the Need for Attention: A Deep Dive into Mental Health Issues - Psychiatry

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I can't figure out why I'm doing this?


Hello, doctor.
In recent years, I have realized that I have been intentionally engaging in certain behaviors to attract the attention of specific people.
I even feel that I must be very negative for them to care about me.
I am unsure when I started having so many negative thoughts; I might be happy one moment and then suddenly feel down.
Although I sometimes have thoughts about ending my life, I lack the courage to do so.
At most, I just hit the wall or myself.
I have thought about this for a long time and still do not understand why I exhibit these behaviors.

Nìmíng, 20~29 year old female. Ask Date: 2022/12/25

Dr. Qiu Junda reply Psychiatry


Hello.
These issues, regardless of whether they reach the level of a medical condition, have caused you mental and physical distress.
It is recommended that you call the 1925 Mental Health Hotline to discuss your concerns and engage in online counseling to help alleviate your distress.

Reply Date: 2022/12/25

More Info


It sounds like you're grappling with some complex emotional and psychological challenges that are affecting your mental health and overall well-being. The behaviors you've described—seeking attention through negative actions, fluctuating moods, and even thoughts of self-harm—can be indicative of underlying mental health issues that deserve attention and care.

First and foremost, it's essential to recognize that seeking attention through negative behaviors is often a cry for help. Many individuals who feel overlooked or unsupported may resort to acting out in ways that draw attention, even if that attention is negative. This can stem from a deep-seated belief that they are only worthy of care and concern when they are in distress. Such patterns can be rooted in past experiences, relationships, or even learned behaviors from family dynamics. Understanding the origins of these feelings is crucial in addressing them effectively.

Your mention of mood swings—from feeling happy to suddenly experiencing a low mood—could suggest emotional dysregulation, which is often seen in various mental health conditions, including depression and anxiety disorders. The fact that you sometimes have thoughts of ending your life, even if you lack the courage to act on them, is particularly concerning. These thoughts are serious and should not be taken lightly. They indicate that you are in significant emotional pain and may benefit from professional support.

It's also important to note that self-harm behaviors, such as hitting walls or yourself, are often coping mechanisms for dealing with overwhelming emotions. While they may provide temporary relief, they do not address the underlying issues and can lead to further emotional distress. Finding healthier coping strategies is essential for your mental health.

Given the complexity of your situation, I strongly encourage you to seek help from a mental health professional, such as a psychologist or psychiatrist. They can provide a safe space for you to explore your feelings and behaviors without judgment. Therapy can help you understand the root causes of your actions, develop healthier coping mechanisms, and work towards emotional regulation. Cognitive-behavioral therapy (CBT), for example, is effective in addressing negative thought patterns and behaviors.

In addition to therapy, consider reaching out to supportive friends or family members who can provide a listening ear and emotional support. Sometimes, simply sharing your feelings with someone who cares can alleviate some of the burdens you carry.

Lastly, if you ever feel overwhelmed or in crisis, please do not hesitate to reach out to a crisis hotline or emergency services. Your safety and well-being are paramount, and there are people who want to help you through this difficult time.

In summary, your experiences reflect a need for deeper understanding and support regarding your mental health. Seeking professional help is a vital step in addressing these issues and finding healthier ways to cope with your emotions. Remember, you are not alone in this journey, and there are resources available to help you navigate through your struggles.

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