Stress: A Young Adult's Mental Health Journey - Psychiatry

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Too much stress...?


Hello, doctor.
I am a vocational student about to take the standardized test.
Recently, I went to see a physician due to severe rectal bleeding and hair loss.
I was initially worried it might be cancer, but once I entered the consultation room, the doctor said I was in good health and that I was under a lot of stress.
At 19, why is there so much stress? This reminded me of a few years ago when many people said I was under a lot of pressure.
However, I don't lack money or friends, and I'm not overly focused on grades; I have just recently started worrying about the future.
Upon reflecting on my past unusual behaviors, I realize that I occasionally feel down, sometimes lack confidence, and at times feel overwhelmed by friends (to the point of yelling at them to leave me alone).
I also occasionally cry uncontrollably and have had a habit of biting my nails since childhood (it used to be somewhat pathological, as I would only stop when I drew blood).
There are certain issues I tend to ruminate over...
Yet, to outsiders, I seem to smile a lot and have even been called the life of the party.
To be honest, although I once considered seeking help from a mental health professional, I believe my condition has improved significantly in recent years, and I don't feel that my stress levels are too high.
I would like to ask the doctor, is this normal?

Chen, 10~19 year old female. Ask Date: 2020/09/13

Dr. Qiu Junda reply Psychiatry


Hello.
The symptoms described in the text are likely adverse reactions to stress.
Throughout life, it is inevitable to encounter stress.
However, we hope it does not lead to physical or mental distress.
I suggest you search for information on stress management.
You can learn some methods from it, such as talking to friends or engaging in leisure activities after work.
You may also consider consulting a mental health professional nearby, which could be beneficial.

Reply Date: 2020/09/13

More Info


It's understandable to feel overwhelmed, especially as a young adult facing various pressures and uncertainties about the future. Your experience of physical symptoms like blood in your stool and hair loss, which were attributed to stress by your doctor, is a significant indicator that mental health can manifest in physical ways. Stress is a common experience for many young adults, and it can arise from various sources, including academic pressures, social dynamics, and personal expectations.

At 19, you are at a pivotal stage in life where many young adults grapple with questions about their future, career choices, and personal identity. Even if you feel you have a supportive network and are not overly concerned about grades, the pressure to succeed and the fear of the unknown can still weigh heavily on your mind. It's also worth noting that societal expectations can create an invisible burden, leading to feelings of inadequacy or anxiety.

Your self-reflection reveals some important aspects of your mental health. The occasional low mood, lack of confidence, and feelings of irritability towards friends are all signs that you may be experiencing stress or anxiety. The fact that you have a history of nail-biting, especially to the point of bleeding, suggests that you may have developed coping mechanisms that are not entirely healthy. These behaviors can be indicative of underlying anxiety or stress management issues.

It's also important to recognize that just because you present a cheerful exterior does not mean you are free from emotional struggles. Many individuals are adept at masking their feelings, often referred to as "putting on a brave face." This can lead to a disconnect between how you feel internally and how you present yourself to the world, which can be exhausting and isolating.

While you mentioned that you feel your situation has improved over the years, it’s crucial to remain vigilant about your mental health. The fact that you have considered seeking help in the past indicates a level of self-awareness that is commendable. If you find yourself feeling overwhelmed again, or if your symptoms worsen, it may be beneficial to revisit the idea of consulting a mental health professional. Therapy can provide a safe space to explore your feelings, develop coping strategies, and gain insights into your emotional responses.

In terms of whether your experiences are "normal," it's essential to understand that everyone's mental health journey is unique. Feeling stressed or anxious about the future is common among young adults, but if these feelings become persistent or debilitating, they may warrant professional attention. Mental health issues can affect anyone, regardless of their external circumstances, and seeking help is a sign of strength, not weakness.

If you decide to talk to your family about your feelings or the possibility of seeking help, consider framing it in a way that emphasizes your desire for support and understanding. You might say something like, "I've been feeling a bit overwhelmed lately, and I think it would help me to talk to someone who can provide guidance." This approach can help alleviate any concerns they may have about your well-being and encourage a supportive dialogue.

In conclusion, your feelings and experiences are valid, and it's essential to prioritize your mental health as you navigate this challenging period in your life. Remember, seeking help is a proactive step towards understanding and improving your mental well-being.

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