Mental Health: Navigating Treatment and Sensitivity Issues - Psychiatry

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Hello?


I am currently undergoing treatment withdrawal, having experienced an initial onset and a subsequent relapse.
My attending physician has provided me with a severe illness card, indicating that I should receive treatment for a sensory processing disorder, but I do not possess a disability certificate.
I am now choosing to abandon treatment and live a normal life; my thoughts are stable, and my mental state is relatively calm.
Am I still considered a mental health patient? During the treatment phase, I was hospitalized, and it was determined that I was overly sensitive to sounds in stressful situations.
Therefore, I do not actually experience auditory hallucinations.
However, I have very little memory of the mid-phase before hospitalization.
I recall lying in bed and hearing the sound of plastic bags crumpling.
Setting aside my suspicions about the malicious intent and purpose of this behavior, I find that when I am in a more mentally rigorous and tense state, I can distinctly feel my eardrum pulsating when I hear the sound of plastic bags, not in sync with my pulse, but rather in a way that causes a particular twitching of the tissues in my ear in response to the sound.
Could this be an overactivation of the connection between my brain's neural pathways and the auditory receptor cells? When people around me are engaged in their own activities and mumble to themselves, I am indifferent to notification sounds from my phone or the volume of videos.
However, when there is an intentional or unintentional disturbance, I feel a surge of anger.
Although I do not resort to harmful actions, I am on the verge of cursing.
Instead of speaking negatively, would it be more effective for me to tap a hammer on the table to make others aware of their behavior? Or perhaps to tap their hand to prompt them to reflect on their pain and resentment? I would appreciate any insights from the physician on this matter.
Thank you.

Xiao Xiao Ming, 20~29 year old female. Ask Date: 2023/03/10

Dr. Li Zhengfeng reply Psychiatry


Hello: Schizophrenia is a chronic illness that requires long-term continuous treatment; otherwise, it is prone to relapse, leading to hallucinations, delusions, and harmful behaviors.
It is advised that you do not give up on treatment, as this may increase the risk of relapse.

Reply Date: 2023/03/10

More Info


Navigating mental health treatment can be a complex and often overwhelming journey, especially when dealing with sensitivity issues and the nuances of various diagnoses. Your experience reflects a common struggle faced by many individuals who have encountered mental health challenges, particularly when it comes to understanding their symptoms and the implications of their treatment choices.

From what you've described, it seems that you have undergone significant experiences related to mental health, including hospitalization and treatment for what has been identified as a sensitivity to auditory stimuli. This heightened sensitivity, particularly in stressful situations, can be indicative of a condition known as hyperacusis, which is characterized by an increased sensitivity to certain frequency ranges and volume levels of sound. This condition can often co-occur with anxiety disorders and other mental health issues, leading to discomfort and distress in everyday situations.

Your current decision to cease treatment and pursue a "normal" life while feeling mentally stable is a personal choice that many individuals make at different points in their recovery journey. However, it's essential to recognize that mental health is not a binary state of being "sick" or "healthy." Instead, it exists on a spectrum, and individuals may experience fluctuations in their mental health status over time. Even if you feel stable now, it's crucial to remain aware of your mental health and to seek help if you notice any changes or if your symptoms return.

Regarding your concerns about being labeled as a "mental health patient," it's important to understand that mental health diagnoses are not definitive labels but rather tools used by healthcare professionals to guide treatment. The fact that you have been diagnosed with a condition and have received treatment indicates that you have experienced challenges that warranted professional intervention. However, if you feel that you have made significant progress and are managing your symptoms effectively, you may not identify with that label anymore, and that's perfectly valid.

The auditory sensitivity you mentioned, particularly the experience of hearing plastic bag sounds and the physical reactions associated with it, could indeed be linked to the way your brain processes sound and stress. When individuals are in a heightened state of anxiety or tension, their sensory perception can become more acute, leading to an exaggerated response to stimuli that might otherwise be considered benign. This phenomenon is often seen in individuals with anxiety disorders, PTSD, and other related conditions.

As for your thoughts about expressing your frustration through actions like banging on a table, it's essential to consider the potential impact of such actions on your relationships and environment. While it may seem like a way to communicate your discomfort, it could also escalate tensions and lead to misunderstandings. Instead, exploring healthier coping mechanisms to express your feelings might be more beneficial. Techniques such as mindfulness, deep breathing exercises, or even engaging in physical activity can help manage your emotional responses without negatively affecting those around you.

In conclusion, your journey through mental health treatment and your current state of mind reflect a significant amount of self-awareness and introspection. It's commendable that you are seeking to understand your experiences and how they relate to your mental health. If you ever feel the need to revisit treatment or explore new coping strategies, consider reaching out to a mental health professional who can provide guidance tailored to your unique situation. Remember, mental health is a lifelong journey, and seeking support when needed is a sign of strength, not weakness.

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