Overcoming Self-Esteem Issues After an Injury: A Mental Health Perspective

Q: Overcoming Self-Esteem Issues After an Injury: A Mental Health Perspective

Hello Mr. <br>Liang： Thank you for your question. <br>It sounds like your injuries and scars have significantly affected your mood, and your description also reveals feelings of regret, which can be difficult to confront and have impacted your daily life and sleep. <br>Regarding

Feelings of inferiority after an accidental injury?

Hello Doctor: Seven years ago, I accidentally dislocated my humerus while throwing a softball.
The doctor mentioned that improper force application and fatigue caused my muscle strength to exceed that of the bone, resulting in a spiral fracture.
I underwent internal fixation with metal plates and screws, leaving a scar of about 20 centimeters on my right arm.
Over the years, I've sometimes felt self-conscious about my right arm, especially in the summer when I hesitate to wear short sleeves to expose the scar.
I've also felt guilty for not protecting myself and for causing this injury.
Recently, these feelings of inferiority and guilt have intensified, leading to poor sleep; I often go to bed around 11 PM and wake up at 3 or 4 AM, unable to fall back asleep, which affects my daytime energy.
I visited a clinic and received prescriptions for Leeyo 10 mg, Dogweisu 50 mg, Lendormin 250 mcg, Selars 30 mg, and Cardolol 10 mg.
Will these medications help with my symptoms? Additionally, I prefer not to rely on sleeping pills (Lendormin) and would rather use exercise to improve my sleep, so I haven't taken that medication.
Will taking it affect my daytime alertness (causing drowsiness)? Furthermore, how can I cope with these feelings of inferiority and guilt? My family keeps telling me it's okay, that the past is the past, and that I can do everyday activities, including wearing clothes that expose my scar.
However, I still feel like everyone is looking at my scar, which makes me reluctant to wear certain clothes.
I've experienced low moods occasionally over the years, but this past couple of weeks has been particularly severe, affecting my sleep.
Would engaging in other activities help me distract from these feelings? Please help me, Doctor.

Liang, 20~29 year old female. Ask Date: 2019/10/23

Dr. Huang Xiaoxian reply Psychiatry

Hello Mr.
Liang: Thank you for your question.
It sounds like your injuries and scars have significantly affected your mood, and your description also reveals feelings of regret, which can be difficult to confront and have impacted your daily life and sleep.
Regarding the medications prescribed by your doctor, they are generally divided into two categories: symptomatic treatments (such as sleep aids and sympatholytics) and medications aimed at improving your overall condition (such as serotonin-related medications like Leeyo).
Typically, these are used in conjunction when symptoms are severe and distressing.
It is generally advised to take the medications for improving your condition at regular intervals, while the symptomatic treatments can be further discussed with your doctor regarding their continuation and potential side effects (Lendormin is a short-acting medication, so its daytime effects should not be too pronounced).
Additionally, regarding the psychological impact, it is recommended to discuss with your doctor the possibility of arranging psychological counseling.
Wishing you a speedy recovery!

Reply Date: 2019/10/23

More Info

Hello, thank you for sharing your experience and feelings regarding your injury and the emotional impact it has had on you. It’s understandable that a significant physical injury, especially one that leaves a noticeable scar, can lead to feelings of self-doubt and self-criticism. The emotional response you’re experiencing is not uncommon, and it’s important to address these feelings to improve your overall mental health.

From a psychological perspective, injuries that alter our physical appearance can lead to body image issues, which often manifest as low self-esteem and self-consciousness. The scar on your arm serves as a constant reminder of the incident, and it’s natural to feel self-critical about it. However, it’s crucial to recognize that this injury does not define your worth or abilities. Many people have scars and marks that tell their stories, and embracing them can be a part of healing.

Regarding the medications you mentioned—Leeyo (an antidepressant), Dogweisu (an antipsychotic), Lendormin (a sedative), Selars (an antidepressant), and Cardolol (a beta-blocker)—these can indeed help manage symptoms of anxiety and depression. However, it’s essential to consult with your healthcare provider about how these medications interact and their potential side effects. For example, Lendormin, being a sedative, can cause drowsiness, which might affect your daytime alertness. If you’re concerned about this, it’s worth discussing with your doctor the possibility of adjusting your medication regimen or exploring alternative treatments.

You mentioned a desire to rely on exercise for better sleep rather than medication. This is a commendable approach, as physical activity can significantly improve mood and sleep quality. Regular exercise releases endorphins, which can help alleviate feelings of depression and anxiety. Additionally, engaging in activities you enjoy can distract you from negative thoughts about your scar and boost your self-esteem.

Here are some strategies to help you cope with feelings of self-doubt and guilt:
1. Cognitive Behavioral Therapy (CBT): This therapeutic approach can help you reframe negative thoughts about yourself and your injury. A therapist can guide you in identifying irrational beliefs and replacing them with more positive, realistic ones.

2. Mindfulness and Self-Compassion: Practicing mindfulness can help you stay present and reduce rumination about your past. Self-compassion involves treating yourself with kindness and understanding rather than harsh judgment. Consider journaling about your feelings or practicing meditation to cultivate a more compassionate mindset.

3. Gradual Exposure: If wearing short sleeves makes you uncomfortable, consider gradually exposing yourself to situations where your scar is visible. Start by wearing short sleeves at home or in front of close friends who support you. This can help desensitize you to the anxiety associated with your scar.

4. Support Groups: Connecting with others who have experienced similar injuries or body image issues can provide a sense of community and understanding. Sharing your experiences can be therapeutic and help you realize you are not alone in your feelings.

5. Focus on Your Strengths: Shift your focus from your scar to your abilities and accomplishments. Engage in activities that make you feel good about yourself and highlight your strengths, whether in sports, arts, or academics.

6. Talk to a Professional: If your feelings of self-doubt and guilt persist, consider seeking help from a mental health professional. They can provide tailored strategies and support to help you navigate these emotions.

In conclusion, it’s essential to acknowledge your feelings while also working towards self-acceptance and healing. Remember that it’s okay to seek help and that you don’t have to go through this alone. With time, support, and the right strategies, you can overcome these challenges and improve your self-esteem. Take care of yourself, and don’t hesitate to reach out for help when needed.

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