I need help; I'm on the verge of a mental breakdown?
Hello, doctor.
I often experience itching and tingling sensations on the left side of my face (the affected area changes daily, and this has been going on for over three months).
The condition fluctuates; sometimes I feel it all day, and other times I go several days without any sensation.
I have consulted with specialists in family medicine, ophthalmology, and neurology, but after their examinations, they all said there is nothing serious and suggested I take some medication.
One doctor mentioned that it might be related to the stress from just finishing my college entrance exams.
I am currently having trouble sleeping every day and feeling extremely stressed.
Please help me, doctor.
Brian, 10~19 year old female. Ask Date: 2016/06/01
Dr. Gao Chunde reply Neurology
If the neurologist finds no significant abnormalities and considering the high levels of stress and poor sleep, it may be advisable to consult a psychiatrist to evaluate whether your symptoms are related to psychological factors.
Reply Date: 2016/06/01
More Info
It sounds like you are experiencing a challenging time with your mental health, particularly with the symptoms you described, such as the tingling and itching sensations in your left face, which have persisted for over three months. It's understandable that this situation is causing you significant stress, especially after the pressure of recent exams.
From a medical perspective, the symptoms you are experiencing could be related to several factors, including nerve issues, stress, or anxiety. The fact that multiple specialists have examined you and found no significant underlying medical conditions is a positive sign, but it can also be frustrating when you are still experiencing discomfort. The sensations you describe could be a form of neuropathy, which can sometimes be exacerbated by stress and anxiety. Stress can manifest in various physical symptoms, including tingling, numbness, and other sensations, particularly if you are feeling overwhelmed or anxious about your current situation.
Sleep disturbances are also common when dealing with high levels of stress. Poor sleep can further exacerbate feelings of anxiety and can lead to a cycle where you feel more stressed due to lack of rest, which in turn affects your mental health and physical sensations. It’s crucial to address both the physical and psychological aspects of your health.
Here are some recommendations that may help you manage your symptoms and improve your overall well-being:
1. Seek Psychological Support: Consider speaking with a mental health professional, such as a psychologist or psychiatrist. They can help you explore the emotional aspects of your symptoms and provide coping strategies for managing stress and anxiety.
2. Practice Stress Management Techniques: Incorporate relaxation techniques into your daily routine. This could include mindfulness meditation, deep breathing exercises, or yoga. These practices can help reduce stress levels and improve your overall mental health.
3. Establish a Healthy Sleep Routine: Aim for a consistent sleep schedule by going to bed and waking up at the same time every day. Create a calming bedtime routine to signal to your body that it’s time to wind down. This could involve reading, taking a warm bath, or practicing relaxation exercises.
4. Physical Activity: Regular physical activity can help reduce stress and improve your mood. Even light exercise, such as walking, can be beneficial. Aim for at least 30 minutes of moderate exercise most days of the week.
5. Nutrition: Pay attention to your diet. Eating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can have a positive impact on your mood and energy levels. Avoid excessive caffeine and sugar, which can increase anxiety.
6. Stay Connected: Reach out to friends or family members for support. Talking about your feelings and experiences can help alleviate some of the stress you are feeling. You don’t have to go through this alone.
7. Follow Up with Your Doctors: If your symptoms persist or worsen, it’s important to follow up with your healthcare providers. They may consider additional tests or referrals to specialists who can provide further insight into your symptoms.
8. Limit Stressors: If possible, identify and limit sources of stress in your life. This might involve setting boundaries with work or academic responsibilities or finding ways to manage your time more effectively.
Remember, it’s essential to take your symptoms seriously and seek help when needed. Mental health is just as important as physical health, and addressing both aspects can lead to a more balanced and fulfilling life. If you ever feel overwhelmed or have thoughts of self-harm, please seek immediate help from a mental health professional or a crisis hotline. Your well-being is paramount, and there are resources available to support you through this difficult time.
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