Concern about children's mental health and attention?
It seems like I am experiencing some cognitive disturbances, especially when I close my eyes to sleep.
I sometimes hear words like "ninja," "eating," or "company," but they don't seem to connect logically, almost like random thoughts.
I am not asleep, nor am I dreaming.
Occasionally, I wake up suddenly with a feeling of pressure in my chest.
I am 17 years old and often feel anxious, with symptoms like tension in my head and shaky hands.
I have been feeling very tired lately.
I am aware that I am living in reality, as these experiences occur not only when I sleep but also during quieter moments.
I often find myself needing to think before I can articulate my thoughts, but when I do speak, my words are coherent.
I have read about the symptoms of schizophrenia and feel anxious about it, which leads to negative thoughts, but I reassure myself that I won’t experience that.
Recently, I have been talking with classmates and family, and I want to see a doctor for a diagnosis because these symptoms are quite disruptive and exhausting for me.
I usually stay at school late and am unsure whether to go to a large hospital or a clinic for help.
I genuinely want to overcome these symptoms and spend quality time with my family, friends, and studies.
Initially, I sought help from a mental health clinic and traditional Chinese medicine, but they didn’t seem effective.
I avoided medication due to fear, and I didn’t follow up on my visits.
I didn’t mention these specific symptoms during my previous consultations, but others have suggested that my issues may stem from autonomic nervous system dysregulation.
I truly feel exhausted and frustrated.
I am seeking help!!!
Xiao Lin, 10~19 year old female. Ask Date: 2017/05/10
Dr. Zhang Fangrong reply Psychiatry
Dear Sir/Madam,
Thank you for your inquiry.
I can sense your discomfort and distress from your message.
I strongly recommend that you discuss and evaluate your situation with a psychiatrist as soon as possible.
Whether you choose a large hospital or a clinic should not make much difference; it depends on your convenience.
Early evaluation can confirm whether there are any issues and allow for timely treatment to alleviate your discomfort.
The option of medication treatment can also be discussed after the evaluation.
Wishing you physical and mental health.
Sincerely,
Dr.
Fang-Rong Chang
Psychiatry
Reply Date: 2017/05/10
More Info
It sounds like you are experiencing a range of distressing symptoms that are affecting your daily life, particularly your sleep and overall mental well-being. The feelings of anxiety, tension, and the intrusive thoughts you describe can be quite overwhelming, especially at your age. It's commendable that you are seeking help and looking for ways to address these issues.
From what you've shared, it seems like you might be dealing with anxiety, which can manifest in various ways, including racing thoughts, physical tension (like tightness in the chest), and difficulty sleeping. These symptoms can be exacerbated by stressors in your life, such as school pressures or personal challenges. It's also important to note that anxiety can lead to sleep disturbances, where you might find it hard to fall asleep or stay asleep, and even experience nightmares or vivid dreams.
The phenomenon of having random words or phrases pop into your mind, especially when trying to relax or sleep, can be a symptom of anxiety or racing thoughts. This can make it difficult to focus or feel at ease, contributing to a cycle of stress and fatigue. The fact that you are aware of these thoughts and are trying to rationalize them is a positive sign, as it shows you have insight into your mental state.
Given your age and the impact these symptoms are having on your life, it would be beneficial to seek professional help. A mental health professional, such as a psychologist or psychiatrist, can provide a thorough assessment and help determine the best course of action. This may include therapy, which can be very effective for anxiety, or medication if deemed necessary. It's understandable to have concerns about medication, but a professional can help you weigh the benefits and risks and find a treatment plan that feels right for you.
In terms of where to seek help, you might consider starting with a mental health clinic or a pediatric psychiatrist who specializes in adolescent mental health. They can provide a comprehensive evaluation and guide you through the treatment options available. If you feel more comfortable, you could also ask your family doctor for a referral to a mental health specialist.
Additionally, there are some self-care strategies you can implement while you seek professional help. These include:
1. Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, or yoga can help reduce anxiety and improve your ability to relax.
2. Regular Exercise: Physical activity is a great way to alleviate stress and improve your mood. Even a daily walk can make a difference.
3. Sleep Hygiene: Establishing a calming bedtime routine, limiting screen time before bed, and creating a comfortable sleep environment can help improve your sleep quality.
4. Journaling: Writing down your thoughts and feelings can be a helpful way to process what you’re experiencing and may reduce the intensity of your racing thoughts.
5. Talking to Someone: Whether it’s a trusted friend, family member, or counselor, sharing your feelings can provide relief and support.
Remember, you are not alone in this, and seeking help is a strong and positive step towards feeling better. It’s important to prioritize your mental health, and with the right support, you can work towards managing these symptoms effectively. Take care of yourself, and don’t hesitate to reach out for the help you deserve.
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