Childhood Insecurities and Their Impact on Adult Mental Health - Psychiatry

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Ongoing concerns?


I would like to ask if a lack of security during childhood can lead to mental health issues in adulthood.
When I was young, my mother often left for work before I woke up, which made me quite dependent on her.
I would cry uncontrollably whenever I couldn't see her.
Although things improved a bit when I started elementary school, I still felt anxious in unfamiliar environments, and it wasn't until I became familiar with my classmates that it became less severe.
This continued into middle school, where I knew no one at my new school.
I didn't attend the summer orientation before starting seventh grade, so I had no acquaintances.
I was too afraid to talk to anyone and often felt invisible, leading to being ignored by my peers.
Additionally, due to my body type, I experienced verbal bullying from unfamiliar classmates, which made me dread going to school.
During the first semester of seventh grade, I frequently missed school due to stomachaches.
Initially, it was just a legitimate excuse, but over time, it became a situation where I would claim to have stomach pain even when I didn't, simply because I didn't want to go to school.
I tried to face all of this, but often found myself throwing tantrums at the school gate, not wanting to enter.
This cycle continued day after day, causing my mother distress and me guilt.
Eventually, my situation escalated to the point where the school counselor had to intervene.
After several counseling sessions, I managed to overcome my inner demons and learned not to care so much about gossip.
I forced myself to smile so that my classmates wouldn't feel alienated by my neutral expression.
After this incident, I developed another issue: I would feel my heart race and become scared whenever I spoke to teachers, even though they weren't scolding me.
I would cry out of guilt, but this changed once I became closer to my teachers.
My middle school life became enjoyable, and even under the immense pressure of exams, I didn't feel overwhelmed.
However, after a significant change at home, I began to experience a lot of stress again, feeling sad and crying for no apparent reason, often feeling down without knowing why.
I thought that once summer vacation started, I could relax and avoid these feelings, and while I improved slightly, it has recently returned.
Sometimes, I find myself unhappy for an entire day over trivial matters, and at other times, I suddenly feel like crying, even when there's nothing to be sad about.
My emotions have been unstable, and upon entering high school, I noticed that I reverted to my old habit of not being able to talk to teachers.
I believe the main reason is related to being in an unfamiliar environment and around new people.
That day, I was in a constant state of anxiety, and during a health check, my heart rate was too fast, prompting the nurse to tell me to calm down.
I found myself wanting to cry over everything, even just thinking about my parents.
Doctor, do I have a problem? Please help me understand.

Yuyu, 10~19 year old female. Ask Date: 2018/08/06

Dr. Liang Sunyuan reply Psychiatry


Hello, Sandpiper: You have faced some difficulties in the past and have worked hard to overcome them, so you should take a moment to acknowledge your efforts and bravery.
However, you will continue to encounter unfamiliar situations and stressful events in life.
It is advisable to try to accept these realities in your mind and give yourself some time to adjust.
Some individuals are naturally more prone to anxiety and sensitivity, which can lead to symptoms such as palpitations and tension.
Sometimes, simply understanding that this is a physiological response can help alleviate the discomfort.
If you find yourself feeling persistently depressed, low in mood, anxious, or if these feelings begin to affect your sleep, appetite, or energy levels, it is recommended to seek medical assistance.
Wishing you all the best.

Reply Date: 2018/08/06

More Info


Childhood insecurities can significantly impact mental health in adulthood, and your experiences highlight several important aspects of this relationship. Early childhood is a critical period for emotional and psychological development, and the experiences you described, such as separation anxiety from your mother and feelings of insecurity in unfamiliar environments, can contribute to long-term mental health challenges.

From a psychological perspective, children who experience inconsistent caregiving or who have caregivers that are frequently absent may develop attachment issues. Attachment theory, proposed by John Bowlby, suggests that the bonds formed between a child and their primary caregiver can influence emotional regulation and interpersonal relationships throughout life. If a child feels insecure in their attachment to their caregiver, they may grow up to experience anxiety, fear of abandonment, and difficulties in forming healthy relationships.

Your account of feeling anxious in new environments and struggling with social interactions, particularly during your transition to middle school, is common among individuals with insecure attachment styles. The anxiety you felt when faced with unfamiliar situations or people can stem from a lack of confidence in your ability to navigate social dynamics, which is often rooted in early experiences of insecurity.

Moreover, the bullying you experienced during middle school likely exacerbated your feelings of inadequacy and fear. Bullying can lead to significant emotional distress, and it often reinforces negative self-perceptions. This can create a cycle where the individual becomes increasingly withdrawn and anxious, further isolating themselves from potential social support.

The physical symptoms you described, such as stomachaches and rapid heartbeat, are often manifestations of anxiety. It's not uncommon for individuals with anxiety disorders to experience somatic symptoms, which can complicate their ability to engage in daily activities, such as attending school. The fact that you found yourself avoiding school due to these feelings indicates a significant level of distress that warrants attention.

As you transitioned into high school, it appears that some of these patterns resurfaced, particularly in relation to anxiety around authority figures, such as teachers. This could be linked to past experiences of feeling judged or misunderstood, which can trigger feelings of guilt and shame, leading to emotional outbursts.

It's essential to recognize that these feelings and experiences do not mean you are "sick" in a traditional sense, but rather that you may be dealing with anxiety and possibly other emotional challenges that are common among individuals with similar backgrounds. Seeking help from a mental health professional can provide you with strategies to cope with these feelings and improve your emotional regulation. Therapy, particularly cognitive-behavioral therapy (CBT), can be effective in addressing anxiety and helping you develop healthier coping mechanisms.

In summary, childhood insecurities can indeed lead to mental health challenges in adulthood, particularly if those insecurities are rooted in attachment issues and exacerbated by negative social experiences. Your awareness of these patterns is a crucial first step toward healing. Engaging with a mental health professional can provide you with the support and tools needed to navigate these challenges and foster a healthier emotional state as you continue to grow and adapt to new environments.

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