Am I Sick? Emotional Struggles and Self-Harm - Psychiatry

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Am I sick?


I have been feeling very down for about a month now.
Sometimes at night, I suddenly start crying for no apparent reason.
When my mood gets worse, I engage in self-harming behaviors.
My classmates discovered this and asked why I self-harmed.
Honestly, I can't even remember; I just recall a sudden wave of intense sadness that overwhelmed me, leading to self-harm.
However, since I'm not very brave, I only made shallow cuts, but for some reason, I keep making more and more horizontal lines.
I made up a random excuse to brush off my classmates, and they were kind enough to talk to me.
At that moment, I felt okay, but later at night, I suddenly feel nauseous.
I haven't been doing well with school-related tasks, and when my classmates suggest what I should do, I feel an overwhelming sense of irritation inside, which makes me want to self-harm again.
At school, I just want to hide in a place where I'm alone.
During meals, whether it's breakfast, lunch, or dinner, I only take a few bites before losing my appetite.
Sometimes, even before I eat, just smelling the food makes me feel nauseous.
When faced with problems or even for no reason at all, I feel incapable, think it's impossible, and feel inferior to others...
and so on.

Xiao Xi, 10~19 year old female. Ask Date: 2019/06/24

Dr. Wu Enliang reply Psychiatry


Hello, online friend: It does sound like it could be depression.
I recommend using the simple health scale for self-assessment of your emotional state at http://tspc.tw/tspc/portal/theme/index.jsp?sno=95.
If your score is above 10, it would be advisable to make good use of the school counseling office and talk to a counselor, or consult with an expert.
If your score is above 15, it is recommended to seek treatment at a mental health facility.
Dr.
Wu Enliang

Reply Date: 2019/06/24

More Info


It sounds like you are going through an incredibly difficult time, and I want to acknowledge the pain and confusion you are experiencing. Based on your description, it seems that you are struggling with intense emotional distress, which has led to self-harming behaviors. This is a serious issue that requires attention and support.

From what you've shared, it appears that you may be experiencing symptoms consistent with depression and possibly anxiety. The feelings of sadness, the urge to cry without a clear reason, self-harm, and negative thoughts about yourself are all indicators that you might be dealing with a mental health condition. It's important to understand that these feelings are not uncommon, especially among individuals who are under significant stress or facing emotional turmoil.

Self-harm is often used as a coping mechanism to deal with overwhelming emotions. It can provide a temporary sense of relief or distraction from emotional pain, but it is not a healthy or effective long-term solution. The fact that you are aware of your actions and feel conflicted about them is a positive sign; it indicates that you have insight into your struggles and may be open to seeking help.

I strongly encourage you to reach out to a mental health professional. This could be a psychologist, psychiatrist, or a counselor who specializes in emotional distress and self-harm. They can provide you with a safe space to explore your feelings, understand the underlying causes of your distress, and develop healthier coping strategies. Therapy can be incredibly beneficial in helping you process your emotions and learn how to manage them in a constructive way.

In addition to professional help, there are some self-care strategies you might consider incorporating into your daily routine:
1. Journaling: Writing down your thoughts and feelings can help you process what you're experiencing. It can also serve as a way to identify triggers for your emotions.

2. Mindfulness and Meditation: Practicing mindfulness can help you stay present and reduce feelings of anxiety. There are many apps and online resources available that can guide you through mindfulness exercises.

3. Physical Activity: Engaging in regular physical activity, such as walking, swimming, or yoga, can help improve your mood and reduce stress. Exercise releases endorphins, which are natural mood lifters.

4. Connect with Others: While it may feel easier to isolate yourself, try to reach out to friends or family members who you trust. Sharing your feelings with someone can provide relief and support.

5. Healthy Eating: Pay attention to your diet. Eating regular, nutritious meals can have a positive impact on your mood and energy levels.

6. Sleep Hygiene: Ensure you are getting enough rest. Sleep is crucial for emotional regulation, and establishing a regular sleep routine can help improve your overall well-being.

Regarding your question about whether you are sick, it's essential to understand that mental health conditions are legitimate health issues, just like physical illnesses. They can affect anyone, regardless of age, background, or circumstances. Seeking help is a sign of strength, not weakness.

If you are considering seeing a mental health professional, you may be wondering about the costs involved. In many places, mental health services are covered by health insurance, but this can vary. It's best to check with your insurance provider or the clinic you plan to visit to understand the costs and coverage options.

In conclusion, please take your feelings seriously and seek help. You deserve support and care as you navigate through this challenging time. Remember, you are not alone, and there are people who want to help you.

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