Soliloquy
Should I wear a mask when going outside? Sometimes, I have been seen talking to myself while working, and my classmates have told the teacher that I often talk to myself alone.
I know this is not caused by auditory hallucinations, so medication has been ineffective.
Can you provide some additional advice?
bu, 30~39 year old female. Ask Date: 2019/05/16
Dr. Wu Enliang reply Psychiatry
Hello, netizen: Wearing a mask outdoors is sometimes necessary to avoid the discomfort of others' strange looks.
Talking to oneself may also be a manifestation of anxiety or obsessive-compulsive symptoms, and it is not necessarily caused by auditory hallucinations.
If the situation is truly severe, it is important to seek diagnosis and treatment from a psychiatrist.
Dr.
Wu En-Liang
Reply Date: 2019/05/16
More Info
Talking to oneself, or self-talk, can be a complex phenomenon that has both positive and negative implications for mental health. It is important to understand the context in which self-talk occurs and how it affects an individual's emotional and psychological well-being.
Self-talk can serve as a coping mechanism, allowing individuals to process their thoughts and emotions. For many, it provides a sense of comfort and companionship, especially during times of stress or loneliness. It can help in organizing thoughts, rehearsing conversations, and even motivating oneself to take action. In your case, it seems that self-talk has become a source of solace and understanding, as you describe a dialogue with a part of yourself that encourages positivity and happiness.
However, when self-talk becomes more pronounced or is accompanied by distressing thoughts, it may indicate underlying mental health issues. For instance, if the self-talk includes negative or critical voices, it could be a sign of depression or anxiety. The experience of feeling as though there are multiple voices in your head, as you described, can be particularly concerning and may require professional evaluation. This phenomenon can sometimes be associated with conditions such as dissociative disorders or schizophrenia, but it is essential to approach this with caution and seek guidance from a mental health professional.
Regarding your question about wearing a mask when going outside, it seems you are concerned about how others perceive you, especially when you engage in self-talk in public. While wearing a mask can provide a sense of anonymity and may help you feel more comfortable, it is crucial to address the root of your anxiety about being seen talking to yourself. Many people engage in self-talk, and it is not inherently abnormal. However, if it leads to feelings of embarrassment or anxiety, it may be beneficial to explore these feelings further in therapy.
Here are some suggestions to consider:
1. Seek Professional Help: It is vital to consult with a mental health professional who can provide a safe space for you to discuss your experiences. They can help you differentiate between helpful self-talk and harmful thoughts, and work with you to develop coping strategies.
2. Mindfulness and Grounding Techniques: Practicing mindfulness can help you stay present and reduce anxiety about how others perceive you. Grounding techniques, such as focusing on your breath or engaging your senses, can help you manage overwhelming feelings in social situations.
3. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process your experiences. It can also help you identify patterns in your self-talk and understand when it becomes negative or critical.
4. Social Support: Sharing your feelings with trusted friends or family members can help alleviate the burden of feeling misunderstood. They may offer support and reassurance that can help you feel less isolated.
5. Cognitive Behavioral Techniques: Learning to challenge negative thoughts and replace them with more positive affirmations can be beneficial. This approach can help you reshape your internal dialogue and reduce the impact of negative self-talk.
6. Gradual Exposure: If you feel comfortable, consider gradually exposing yourself to social situations where you might engage in self-talk. Start in low-pressure environments and gradually increase your exposure as you build confidence.
In conclusion, while self-talk can be a normal part of human experience, it is essential to monitor its content and impact on your mental health. Seeking professional guidance and employing coping strategies can help you navigate your feelings and improve your overall well-being. Remember, you are not alone in this journey, and there are resources available to support you.
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