I am under a lot of stress?
Recently, I've been experiencing a lot of stress from being unemployed, having nightmares, fearing the outside world, memory decline, chest tightness, intense urges to harm others, and poor sleep.
Should I see a doctor?
Huang, 20~29 year old female. Ask Date: 2013/08/19
Dr. Su Zongwei reply Psychiatry
The stress is overwhelming and it's very uncomfortable.
Please seek assistance from a psychiatrist as soon as possible.
Reply Date: 2013/08/19
More Info
Dealing with job loss can be an incredibly stressful experience, and it sounds like you're going through a particularly challenging time. The symptoms you're describing—nightmares, fear of the outside world, memory issues, chest tightness, aggressive thoughts, and sleep disturbances—are significant and indicate that you may be experiencing a heightened level of anxiety or depression.
It's important to recognize that these symptoms can be signs of a mental health condition that may require professional intervention. When stress from job loss leads to physical symptoms (like chest tightness) or severe emotional distress (like aggressive thoughts), it is crucial to seek help. Here are some considerations to guide you in deciding when to seek psychiatric help:
1. Duration and Intensity of Symptoms: If your symptoms have persisted for several weeks and are affecting your daily functioning—such as your ability to sleep, concentrate, or engage in daily activities—it is a strong indicator that you should seek help.
2. Physical Symptoms: Symptoms like chest tightness can be particularly concerning, as they may indicate anxiety or panic attacks. It's essential to rule out any physical health issues by consulting a healthcare provider.
3. Thoughts of Self-Harm or Violence: If you find yourself having thoughts of harming yourself or others, it is critical to seek immediate help. These thoughts can escalate quickly, and professionals can provide the necessary support and intervention.
4. Isolation and Withdrawal: If you feel increasingly isolated or withdrawn from friends and family, this can exacerbate feelings of depression and anxiety. A mental health professional can help you navigate these feelings and develop coping strategies.
5. Coping Mechanisms: If you find that your usual coping mechanisms (like exercise, hobbies, or socializing) are no longer effective, it may be time to seek professional support. A therapist can help you explore new coping strategies and provide a safe space to express your feelings.
6. Seeking Support: If you feel uncomfortable discussing your mental health with family or friends, consider reaching out to a mental health professional. Many therapists offer sliding scale fees or community resources that can make therapy more accessible.
7. Initial Steps: If you're unsure where to start, consider contacting a mental health hotline or a local mental health clinic. They can provide guidance on the next steps and help you find a suitable therapist or psychiatrist.
In summary, given the severity of your symptoms, it is advisable to seek psychiatric help. A mental health professional can provide you with the tools and support you need to cope with your current situation and help you work through the underlying issues contributing to your distress. Remember, seeking help is a sign of strength, and taking that step can lead to significant improvements in your mental health and overall well-being.
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