What illness do I have?
Hello, Doctor.
I have accumulated many issues since childhood.
I have visited the psychiatric department multiple times, but I always end up leaving.
Please help me.
(Thank you in advance!!)
1.
Since the 4th grade of elementary school, I started to dislike eating meat (beef, chicken, pork, etc.), and this continued until my senior year of high school.
I found it very disgusting.
For example, I could eat a chicken leg if it was in my lunchbox, but after graduating from high school, it became severe, and I am almost in a vegetarian state now.
2.
In the 5th and 6th grades, during class, our teacher often included singing and performing activities.
Whenever there was a class that required performance, I would become very nervous, my heart would race, and I would want to escape or pretend to be sick to take a leave.
In middle school, there were also many performing arts classes or instances where teachers would call on students to answer questions.
Whenever I encountered similar classes, I would also pretend to be sick and take leave frequently.
3.
When I graduated from high school and entered university, I withdrew after just three days of classes.
On the first day, I was inexplicably chosen as the class representative, which contributed to my anxiety.
Before graduating high school, I was very afraid of being called on by teachers to read aloud or to announce deadlines to the class.
I feared being laughed at.
4.
I cannot work alone in a space with anyone other than my mother, sister, or children.
Even if I'm not working, I feel very uncomfortable, anxious, and don't know what to say to them.
Therefore, I prefer jobs that allow me to work independently.
(Seeing, hearing, or even reading words makes me very scared, my mind goes blank, I experience palpitations, and I sweat cold.)
5.
In my previous job, I had to organize inventory, which involved checking off items on a list.
However, after organizing, I would repeatedly check 3 to 4 times, even though I had already confirmed everything.
I still felt uneasy and needed to check again.
When I went to the post office to send packages, even though I had packed everything and confirmed the address multiple times, I still felt the need to check repeatedly, fearing that I had packed the wrong items.
During classes or work, I had to sleep, wake up, and take breaks at specific times.
For example, I would go to bed at 10 PM, and if I was awake more than an hour past that time, I would become angry, irritable, and even blame my family for making noise that prevented me from sleeping.
6.
Every day, I feel heavy-headed, and my shoulders and neck are tense.
I have difficulty sleeping and often have vivid dreams.
In March, I suddenly realized that I seemed to dream every night, so I started keeping a record.
I found that since I began recording, I have indeed been dreaming every night.
Even waking up in the middle of the night to use the bathroom, I still dream, having 1 to 3 different dreams in one night.
7.
I really want to connect with my classmates, but I don't know what to say to them.
I fear that I am not as good as they are and feel inferior, fearing rejection.
There were two occasions when classmates invited me out, and I agreed, but I couldn't sleep all night due to anxiety.
I felt so troubled that even though I wanted to see them, I always made excuses like being busy or suggesting to meet another time.
I used to do this in high school as well.
8.
My emotions have never been very stable, but they have become even more unstable this year, especially when my brother's girlfriend comes to our house.
She visits almost every day, and whenever I know she is coming, I hide away and feel terrible.
Since my brother's room is next to mine, I become afraid to make any noise, even avoiding going to the bathroom unless I go downstairs.
One night, when he suddenly stayed over, I ended up crying uncontrollably and felt like I was losing my mind, unable to control my anger towards my mother, throwing things, banging on the table, and even feeling like I wanted to move out.
9.
My mother told me that when I was in kindergarten, I often only attended half a day, crying and wanting to find her.
During my kindergarten and elementary school years, my parents frequently argued and even talked about divorce due to my father's gambling issues and not collecting his wages.
I often witnessed these situations, feeling helpless.
My father would gamble late into the night, and my mother would often put my brother and me to sleep before sneaking out to see my dad.
I was aware of this, and I would secretly cry at night, fearing my mother would leave.
Because of all these situations, I have no friends and find it difficult to find work.
I want to seek medical help but am afraid and don't know how to express myself.
I fear that doctors won't understand me.
Doctor Ding, do you think I am unwell? Thank you.
Nìmíng, 20~29 year old female. Ask Date: 2016/09/07
Dr. Ding Shuyan reply Psychiatry
Hello, you have expressed yourself very clearly and your communication skills are excellent.
If you go to see a doctor, just describe it this way, and the physician will surely understand your difficulties and provide you with great help.
We see many people with anxiety disorders who tend to be perfectionists, wanting everything to be done quickly and well, and hoping to leave a good impression on everyone without any flaws.
This may be related to childhood experiences and environments, and it's not our fault.
Over time, this leads to a focus almost entirely on self-scrutiny, constantly reminding oneself not to make mistakes, creating a vicious cycle that feels endless.
First, we can understand that in this world, everyone is primarily concerned about themselves; most people do not care about how well others perform.
Therefore, there is no need to be overly concerned about others' opinions.
The things we worry about so much may not even matter to others.
Secondly, life is a mix of good and bad; many successes and failures are not solely within our control.
Some depend on teamwork with others, and some even rely on luck.
If things don’t go well, there’s no need to feel overly guilty or complain; quickly shift your focus to the positive aspects of your life and let go of the unpleasant experiences as soon as possible.
Additionally, I feel that you are too tense.
You can search on YouTube for videos uploaded by doctors or psychologists on muscle relaxation training or diaphragmatic breathing exercises, and practice along with them.
This can be a very effective self-relaxation method for anxiety-related physical and mental symptoms.
Visiting a doctor can be a relaxed and pleasant experience, and if you are not satisfied, you can always switch to another physician.
Just find a doctor whom you feel comfortable with and trust, and share your difficulties; the doctor will help you.
Your issues may seem troubling, but they are not difficult to address.
Wishing you all the best,
Dr.
Ding Shuo-Yan
Reply Date: 2016/09/07
More Info
It sounds like you are experiencing a complex mix of emotional and psychological challenges that have accumulated over the years. Your description indicates that you may be dealing with anxiety, possibly social anxiety, and symptoms that could align with obsessive-compulsive tendencies. Additionally, your history of trauma and family dynamics may have contributed significantly to your current mental health struggles.
Firstly, it’s important to acknowledge that what you are feeling is valid. Many individuals face similar challenges, and seeking help is a crucial step towards healing. You mentioned that you have previously sought help from mental health professionals but felt the need to escape from those situations. This is not uncommon; many people feel overwhelmed or misunderstood in clinical settings. However, it’s essential to find a supportive environment where you can express your feelings without judgment.
Your avoidance of certain foods, such as meat, and your intense anxiety around social situations and performance tasks suggest that you may be experiencing symptoms of an anxiety disorder. The physical reactions you describe—like rapid heartbeat, sweating, and feelings of panic—are typical of anxiety responses. The compulsive checking behaviors you mentioned, such as repeatedly verifying if you packed the right items or confirming your sleep schedule, can also be indicative of obsessive-compulsive disorder (OCD).
Moreover, your childhood experiences, including witnessing family conflict and feeling helpless, can have lasting effects on your emotional well-being. These experiences can lead to feelings of insecurity and low self-esteem, which may explain your fear of social interactions and the pressure you feel in relationships. It’s understandable that you would feel anxious about being judged or rejected by peers, especially if you have a history of feeling isolated.
You also mentioned feeling emotionally unstable and having intense reactions to certain triggers, such as your brother's girlfriend visiting. This could indicate that you are experiencing heightened emotional sensitivity, which can be a result of past trauma or ongoing stress. It’s crucial to address these feelings in a safe space, where you can explore your emotions and learn coping strategies.
Given the complexity of your situation, I strongly encourage you to seek professional help again, despite your previous experiences. It might be beneficial to look for a therapist who specializes in trauma-informed care or anxiety disorders. A good therapist will listen to your concerns, validate your feelings, and work with you to develop a personalized treatment plan. This may include cognitive-behavioral therapy (CBT), which is effective for anxiety and OCD, or other therapeutic approaches that focus on trauma and emotional regulation.
Additionally, consider reaching out to support groups or online communities where you can connect with others who share similar experiences. Sometimes, knowing that you are not alone can provide comfort and encouragement.
Lastly, remember that confidentiality is a fundamental principle in healthcare. Mental health professionals are bound by laws and ethical guidelines to protect your privacy, so you can feel safe discussing your experiences.
In summary, your feelings and experiences are significant, and it is essential to seek help. You deserve support and understanding as you navigate these challenges. Taking the first step to reach out for help can be daunting, but it is a vital part of your journey toward healing and self-discovery.
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