Feeling Invisible: Navigating Mental Health Struggles in Silence - Psychiatry

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I want to disappear?


Hello, doctor.
To be honest, I'm not sure what's wrong with me.
I haven't experienced domestic violence, the death of a family member, bullying, betrayal by someone I trusted, or any life-threatening major incidents.
I don't have academic pressure; although my family is a bit poor, it's not severe.
My coworkers say I'm the best student worker they've seen.
I should be fine after 18 years of life, so I think I shouldn't be overthinking things.
Compared to other peers who have violent tendencies or bad habits in their families, I should be living a more normal life and thinking more simply, but I can't do it.

Because of my job, I often walk through quiet streets around 10:30 PM to get home, and I always feel an impulse to walk in the completely opposite direction, away from the places I go to for work, school, and home.
I hope that at the moment I walk away, the whole world, including my family, will forget me and not know of my existence.
I want to listen to my favorite music and walk to a place where I'm all alone.
But ultimately, I just think about how I've never left home without a word because I know someone would worry about me.
I'm not happy about this.
I know there’s someone at home who would worry to the point of crying, someone who would be anxious, and someone who would completely disregard it.
My classmates would notice that I, who am always present and the first to arrive in class, am missing.
A girl who has been in the same class with me since elementary school would keep messaging me on LINE, and my manager at work would keep calling, just like when I overslept and arrived 30 minutes late, saying with a smile, "Remember to call if you're late; we’re worried about you."
They always show me kindness and praise my abilities and behavior, but I can't smile or even say "thank you." I don't feel happy when I hear those words or receive those gifts, but I don't feel disgusted either; I just feel a bit scared and wonder why this person is being nice to me.
After thinking about it, I don't delve deeper.
I understand why others care about me because my behavior is often abrupt or abnormal.
I always have a blank expression, say nothing, and don’t chat with my peers who come in with me.
Of course, I don’t talk to others in the store either.
I can't eat with others, so I just hide in the break room without eating, always wearing headphones and listening to music loud enough that I can't hear others talking.

At home, I also lock myself in my room, blasting music to try to drown out the outside noise.
I have no friends; besides my family, there’s no one I can contact because they would try to invite me out or check on me.
I don’t want to lie to avoid them, so I just don’t.
When others are nice to me, I feel uncomfortable; when others notice or remember me, I feel nervous or anxious.
When others try to comfort me or express their willingness to listen to my troubles, I become so anxious that I almost cry.
I wish that everyone in the world would neither be nice to me nor be mean, wouldn’t like me or hate me.
But that’s impossible, so I want to disappear.
I know I don’t want to die; I realized that when I self-harmed, death was not what I wanted, but it was the closest option to disappearing.

I remain expressionless, don’t speak, refuse love, and always avoid groups, yet I am still treated gently by those around me.
So I keep repeating in my mind that everyone is gentle and not scary, trying to make myself speak normally, but I still can’t.
Even if I do speak, it’s all lies, and I even deceived the counselor who was supposed to help me with my self-harm issues.
My family only dismisses my complaints and inner thoughts.
My mom worries, but she worries to the point of crying.
When she learned about my self-harm, it took me comforting her many times before she calmed down, so I don’t want to discuss this with her.

I don’t know what to do anymore.
The closer I get to graduating high school, the more confused I become, and the feeling of wanting to leave home and go far away grows stronger.
I would like to ask the doctor what I should do.
Is there a need to seek medical help or talk to a doctor about this?

Lisa, 10~19 year old female. Ask Date: 2019/11/23

Dr. Liang Sunyuan reply Psychiatry


Hello Lisa: Based on your detailed description, it seems that your colleagues and friends are generally friendly towards you, and your mother is concerned about your situation.
You may feel more comfortable when you are alone.
Currently, you appear to be experiencing emotional distress, struggling with your thoughts, and exhibiting self-harming behaviors.
However, emotions need an effective outlet; self-harm is merely a temporary distraction and does not fundamentally resolve the internal emotional turmoil.
It is advisable to talk to a professional, as seeking medical help could be beneficial for your current situation.
Wishing you a speedy recovery.

Reply Date: 2019/11/23

More Info


It sounds like you are experiencing a complex mix of emotions and thoughts that can be overwhelming. Feeling invisible or disconnected from the world around you can be incredibly isolating, especially when you perceive that others are concerned about you, yet you struggle to connect with those feelings. It's important to recognize that your feelings are valid, and seeking help is a courageous step toward understanding and managing them.

From what you've described, it seems you are grappling with feelings of anxiety, depression, and perhaps a sense of existential dread. These feelings can manifest in various ways, including a desire to escape from your current life or a sense of numbness toward the positive aspects of your existence. It's not uncommon for individuals, especially young adults, to feel lost or overwhelmed as they transition into adulthood and face new responsibilities and expectations.


Understanding Your Feelings
1. Isolation and Disconnection: Your desire to disappear or to be forgotten may stem from a deep-seated fear of vulnerability and rejection. When you feel that you cannot express your emotions or connect with others, it can lead to a sense of invisibility. This is often exacerbated by societal pressures to conform and perform, which can make it difficult to acknowledge your own needs and feelings.

2. Fear of Intimacy: The discomfort you feel when others show you kindness or concern may indicate a fear of intimacy or vulnerability. This can be a protective mechanism to shield yourself from potential hurt or disappointment. However, it can also prevent you from forming meaningful connections with others, which are essential for emotional well-being.

3. Numbness and Emotional Dysregulation: The inability to feel joy or sadness, as you described, can be a symptom of depression or anxiety. It may also indicate that you are experiencing emotional burnout, where your mind and body are overwhelmed by stress and are trying to protect you by numbing your feelings.


Steps to Consider
1. Seek Professional Help: It is crucial to talk to a mental health professional who can provide you with the support and guidance you need. A therapist can help you explore your feelings in a safe environment, develop coping strategies, and work through any underlying issues that may be contributing to your emotional state. You mentioned that you have previously spoken with a counselor; it might be beneficial to revisit this option or seek a different therapist if you feel your needs were not fully met.

2. Open Up to Someone You Trust: While it may feel daunting, consider confiding in someone you trust about your feelings. This could be a family member, a close friend, or even a teacher or mentor. Sharing your struggles can help alleviate some of the burdens you carry and may lead to support and understanding.

3. Engage in Self-Care: Incorporate activities that promote well-being into your daily routine. This could include physical exercise, creative outlets like writing or art, mindfulness practices such as meditation, or simply spending time in nature. These activities can help ground you and provide a sense of accomplishment and joy.

4. Challenge Negative Thoughts: Work on recognizing and reframing negative thoughts about yourself and your situation. Cognitive-behavioral techniques can be particularly helpful in addressing distorted thinking patterns and fostering a more positive self-image.

5. Establish a Routine: Creating a daily routine can provide structure and a sense of purpose. Include time for work, relaxation, and social interaction, even if it feels uncomfortable at first. Gradually pushing yourself to engage with others can help combat feelings of isolation.

6. Limit Isolation: While it may feel easier to retreat into solitude, try to engage with others, even in small ways. This could be as simple as greeting a coworker or participating in a group activity. Building connections, even if they are small, can help you feel more grounded and less invisible.


Conclusion
Your feelings of wanting to disappear and the struggle with emotional expression are serious and deserve attention. It’s essential to reach out for help and take proactive steps toward understanding and managing your emotions. Remember, you are not alone in this journey, and there are people and resources available to support you. Taking the first step to seek help can lead to a path of healing and self-discovery.

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