Emotional Turmoil: Seeking Help for Mental Health Struggles - Psychiatry

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I want to know what is wrong with me?


Hello, doctor.
I find it impossible to control my emotions whenever I am triggered.
When I am alone, I cannot calm down; I keep thinking about how pitiful I am for being alone, which makes me feel increasingly wronged and leads to thoughts of self-harm.
I cry continuously and, in my frustration, I end up hurting myself by cutting my wrists, banging my head against the wall, and taking a lot of sleeping pills.
At night, when I try to sleep, my mind races with thoughts, and sometimes it takes me two to three hours to fall asleep.
I even fantasize about my own funeral, wondering who would attend.
As I think about it, I feel that maybe it would be better to just die, as that would provide clarity.
I truly feel that this is very frightening, and I don't know what is happening to me.

Bei Bei, 10~19 year old female. Ask Date: 2016/11/07

Dr. Qiu Junda reply Psychiatry


Hello,
Thank you for your message.
It seems that there are indeed challenges with emotional regulation, particularly concerning self-harming behaviors, which should be addressed proactively.
I recommend that you gather some information on emotional intelligence management to help yourself.
Additionally, you may consult with the local counseling service (contact number) for guidance.
They will provide counseling services and, if necessary, assist with referrals for medical treatment.
I hope you take action soon to improve your situation.

Reply Date: 2016/11/07

More Info


It sounds like you are experiencing a significant amount of emotional distress, which can be incredibly overwhelming. From your description, it appears that you are dealing with intense feelings of sadness, anxiety, and self-harm tendencies. These symptoms can be indicative of several mental health issues, including depression, anxiety disorders, or even borderline personality disorder, but a proper diagnosis can only be made by a qualified mental health professional.

The feelings of being overwhelmed and unable to control your emotions are common in individuals who struggle with mental health issues. It's important to recognize that these feelings are valid and that you are not alone in experiencing them. Many people face similar challenges, and seeking help is a crucial step towards healing.

Self-harm, such as cutting or hitting oneself, is often a way for individuals to cope with emotional pain. It may provide a temporary sense of relief, but it ultimately does not address the underlying issues and can lead to further emotional and physical harm. It’s essential to find healthier coping mechanisms. Engaging in activities that promote emotional expression, such as art, writing, or talking to someone you trust, can be beneficial.
You mentioned having thoughts of self-harm and even suicidal ideation, which are serious concerns. If you are having thoughts of ending your life or feeling like you might act on those thoughts, it is crucial to seek immediate help. You can reach out to a mental health professional, call a crisis hotline, or go to the nearest emergency room. In the U.S., the National Suicide Prevention Lifeline is available at 1-800-273-TALK (1-800-273-8255), and they provide confidential support 24/7.

In addition to immediate support, long-term treatment options can include therapy and medication. Cognitive Behavioral Therapy (CBT) is a common therapeutic approach that helps individuals understand and change their thought patterns and behaviors. Dialectical Behavior Therapy (DBT) is another effective treatment, especially for those who experience intense emotions and self-harming behaviors. It focuses on teaching skills to manage emotions, improve relationships, and reduce self-destructive behaviors.

Medication can also play a role in managing symptoms. Antidepressants or anti-anxiety medications may be prescribed to help stabilize mood and reduce anxiety. However, medication should always be managed by a healthcare professional.

It's also important to develop a support system. Surrounding yourself with understanding friends or family members can provide comfort and reduce feelings of isolation. If you feel comfortable, consider sharing your experiences with someone you trust.
Lastly, practicing self-care is vital. This can include maintaining a regular sleep schedule, engaging in physical activity, eating a balanced diet, and finding time for relaxation and hobbies. Mindfulness and meditation can also help ground you during moments of emotional turmoil.

In summary, your feelings are significant, and it’s important to take them seriously. Seeking help from a mental health professional is a crucial step in understanding and managing your emotions. You deserve support and care, and there are resources available to help you navigate through this challenging time. Please take care of yourself and reach out for the help you need.

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