Psychological counseling
Hello, Dr.
Tang.
I apologize for bothering you again! I am currently facing many issues and don’t know what to do.
I used to have a simple life where I just worked and went home, but now I want to work while also participating in vocational training.
Even without vocational training, I really want to pursue further education because I feel my academic qualifications are insufficient and I want to enrich myself.
However, I am struggling with health issues! My memory has significantly declined, and sometimes I experience blank moments or a sense of detachment from reality.
I suspect I might be suffering from schizophrenia! I really want to break free from the shadow of my illness.
The psychiatrist advised me to wait another six months to reassess the situation.
Although my anxiety medication has reached 2 mg, I truly want to increase it further to prove my resilience and determination.
I also want vocational training to enhance my skills.
My biggest psychological issue right now is that as long as others don’t provoke me, I’m fine, but if they do, I will retaliate tenfold! I really dislike those who bully others in society.
To show that I am not a weak person, I might resort to "taking action" if necessary, which I don’t want to do.
However, I am genuinely afraid of the day when I might lose control of my emotions!
Xiao Jie, 20~29 year old female. Ask Date: 2002/02/18
Dr. Tang Xinbei reply Psychiatry
Dear Xiao Jie,
I apologize for the delay in my response! Since the beginning of the new year, the hospital has been updating its information systems, which has caused my computer to be unstable.
Your determination and ambition are truly admirable! You are currently facing many choices and trying to balance them all, but it seems challenging to achieve that.
Regarding your condition (which may not necessarily be schizophrenia!), it could be affecting your ability to concentrate, making it difficult for you to focus, and may lead to increased anxiety and depression.
This can impact your ability to process information, make judgments, and affect your memory.
The physicians at St.
Mary’s Hospital have advised you to wait six months to reassess the situation, and I also believe that, under the current circumstances, it is important to pursue active treatment to gain control over your symptoms.
This way, you will be better equipped to make clear choices and judgments.
You may still harbor a lot of anger and resentment, even feeling the urge to take some form of revenge against those you believe have "disregarded" you.
Personally, I think this is not a constructive approach! Perhaps consider shifting your mindset and transforming these feelings into motivation to strive for self-improvement! Focus your energy on personal growth, aiming for self-actualization instead of retaliation.
Wishing you peace and joy!
Reply Date: 2002/02/18
More Info
Overcoming mental health challenges is a complex journey that requires patience, self-compassion, and often professional support. From your description, it seems you are grappling with a multitude of issues, including anxiety, feelings of inadequacy, and possibly symptoms that could be linked to a more serious mental health condition. It’s important to recognize that you are not alone in this struggle, and many people face similar challenges.
Firstly, it’s commendable that you are seeking to improve your situation by considering further education and training. This desire for self-improvement is a positive step. However, it’s crucial to balance this ambition with self-care. The pressure to achieve can sometimes exacerbate feelings of anxiety and inadequacy, especially if you are already feeling overwhelmed. It’s essential to set realistic goals for yourself and to recognize that progress may be gradual.
Your concerns about memory loss and feelings of detachment are significant and should not be dismissed. These symptoms can be indicative of various mental health issues, including anxiety disorders or even depression. It’s good that you are in touch with healthcare professionals, but if you feel that your concerns are not being adequately addressed, it may be worth seeking a second opinion or consulting a mental health specialist who can provide a more comprehensive evaluation.
The feelings of anger and frustration you express towards others, particularly those you perceive as bullies, are understandable. It’s natural to want to assert yourself and not be seen as weak. However, channeling this anger into constructive actions rather than reactive ones is crucial. Engaging in activities that promote your well-being, such as physical exercise, mindfulness practices, or creative outlets, can help manage these feelings. These activities can also serve as a distraction from negative thoughts and provide a sense of accomplishment.
Moreover, it’s important to address the fear of losing control over your emotions. This fear can create a cycle of anxiety that makes it even harder to manage your feelings. Consider exploring therapeutic options such as cognitive-behavioral therapy (CBT), which can help you identify and challenge negative thought patterns and develop healthier coping strategies. Therapy can also provide a safe space to express your feelings and work through the underlying issues contributing to your anxiety and anger.
In addition to therapy, medication can be an effective part of treatment for anxiety and mood disorders. If you feel that your current medication is not providing the relief you need, discuss this with your doctor. They may consider adjusting your dosage or trying a different medication that could better suit your needs.
Lastly, remember that self-improvement is a journey, not a destination. It’s okay to have setbacks and to feel overwhelmed at times. What’s important is to keep moving forward, even if it’s just one small step at a time. Surround yourself with supportive people who understand your struggles and can provide encouragement. Whether it’s friends, family, or support groups, having a network can make a significant difference in your mental health journey.
In summary, overcoming mental health challenges involves a combination of self-awareness, professional support, and self-care. Acknowledge your feelings, seek help when needed, and take proactive steps towards your goals while being gentle with yourself along the way. You have the strength to navigate this journey, and with time and effort, you can find a path that leads to greater well-being and fulfillment.
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