Struggling with Self-Hatred: A Journey Through Mental Health Challenges - Psychiatry

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I think I'm going crazy?


I am thin and dark-skinned, and I don't consider myself particularly smart.
I feel very insecure and often walk with my head down.
Sometimes I feel inexplicably happy, while other times I suddenly feel sad.
I have a somewhat masculine demeanor, yet I still long to be beautiful.
However, I know I can't achieve that because I don't feel attractive enough.
Since elementary school, I've often been called names like "black person," and it got worse in junior high, where I was subjected to insults like "African slave." I've been deeply hurt by this.
Honestly, I sometimes want to harm those who hurt me, but I feel an even stronger urge to harm myself, wishing I could just die quickly.
I've even come up with various suicide plans.
Since I can remember, whenever I am scolded, I would hit my head until I fainted or hurt myself to the point of swelling.
I really hate myself and feel useless.
I can't understand how someone can be so foolish and I despise my appearance.
However, after entering an all-girls high school, I seemed to gain some confidence.
I felt okay with what they said.
But recently, I was criticized too harshly, and I nearly wanted to harm others and myself.
I felt like I couldn't breathe, and now I think about those incidents every day.
I find myself hitting my face or other parts of my body lightly, and I start tearing things apart, unable to calm down.
What should I do? I often wonder why I don't just die.
What am I afraid of? When I was younger, I would threaten my brother with a knife, which caused him to experience some issues as well.
I feel very sorry for him.

The psychological assessment at school showed that I have very negative evaluations, even though I have a loving family and a few good friends.
I don't trust the school counselors; I feel like they would betray me.
I'm afraid they would tell my parents, and I don't want to worry them.
Perhaps I still want to live, but I still really hate myself.

Misa, 10~19 year old female. Ask Date: 2016/03/26

Dr. Li Zhengfeng reply Psychiatry


Hello: According to your letter, the issue may stem from a lack of self-confidence.
Engaging in legitimate leisure activities, reading inspirational books, and making new friends can help rebuild your self-esteem and confidence.
I believe you will find that life is still beautiful, and I hope tomorrow will be even better for you.

Reply Date: 2016/03/26

More Info


Struggling with self-hatred and mental health challenges is a deeply personal and often painful journey. It’s important to acknowledge the complexity of your feelings and experiences. From what you’ve shared, it’s clear that you’ve faced significant emotional turmoil, stemming from both external bullying and internalized negative self-perceptions. This combination can lead to a cycle of self-hatred, anxiety, and even self-harm, which you’ve described.

Firstly, it’s crucial to understand that your feelings of inadequacy and self-hatred are not uncommon among individuals who have experienced bullying or negative feedback about their appearance. The comments you received during your school years, such as being called derogatory names, can leave lasting scars on one’s self-esteem. These experiences can distort your self-image and lead to a belief that you are unworthy or unlovable. It’s important to recognize that these beliefs are often rooted in the hurtful words of others rather than in any objective truth about who you are.

Your desire to harm yourself or others is a serious concern and indicates that you are in a place of deep emotional pain. It’s essential to seek help from a mental health professional who can provide you with the support and guidance you need. Therapy can be a safe space to explore your feelings, understand the roots of your self-hatred, and develop healthier coping mechanisms. A therapist can help you work through the trauma of bullying and teach you strategies to combat negative thoughts and feelings.

You mentioned feeling more confident in high school, which is a positive sign. It suggests that you have the capacity for self-acceptance and growth. However, setbacks can occur, especially when faced with criticism or overwhelming emotions. It’s important to remember that confidence can fluctuate, and it’s okay to seek help during challenging times.

Self-harm is often a way to cope with overwhelming emotions, but it’s not a healthy or effective long-term solution. Finding alternative coping strategies is crucial. Engaging in activities that promote self-expression, such as writing, art, or physical exercise, can be beneficial. These outlets can help you process your emotions in a healthier way and provide a sense of relief.

Additionally, consider reaching out to trusted friends or family members about your feelings. While it may feel daunting, sharing your struggles with someone you trust can alleviate some of the burden you carry. It’s also worth noting that school counselors or mental health professionals are bound by confidentiality and are there to support you, not to betray your trust.

Lastly, practice self-compassion. It’s easy to be harsh on yourself, especially when you’re feeling low. Try to treat yourself with the same kindness you would offer a friend in a similar situation. Acknowledge your pain without judgment and remind yourself that it’s okay to seek help.

In conclusion, your journey through self-hatred and mental health challenges is significant, and it’s important to take steps toward healing. Seeking professional help, engaging in positive self-expression, and practicing self-compassion can all contribute to your recovery. Remember, you are not alone in this struggle, and there are people and resources available to support you on your path to healing.

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