Emotional Distress: Is It a Personality Issue or a Medical Condition?

Emotional issues

Hello, doctor.
I have always been prone to anxiety, which often leads to gastrointestinal inflammation.
I frequently feel discomfort in my head.
Since high school, I have been very pessimistic, prone to tears, and struggle to find meaning in life.
I have a strong dislike for myself and feel insecure around others, leading to a defensive attitude.
In crowded places, I tend to want to shrink away.
Although I dislike living, I do not harm myself.
Recently, I often feel nauseous and want to vomit, and headaches have become quite common.
Occasionally, I experience palpitations, and I am easily saddened and fatigued.
I also have shoulder and neck pain, and I prefer not to go out.
Additionally, I have shallow sleep, which makes me feel even more exhausted.
My feelings of despair come and go; they are not constant, but these emotions often return.
My eating habits are normal, though I sometimes eat more or less than usual.
I would like to ask the doctor if this is a personality issue or if I am unwell.

Xiao Li, 20~29 year old female. Ask Date: 2016/05/01

Dr. Liu Runqian reply Psychiatry

Based on your description, your symptoms resemble those of depression, including feelings of sadness, loss of interest, psychomotor retardation, difficulty concentrating, decreased appetite, insomnia, fatigue, feelings of guilt or worthlessness, helplessness, hopelessness, and suicidal thoughts or attempts, lasting for more than two weeks.
Additionally, patients with depression often exhibit significant anxiety symptoms, such as panic attacks, palpitations, chest tightness, dizziness, and physical discomfort.
However, a detailed diagnosis and assessment are still recommended to be conducted by a psychiatrist.

Reply Date: 2016/05/01

More Info

Understanding emotional distress can be complex, as it often intertwines both personality traits and medical conditions. Based on your description, it seems that you are experiencing a range of symptoms that could indicate an underlying mental health issue rather than merely a personality problem.
Your history of anxiety, gastrointestinal issues, and feelings of sadness and hopelessness suggest that you may be dealing with a mood disorder, such as depression or anxiety disorder. These conditions can manifest physically, leading to symptoms like nausea, headaches, fatigue, and muscle tension, which you have reported. It is not uncommon for emotional distress to present as physical symptoms, a phenomenon known as somatization.
From your account, it appears that you have been struggling with negative self-perception and a lack of meaning in life since high school. This long-standing pattern of thinking, combined with your heightened sensitivity to stress and social situations, may contribute to your emotional distress. The feelings of wanting to "shrink" in social settings and your strong defensive mechanisms indicate a possible underlying anxiety disorder, which can often coexist with depressive symptoms.

It's important to recognize that these feelings of despair and the physical symptoms you are experiencing are not simply personality flaws; they are valid experiences that deserve attention and care. The fact that you have a history of being easily overwhelmed and feeling hopeless suggests that you may benefit from professional help.
Seeking support from a mental health professional, such as a psychologist or psychiatrist, can provide you with the tools and strategies to manage your symptoms effectively. Therapy can help you explore the root causes of your emotional distress, develop coping mechanisms, and work on building a more positive self-image. Cognitive-behavioral therapy (CBT), for instance, is particularly effective for addressing negative thought patterns and anxiety.

In addition to therapy, medication may also be an option to consider. Antidepressants or anti-anxiety medications can help alleviate some of the symptoms you are experiencing, making it easier for you to engage in therapy and improve your overall quality of life.
Furthermore, lifestyle changes can also play a significant role in managing emotional distress. Regular physical activity, a balanced diet, and adequate sleep can have a profound impact on your mental health. Engaging in mindfulness practices, such as meditation or yoga, can help reduce anxiety and improve your emotional regulation.

It's crucial to remember that you are not alone in this struggle, and reaching out for help is a sign of strength, not weakness. Many individuals face similar challenges, and with the right support and treatment, it is possible to find relief and regain a sense of purpose and joy in life.
In conclusion, your symptoms suggest that you may be dealing with a medical condition rather than just personality issues. Seeking professional help is a vital step towards understanding and managing your emotional distress effectively. Don't hesitate to reach out to a mental health professional who can guide you on this journey towards healing and self-acceptance.

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