Topic: When to seek help
Question: I've been feeling stressed for what seems like a very long time now. How do I know if I actually need to go talk to someone about how I'm feeling?
Andrew J. McLean, MD, MPH
Associate Dean for Wellness Chair, Department of Psychiatry and Behavioral Science
School of Medicine & Health Sciences
University of North Dakota
Expert's Response
That’s
a great question. First, it’s important to realize that most people who
go through stressful experiences “come out the other side” OK. Many
people will experience occasional episodes of physical and emotional
changes in response to stress (i.e., normal responses to an abnormal
situation). In fact, some people might experience what’s called
“post-traumatic growth.” They might develop, after significant struggle, a
new appreciation for their life, relationships, or recognition of their
own personal strength.
However, some people might be more prone to developing mental health or
substance use problems during exceptionally difficult times. Individuals who
have had previous experiences with such illnesses could be at greater
risk of relapse. It is not uncommon to see an increase in use of
substances during stressful times. Also, individuals who have had
stability in managing their mood or anxiety disorders can find
themselves challenged in maintaining balance due to disruptions in
sleep, social supports, behavioral healthcare access, etc.
We recommend that people reach out for professional help if their symptoms are:
- Not just “a nuisance” but are significantly impacting their day-to-day functioning (whether that be in work, relationships, or other areas of life)
- Not simply “occasional” but have become more consistent and prolonged
- Impacting their physical well-being
- Are causing safety concerns, such as having harmful thoughts toward themselves or other people
I recommend reading these resources for more information:
- The Stress & Coping page and the Support & Treatment page of the Behavioral Health Bridge have helpful information about managing stress and behavioral health symptoms.
- The Behavioral Health Treatment Services Locator, provided by the Substance Abuse and Mental Health Services Administration allows you to enter your home address and find treatment resources close by.