Am I Okay? Mental Health Struggles and Emotions - Psychiatry

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How am I doing?


I often feel weak, constantly trying to please everyone or putting on a fake smile, and I don't trust anyone around me.
I find social interactions extremely exhausting, feeling like everyone is out to harm or discriminate against me, including my family.
I also tend to become suddenly angry or cry over something someone says about me, but my mom says I have a fragile heart.
My family is generally okay (though I occasionally feel this way when relatives visit).
Just thinking about seeing classmates, friends, and roommates after school starts makes me feel anxious and nauseous...
Am I okay?

A, 10~19 year old female. Ask Date: 2019/02/02

Dr. Huang Xiaoxian reply Psychiatry


Dear Ber, thank you for your question.
From what you’ve described, it seems that your mood has been significantly affected lately, and you are experiencing various interpersonal issues.
I wonder if there are any specific events that are causing you distress.
The symptoms you mentioned appear to be related to depression.
On the other hand, you mentioned that others might harm or discriminate against you; I’m curious if there are specific individuals involved.
Additionally, it would be important to assess whether you hear voices conversing with you when you are alone.
I recommend seeking an evaluation from a physician or consulting with a mental health professional in a counseling center.
It may also be helpful to communicate with other family members to explore potential medical options.
Wishing you a speedy recovery.

Reply Date: 2019/02/02

More Info


It sounds like you're going through a really tough time, and it's completely understandable to feel overwhelmed by your emotions and the pressures of social interactions. From what you've described, it seems like you might be experiencing symptoms that could be associated with anxiety and depression, which are common mental health challenges, especially among young adults.

Feeling weak or like you have to put on a facade to please others can be exhausting. This is often referred to as "people-pleasing," and it can lead to feelings of inadequacy and burnout. It's important to recognize that it's okay to not be okay, and that seeking help is a sign of strength, not weakness. Many people struggle with similar feelings, and you are not alone in this.

Your feelings of distrust towards others and the belief that they may harm or discriminate against you can be indicative of social anxiety. This condition can make social interactions feel daunting and can lead to avoidance behaviors, which may explain your feelings of dread about returning to school and seeing classmates. It's crucial to understand that these feelings are valid, and they can be addressed with the right support.

The emotional volatility you mentioned—sudden anger or crying in response to comments from others—can be a sign of heightened sensitivity, which some people experience when they are under stress or dealing with unresolved emotional issues. This sensitivity can be exacerbated by feelings of isolation or fear of judgment from others, including family members. It's important to communicate your feelings to those close to you, if you feel safe doing so, as they may not fully understand what you're going through.

The physical symptoms you described, such as chest tightness and nausea when thinking about social situations, are also common manifestations of anxiety. These physical reactions can be distressing and may further reinforce your desire to avoid social interactions. It might be helpful to explore relaxation techniques, such as deep breathing exercises, mindfulness, or even physical activities like yoga, which can help manage anxiety symptoms.

Given the complexity of what you're experiencing, it would be beneficial to seek professional help. A mental health professional can provide a safe space for you to explore your feelings and develop coping strategies. They can also help you understand whether what you're experiencing aligns with specific mental health conditions, such as anxiety disorders or depression, and guide you toward appropriate treatment options, which may include therapy or medication.

It's also worth noting that mental health struggles are not a reflection of your worth or strength. Many people face similar challenges, and acknowledging your feelings is the first step toward healing. Surrounding yourself with supportive individuals, whether friends, family, or mental health professionals, can make a significant difference in your journey.

In conclusion, while it may feel overwhelming right now, there is hope for improvement. You deserve to feel better and to engage in life without the burden of constant fear or sadness. Taking the step to reach out for help is a courageous decision, and it can lead to a path of understanding and healing. Remember, you are not alone, and there are resources available to support you through this challenging time.

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