the Impact of Stress on Mental Health and Complications - Psychiatry

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Is stress the cause of many complications?


Hello, doctor.
I often assess my emotional state and categorize it as follows:
1.
Since childhood, I would count the telephone poles outside while in the car, and I still occasionally do this.
I also tap my foot to a rhythm; if I don't pay attention, I won't do it, but once I notice, I start counting and prefer even numbers at the end.
Is this mild compulsiveness?
2.
After my father passed away, my mother often says stressful things when she drinks, especially around midnight to 2 AM.
During that time, I frequently feel particularly scared and even cry, and this happens even after I moved out.

3.
I don't know if I have a low threshold for crying or what, but I find myself crying constantly—when I sing any song, when others are sad, when the plot is tragic, and even while walking down the street, often without any reason.

4.
I have experienced hair loss, irregular menstrual cycles, and recurrent cellulitis, and all the doctors have pointed to stress as the cause.
However, at that time, I didn't feel particularly stressed.

5.
I often forget things, especially events that happened just a second ago.
I frequently feel anxious about whether I completed my tasks after work, and I tend to ruminate and feel nervous late at night.

6.
Last year, I was sexually assaulted by my uncle.
Whenever I encounter older men who are similar in age to him and want to chat, I freeze or even avoid them.

7.
Occasionally, I have intrusive thoughts, such as thinking about sex, murder, or my family or myself getting cancer, but these thoughts keep repeating in my mind.

8.
I can suddenly feel low and want to cry, but then another thought tells me to be happy and not to feel sorry for myself.

I have so many issues, and I apologize for troubling you.
I am afraid to see a doctor because thinking about these past events leaves me physically and mentally exhausted, yet it seems I can't forget the negative experiences from the past.

E goose, 20~29 year old female. Ask Date: 2017/07/28

Dr. Dai Wanxiang reply Psychiatry


Hello, miss: After reading your description, it seems that there are several emotional distress issues.
More details are needed to determine what kind of mental disorder you might be experiencing (it could range from adjustment disorder, obsessive-compulsive disorder, post-traumatic stress disorder, to depression).
You may also require assistance from medication or psychotherapy.
While everyone has the potential for self-healing, if your emotional disturbances have significantly impacted your daily life, it is advisable to seek professional psychological counseling or medical assistance, as it could be beneficial.
Wishing you well.

Reply Date: 2017/07/28

More Info


It's clear from your description that you are experiencing a significant amount of emotional distress and physical symptoms that may be linked to stress and trauma. The impact of stress on mental health is profound and can manifest in various ways, including anxiety, depression, and even physical ailments. Let's break down the key aspects of your situation and explore how stress may be affecting you.

1. Childhood Experiences and Trauma: You mentioned a history of counting objects and needing things to end in even numbers, which can be indicative of mild obsessive-compulsive tendencies. These behaviors often stem from anxiety and can be exacerbated by stress. Additionally, the trauma of losing your father and the subsequent challenges with your mother’s behavior, particularly during vulnerable times, can create a heightened state of anxiety. The late-night confrontations you described can lead to feelings of fear and helplessness, which can linger long after the events have passed.

2. Emotional Responses: Your tendency to cry easily, whether due to music, others' sadness, or even while walking, suggests that you may be experiencing heightened emotional sensitivity. This can be a result of unresolved grief or trauma, leading to an emotional state that feels overwhelming. It’s important to recognize that these reactions are valid and often signify that your emotional health needs attention.

3. Physical Symptoms: The physical manifestations you’ve described, such as hair loss, irregular menstrual cycles, and recurrent infections, can indeed be linked to stress. Chronic stress can disrupt hormonal balance and immune function, leading to various health issues. It’s concerning that multiple doctors have pointed to stress as a contributing factor, yet you feel unaware of the stress itself. This disconnect is not uncommon; sometimes, the body reacts to stress in ways that we do not consciously recognize.

4. Memory and Concentration Issues: Forgetting recent events or feeling anxious about completing tasks can be a sign of cognitive overload, often associated with stress and anxiety. When the mind is preoccupied with worries, it can struggle to focus on the present moment, leading to forgetfulness and anxiety about performance.

5. Trauma from Abuse: The experience of being sexually assaulted is a significant trauma that can have lasting effects on mental health. It’s understandable that encountering individuals who remind you of your abuser would trigger a strong emotional response. This is a common reaction in trauma survivors and can lead to avoidance behaviors, which may further isolate you.

6. Intrusive Thoughts: The presence of disturbing thoughts about violence or illness can be distressing and may indicate underlying anxiety or post-traumatic stress. These thoughts can feel overwhelming and may contribute to feelings of guilt or shame, especially if they conflict with your values.

7. Emotional Fluctuations: The rapid shifts in mood, where you feel low but then have thoughts urging you to be happy, can be indicative of emotional dysregulation, often seen in individuals who have experienced trauma. This can create a cycle of frustration and confusion about your feelings.

Given the complexity of your experiences, it’s crucial to seek professional help. While it’s understandable to feel apprehensive about visiting a doctor, especially when confronting painful memories, mental health professionals are trained to help you navigate these feelings in a safe and supportive environment. Therapy can provide you with tools to process your trauma, manage your anxiety, and develop healthier coping mechanisms.

You might consider starting with a therapist who specializes in trauma or cognitive-behavioral therapy (CBT), which can be effective in addressing intrusive thoughts and emotional regulation. Additionally, support groups can offer a sense of community and understanding from others who have faced similar challenges.

In conclusion, the impact of stress on mental health is significant and multifaceted. Your experiences are valid, and seeking help is a courageous step toward healing. Remember, you are not alone in this journey, and there are resources available to support you in reclaiming your well-being.

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