Mental Health: Can Medication Help Control Negative Thoughts?

What exactly happened?

Can medication help me avoid these thoughts? Although I feel angry inside, do I really have to rely on medication to control myself? I think I should try to change my situation because I absolutely hate being like this; I’m not happy living this way.
For me, it really matters, and I want to have life goals instead of appearing lifeless every day.
I feel completely drained, and others find it off-putting.
Yet, I still inexplicably create trouble for myself.
My friends say that I’m already doing better than many others, so I shouldn’t dwell on it.
To be honest, there aren’t that many things worth worrying about; once they pass, they should be forgotten.
But I seem to hypnotize myself into believing that I’m unhappy, even when I know I don’t want these feelings.
I desperately cling to them, living in unhappiness every moment.
I think about how unhappy I am while doing things, and I feel like I’m not good at anything.
I feel unhappy when interacting with others, thinking I’m not sociable enough.
I can find a whole bunch of reasons to prove that I can’t be happy.
My classmates say I’m just creating my own troubles and trapping myself.
I’ve practiced deep breathing when I start feeling unhappy.
I’ve even tried snapping a rubber band on my wrist to distract myself, but it doesn’t work; I become unhappy again immediately.
I practice shutting down the unhappy thoughts like a radio, but I’m still not happy.
I’ve tried various distraction techniques, but nothing changes.
I write down my unhappy thoughts, yet I still can’t escape the unhappiness.
I feel like I’m enveloped in it.
However, my doctor hasn’t diagnosed me with depression.
What’s wrong with me? People probably just think I’m complaining without reason.

Shu, 20~29 year old female. Ask Date: 2009/06/21

Dr. Chen Yuying reply Psychiatry

I’m not asking if you can accept medication because I believe your symptoms can be resolved with drugs, but rather to understand your expectations regarding medical treatment.
Moreover, I cannot fully grasp your situation based solely on text from the internet.
Based on the information you provided, I do not think you are "overthinking." Your thoughts are meticulous; you are cautious and considerate, like someone who walks quietly for a long time, only to find their toes sore and worry about their walking posture.
For some individuals, being "unhappy" is part of their personality traits.
The DSM-IV has a research criterion called "depressive personality," which refers to individuals with a melancholic temperament.
They may not necessarily have a mental illness, but they carry emotional burdens; they may not have clinical depression, but sadness has never left their side.
I would recommend starting your search for help with counseling.
If you are still a student, your school's counseling center would be the most convenient resource.
If you live in Taipei City, the mental health centers attached to local health offices in each administrative district offer counseling services for just 50 NTD per session.
If you are already working and financially capable, you can seek a referral from a physician at a larger hospital to a psychologist, or visit counseling centers or clinics that specialize in psychological treatment.
You need a professional to guide you through the intricate maze of your inner thoughts.

Reply Date: 2009/06/21

More Info

It sounds like you are experiencing a challenging and frustrating time with your mental health, particularly with persistent negative thoughts and feelings of unhappiness. It's important to acknowledge that these feelings are valid and that seeking help is a positive step. Medication can indeed play a role in managing mental health conditions, including depression and anxiety, but it is not the only solution.
Antidepressants and other psychiatric medications can help regulate brain chemistry, which may alleviate some of the symptoms you are experiencing, such as persistent negative thoughts and feelings of sadness. However, medication alone may not be sufficient for everyone. Many individuals benefit from a combination of medication and therapy, which can provide tools and strategies to cope with negative thoughts and emotions more effectively.

Cognitive Behavioral Therapy (CBT) is one approach that has been shown to be effective in treating depression and anxiety. CBT focuses on identifying and challenging negative thought patterns and replacing them with more positive and realistic ones. This therapeutic approach can help you understand the underlying beliefs that contribute to your feelings of unhappiness and provide you with practical skills to manage your thoughts and emotions.

It's also important to consider lifestyle factors that can impact mental health. Regular physical activity, a balanced diet, adequate sleep, and social support can all contribute to improved mood and overall well-being. Engaging in activities that you enjoy or that give you a sense of purpose can also help shift your focus away from negative thoughts.

You mentioned practicing deep breathing and using a rubber band to redirect your thoughts, which are great techniques for managing anxiety in the moment. However, if these strategies are not providing relief, it may be beneficial to explore additional coping mechanisms or therapeutic techniques. Mindfulness and meditation can also be effective in helping individuals become more aware of their thoughts and feelings without judgment, allowing for a more balanced perspective.

It's crucial to communicate openly with your healthcare provider about your experiences and concerns. If you feel that your current treatment plan is not addressing your needs, don't hesitate to discuss alternative options, including different medications or therapeutic approaches. Your mental health is a priority, and finding the right combination of treatment can take time and patience.

Lastly, remember that you are not alone in this journey. Many people struggle with similar feelings and thoughts, and reaching out for support from friends, family, or support groups can provide additional comfort and understanding. It’s okay to ask for help, and taking steps to improve your mental health is a sign of strength.

In summary, while medication can help manage symptoms of mental health conditions, it is often most effective when combined with therapy and lifestyle changes. Continue to seek support, explore different coping strategies, and communicate openly with your healthcare provider to find the best path forward for your mental health.

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