Nothing works; frustration, sadness, fear, depression, unhappiness, and anxiety?
Psychological Evaluation Report: The doctor stated that it is not Asperger's syndrome, but you still experience social anxiety and depression.
You want to apply for a disability certificate, but the doctor said it would not be approved.
The doctor has prescribed medications such as Heart Benefit, Tofranil, Mirtazapine, Clonazepam, and others, which are also anesthetic and sedative.
The doctor suggested that you attend psychological counseling, but you are afraid to go and cannot afford it.
The doctor is reluctant to issue a diagnostic certificate, claiming it costs money, and instead only prescribes medication for you to take home.
When applying for assistance, the social welfare center in San Chong said they cannot open a case or provide help, leaving you feeling sad and resentful.
You are unable to find a job, lack the courage to seek employment, and feel overwhelmed.
Your personality (introverted and withdrawn) and appearance (overweight) often lead to humiliation and bullying.
You face difficulties in interpersonal relationships, which causes you to suppress your emotions, leading to frequent unhappiness, anxiety, and a fear of depression and obsessive-compulsive disorder.
This severely impacts your ability to work, study, or live normally.
Being introverted and withdrawn makes you fearful of interacting with others.
You have been very withdrawn since childhood; others have said you have autism.
When you were young, your parents sold fish and had to run from the police.
You were too afraid to retrieve a kite that got stuck, and later it flew away.
In an arcade, you witnessed a boss being injured by some youths, and a child accused you of bullying him, leading to further fear.
In school, a female classmate would intentionally crowd you, and you were bullied by classmates who would grab and pinch you.
You were elected class president but were too afraid to speak in front of the class.
Once, when you turned to find your backpack during class, the teacher scolded you for not bringing your materials.
After school, you were hit by a car and injured your knee, while the driver glared at you.
In a park, you were extorted by a group, which terrified you.
You were also physically assaulted and injured.
You were afraid during medical check-ups, and blood tests were repeatedly unsuccessful.
After receiving a vaccine, you fell ill and missed school.
You were chosen as a model student but were criticized for your math grades.
Your grandfather passed away, and you requested leave from your teacher, but it was not recorded.
In elementary school, you were often criticized for being too obedient, which made you cry.
You struggled to see the blackboard, but the teacher did not check if you needed glasses.
You spent all your winter breaks at home and did not go on the graduation trip.
After graduating from elementary school, you fell into depression and slept a lot, gaining weight.
In junior high, classmates called you withdrawn, fat, and annoying.
You were afraid of the noisy and bullying students in your class.
Even female teachers did not teach well.
During sports events, you were asked to fill in for others, and when a male teacher took over, he pressured you to take on responsibilities you did not want.
You were afraid to climb windows to clean the balcony.
Once, you did not attend school and were told it was not suitable for you.
The teacher said your home was the best place for you, implying you should avoid bad company.
You thought that growing up would change things.
During lunch, you were punished for not participating, and the teacher pointed out that others were working.
When you said you could not hear during class, the teacher dismissed it as a psychological issue.
Classmates accused you of reporting them, and during sports day, you were humiliated by having to change clothes with another student.
You felt you could not run and were told not to worry about it.
You were also assigned to clean the classroom, and during a bad mood, you threw chalk.
The teacher retaliated by throwing chalk at you.
You were bullied and humiliated, and when you told your parents you wanted to transfer schools, your father dismissed your concerns, saying prison is worse (he had been incarcerated for gambling and disorderly conduct).
In junior high, you played badminton and were pressured to compensate for a classmate's injury.
Eventually, you transferred to a vocational school but had the same teacher who said you could not escape this environment.
You did not go on the graduation trip and were told to stay home instead.
Before junior high, you either fought or were scolded.
In high school, classmates noticed your introversion and elected you as the class monitor, which you did not refuse due to past experiences.
However, your introversion made it hard for you to manage.
You were pushed to participate in a calligraphy competition, which you did not want to do.
You were also pressured to attend civic training but were too afraid to ask for leave.
You were marked absent for ten classes and did not dare to claim your scholarship.
One night, you were hit by a motorcycle and scolded for being careless.
During a weekly meeting, the instructor mentioned someone had been hit.
You did not attend the graduation trip or the farewell party.
After graduation, you did not continue your studies or find work.
You hesitated to attend vocational training at a computer school, waiting to enlist in the military.
When your grandmother passed away, relatives commented on your weight.
During the funeral, you were told you should attend.
After moving, you had to call to set up internet service, but the community leader spread rumors about you.
During military service, you underwent physical examinations, including checks of your body, and were questioned about your weight.
You were classified for alternative service and trained at Cheng Kung Ling, where colleagues told you not to snore or they would stuff your mouth with socks.
You were criticized for your hygiene and told you needed to wash.
You were afraid to undress in front of others and had trouble washing your clothes.
You often wore the same outfit.
When selecting military positions, you forgot to bring your documents.
You were only eligible for positions that required a high school diploma, and you ended up in the Taipei City Police Department.
You were initially considered for a different role but were kept in your unit.
You were told to interact more with others, but during physical training, you struggled to keep up.
In Kaohsiung, most recruits were locals, and you felt out of place.
You faced prejudice from others who labeled you as a "Taipei person." You experienced significant psychological pressure and were bullied during your service.
After six months of training, you were transferred to another base and assisted a female officer with administrative tasks.
You were happy to work on the computer, but she often criticized you for your weight.
You sent her a thank-you message, but she responded harshly, telling you not to message her again.
You felt confused and upset by her mixed signals.
Eventually, you were reassigned and faced further criticism.
After your military service, you continued to struggle with your mental health and found it difficult to adjust to civilian life.
You attempted to apply for jobs but faced numerous rejections and felt overwhelmed by the pressure.
You often thought about negative actions and felt trapped in your situation, leading to a cycle of anxiety and depression.
openbright, 20~29 year old female. Ask Date: 2010/05/29
Dr. Lin Junyuan reply Psychiatry
Hello, it seems that your condition is more complex.
To ensure the quality of your treatment and protect your privacy, I recommend that you opt for an in-person consultation.
Collaborating with healthcare professionals will better assist you with your situation!
Reply Date: 2010/05/29
More Info
Overcoming social anxiety and depression is a complex journey that requires understanding, support, and often professional help. Your experiences reflect a deep struggle with social interactions, self-esteem, and mental health challenges that many individuals face, particularly in high-pressure environments like school or work.
Social anxiety disorder (SAD) is characterized by an intense fear of social situations where one may be judged or scrutinized by others. This fear can lead to avoidance behaviors, making it difficult to engage in everyday activities, such as speaking in class or attending social gatherings. Coupled with depression, which can manifest as feelings of worthlessness, hopelessness, and a lack of interest in activities once enjoyed, the combination can be debilitating.
From your description, it seems that your past experiences have contributed significantly to your current mental state. Bullying, social rejection, and negative feedback from peers and authority figures can create a cycle of low self-esteem and increased anxiety. This cycle can lead to a fear of failure and a reluctance to engage in new experiences, further isolating you and exacerbating feelings of depression.
Seeking help is crucial. While you mentioned financial constraints and fear of therapy, there are often community resources available that can provide support at little to no cost. Many universities offer counseling services for students, and local mental health organizations may have programs designed to assist those struggling with anxiety and depression. It’s important to communicate your needs to a healthcare provider who can help you navigate these challenges.
Medication can also play a role in managing symptoms of anxiety and depression. It seems you have been prescribed various medications, which can help stabilize mood and reduce anxiety. However, medication alone is often not sufficient. Combining medication with therapy, such as cognitive-behavioral therapy (CBT), can be particularly effective. CBT helps individuals identify and challenge negative thought patterns and behaviors, providing tools to cope with anxiety in social situations.
In addition to professional help, there are self-help strategies you can incorporate into your daily routine. Mindfulness and relaxation techniques, such as deep breathing exercises, meditation, or yoga, can help reduce anxiety levels. Engaging in regular physical activity can also improve mood and reduce feelings of anxiety. Finding a supportive community, whether through friends, family, or support groups, can provide a sense of belonging and reduce feelings of isolation.
It's also essential to practice self-compassion. Acknowledge that your feelings are valid and that overcoming these challenges takes time. Celebrate small victories, whether it’s speaking up in class or engaging in a brief conversation with a peer. Each step forward is a testament to your resilience.
Lastly, consider journaling as a way to process your thoughts and feelings. Writing can be a therapeutic outlet, helping you articulate your emotions and reflect on your experiences. It can also serve as a tool to track your progress and identify patterns in your anxiety and depression.
In conclusion, overcoming social anxiety and depression is a journey that requires patience, support, and a willingness to seek help. You are not alone in this struggle, and there are resources available to assist you. By taking proactive steps towards your mental wellness, you can gradually build the confidence and skills needed to navigate social situations and improve your overall quality of life. Remember, it’s okay to ask for help, and taking that first step is a significant move towards healing.
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