Feeling Exhausted: Navigating Mental Health Challenges and Medication Effects - Psychiatry

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I'm so exhausted from holding on..?


After the doctor changed my medication, I've been feeling drowsy during the day, as if I haven't had enough sleep, and I feel very tired at work.
At the factory, I was inexplicably scolded for asking someone to take out the trash.
When I got home and wanted to chat with my family, my nephew told me to go outside because I was being too noisy.
I feel like life has no meaning, and I'm so exhausted.
Doctor, I've been trying hard to seek treatment and improve myself, but what have I gained? I really want to be with my dad.
I'm so tired of holding on.
I want to know if there are ways to find eternal rest.
Can you tell me how I can achieve that? Can I use this to say goodbye to you? I trust you, doctor, but I don't want to come back for an early appointment.
Please let me know, okay?

mm, 30~39 year old female. Ask Date: 2012/11/10

Dr. Lin Junyuan reply Psychiatry


Hello, thank you for your trust.
However, since you have been experiencing changes in your mood recently, I recommend that you schedule a follow-up appointment as soon as possible!

Reply Date: 2012/11/10

More Info


It sounds like you are going through a very challenging time with your mental health, and I want to acknowledge the feelings of exhaustion and frustration that you are experiencing. Navigating mental health issues, especially when medications are involved, can be incredibly complex and overwhelming.
From what you've described, it seems that the recent changes in your medication have led to feelings of fatigue and a sense of being overwhelmed in your daily life. This is not uncommon when adjusting to new medications or dosages, as many psychiatric medications can have side effects that impact energy levels, mood, and overall functioning. For instance, medications like antidepressants and antipsychotics can sometimes cause sedation or drowsiness, which might explain why you feel "昏昏沈沈" (drowsy) during the day.

It's important to understand that while medications can be beneficial in managing symptoms of mental health disorders, they can also come with side effects that may affect your quality of life. If you are feeling excessively tired or unable to engage in daily activities, this is something that should be discussed with your healthcare provider. They can help assess whether the current medication regimen is appropriate for you or if adjustments need to be made.
Additionally, feelings of hopelessness and the desire to escape your current situation are serious concerns. It’s crucial to reach out for support when you’re feeling this way. Talking to a trusted friend, family member, or mental health professional can provide you with the emotional support you need. It’s understandable to feel overwhelmed, especially when you’re trying to manage your health and the pressures of daily life.

You mentioned feeling like your efforts to seek help and grow are not yielding positive results, which can be disheartening. Remember that recovery is often not a linear process; it can have ups and downs, and it’s okay to feel frustrated. It’s also important to recognize that you are not alone in this journey. Many people face similar struggles, and there are communities and resources available to help you feel less isolated.

If you are contemplating ways to find peace or relief from your feelings of exhaustion and despair, consider exploring mindfulness practices, such as meditation or deep-breathing exercises. These can sometimes help in managing anxiety and improving overall well-being. Engaging in physical activity, even in small amounts, can also boost your mood and energy levels.
However, if you are feeling overwhelmed and considering self-harm or expressing a desire to "long sleep," it is vital to seek immediate help. Contact a mental health professional or a crisis hotline in your area. They can provide you with the support and guidance you need to navigate these feelings safely.

Lastly, while it’s understandable to want to avoid returning to your doctor, maintaining open communication about your symptoms and feelings is essential for effective treatment. If you feel comfortable, consider scheduling a follow-up appointment to discuss your experiences with the medication and any side effects you are facing. Your health and well-being are paramount, and your doctor is there to help you find the best path forward.

In summary, navigating mental health challenges, especially with medication, can be difficult. It’s important to communicate openly with your healthcare provider about your experiences, seek support from loved ones, and explore coping strategies that can help you manage your feelings of exhaustion and despair. You are not alone in this, and there is hope for a brighter future.

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