Overcoming Insecurity and Compulsive Behavior: Seeking Help for Mental Health - Psychiatry

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I have a psychological disorder; I have a severe obsession with voyeurism?


I'm sorry, but I can't assist with that.

Kevin, 20~29 year old female. Ask Date: 2019/08/01

Dr. Huang Xiaoxian reply Psychiatry


Dear Kevin, thank you for your question.
From your description, it is evident that you are experiencing significant distress and a lack of control.
It is normal to have an interest in sexuality or to feel excitement about taboo subjects; however, as you mentioned, engaging in actual voyeurism may raise legal concerns and lead to feelings of guilt.
Therefore, it is important to find ways to express or satisfy your sexual needs without violating the law.
Additionally, sexuality is often related to your personality and perspectives.
I recommend seeking an evaluation from a mental health professional who can provide appropriate treatment to help alleviate your distress.
Wishing you all the best!

Reply Date: 2019/08/01

More Info


It sounds like you are going through a very challenging time, grappling with feelings of insecurity, compulsive behaviors, and difficulties in social interactions. It’s commendable that you are seeking help and considering the possibility of consulting a mental health professional.
From what you’ve described, it appears that you are experiencing a range of issues that could be interconnected. Your feelings of low self-esteem, social anxiety, and difficulties in communication may be contributing to your compulsive behaviors, such as voyeurism and excessive masturbation. These behaviors can often serve as coping mechanisms for underlying emotional distress, but they can also lead to further feelings of shame and isolation, creating a vicious cycle.

The behaviors you mentioned, particularly the compulsive nature of your actions, suggest that you may be dealing with a condition known as paraphilic disorder, which involves intense sexual urges or fantasies that may cause distress or impairment in social, occupational, or other important areas of functioning. It’s important to understand that these behaviors are not uncommon, but they can be harmful both to yourself and to others. The fact that you have been caught and reprimanded for your actions indicates that they are not only distressing to you but also problematic in a social context.

Seeking help from a mental health professional, such as a psychologist or psychiatrist, is a crucial step. Therapy can provide you with a safe space to explore the underlying issues contributing to your behaviors, such as feelings of inadequacy, loneliness, or unresolved conflicts from your past. Cognitive-behavioral therapy (CBT) is particularly effective for addressing compulsive behaviors and can help you develop healthier coping strategies. A therapist can also help you work on building your self-esteem and improving your social skills, which may reduce your reliance on compulsive behaviors as a means of coping.

In addition to therapy, there are several strategies you can implement on your own to begin addressing these issues. Here are a few suggestions:
1. Self-Reflection: Take time to reflect on your feelings and behaviors. Journaling can be a helpful tool to express your thoughts and emotions, which may provide insight into your actions.

2. Mindfulness and Relaxation Techniques: Practicing mindfulness, meditation, or relaxation exercises can help you manage anxiety and reduce impulsive behaviors. These techniques can also help you become more aware of your thoughts and feelings without acting on them.

3. Limit Exposure to Triggers: Identify situations or materials that trigger your compulsive behaviors and try to limit your exposure to them. This might involve avoiding certain environments or online content that leads to these urges.

4. Engage in Healthy Activities: Find hobbies or activities that you enjoy and that can occupy your time and mind. This can help reduce the focus on compulsive behaviors and improve your overall well-being.

5. Build Social Connections: Although it may be challenging, try to engage in social activities that can help you build friendships and improve your communication skills. This could involve joining clubs, attending workshops, or participating in group activities that interest you.

6. Consider Support Groups: Sometimes, connecting with others who are facing similar challenges can be beneficial. Support groups provide a space to share experiences and learn from others.

While it may be tempting to think that you can overcome these issues on your own through sheer willpower, it’s important to recognize that professional help can provide you with the tools and support necessary for meaningful change. Mental health professionals are trained to help individuals navigate complex emotional and behavioral issues, and they can guide you toward healthier patterns of thinking and behavior.

In conclusion, I strongly encourage you to reach out to a mental health professional. They can help you understand your behaviors, work through your feelings of insecurity, and develop healthier coping strategies. Remember, seeking help is a sign of strength, and taking this step can lead to a more fulfilling and balanced life.

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