Your Mental Health: When to Seek Help for Symptoms - Psychiatry

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I'm not quite sure what's wrong with me, so I have to ask the doctor. Thank you, doctor?


Hello doctor, I would like to ask about my symptoms.
I have a history of depression and have undergone psychological treatment (I have not received treatment for about two months now).
Recently, I am not sure if it is due to excessive stress, but I have been unable to sleep at night and can only sleep during the day.
I often wake up suddenly in the middle of the night, start throwing things around, and smashing things, feeling very angry.
I also frequently experience a sensation where my body is moving, but I am not aware of it; I can see things happening in front of me, but I do not feel like I am doing them.
Additionally, when I am with family or friends, my voice noticeably changes, and my behavior is different, but these are not actions I consciously choose to take.
I would like to ask the doctor what might be causing these symptoms.
Thank you for your help.

Hiragi, 10~19 year old female. Ask Date: 2016/03/28

Dr. Dai Wanxiang reply Psychiatry


Hello, Miss Hiiragi: Based on your description, it can be inferred that you are experiencing insomnia, emotional distress, and possible symptoms of derealization or depersonalization (feeling that the external environment is unreal, lacking a sense of presence in relation to external events, or even experiencing a sense of numbness as if there is a barrier).
It is difficult to determine the specific mental illness solely based on these symptoms.
The depression you mentioned may present with such symptoms, but it is also common for individuals facing significant psychological stress to exhibit similar reactions.
I recommend seeking assistance from a healthcare facility, specifically from a psychosomatic or psychiatric specialist.
Treatment through medication and psychotherapy may be beneficial for you.

Reply Date: 2016/03/28

More Info


It sounds like you are experiencing a range of distressing symptoms that are affecting your mental health and overall well-being. Given your history of depression and recent changes in your behavior and sleep patterns, it is crucial to take these symptoms seriously and consider seeking professional help.

From what you described, it seems that you are dealing with significant stress, which may be exacerbating your existing depression. The inability to sleep, sudden outbursts of anger, and feelings of disconnection from your actions (often referred to as dissociation) are concerning signs that indicate your mental health may be deteriorating. These symptoms can be linked to various mental health conditions, including anxiety disorders, mood disorders, or even post-traumatic stress disorder (PTSD), especially if there are underlying stressors or traumatic experiences.

1. Sleep Disturbances: Difficulty sleeping is a common symptom of depression and anxiety. It can create a vicious cycle where lack of sleep exacerbates feelings of irritability and sadness, leading to further sleep issues. Sleep is essential for emotional regulation and cognitive function, so addressing this issue is vital.

2. Anger and Impulsivity: The episodes of throwing things and feeling uncontrollable anger can indicate heightened emotional distress. This may be a response to overwhelming feelings or stressors in your life. It’s essential to find healthy outlets for these emotions, such as physical activity, creative expression, or talking to someone you trust.

3. Dissociation: The sensation of watching yourself act without control can be a form of dissociation, which is often a coping mechanism in response to stress or trauma. It can feel disorienting and frightening, and it’s important to address these feelings with a mental health professional.

4. Behavioral Changes: The noticeable differences in how you interact with family versus friends may indicate that you are struggling to manage your emotions in different contexts. This inconsistency can be a sign of underlying anxiety or stress.


When to Seek Help
Given the severity of your symptoms, it is advisable to seek help from a mental health professional as soon as possible. Here are some steps you can take:
- Consult a Mental Health Professional: A psychiatrist or psychologist can provide a thorough assessment of your symptoms and help determine the best course of treatment. This may include therapy, medication, or a combination of both.

- Therapy: Cognitive Behavioral Therapy (CBT) is particularly effective for treating depression and anxiety. It can help you identify negative thought patterns and develop healthier coping strategies.

- Medication: If your symptoms are severe, medication may be necessary to help stabilize your mood and improve your sleep.

- Support System: Reach out to trusted friends or family members about what you are experiencing. Having a support system can provide comfort and help you feel less isolated.

- Self-Care: Engage in self-care practices that promote relaxation and well-being, such as mindfulness, meditation, or gentle exercise. Establishing a regular sleep routine and avoiding stimulants like caffeine before bed can also help improve your sleep quality.


Conclusion
Your mental health is a priority, and it’s important to address these symptoms before they escalate further. Remember, seeking help is a sign of strength, and there are professionals who can support you through this challenging time. You don’t have to navigate this alone, and with the right help, you can work towards feeling better.

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