Should I See a Psychiatrist? Navigating Mental Health After Kidney Transplant

Should I see a psychiatrist?

I am a kidney transplant recipient, and it has been 10 years since my transplant.
However, ever since I had the surgery, I have become very anxious.
Initially, I was afraid of getting infected with any bacteria or viruses that could harm my kidney, so I would wash my hands constantly and avoid any dirt.
Now, my anxiety has worsened; I constantly worry that something is wrong with my body and frequently visit the hospital.
At one point, I went to the hospital more than ten times in a month.
My interpersonal relationships have also suffered.
To protect my new kidney, I fear that others may pose a threat to me, so I interact very little with people.
Even when I do interact, I feel timid.
This year, I experienced the loss of a family member, which has caused me even more pain, and I often find myself crying without realizing it.
I have started having suicidal thoughts and have stopped smiling.
I feel like there is no one to talk to.
I have tried visiting a psychiatrist and received medication, but I didn't take it regularly because the doctor just prescribed it and told me to go home.
I would like to know if there are psychiatrists who engage with patients rather than just listening to symptoms and prescribing medication.

Tuor, 20~29 year old female. Ask Date: 2010/10/06

Dr. Ding Shuyan reply Psychiatry

Hello, psychiatrists in Taiwan are neither made of wood nor are they robots; they certainly interact with people.
I believe the situation you encountered may stem from your dissatisfaction with the interaction with your physician.
This is a common occurrence, and I don't think it reflects poorly on the physician.
Often, physicians are making an effort to contribute their expertise, but our needs may not always be fully met in the moment.
However, who among our family or friends truly understands us completely and never disappoints us? I think the answer is no one!
I sense that your writing implies a need for psychological therapy.
In Taiwan, we typically arrange separate sessions where professional psychologists or physicians provide longer, uninterrupted therapy.
Otherwise, unless it's a rare teaching clinic at a teaching hospital with limited appointments, if we go to a hospital to see a physician without an appointment limit, there will usually be at least 30 patients in a single outpatient session, which means we must accept that our consultation time will inevitably be somewhat limited.
Regarding your concerns, I don't find them pessimistic.
You are fortunate to have been given a second chance at life, and you should cherish it.
After a kidney transplant, appropriate self-care is essential.
However, if you can share that love with others and use the time and health you've gained to help others, I believe your psychological distress will improve quickly.
At this stage, seeing a physician and taking medication can be very effective.
Additionally, caring for others, observing their needs, and helping them are excellent remedies for depression and fear.

Wishing you a speedy recovery,
Dr.
Ding Shuo-Yan

Reply Date: 2010/10/06

More Info

Navigating mental health after a kidney transplant can be a complex and challenging journey, especially when compounded by anxiety, grief, and feelings of isolation. It is understandable that you are feeling overwhelmed, particularly after experiencing significant life changes and losses. Your concerns about your health and the fear of infections are common among transplant recipients, as the need to protect the new organ can lead to heightened anxiety and obsessive behaviors, such as excessive handwashing.

Given your symptoms, including persistent anxiety, social withdrawal, and thoughts of self-harm, it is crucial to seek professional help from a psychiatrist or a mental health professional. While you mentioned that previous experiences with psychiatric care were not satisfactory, it is important to remember that not all psychiatrists operate in the same manner. Many mental health professionals prioritize building a therapeutic relationship and engaging in meaningful dialogue with their patients. You deserve to find a psychiatrist who will take the time to listen to your concerns, understand your experiences, and work collaboratively with you to develop a treatment plan that suits your needs.

In addition to medication, which can be an effective part of treatment for anxiety and depression, psychotherapy (or talk therapy) can provide you with tools to manage your anxiety, process your grief, and improve your overall mental health. Cognitive Behavioral Therapy (CBT) is particularly effective for anxiety disorders and can help you challenge and change unhelpful thought patterns that contribute to your fears and worries. A therapist can also help you develop coping strategies for dealing with the stress of your medical condition and the emotional impact of losing a loved one.

It is also important to address the feelings of isolation you are experiencing. Engaging in social activities, even in small doses, can help alleviate feelings of loneliness and improve your mood. Consider reaching out to support groups for kidney transplant recipients or individuals dealing with similar health challenges. These groups can provide a sense of community and understanding, as members share their experiences and coping strategies.

Moreover, practicing self-care is essential. This can include regular physical activity, maintaining a balanced diet, ensuring adequate sleep, and engaging in relaxation techniques such as mindfulness or meditation. These practices can help reduce anxiety and improve your overall well-being.

If you are feeling suicidal or having thoughts of self-harm, it is imperative to seek immediate help. Contact a mental health professional, call a crisis hotline, or go to the nearest emergency room. Your safety is the top priority, and there are people who want to help you through this difficult time.

In summary, yes, you should see a psychiatrist, especially considering the severity of your symptoms. Look for a mental health professional who emphasizes interaction and collaboration in treatment. Remember, you are not alone in this journey, and there are resources and support available to help you navigate your mental health after a kidney transplant. Your life is valuable, and seeking help is a courageous step towards healing and recovery.

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