Dissociation: Voices in Your Head After Loss - Psychiatry

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I suspect that I am experiencing dissociation?


Hello, Doctor.
Ever since a very important person passed away a year ago, I have been sad for a long time.
About six months ago, I started hearing voices in my head.
The voices are different in tone and style; some want to help me, while others dislike me.
They often comment on things happening around me while I am doing tasks and even tell me what I should do.
I haven't experienced memory loss, and they generally do not "take over my body." Although this does not affect my daily life, I feel that this is not normal for me.
Sometimes, I find myself influenced by the more negative voices, leading to emotional instability.
Could you please tell me what might be happening to me?

Niming, 20~29 year old female. Ask Date: 2020/12/01

Dr. Wu Enliang reply Psychiatry


Hello, internet user: It seems that your mind may be unwell.
I suggest seeking medical attention at a mental health facility as soon as possible.
Dr.
Wu En-Liang

Reply Date: 2020/12/01

More Info


It sounds like you are experiencing a complex and distressing situation following the loss of a significant person in your life. The voices you are hearing in your head, which seem to have distinct personalities and opinions, can be quite alarming and may lead you to question your mental health. While I cannot provide a diagnosis, I can offer some insights based on psychological and medical knowledge.

What you are describing could be related to a phenomenon known as auditory hallucinations, which can occur in various contexts, including grief and loss. After experiencing a significant loss, it is not uncommon for individuals to go through a grieving process that can manifest in various ways, including emotional distress, changes in thought patterns, and even auditory experiences. These voices may represent unresolved feelings or conflicts related to your loss, and they could be a way for your mind to process the emotions associated with that experience.

In some cases, these auditory experiences can be linked to conditions such as depression or anxiety, which are common following a significant loss. The presence of voices that seem to provide both support and criticism may indicate an internal struggle with self-esteem or feelings of guilt, which can often arise in the context of grief. It is important to recognize that while these experiences can feel overwhelming, they do not necessarily mean that you are losing touch with reality or that you have a severe mental illness.

It is also worth noting that the absence of memory loss and the fact that these voices do not interfere with your daily functioning are positive signs. However, the emotional impact you describe, particularly the influence of the negative voices on your mood, suggests that it would be beneficial to seek professional help. A mental health professional, such as a psychologist or psychiatrist, can provide a safe space for you to explore these experiences further. They can help you understand the underlying emotions and thoughts that may be contributing to these auditory experiences and work with you to develop coping strategies.

Therapeutic approaches such as cognitive-behavioral therapy (CBT) can be particularly effective in addressing negative thought patterns and emotional distress. Additionally, grief counseling can provide support as you navigate the complexities of your loss and help you find ways to honor the memory of the person you lost while also focusing on your own well-being.

In summary, while the voices you are experiencing can be distressing, they may be a manifestation of your grief and emotional state following a significant loss. Seeking help from a mental health professional can provide you with the support and tools you need to understand and manage these experiences. Remember, you are not alone in this, and there are resources available to help you through this challenging time.

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