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Avatar universal

some questions

    I am 20 years old.I have some mental issues, but When i think of going to therapy i start feeling that  i am so wrecked,and images come to my mind with people telling me how wrecked i am,with me  starting to cry and  to panic, thinking "o my god i am so wrecked,"and blaming myself that it is my fault ,with the psychiatrist telling me that it can not do anything and that i shoud be hospitalized and my whole life would be over and so on.
   I hate this thoughts and images,but they keep coming to my mind and torment me when i want to go to therapy  When finally i went to a psychiatrist,i was so stressed and tormented with thoughts that i am so wrecked,my mind was poping images and thought wich keep blaming me,and i felt so pressured that i start thinking that i should tell the psichiatrist about my sexual experiences wich under pressure(in moments like this when i have to talk to a doctor)start tormenting me .I could not tell the psychiatrist about my sexual experiences because i just can not,i felt i would go crazy if i would tell him.
    Anyway when i try to describe this things i feel so bad and worthless,but if i listen to music and try to forget about this thoughts i feel better.I actually go to college,this is my second year and i am doing pretty well,i passed all my exams  ,but i am having some problems concentrating and understanding concepts,but i manage to work it out, and i have some friends .althought i tend to isolate myself.
    
1.What is the posibility that i suffer a disease wich is more srious and wich may need hospitalization?
2.Do i really need to overcome my disturbing thoughts of guilt,blame about sexual experiences or about other things(because there are almost an infinit number of things wich i feel guilty) by telling the psychiatrist every disturbing thought wich comes to my mind when i am  stressed?Something "like let it all out and you will feel better"?In fact  my mind torments me that i am  coward to let it all out


2 Responses
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242532 tn?1269550379
MEDICAL PROFESSIONAL
You have an incorrect view of what psychotherapy is..it is not a confessional, and it is not a judgement about you, it is a way that the therapist can help you understand  your own mind, and why you are so unnecessarily guilty about so many things...it will relieve you greatly, and help you flourish with friends, and concentrate at school.  You should see a therapist but you can also get some help facing your problems at www. myvirtualshrink.com
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Avatar universal
From what you write it sounds as though psychotherapy would be sufficient.  As a rule they don't generally lock people in hospital and throw away the key.  It doesn't work like that anymore.  Besides, I have truckloads of issues and I'm living in the community.
If they had that philosophy about locking people up I would be in some deep, dark dungeon somewhere.
The mental health services these days while desperately under-resourced are radically different to the past and are usually often very good.

I don't necessarily think that the psychiatrist is the best person for you to be discussing every single detail with.  I think that is more covered by the therapists role.  Certainly some sort of overview, etc may be helpful for them though.  Put the information out there and let them judge how much or how little they need to know.  They will often guide you with their questions, etc.  

You probably have a whole lot to say and then when you get to your appointment either forget or neglect to discuss it.

You're not wrecked and people are often able to help you if you talk about the stuff bothering you.
Talk to the doctor about the thoughts and images.  They are important.  Write them down if you have too.

Congrats on college.  If you were to address your issues you would probably find it a lot less challenging.  And would probably enjoy it a whole lot more.

What the heck.  Discuss it all with your doctor.
I wasn't able to discuss some of my history with the doctor and it's meant that recovery has taken a lot longer than it needed to have.  Plus it has been incredibly hurtful.  Don't waste your life like I have by not talking about sensitive issues.  Doctors don't actually care that much.  They've probably heard it all before.  Most doctors are sensitive and respectful though.  Share what you can.
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