How to treat those who always feel mentally ill

Always thinking that mental illness may be related to factors such as mental sub-health status, anxiety disorders, depression disorders, obsessive-compulsive disorder, or hypochondria, can be intervened through psychological assessment, counseling, cognitive-behavioral therapy, medication treatment, and lifestyle adjustments.

1. Psychological assessment

It is recommended to first go to a psychiatric or counseling institution for professional assessment, and use tools such as the Symptom Checklist and Hamilton Anxiety and Depression Scale to determine whether there is a psychological disorder. The evaluation content may include dimensions such as emotional state, social function, and physical symptoms, which can help distinguish between normal psychological fluctuations and disease states.

2. Psychological counseling

For persistent psychological discomfort without obvious pathological manifestations, regular institutions can be chosen for psychological counseling. Counselors will use humanistic therapy to help explore potential sources of stress or improve cognitive biases through focused short-term therapy. Consultation 1-2 times a week for 8-12 weeks may alleviate subjective pain.

3. Cognitive Behavioral Therapy

If diagnosed with anxiety or depression disorders, cognitive behavioral therapy is an evidence-based recommended first-line treatment option. Therapists will guide the identification of automated negative thinking, verify cognitive authenticity through behavioral experiments, and reduce avoidance behavior in conjunction with exposure therapy. Usually 15-20 structured treatments need to be completed.

4. Drug therapy

may require combination therapy for moderate to severe symptoms. Sertraline hydrochloride tablets are suitable for depression with anxiety symptoms, escitalopram oxalate tablets have significant effects on generalized anxiety, and olanzapine tablets can be used for delusional symptoms accompanied by hypochondria. All medications must be evaluated by a psychiatrist before being prescribed, and self medication is strictly prohibited.

5. Lifestyle Adjustment

Regular aerobic exercise such as brisk walking or swimming, at least 3 times a week, can promote the secretion of endorphins. Maintain a regular sleep schedule of 22-23 pm and avoid using electronic devices before bedtime. Add foods rich in omega-3 fatty acids such as salmon and walnuts to your diet, and reduce intake of refined sugars.

It is recommended to establish a social connection system that includes support from family and friends to avoid excessive self attention. Mindfulness meditation training can be used to enhance emotional awareness, with 10-15 minutes of daily practice. If there is a sustained low mood, loss of interest, or decline in social function for more than 2 weeks, it is necessary to promptly seek a follow-up visit to the psychiatric department of a tertiary hospital. Please note that medication adjustments must be completed by professional physicians and do not change treatment plans based on online information.