My Escalating Mental Health Struggles: A Personal Journey - Psychiatry

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I feel that my mental health issues are becoming more severe?


Since around the second year of junior high school, I have often felt down, but it was mostly just my mood.
Talking to friends or listening to music would usually help.
By the third year of junior high, perhaps due to the pressure of entrance exams, I found myself crying alone two or three times a week, or even more.
I experienced insomnia; despite studying all day until after ten at night, I would lie in bed unable to sleep.
I needed to cry to release my emotions before I could fall asleep, often around two or three in the morning.

After finishing the entrance exams, during the summer vacation, I suddenly started stuttering almost every time I spoke.
I had never experienced this before; I would only stutter like an average person.
Now, it has made communication difficult.
When I started high school, things improved somewhat.
I left home to study at a vocational school in another city, which made me particularly homesick.
I felt like I was on the verge of a mental breakdown, often crying when I was alone.
I thought it was just a transitional period and that I would adapt, but now I suffer from insomnia.
Even a little stress causes me to have diarrhea and bloating.
I feel nauseous and want to vomit when I wake up or after eating, and my hands and feet are cold, resembling symptoms of gastroenteritis, though I don't have a fever when checking my ear temperature.
It's not as severe as the diarrhea and vomiting associated with gastroenteritis, but it happens frequently.
Whenever it occurs, I also feel weak, shaky, and my mind goes blank; thinking makes me feel nauseous.
If someone keeps talking to me or asking me questions, I become very impatient.
This has been happening more and more often.

There were two occasions when it became so severe that I was afraid to sleep at night.
I remember being scared that if I fell asleep, I would become a different person (although I don’t believe I have dissociative identity disorder) and do something I feared, like harming my loved ones or myself.
Even though my mind was clear that I wouldn’t do that, I felt like I was losing control of my emotions and fell into despair.

By the way, I have always disliked talking on the phone and hated checking out when buying things.
I get very anxious when shopping alone, and these feelings have been with me for as long as I can remember.
Interestingly, I can speak in front of people, such as being a master of ceremonies at events, participating in speech contests, singing, or performing.
I think I struggle with direct communication with others.
I have not discussed any of this with any teachers or family members, and I have only talked about parts of it with a couple of close friends.

Joanna, 10~19 year old female. Ask Date: 2016/11/20

Dr. Liang Sunyuan reply Psychiatry


Hello Joanna: Based on your description, it seems that you may have a tendency towards anxiety and nervousness in the long term, worrying about not performing well in front of others.
It is recommended to shift your focus away from yourself; when engaging in conversations, concentrating on understanding what the other person is trying to express can help make your responses feel more natural and relaxed.
Additionally, participating in hobbies and activities that you genuinely enjoy can help alleviate anxiety while also broadening your life experiences and boosting your confidence.
However, if there is no improvement or if the situation continues to worsen, it is advisable to seek medical assistance.
Wishing you all the best.

Reply Date: 2016/11/20

More Info


It sounds like you are experiencing a complex and challenging journey with your mental health, and I want to acknowledge the courage it takes to share your experiences. From what you've described, it seems that your mental health struggles have escalated over time, particularly during periods of stress and transition, such as during your exams and moving away from home for school.
Starting in junior high, you noticed a shift in your emotional state, which became more pronounced during your third year. The pressure of exams and the expectations that come with them can be overwhelming, especially for young people. It's not uncommon for students to experience increased anxiety, leading to symptoms like crying, insomnia, and physical manifestations of stress, such as gastrointestinal issues. These symptoms can create a vicious cycle where anxiety leads to physical discomfort, which in turn exacerbates anxiety.

Your experience of stuttering and difficulty communicating during stressful times is also significant. This could be a manifestation of anxiety, where the pressure to communicate effectively becomes overwhelming. It's important to recognize that these feelings are valid and that many people experience similar challenges, especially in high-pressure environments.

The feelings of isolation and despair you describe, particularly when you are alone, are concerning. It's crucial to understand that these feelings can be symptoms of anxiety and depression, which often co-occur. The physical symptoms you mentioned, such as nausea, cold extremities, and fatigue, can also be linked to anxiety and stress. The body often reacts to emotional distress in physical ways, and it sounds like your body is responding to the mental strain you are under.

Your fear of becoming a different person while sleeping, although you don’t believe you have dissociative identity disorder, indicates a significant level of anxiety and distress. This fear can be distressing and may lead to insomnia, which further compounds your mental health struggles. It’s essential to address these fears and understand that they are part of the anxiety cycle.

You mentioned that you have not discussed these feelings with teachers or family members, which can lead to feelings of loneliness and isolation. It’s important to reach out for support, whether that’s talking to a trusted adult, a school counselor, or a mental health professional. They can provide you with the tools and strategies to manage your anxiety and help you navigate these feelings.

Engaging in activities that you enjoy, such as public speaking or performing, is a positive outlet. These activities can provide a sense of accomplishment and help build confidence. However, it’s also essential to find ways to cope with the anxiety that arises in everyday situations, such as making phone calls or shopping.

Consider exploring mindfulness techniques, such as deep breathing exercises, meditation, or yoga, which can help ground you and reduce anxiety. Journaling can also be a helpful way to process your thoughts and feelings. Writing down your experiences can provide clarity and help you understand your emotions better.

Lastly, please remember that seeking help is a sign of strength, not weakness. Mental health professionals can offer support tailored to your needs and help you develop coping strategies. You deserve to feel better and to have the tools to manage your mental health effectively. Don’t hesitate to reach out for the support you need.

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