What should I do?
Hello, doctor.
I have a strong intuition that I might have depression, but I am afraid to see a doctor.
Initially, it was due to academic pressure, and after graduation, not passing the licensing exam was a significant blow for me.
Recently, I've been working for almost three months, and the stress is overwhelming; I keep making mistakes.
I feel like I can't take it anymore.
When I get home from work, I cry continuously, and I can't muster the energy to do anything.
I find it hard to concentrate, and my performance at work is poor; I forget things constantly.
At night, I wake up with severe chest pain, and during the day at work, I suddenly experience intense stomach pain.
I also struggle to interact with others, and my relationship with my family is deteriorating; I get angry easily and feel very insecure, thinking I'm doing everything poorly.
There have been times when I felt hopeless, preferring to stay home and sleep all day.
Talking to others makes me very anxious, and I feel like my situation is getting worse, but I am too afraid to see a doctor...
I'm scared of the side effects of medication...
and of being unable to express my feelings...
123, 20~29 year old female. Ask Date: 2015/12/18
Dr. Su Zongwei reply Psychiatry
Given your situation, it is essential to seek medical attention promptly.
If you have any sensitive issues, remember that doctors are neutral and can consider your concerns.
Don't be afraid; go seek medical care.
Reply Date: 2015/12/18
More Info
It's clear from your message that you're experiencing a significant amount of distress, and it's commendable that you're reaching out for help. The feelings you're describing—persistent sadness, anxiety, difficulty concentrating, physical symptoms like heart and stomach pain, and social withdrawal—are all common indicators of depression and anxiety disorders. It's important to understand that you're not alone in this struggle, and seeking help is a crucial step toward recovery.
First and foremost, it's essential to acknowledge that mental health issues, including depression and anxiety, are medical conditions that can be treated effectively. Many people share your fears about seeking help, particularly concerns about medication side effects or stigma. However, it's vital to remember that mental health professionals are trained to provide support and treatment tailored to your needs. They can help you navigate your feelings and develop coping strategies.
The physical symptoms you're experiencing, such as heart pain and gastrointestinal issues, can often be linked to anxiety and stress. When we are under pressure, our bodies can react in ways that manifest as physical discomfort. This is sometimes referred to as psychosomatic pain, where emotional distress translates into physical symptoms. It's crucial to address both the emotional and physical aspects of what you're going through.
Here are some steps you can take to begin addressing your situation:
1. Consider Professional Help: While it may feel daunting, reaching out to a mental health professional can be incredibly beneficial. They can provide a safe space for you to express your feelings and help you understand what you're experiencing. If you're worried about medication, discuss this with your doctor. They can explain the options available, including therapy without medication, if that’s your preference.
2. Therapeutic Options: Cognitive Behavioral Therapy (CBT) is a widely used treatment for depression and anxiety. It focuses on identifying and changing negative thought patterns and behaviors. Other therapeutic approaches, such as mindfulness-based therapy or interpersonal therapy, can also be effective. A therapist can help you find the right approach for you.
3. Build a Support System: While it may feel challenging to interact with others, having a support system is crucial. This could be friends, family, or support groups. Sharing your experiences with someone you trust can alleviate feelings of isolation and provide comfort.
4. Self-Care Practices: Incorporate self-care into your daily routine. This can include physical activities like walking or yoga, which are known to reduce anxiety and improve mood. Mindfulness practices, such as meditation or deep-breathing exercises, can also help manage stress.
5. Educate Yourself: Understanding more about depression and anxiety can help demystify your experiences. Knowledge can empower you to take control of your mental health and make informed decisions about your treatment options.
6. Gradual Exposure: If social interactions are challenging, consider gradually exposing yourself to social situations. Start small, perhaps by engaging in brief conversations or participating in low-pressure group activities. This can help build your confidence over time.
7. Emergency Support: If you ever feel overwhelmed or have thoughts of self-harm, it's crucial to seek immediate help. Contact a crisis hotline, reach out to a trusted friend, or go to the nearest emergency room. Your safety is the top priority.
In conclusion, while the journey to overcoming depression and anxiety can be challenging, it is entirely possible with the right support and treatment. You deserve to feel better, and taking the first step by seeking help is a significant move toward healing. Remember, you are not alone in this, and there are people and resources available to support you through this difficult time.
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