Addiction Risks in Overdose and Self-Harm Behaviors - Psychiatry

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Can overdose lead to addiction?


Hello doctor, I am 15 years old and have a two-year history of depression.
My main issues include recurrent suicidal thoughts and self-harm (cutting, overdosing).
Last week, I was hospitalized for taking an overdose of acetaminophen (24 tablets).
I realized that I somewhat enjoy the feeling of being in a daze, which leads me to take more medication or drink alcohol.
When I discussed this with my psychiatrist, their attitude seemed to be, "As long as it doesn't threaten your life, it's fine." I am very afraid that I might become addicted, as I find it hard to stop self-harming.
What methods can I use to improve this issue? Currently, my family is managing my medication, but I can't help but buy over-the-counter drugs on my own.

Xuesheng A, 10~19 year old female. Ask Date: 2020/07/25

Dr. Wu Enliang reply Psychiatry


Hello, online user: Repeated self-harming behavior likely has underlying psychological reasons, so it is recommended to undergo individual psychotherapy to address this internal anxiety and inner conflict.
Dr.
Wu Enliang

Reply Date: 2020/07/25

More Info


It's important to address the serious issues you're facing, including self-harm, substance use, and the underlying depression. Your experiences are not uncommon among adolescents dealing with mental health challenges, but they are also very serious and require immediate attention and support.


Understanding Addiction Risks
Addiction can develop from various behaviors, including substance use and self-harm. When someone engages in self-harm or uses substances like over-the-counter medications to cope with emotional pain, it can create a cycle where the individual feels temporary relief but ultimately exacerbates their mental health issues. This cycle can lead to increased tolerance, where more of the substance is needed to achieve the same effect, and can also lead to physical dependence.

In your case, the use of medications like acetaminophen (Tylenol) in excessive amounts can lead to serious health risks, including liver damage, and can be life-threatening. The feeling of being "high" or "dizzy" from overdosing can create a false sense of relief, which may lead to repeated use. This is a dangerous path, as it can escalate into more severe substance use or addiction.


Addressing Self-Harm
Self-harm is often a coping mechanism for emotional distress. It can provide a temporary release or distraction from overwhelming feelings. However, it is essential to recognize that this behavior can lead to physical harm and does not address the underlying issues. Seeking professional help is crucial. Therapy, particularly cognitive-behavioral therapy (CBT), can help you develop healthier coping strategies and address the root causes of your distress.


Steps to Improve Your Situation
1. Seek Professional Help: It’s vital to work with a mental health professional who can provide a safe space for you to express your feelings and experiences. They can help you develop coping strategies and work through the underlying issues contributing to your depression and self-harm.

2. Medication Management: Since you mentioned that your family is managing your medications, it’s important to have regular check-ins with a healthcare provider to discuss any concerns about your medications. They can help ensure that you are on the right path and adjust your treatment plan as necessary.

3. Develop Healthy Coping Mechanisms: Engage in activities that promote well-being, such as exercise, art, or journaling. These can serve as positive outlets for your emotions. Mindfulness and relaxation techniques, such as meditation or deep breathing exercises, can also help manage anxiety and emotional distress.

4. Build a Support Network: Surround yourself with supportive friends and family who can help you through this tough time. Open communication with trusted individuals can provide emotional support and reduce feelings of isolation.

5. Avoid Substance Use: Try to avoid using substances, including over-the-counter medications, as a way to cope. If you find it difficult to resist the urge to self-medicate, discuss this with your healthcare provider, who can help you find safer alternatives.

6. Emergency Plan: If you ever feel overwhelmed or have thoughts of self-harm or suicide, it’s crucial to have a plan in place. This could include contacting a trusted friend, family member, or a mental health crisis hotline.


Conclusion
Your feelings and experiences are valid, and it’s commendable that you are seeking help. Remember that recovery is a process, and it’s okay to take it one step at a time. With the right support and resources, you can work towards a healthier and more fulfilling life. Please prioritize your safety and well-being, and don’t hesitate to reach out for help.

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