How to Readjust to Therapy: Overcoming Fear and Finding Support - Psychiatry

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How can I readjust to seeing a doctor again?


I will visit your clinic on Monday or Wednesday, but I am unsure how to readjust to seeing a doctor.
I am afraid that if I take medication again, I might harm myself once more.
Do I need to recount my situation again? I know I often feel like crying.
This time, my teacher accompanied me to handle my health insurance, but when the staff at the insurance bureau saw my card, they told me to ask you for a diagnosis certificate to apply for a disability handbook.
I do not acknowledge having a mental illness, even though everyone says I do; I believe I am healthy and capable.
Why should I apply for it? A friend from the ambulance service said that I really have emotional issues, so I am currently afraid to volunteer.
Recently, I often think about harming myself or ending my life due to family and psychological factors.
I have become withdrawn, rarely speaking and sleeping.
How should I communicate this to you during my appointment? I know there is a nurse in your office, and I am afraid to share my situation in front of too many people because I fear being labeled.
How can I take that next step? I have been chatting with people online, and they often tell me that if I get back up, my persuasive ability will improve, and I will have more empathy to help others like me.
But can I really return to volunteering? Can I go back to how I was before? Every day, I think about how much I want to return to my previous self, and I feel lost, as if many things are not accepted.
How should I start over? Today, I discussed with the ambulance team leader about involuntary hospitalization because he often warns me that if I don’t see a doctor, I could be forcibly hospitalized.
What conditions would lead to that? Could you please inform us? Has Article 21 of the Mental Health Act been amended? Thank you.

MM, 30~39 year old female. Ask Date: 2011/08/26

Dr. Lin Junyuan reply Psychiatry


Welcome, regarding the definitions in the Handbook for Persons with Disabilities or the regulations related to compulsory treatment, there are specific legal definitions.
Simply seeing a psychiatrist does not automatically qualify for enforcement.
If you have any questions, we can discuss your situation at that time!

Reply Date: 2011/08/26

More Info


It sounds like you are going through a very challenging time, and I want to acknowledge the courage it takes to reach out for help. Adjusting to therapy can be a daunting process, especially when you have fears about medication and the stigma associated with mental health issues. Here are some thoughts on how to readjust to therapy, overcome fear, and find the support you need.

First and foremost, it’s important to understand that therapy is a safe space designed to help you explore your feelings and experiences without judgment. If you are feeling apprehensive about returning to therapy, it might be helpful to remind yourself of the reasons you sought help in the first place. Reflect on your goals for therapy and what you hope to achieve. This could be a good starting point for your sessions.

When it comes to discussing your feelings about medication, it’s crucial to communicate openly with your therapist. You can express your fears about potential side effects or the idea of harming yourself. A good therapist will listen to your concerns and work with you to develop a treatment plan that feels safe and manageable. Remember, medication is just one part of a comprehensive treatment approach, which may also include therapy, lifestyle changes, and support from loved ones.

Regarding your feelings of not wanting to label yourself as having a mental health condition, it’s important to recognize that seeking help does not define you. Many people struggle with mental health issues, and acknowledging your feelings is a sign of strength, not weakness. The idea of applying for a disability certificate can be daunting, but it’s essential to understand that it is a tool to help you access the resources you need. You are not alone in feeling this way, and many people have similar concerns.

If you are feeling isolated and withdrawn, it might be beneficial to start small. Consider setting achievable goals for yourself, such as talking to a friend or engaging in a hobby you once enjoyed. Volunteering can be a wonderful way to connect with others, but it’s okay to take your time before jumping back into that role. Focus on self-care and gradually reintroducing social interactions into your life.

In terms of discussing your situation with your therapist, you can start by sharing your feelings about being in the office and your concerns about privacy. It’s perfectly acceptable to ask for a private space to talk or to request that the nurse step out during your session. Your comfort is paramount, and a good therapist will respect your needs.

As for the possibility of being involuntarily hospitalized, this typically occurs when a person poses a danger to themselves or others, or if they are unable to care for themselves due to a mental health crisis. Each state has its own laws regarding involuntary treatment, and it’s essential to be informed about your rights. If you feel that you are at risk of harming yourself, it’s crucial to seek immediate help, whether through a therapist, a trusted friend, or a crisis hotline.

Lastly, remember that recovery is a journey, and it’s okay to take it one step at a time. Surround yourself with supportive people who understand what you’re going through. Engage in activities that bring you joy and fulfillment. Therapy can be a powerful tool for healing, and with time, patience, and the right support, you can find your way back to a place of stability and happiness.

In conclusion, take the time to reflect on your feelings, communicate openly with your therapist, and allow yourself the grace to heal at your own pace. You are not alone in this journey, and there is hope for a brighter future.

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