors may recommend switching medications.
This is intended to improve the patient's condition and enhance their quality of life.
Most people eventually find the most suitable medication after some time, but this requires close collaboration with the doctor.
Patients should not adjust or discontinue their medications on their own, as this could undo previous progress and prolong suffering.
Finally, here are a few suggestions that may help with your concerns: 1.
Find a consistent psychiatrist to consult with.
This way, they will have a better understanding of your condition, medications, and lifestyle, allowing for more time to discuss your concerns during each visit.
2.
Communicate your needs directly to your doctor, such as requiring more time for discussions.
This allows the doctor to assess whether they can accommodate your request, and if necessary, they can refer you to another provider who can meet your needs.
Thank you very much for your question!

Reply Date: 2006/10/23

More Info


Your journey through mental health treatment has been incredibly challenging and frustrating, and it’s understandable to feel disillusioned after years of seeking help without seeing the desired results. Mental health conditions, particularly depression and anxiety, can be complex and multifaceted, often requiring a comprehensive approach to treatment that goes beyond medication alone.
Firstly, it’s important to acknowledge that your feelings of frustration and disappointment are valid. Many patients experience similar sentiments when they feel that their concerns are not being fully addressed by their healthcare providers. The perception that doctors are merely prescribing medications without offering a holistic treatment plan can lead to feelings of helplessness and resentment. It’s crucial to remember that effective treatment often requires a collaborative approach, where both the patient and the healthcare provider actively engage in the process.

In your case, it seems that there has been a lack of communication and understanding between you and your doctors. This can be particularly disheartening when you are actively seeking to improve your mental health. It’s essential for healthcare providers to take the time to listen to their patients, understand their unique experiences, and tailor treatment plans accordingly. Unfortunately, the reality of busy clinics and high patient volumes can sometimes hinder this ideal.

You mentioned feeling like a "guinea pig" in your treatment, which is a common sentiment among patients who feel that their medications are not effectively addressing their symptoms. It’s important to recognize that while medications can play a significant role in managing mental health conditions, they are often most effective when combined with other therapeutic approaches. Cognitive Behavioral Therapy (CBT), mindfulness practices, and lifestyle changes such as regular exercise and a balanced diet can all contribute to improved mental health outcomes.

If you feel that your current treatment plan is not working, it may be beneficial to seek a second opinion or to find a mental health professional who aligns more closely with your treatment philosophy. Look for a provider who emphasizes a holistic approach and is willing to explore various treatment modalities, including therapy, lifestyle changes, and possibly alternative treatments.
Additionally, consider joining support groups or communities where you can share your experiences and learn from others who are navigating similar challenges. Connecting with others can provide a sense of belonging and understanding, which is often crucial in the recovery process.

It’s also worth noting that the journey to mental wellness is rarely linear. There will be ups and downs, and it’s important to be patient with yourself as you navigate this path. Celebrate small victories and recognize that setbacks are a part of the healing process.
Lastly, if you ever feel overwhelmed or in crisis, please reach out for immediate support. Crisis hotlines and mental health professionals are available to help you through difficult moments. Remember, you are not alone in this journey, and there are people and resources available to support you.
In conclusion, while the frustrations you've experienced in your mental health treatment are valid, it’s essential to advocate for yourself and seek out the care that you deserve. A collaborative approach, open communication, and a willingness to explore various treatment options can lead to a more fulfilling path toward recovery.

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