Anxiety and Insomnia: When to Seek Help for Mental Health

Insomnia and emotional instability?

Hello, Dr.
Su: I am currently a first-year master's student living away from home.
My father has been hospitalized due to illness, and I've been having frequent arguments with my boyfriend.
Because of taking care of my father, I spend very little time in the lab, which makes me feel guilty in front of my professors.
This situation has been fluctuating for about a month.
Recently, I've noticed that I can't be alone, I'm experiencing insomnia, I feel insecure, and I become anxious when separated from my boyfriend or worried when apart from my father.
Almost every day, I wake up from nightmares and often feel scared and uncertain about what will happen next.
Even when I'm having a good time chatting with friends, I start to feel anxious and fearful as soon as there's a lull in conversation, even though my friends are still around.
I feel restless in the lab and believe I'm not able to work properly, which makes me feel bad for my professors.
At home, I constantly need to find something to do and can't relax enough to watch TV or take a nap.
Recently, I've realized that I often have thoughts like "being alive is so exhausting," which makes me feel like I'm not the same as I used to be.
When I'm apart from my boyfriend, I get anxious and often call him to check on him or chat; when taking care of my father, I find myself getting upset when he is angry, which I didn't used to do.
I feel that this has already caused inconvenience in my life, and my boyfriend thinks I've become quite dramatic and hopes I will see a doctor.
On one hand, I feel like this is something everyone experiences, but on the other hand, I'm afraid that I might have something like bipolar disorder and need medication without even realizing it.
I would like to ask the doctor if my situation requires seeing a doctor?

jimmy, 20~29 year old female. Ask Date: 2015/12/25

Dr. Su Zongwei reply Psychiatry

There is

Reply Date: 2015/12/25

More Info

It sounds like you are experiencing a significant amount of anxiety and distress due to various stressors in your life, including your father's illness and relationship issues. These feelings are compounded by insomnia, a lack of safety, and an overwhelming sense of fear and worry. It's understandable to feel overwhelmed in such circumstances, and it's important to recognize when these feelings may require professional help.

From your description, it seems you are dealing with symptoms that could be indicative of generalized anxiety disorder (GAD) or possibly an adjustment disorder, especially given the recent changes and stressors in your life. The fact that you are experiencing insomnia, nightmares, and a heightened sense of anxiety when alone or when separated from loved ones suggests that your mental health is being significantly impacted.

Seeking help from a mental health professional, such as a psychiatrist or psychologist, is a wise decision. They can provide a comprehensive evaluation of your symptoms and help determine the best course of action. Treatment options may include therapy, medication, or a combination of both. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety disorders, as it helps individuals identify and challenge negative thought patterns and develop coping strategies.

It's also important to consider lifestyle changes that can support your mental health. Regular physical activity, a balanced diet, and sufficient sleep can all contribute to improved mood and reduced anxiety. Mindfulness practices, such as meditation or yoga, can also be beneficial in managing stress and promoting relaxation.

In your case, it might be helpful to establish a routine that includes time for self-care and relaxation. This could involve setting aside specific times for leisure activities, socializing with friends, or simply unwinding with a book or a favorite show. Finding ways to connect with your emotions and express them, whether through journaling or talking with a trusted friend, can also provide relief.

It's understandable to feel hesitant about seeking help, especially if you believe your symptoms are something everyone experiences. However, the intensity and duration of your feelings, along with their impact on your daily life, suggest that professional support could be very beneficial. Remember, seeking help is a sign of strength, not weakness, and it can lead to significant improvements in your quality of life.

In summary, based on your symptoms and the distress you are experiencing, it is advisable to consult with a mental health professional. They can help you navigate these challenges and develop a personalized treatment plan that addresses your specific needs. Don't hesitate to reach out for help; you deserve support during this difficult time.

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