Should I See a Therapist? Emotional Distress and Support Options - Psychiatry

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Should I see a psychologist?


Last year, due to certain events, my emotions became unstable, I lost my appetite, and my weight dropped by 5 kilograms.
In front of others, I appear normal, and everyone thinks I am very optimistic (there were signs of this the year before, but the fluctuations were not as significant as last year).
Currently, my emotions are more stable, but sometimes during lonely nights, I suddenly feel very sad.
I don't know why, and I can only cry continuously.
Sometimes I even have thoughts of relief, but I don't act on them.
I can only suppress these negative thoughts, but I don't know what to do.
Sometimes it is quite painful, and I even experience insomnia for several days.
Even when I am extremely tired, I still can't sleep; when I do fall asleep, I wake up shortly after.
These episodes occur intermittently, not exceeding a week, and may happen once every month or two.
Which specialist should I see? If treatment is necessary, I don't want to rely on medication.
Are there any alternatives? How should I approach a psychologist?

peggy, 20~29 year old female. Ask Date: 2016/02/29

Dr. Li Zhengfeng reply Psychiatry


Hello: Psychiatric treatment can include non-pharmacological methods such as psychotherapy, activity therapy, and occupational therapy.
It is advisable to first consult a psychiatrist, who can then refer you to a psychologist for appropriate treatment.
Wishing you a speedy recovery.

Reply Date: 2016/02/29

More Info


It sounds like you're going through a challenging time, and it's important to acknowledge that seeking help is a courageous step. Emotional distress can manifest in various ways, including changes in appetite, weight loss, sleep disturbances, and feelings of sadness or hopelessness. These symptoms can be overwhelming, especially when they disrupt your daily life and well-being.

Given your experiences, it would be beneficial to consider seeing a therapist. Therapy can provide a safe space for you to explore your feelings, understand the root causes of your emotional distress, and develop coping strategies. Many people find that talking to a professional helps them gain clarity and perspective on their thoughts and feelings. A therapist can also assist you in identifying patterns in your emotions and behaviors that may contribute to your distress.

You mentioned that your emotional instability began after a specific event last year, which suggests that there may be underlying issues that need to be addressed. Therapy can help you process these experiences and develop healthier ways to cope with stress and emotional pain. It's also common for individuals to feel pressure to appear "normal" or "optimistic" in front of others, which can lead to suppressing genuine feelings. A therapist can help you navigate these feelings and encourage you to express your emotions in a constructive manner.

In terms of what type of therapy might be suitable, cognitive-behavioral therapy (CBT) is often effective for individuals experiencing emotional distress. CBT focuses on identifying and changing negative thought patterns and behaviors, which can help improve mood and emotional regulation. Additionally, mindfulness-based therapies can be beneficial in helping you stay present and manage overwhelming emotions.

If you're concerned about medication, it's important to communicate this with your therapist. Many therapists respect clients' preferences regarding medication and can work with you to explore non-pharmacological approaches to treatment. These may include lifestyle changes, such as regular exercise, a balanced diet, and good sleep hygiene, which can significantly impact your emotional health. Additionally, engaging in activities that bring you joy or relaxation, such as hobbies, socializing with friends, or practicing mindfulness and meditation, can also be beneficial.

It's crucial to remember that seeking help is a sign of strength, not weakness. Many individuals experience emotional distress at some point in their lives, and therapy can provide the support and tools needed to navigate these challenges. If you're unsure where to start, consider reaching out to a mental health professional or a primary care physician who can guide you in finding the right therapist for your needs.

In summary, seeing a therapist can be a valuable step in addressing your emotional distress. Therapy can provide you with the support and tools to understand your feelings, cope with stress, and improve your overall well-being. Don't hesitate to reach out for help; you deserve to feel better and to have the support you need during this difficult time.

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