Overcoming Long-Term Mental Health Struggles: Seeking Help and Hope

I'm sorry, but I need more context or specific information to provide an appropriate response?

Hello, Doctor! I feel like I am a severe case.
I seem to be trapped and unable to go out because I have had postpartum depression for about 20 years, which has made me fearful of dirty things.
My childhood environment and my parents' upbringing have had a lasting impact on me, leading me to marry at a young age.
The pressures from my husband and children have been overwhelming.
Now, my fears have escalated from being afraid of dogs and mold to being afraid of funerals (I keep washing my clothes), and recently, after attending my grandmother's funeral, I left halfway through.
My family cannot understand me.
Now, I am even afraid to return to my maternal home, and I avoid places where anyone who attended my grandmother's funeral has been.
I feel almost completely isolated at home.
This situation has been very painful for me.
I have been on medication for over ten years and have seen almost every major hospital, but the medications seem to have little effect on me.
Later, when I became pregnant with my third child, I stopped taking the medication because gaining weight is my biggest fear, and most importantly, the medications didn’t seem to help much.
I also find myself sleeping a lot and feeling mentally unwell.
Recently, I saw reports about electroconvulsive therapy, and I am even considering it because I feel so overwhelmed and exhausted.
I would like to ask the doctor if there are any new medications available? I have already tried medications like Prozac and St.
John's Wort, and I really don’t know what to do anymore.
I can only say that I am in a lot of pain right now.
What should I do? The weather has been very cold, and with the New Year approaching, I have to go out and encounter some people, which makes me very anxious.
Additionally, the issues and pressures I face with my husband and children are also causing me a lot of distress.
I have previously consulted with a psychologist.
Thank you for your response, Doctor.

Hu Hu Hu Xiao Jie, 40~49 year old female. Ask Date: 2013/12/02

Dr. Ding Shuyan reply Psychiatry

Hello, these pains are indeed very tormenting.
You have endured for so many years, and the bitterness of it is hard for outsiders to understand; it truly has been difficult for you! These symptoms are worth trying medication for, as improvements may occur within a few weeks if your body responds to certain drugs.
This could be much quicker than psychological or behavioral therapy.
Considering decades of suffering, this is relatively fast.
Especially since modern life is busy with many responsibilities, including family and children.
It would be better to revisit a doctor and discuss medication options.
Besides medications like Prozac and Lexapro, there are several other antidepressants that can be explored.
Whether there will be weight gain as a side effect depends on individual physiology, and you will only know after taking them.
It’s best not to have preconceived notions; you might quickly find a good doctor and effective medication without side effects! Wishing you all the best.
Sincerely, Dr.
Ding Shuo-Yan.

Reply Date: 2013/12/02

More Info

It sounds like you are experiencing a profound struggle with mental health that has persisted for many years, and I want to acknowledge the pain and frustration you are feeling. Your history of postpartum depression, compounded by various fears and pressures from family and life circumstances, has understandably led to a sense of isolation and distress. It’s important to recognize that you are not alone in this journey, and there are pathways to healing and support.

First and foremost, it’s crucial to seek help from mental health professionals who can provide a comprehensive evaluation of your situation. Given your long history of mental health challenges and the ineffectiveness of previous medications, it may be beneficial to explore different treatment options. This could include a reassessment of your current medications, as there are numerous antidepressants and anxiolytics available that may be more effective for you. Newer medications, such as atypical antidepressants or those that target specific neurotransmitter systems, might offer relief where previous treatments have not. Additionally, if you have not yet explored psychotherapy options, cognitive-behavioral therapy (CBT) or exposure therapy could be particularly beneficial in addressing your fears and anxiety.

You mentioned an interest in electroconvulsive therapy (ECT), which is a treatment option that can be effective for severe depression, especially when other treatments have failed. ECT is typically considered when there is a significant risk of self-harm or when a patient is unable to function due to their symptoms. It’s important to discuss this option with your psychiatrist, as they can provide detailed information about the procedure, its benefits, and potential side effects.

In terms of managing your fears and anxiety, gradual exposure to the situations you find distressing can be helpful. This process involves slowly and systematically facing your fears in a controlled manner, which can help desensitize you to the anxiety-provoking stimuli. Working with a therapist who specializes in anxiety disorders can provide you with the tools and support needed to navigate this process.

Additionally, consider incorporating self-care practices into your daily routine. Mindfulness meditation, yoga, and gentle physical activity can help reduce anxiety and improve overall well-being. Engaging in activities that bring you joy, even in small doses, can also help counterbalance the feelings of despair. It’s essential to find a support system, whether through friends, family, or support groups, where you can share your experiences and feelings without judgment.

Lastly, as you approach the holiday season, it’s understandable to feel overwhelmed by social interactions. Setting boundaries for yourself is vital; it’s okay to decline invitations or limit your exposure to situations that you find particularly distressing. Communicate your needs to your family, so they can better understand your situation and provide the support you need.

In conclusion, while the path to recovery may feel daunting, it is essential to remember that help is available, and you do not have to navigate this journey alone. Reach out to mental health professionals who can guide you through the process of finding the right treatment and support. With time, patience, and the right resources, it is possible to find relief from your symptoms and regain a sense of control over your life.

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