Overcoming Negative Thoughts and Memory Issues in Adolescents

Q: Overcoming Negative Thoughts and Memory Issues in Adolescents

Hello： A1. <br>Sudden forgetfulness about tasks and frequent lapses in memory may stem from an inability to maintain focus, which prevents information from being fully received by the brain, stored temporarily, or converted into short-term memory. <br>There are many factors that

Negative thoughts and forgetfulness?

Hello, Doctor: Although I am only a first-year junior high school student, I have been troubled by some mental health issues recently, which have caused my mental state to deteriorate.
I would like to ask if you could provide me with some advice.

1.
I have been experiencing some memory-related issues, such as suddenly forgetting what I was about to do (even though I remembered it clearly just a moment ago), or during exams, I completely forget questions that I had previously found easy.
I also frequently miss appointments because I forget the dates, and I can no longer understand math formulas that I had previously memorized.
These situations have made learning very difficult for me.

2.
In the past three months, I have started experiencing symptoms of paranoia, believing that someone is poisoning my food and water, or that my classmates are trying to bully me.

3.
Additionally, I have been experiencing frequent headaches, averaging 50 to 60 times a day, with different areas of pain each time (but all located on my head).
I usually go to bed between 10 PM and midnight, without a specific routine.
Furthermore, my mental state has been affected by some stressors (such as verbal attacks from my parents and their favoritism towards my brother).
I hope this information can help you better assess my situation.
I would appreciate your response.
Thank you!

Xiao Jia, 10~19 year old female. Ask Date: 2024/01/30

Dr. Wu Menghuan reply Psychiatry

Hello: A1.
Sudden forgetfulness about tasks and frequent lapses in memory may stem from an inability to maintain focus, which prevents information from being fully received by the brain, stored temporarily, or converted into short-term memory.
There are many factors that can affect concentration, including external distractions, stress, and significant life events.
Internal factors may include attention deficit, anxiety disorders, depression, and adjustment disorders.
Some psychiatric symptoms may also lead to distractibility.
It is recommended to seek care at a child and adolescent psychiatry outpatient clinic.
A2.
Please find a family member to accompany you and seek care at a child and adolescent psychiatry outpatient clinic as soon as possible.
A3.
There are many types and causes of headaches.
After ruling out physiological factors, conditions such as depression, anxiety disorders, sleep disturbances, adjustment disorders, psychosocial stress, and tension in the neck and shoulder muscles can contribute to headache discomfort.
The most important aspect of sleep is not necessarily the duration but the efficiency of sleep; in simple terms, sufficient deep sleep is essential for waking up feeling refreshed.
Maintaining a regular sleep schedule is crucial, and the simplest method is to set a consistent wake-up time each day.
You mentioned experiencing some triggers that brought back negative memories, which can be quite distressing.
While we cannot change the personalities, tempers, or behaviors of our family members, we can work on ourselves to reduce their impact on us, focusing on activities we enjoy and seeking out new and interesting experiences.
It is advisable to have a family member accompany you to a child and adolescent psychiatry outpatient clinic.
Thank you for your inquiry, and I wish you peace and well-being.

Reply Date: 2024/01/30

More Info

It's clear from your message that you're experiencing a range of distressing symptoms that are affecting your daily life and mental well-being. The issues you've described, including memory lapses, paranoia, and frequent headaches, are concerning and warrant professional attention. Here’s a breakdown of your symptoms and some suggestions on how to address them.

Memory Issues
Your experience of sudden forgetfulness, especially during exams or while trying to recall previously learned material, can be linked to several factors. Stress and anxiety are common culprits that can significantly impair cognitive functions, including memory. When you're under pressure, your brain may struggle to process and retrieve information effectively. This is often referred to as "test anxiety," where the fear of performance can lead to mental blocks.

Additionally, if you're experiencing a lack of focus or concentration, it could be indicative of underlying issues such as Attention Deficit Hyperactivity Disorder (ADHD) or anxiety disorders. These conditions can make it challenging to maintain attention, leading to forgetfulness and difficulty in recalling information.

Paranoia and Delusions
The feelings of paranoia you've described—believing that someone is trying to harm you or that your peers are out to get you—are serious and should not be taken lightly. These thoughts can be a symptom of anxiety disorders, depression, or even more severe mental health conditions. It's essential to discuss these feelings with a mental health professional who can provide a proper assessment and support.

Headaches
The frequent headaches you're experiencing could be related to several factors, including stress, tension, or even sleep disturbances. Stress can lead to muscle tension, particularly in the neck and shoulders, which can trigger tension headaches. Additionally, irregular sleep patterns can exacerbate headaches and contribute to cognitive difficulties. Ensuring you have a consistent sleep schedule and practicing good sleep hygiene can help improve your overall well-being.

Recommendations
1. Seek Professional Help: It's crucial to consult with a mental health professional, such as a child and adolescent psychiatrist or psychologist. They can provide a thorough evaluation and help determine the underlying causes of your symptoms. Therapy, medication, or a combination of both may be recommended based on your specific needs.

2. Practice Stress Management: Techniques such as mindfulness, meditation, and deep-breathing exercises can help reduce anxiety and improve focus. Regular physical activity is also beneficial for mental health and can help alleviate stress.

3. Establish a Routine: Creating a structured daily routine can help improve your memory and reduce anxiety. Try to set specific times for studying, relaxing, and sleeping. Consistency can help your brain adapt and function more effectively.

4. Communicate with Family: If possible, share your feelings with a trusted family member or friend. Having a support system can provide comfort and help you feel less isolated in your struggles.

5. Limit Stressors: Identify any specific stressors in your life, such as academic pressure or family dynamics, and explore ways to mitigate them. This might involve setting realistic academic goals or finding ways to communicate your feelings to your family.

6. Healthy Lifestyle Choices: Ensure you are eating a balanced diet, staying hydrated, and getting regular exercise. These factors can significantly impact your mood and cognitive function.

Conclusion
Your situation is complex, and it's important to approach it with care and professional guidance. Remember, seeking help is a sign of strength, and addressing these issues early can lead to better outcomes in the long run. You deserve support and the opportunity to thrive both academically and personally. Please take the step to reach out to a mental health professional who can guide you through this challenging time.

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