Am I Just Overthinking? Mental Health Concerns

Is this a disease?

I tend to overthink a lot; I constantly worry about whether I've done or said something wrong in every little thing.
I care deeply about everything.
Although I usually love to laugh, I feel exhausted, as if I'm forcing myself to smile to meet some expectation.
However, when I'm alone, my mood drops significantly.
I also find myself unconsciously pulling my hair and biting my nails, but I can't seem to stop.
Sometimes, I have very negative thoughts and contemplate ending it all, but then I remember I have many responsibilities to fulfill.
My biological father also suffers from bipolar disorder, and I'm afraid it might be hereditary.
Yet, part of me thinks it could also be due to my personality.
Do I need to see a doctor, or am I just overthinking things?

Rou, 20~29 year old female. Ask Date: 2018/11/30

Dr. Qiu Junda reply Psychiatry

Hello.
The situation described in the text reveals negative emotions.
It is initially considered to be within the normal range, but it has caused distress.
Efforts should be made to improve this.
I suggest you search for information on emotional management (EQ) to learn some methods that may help you overcome these difficulties.
If needed, you can also seek assistance from Teacher Chang (1980) or the Lifeline (1995) hotline.
They can provide counseling, guidance, and referral services.

Reply Date: 2018/11/30

More Info

It's clear from your message that you're experiencing a significant amount of emotional distress and anxiety. The feelings you're describing—overthinking, self-doubt, and the pressure to maintain a facade of happiness—are common symptoms of anxiety and depression. It's important to recognize that these feelings are valid and that seeking help is a strong and positive step toward improving your mental health.

Overthinking often leads to a cycle of negative thoughts, where you may find yourself ruminating on past interactions or worrying excessively about future events. This can create a sense of paralysis, making it difficult to engage fully in life. The fact that you feel exhausted from putting on a happy face for others, only to feel low when alone, suggests that you may be experiencing a disconnect between your internal feelings and external expressions. This is not uncommon, especially in individuals who feel the need to meet certain social expectations or who fear judgment from others.

Your mention of compulsive behaviors, such as hair pulling and nail biting, can also be indicative of anxiety disorders. These behaviors often serve as coping mechanisms to manage stress or anxiety, but they can become problematic if they interfere with your daily life or lead to physical harm. It's crucial to address these behaviors, as they can be a sign that your anxiety is manifesting in ways that are not healthy.

Regarding your concerns about hereditary mental health issues, it's understandable to worry about the potential genetic component of conditions like bipolar disorder, especially since your father has it. While genetics can play a role in mental health, environmental factors, personal experiences, and individual personality traits also significantly influence mental health outcomes. It’s essential to remember that having a family history of mental illness does not guarantee that you will experience the same issues, but it does mean you may need to be more vigilant about your mental health.

You asked whether you should see a doctor. Given the symptoms you're experiencing, it would be beneficial to consult with a mental health professional. A psychologist or psychiatrist can provide a proper assessment and help you understand whether what you're experiencing is part of a larger mental health issue. They can also offer therapeutic options, which may include cognitive-behavioral therapy (CBT), medication, or a combination of both, depending on your specific needs.

In addition to professional help, there are several self-care strategies you can implement to help manage your anxiety and improve your mood. These include:
1. Mindfulness and Meditation: Practicing mindfulness can help you stay grounded in the present moment and reduce the tendency to overthink. Apps like Headspace or Calm can guide you through meditation practices.

2. Physical Activity: Regular exercise is a powerful tool for managing anxiety and depression. It releases endorphins, which can improve your mood and reduce stress.

3. Journaling: Writing down your thoughts and feelings can help you process your emotions and gain clarity on your concerns.

4. Social Support: Reach out to friends or family members you trust. Sharing your feelings with someone who listens can provide relief and perspective.

5. Limit Stressors: Identify and minimize sources of stress in your life where possible. This could mean setting boundaries with people or situations that drain your energy.

6. Healthy Lifestyle Choices: Ensure you're getting enough sleep, eating a balanced diet, and avoiding excessive caffeine or alcohol, as these can exacerbate anxiety.

In conclusion, while it may feel like you're just overthinking, the symptoms you're describing suggest that there may be underlying issues that could benefit from professional attention. Taking the step to seek help is a sign of strength, and it can lead to significant improvements in your quality of life. Remember, you are not alone in this, and there are resources available to support you.

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