I've been constantly thinking about what's wrong with me?
You may experience the following symptoms: prolonged hypersomnia, short episodes of insomnia, chest discomfort (a feeling of wanting to cry or a sense of oppression that makes breathing difficult), self-harm, thoughts of self-harm or suicide, bodily pain, lack of energy, inability to concentrate, anxiety, irritability, headaches, impaired memory, and episodes of dissociation.
However, there are times when you feel very energetic or excited.
These are the symptoms I am currently experiencing (there may be others that I have not noticed, and I apologize for that).
I would like to ask what this could be (I have seen a doctor but still feel something is not right).
Thank you very much for your response, doctor (T▽T).
Yi, 10~19 year old female. Ask Date: 2022/04/18
Dr. Wu Enliang reply Psychiatry
It is highly possible that there may be some issues related to mental and physical health.
It is recommended to consult a child and adolescent psychiatrist.
Dr.
Wu Enliang.
Reply Date: 2022/04/18
More Info
It sounds like you are experiencing a complex array of symptoms that could be indicative of several mental health issues, including depression, anxiety disorders, or even bipolar disorder. The symptoms you describe—such as prolonged sleepiness, short bouts of insomnia, chest discomfort, self-harm tendencies, suicidal thoughts, physical pain, fatigue, difficulty concentrating, anxiety, irritability, headaches, memory issues, and episodes of heightened energy or excitement—are significant and warrant careful consideration.
Understanding Your Symptoms
1. Mood Fluctuations: The presence of both depressive symptoms (like prolonged sadness, fatigue, and suicidal thoughts) and periods of heightened energy or excitement could suggest a mood disorder, such as bipolar disorder. This condition is characterized by alternating episodes of depression and mania or hypomania.
2. Anxiety Symptoms: Feelings of anxiety, irritability, and physical symptoms like chest discomfort and headaches can be associated with anxiety disorders. These disorders often manifest as excessive worry about various aspects of life, leading to physical symptoms and emotional distress.
3. Cognitive Impairments: Difficulty concentrating and memory issues can be common in both depression and anxiety. These cognitive symptoms can significantly impact daily functioning and quality of life.
4. Physical Symptoms: The physical manifestations of emotional distress, such as pain and fatigue, are not uncommon. Many individuals with mental health conditions report unexplained physical symptoms, which can complicate diagnosis and treatment.
5. Self-Harm and Suicidal Thoughts: The presence of self-harm tendencies and suicidal thoughts is particularly concerning. These symptoms indicate a high level of distress and should be addressed immediately with a mental health professional.
Seeking Help
Given the complexity and severity of your symptoms, it is crucial to seek help from a qualified mental health professional. Here are some steps you can take:
1. Consult a Mental Health Professional: If you haven't already, consider seeing a psychiatrist or psychologist who specializes in mood disorders and anxiety. They can provide a comprehensive evaluation and help determine an accurate diagnosis.
2. Therapy Options: Cognitive Behavioral Therapy (CBT) is effective for both anxiety and depression. It helps individuals identify and change negative thought patterns and behaviors. Other therapeutic approaches, such as Dialectical Behavior Therapy (DBT), can be beneficial, especially if self-harm is a concern.
3. Medication: Depending on the diagnosis, medication may be recommended. Antidepressants, mood stabilizers, or anti-anxiety medications can help manage symptoms effectively.
4. Lifestyle Changes: Incorporating regular physical activity, a balanced diet, and sufficient sleep can significantly impact mental health. Mindfulness practices, such as meditation or yoga, can also help reduce anxiety and improve mood.
5. Support Systems: Engaging with support groups or talking to trusted friends and family can provide additional emotional support. Sharing your experiences with others who understand can be incredibly validating.
Conclusion
Your symptoms are serious and deserve attention. Mental health conditions are complex and can vary greatly from person to person. It is essential to approach your situation with care and seek professional guidance. Remember, you are not alone in this, and help is available. Early intervention can lead to better outcomes, so please prioritize your mental health and reach out for support.
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