Am I Experiencing Mental Illness? Your Thoughts and Feelings - Psychiatry

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Mental disorders


Am I suffering from a mental illness? Sometimes I analyze other people's expressions to determine if they are good people.
In class, I suspect that a girl is talking behind my back, but at times her behavior doesn't seem malicious.
Additionally, I sometimes think that certain classmates are scheming, but then their actions make me doubt that.
I also find myself guessing what others are thinking.
Is this behavior unusual? Sometimes I wonder if I have a mental disorder, and it makes me feel like I'm going crazy.

Han Yu, 10~19 year old female. Ask Date: 2016/04/04

Dr. Liang Sunyuan reply Psychiatry


Hello: Based on your description, it seems you have some concerns that feel contradictory and uncertain.
I suggest redirecting your attention to your studies or other personal interests, and try to avoid excessive associations to see if your situation improves.
However, if your condition worsens and starts to affect your sleep, interpersonal interactions, or personal functioning, it is advisable to seek medical attention for further evaluation and assistance.

Reply Date: 2016/04/04

More Info


It sounds like you are experiencing a range of thoughts and feelings that are causing you distress and confusion. From what you've described, it seems you are grappling with issues related to social perception, self-doubt, and perhaps anxiety about your mental health. Let's break down some of these aspects to better understand what might be going on.

Firstly, the tendency to analyze others' expressions and behaviors to determine their character is not uncommon. Many people engage in social comparison and judgment as a way to navigate their social environments. However, if you find yourself excessively preoccupied with these thoughts—such as constantly questioning whether someone is a "good person" or suspecting that others are talking negatively about you—it could indicate underlying anxiety or insecurity. This kind of hyper-vigilance can lead to a cycle of negative thinking and emotional distress.

You also mentioned that sometimes you perceive others as having ulterior motives, while at other times, you doubt those perceptions. This inconsistency can be confusing and may contribute to feelings of paranoia or mistrust. It's important to recognize that our perceptions can be influenced by our emotional state. For example, when feeling anxious or down, we might interpret neutral or ambiguous behaviors as negative or threatening. This cognitive distortion can lead to a skewed understanding of social interactions.

Regarding your concerns about potentially having a mental illness, it's crucial to understand that experiencing anxiety, self-doubt, or social apprehension does not automatically mean you have a mental disorder. Mental health conditions are typically diagnosed based on a combination of symptoms, their duration, and the degree to which they impair your daily functioning. If your thoughts and feelings are causing significant distress or interfering with your ability to engage in daily activities, it may be beneficial to seek professional help.

A mental health professional can provide a safe space for you to explore these feelings and thoughts without judgment. They can help you identify patterns in your thinking, develop coping strategies, and work through any underlying issues that may be contributing to your current state. Cognitive-behavioral therapy (CBT), for example, is an effective approach for addressing distorted thinking patterns and anxiety.

It's also worth noting that self-doubt and anxiety are common experiences, especially in social contexts. Many individuals struggle with similar feelings, particularly during adolescence and early adulthood when social dynamics can be particularly challenging. Engaging in self-reflection, practicing mindfulness, and developing healthy coping mechanisms can be beneficial in managing these feelings.

In summary, while your experiences may feel overwhelming, they do not necessarily indicate a mental illness. However, if these feelings persist or worsen, seeking support from a mental health professional could provide clarity and relief. Remember, reaching out for help is a sign of strength, and there are resources available to support you in navigating these complex emotions.

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