Do I Have a Mental Illness? Suicidal Thoughts and Anxiety - Psychiatry

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Does this count as having a mental illness?


I have been having suicidal thoughts for a long time and have even attempted it, but I was not successful.
Strange thoughts often come to my mind, such as when I see a girl, I become afraid of bothering her.
I frequently fantasize about losing someone very important to me, which makes me unable to hold back my tears.
I also think about things that are completely disconnected from reality.
In front of my classmates, I always appear very happy and often make jokes, but when I'm alone, I feel extremely low and very insecure.
At night, when I lock the door, I keep checking to make sure it's secure, and I often worry about my family or friends encountering accidents when they go out.
I have trouble sleeping, waking up easily, and even when I'm tired, I can't fall back asleep.
Recently, since entering my senior year of high school, my situation has worsened, and it makes me feel very distressed.
I'm unsure if I should seek professional help.

Yi Er, 10~19 year old female. Ask Date: 2017/10/10

Dr. Wang Yazhen reply Psychiatry


Hello, based on your description, it seems that you are experiencing anxiety and confusion regarding your situation.
Whether these issues have reached the level of a disorder, I recommend that you seek an evaluation from a psychiatrist or a mental health professional.
You can discuss these concerns with the doctor to determine whether to pursue counseling services at school or to engage in psychotherapy.
Thank you!

Reply Date: 2017/10/10

More Info


It sounds like you are experiencing a complex mix of emotions and thoughts that are causing you significant distress. Your feelings of suicidal ideation, anxiety, and the pressure to maintain a facade of happiness in front of others are serious concerns that warrant professional attention. It's important to recognize that you are not alone in feeling this way, and seeking help is a crucial step toward understanding and managing your mental health.

From what you've described, it seems you are grappling with symptoms that could be indicative of a mental health condition, such as depression or anxiety disorders. The thoughts of self-harm and the persistent worry about your safety and the safety of loved ones can be overwhelming. These feelings can often lead to a cycle of anxiety and depression, where the fear of losing someone or something important can exacerbate feelings of hopelessness and despair.

The fact that you feel the need to put on a happy face around your peers while feeling deeply unhappy alone is a common experience for many people struggling with mental health issues. This phenomenon is often referred to as "masking," where individuals hide their true feelings to conform to social expectations or to avoid burdening others with their struggles. However, this can lead to increased feelings of isolation and loneliness, as it prevents genuine connections with others.

Your sleep disturbances, such as difficulty falling asleep, waking up early, and feeling fatigued despite being tired, are also significant indicators of mental health issues. Sleep is crucial for emotional regulation and overall well-being, and disruptions in sleep patterns can exacerbate feelings of anxiety and depression.

Given that you are experiencing these symptoms more intensely as you approach a significant transition in your life, such as moving into your senior year of high school, it's understandable that you might feel overwhelmed. Transitions can often trigger or worsen mental health issues due to increased stress and pressure.

I strongly encourage you to seek professional help. A mental health professional, such as a psychologist or psychiatrist, can provide a thorough assessment and help you understand what you are experiencing. They can also offer coping strategies, therapy, and, if necessary, medication to help manage your symptoms. It's vital to address these feelings before they escalate further.

In addition to seeking professional help, consider reaching out to trusted friends or family members about what you are going through. Sharing your feelings can help alleviate some of the burdens you are carrying and may provide you with additional support.

Remember, seeking help is a sign of strength, not weakness. You deserve to feel better and to have the support you need to navigate these challenging emotions. There is hope for recovery, and with the right support and treatment, you can find a path toward healing and a more fulfilling life.

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