Mental Health Issues: How to Help a Friend in Distress

Mental health issues?

Hello Doctor,
I have a good friend who has been doing very poorly lately, and he is unwilling to seek medical help, so I am consulting you online first.
Does he have a mental health issue? How can I help him? He has always been a quiet person who doesn't express his feelings, but in recent years, he has become very irritable.
He gets extremely angry over topics like politics, daily life, or trivial matters whenever he hears something he disagrees with, which he didn't used to do.

Recently, something sudden happened that changed him completely.
He has started to think negatively about everything and has become very pessimistic, always expecting the worst.
He has also become unable to communicate with others; whenever someone talks to him, his mind races uncontrollably.
Additionally, he has developed a lot of anxiety, fearing that he will lose many things around him.
His appetite has diminished, and he struggles to eat.

He mentioned that whenever he feels his mind is spiraling into negative thoughts, lying down for a bit helps him feel better.
He also experiences physical changes, such as a sensation of heat in his head, which alleviates somewhat when he presses on it.
This has been going on for a month now, and I am unsure if this indicates a mental illness and what type it might resemble.
How can those of us around him help him?

Mi Mi, 30~39 year old female. Ask Date: 2006/12/12

Dr. Duan Yongzhang reply Psychiatry

Hello! Based on your description, your friend may be experiencing a neurosis, which is caused by the accumulation of long-term stress leading to involuntary anxiety and depressive symptoms.
This condition can also be accompanied by discomfort due to autonomic nervous system dysregulation, such as headaches, muscle aches, palpitations, gastrointestinal discomfort, and difficulty breathing.
In severe cases, it can even evolve into depression.
Therefore, seeking help from a psychiatrist would be the best solution! However, a definitive diagnosis can only be made through an in-person consultation with a physician.
To help your friend, the best approach is to encourage him to seek medical attention and provide emotional support.
You can let him know that neurosis is a common issue in modern society, and many people face similar challenges.
Most individuals who are willing to see a doctor can experience improvement.
Thank you for your question!

Reply Date: 2006/12/12

More Info

It sounds like your friend is going through a very challenging time, and your concern for their well-being is commendable. Based on the symptoms you've described, it seems that your friend may be experiencing significant mental health issues, possibly related to anxiety or depression. These conditions can manifest in various ways, including irritability, pessimism, social withdrawal, panic, and physical symptoms like changes in appetite and sensations of heat.

Understanding Mental Health Issues
1. Symptoms: The changes in your friend's behavior, such as increased irritability, negative thinking, social withdrawal, panic, and physical discomfort, are often associated with mental health disorders. These could be indicative of anxiety disorders, depressive disorders, or even stress-related disorders. It's essential to understand that mental health issues can arise from various factors, including significant life changes, trauma, or prolonged stress.

2. The Importance of Professional Help: While you can provide support, it’s crucial for your friend to seek professional help. Mental health professionals can offer a proper diagnosis and treatment plan, which may include therapy, medication, or a combination of both. Encourage your friend to consider talking to a therapist or psychiatrist, as they can provide the necessary tools and strategies to cope with these feelings.

How to Help Your Friend
1. Be There for Them: One of the most important things you can do is to be present. Let your friend know that you care and are willing to listen without judgment. Sometimes, just having someone to talk to can make a significant difference.

2. Encourage Open Communication: Since your friend is not very expressive, gently encourage them to share their feelings. You might say something like, "I’m here for you if you want to talk about what you’re feeling." However, respect their boundaries if they are not ready to open up.

3. Avoid Minimizing Their Feelings: It’s essential to validate your friend's feelings. Avoid saying things like "just think positively" or "it could be worse." Instead, acknowledge their struggles and express understanding. You might say, "It sounds like you’re going through a really tough time, and that’s okay."
4. Suggest Professional Help: While you cannot force someone to seek help, you can suggest it. You might say, "I think talking to someone who understands these feelings could really help you." Provide them with resources or information about mental health services if they are open to it.

5. Engage in Activities Together: If your friend is willing, suggest engaging in activities that can help alleviate stress, such as going for a walk, practicing mindfulness, or participating in a hobby they enjoy. Physical activity and social interaction can be beneficial for mental health.

6. Monitor for Crisis Situations: If your friend expresses thoughts of self-harm or suicide, it’s crucial to take these statements seriously. Encourage them to seek immediate help from a mental health professional or contact a crisis hotline. Your friend’s safety is the top priority.

7. Educate Yourself: Understanding mental health issues can help you provide better support. There are many resources available online that can help you learn about anxiety, depression, and other mental health conditions.

Conclusion
Supporting a friend with mental health issues can be challenging, especially when they are resistant to seeking help. However, your role as a supportive friend is invaluable. By being present, encouraging open communication, and suggesting professional help, you can make a positive impact on their journey toward recovery. Remember, while you can provide support, you are not a substitute for professional help, and it’s essential for your friend to receive the appropriate care they need.

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