Your Mental Health: Navigating Anxiety and Hallucinations

Q: Your Mental Health: Navigating Anxiety and Hallucinations

Hello Mr. <br>Liu： It seems that you are experiencing some symptoms suggestive of hallucinations and paranoid delusions, which may indicate that your condition is not solely anxiety disorder. <br>I recommend that you inform your physician during your follow-up visit so that they

I would like to inquire about the medical condition?

I have already seen a psychiatrist.
I tend to be overly nervous and anxious.
Previously, I did not fully describe some things to the doctor.
I only mentioned that I had fantasized about having "supernatural abilities" and felt cold, had gastrointestinal discomfort, and wanted to vomit before leaving my job.
I did not mention that these feelings of coldness, gastrointestinal discomfort, and nausea were due to my fantasy of having supernatural abilities and imagining that spirits wanted to kill me, which led to my decision to leave my job (I had this fantasy about having supernatural abilities for a year and a half, and the fantasy of spirits wanting to kill me lasted about a month).
On July 19, I went to get a diagnostic certificate to apply for a reconsideration to return to work.
Then my mom called me, asked me to send her the diagnostic certificate, and said that I had no hope.
I felt very useless.
On my way home, I fantasized about having a sudden conflict with my family and stabbing them in the heart with a knife, and I also imagined that the next day I would commit suicide by cutting my wrists when my family was around.
While in the car, I wanted to sleep, and when I closed my eyes, I saw myself using a utility knife to cut my right hand with my left hand.
Am I only suffering from anxiety disorder? Should I mention my childhood delusions and some experiences, as well as the auditory hallucinations I still have, during my next appointment? In high school, during my first drug education class, I had a delusion that my brother injected me with drugs.
Sometimes I hear someone calling my name, the sound of the air conditioner starting, and I also feel like my body is swaying.
I am very afraid of physical contact with others, have very few friends, and I have always appeared to lack vitality.

Liu Xiansheng, 20~29 year old female. Ask Date: 2022/07/19

Dr. Lin Mianzhang reply Psychiatry

Hello Mr.
Liu: It seems that you are experiencing some symptoms suggestive of hallucinations and paranoid delusions, which may indicate that your condition is not solely anxiety disorder.
I recommend that you inform your physician during your follow-up visit so that they can thoroughly assess your situation and develop the best treatment plan for you.
Wishing you safety and good health.

Reply Date: 2022/07/19

More Info

It sounds like you are experiencing a complex interplay of anxiety, hallucinations, and possibly some underlying psychological issues. Your description indicates that you have been dealing with significant mental health challenges, including anxiety and intrusive thoughts, which have manifested in various ways, including hallucinations and self-harm ideation.
Firstly, it is crucial to understand that mental health conditions can be multifaceted. Anxiety disorders can often co-occur with other mental health issues, such as depression, psychotic disorders, or personality disorders. The symptoms you describe, such as feeling cold, gastrointestinal discomfort, and the urge to harm yourself or others, suggest that your mental health may be significantly impacted by both anxiety and possibly a more serious underlying condition.

The hallucinations you mentioned, such as hearing voices or seeing things that are not there, can be particularly distressing. These experiences are not uncommon in individuals with severe anxiety or stress, but they can also indicate a more serious condition, such as a psychotic disorder. It is essential to communicate openly with your psychiatrist about all your symptoms, including the hallucinations and any past experiences that may have contributed to your current state. This information is vital for your doctor to make an accurate diagnosis and develop an effective treatment plan.

When you visit your psychiatrist next, it would be beneficial to discuss your entire history, including your childhood experiences, any previous hallucinations, and your recent thoughts of self-harm or harm to others. This comprehensive overview will help your doctor understand the full scope of your mental health challenges and tailor a treatment plan that addresses your specific needs.

In terms of treatment, a combination of therapy and medication may be necessary. Cognitive-behavioral therapy (CBT) is often effective for anxiety and can help you develop coping strategies to manage your symptoms. Additionally, if your hallucinations are severe or distressing, your doctor may consider antipsychotic medications to help stabilize your mood and reduce these experiences.

It’s also important to engage in self-care practices that can support your mental health. Regular physical activity, a balanced diet, and adequate sleep are foundational to mental well-being. Mindfulness and relaxation techniques, such as meditation or yoga, can also be beneficial in managing anxiety and improving your overall mental state.

Lastly, consider reaching out to support groups or communities where you can share your experiences with others who understand what you are going through. Building a support network can help reduce feelings of isolation and provide you with additional resources for coping.

In summary, your symptoms suggest that you may be dealing with more than just anxiety. It is crucial to have an open and honest conversation with your psychiatrist about all your experiences, including hallucinations and any thoughts of self-harm. A comprehensive treatment plan that includes therapy, medication, and self-care strategies can help you navigate these challenges and work towards improved mental health. Remember, you are not alone in this journey, and there is help available.

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