Complex Mental Health Issues in Adolescents: A Personal Journey

Many types of mental health issues?

Hello, doctor.
Since I was in the ninth grade, I have been experiencing several psychological issues, and now that I'm approaching my second year of high school, they have worsened and are starting to affect my daily life, which is why I am reaching out for help.

Starting from a certain day last year, I suddenly began to feel that my surroundings were very dirty while eating.
I became obsessed with the idea that bacteria in the air would float into my bowl, along with germs from the kitchen, and oils and bacteria from other people's hands.
Just thinking about these things makes me feel nauseous and want to vomit.
When I see someone passing by or notice parts of their body while eating, I magnify the dirt and grease on them in my mind, easily feeling that others are dirty while I am perfectly clean.

In the past, I didn't mind sharing food, but now the thought of someone else's saliva on drinks or food makes me feel like throwing up.
I often have suicidal thoughts and feelings of inferiority; even when I get along well with others, I feel like they don't really need me and that it wouldn't matter if I disappeared.
Whenever I experience stress, I have the urge to self-harm, and I have acted on it, although I have not attempted suicide.

Seeing others happy does not evoke feelings of envy or jealousy in me; instead, I feel that happiness is something I will never have.
I also tend to get angry or happy over very trivial matters, but when something significant happens, I feel indifferent, as if thinking, "What's there to be sad or happy about?" My emotional fluctuations are either minimal or nonexistent.
Recently, I have also noticed a decline in my cognitive abilities; during class, my attention has started to wane, and when I try to focus, my mind is filled with noise.

Zhen, 10~19 year old female. Ask Date: 2024/05/31

Dr. Wu Enliang reply Psychiatry

It appears that the individual is experiencing significant anxiety, depression, and obsessive-compulsive symptoms.
It is recommended to seek treatment at a mental health facility.
Dr.
Wu En-liang.

Reply Date: 2024/05/31

More Info

Your situation is quite complex and reflects a range of mental health challenges that many adolescents face. It’s commendable that you are seeking to understand your experiences better. From what you’ve described, it seems you are dealing with a combination of anxiety, obsessive thoughts, feelings of worthlessness, and possibly symptoms of depression.
Firstly, the feelings of disgust and anxiety related to cleanliness and germs you mentioned could be indicative of obsessive-compulsive tendencies. This is not uncommon in adolescents, especially when they are under stress. The fear of contamination can lead to avoidance behaviors, such as not wanting to share food or feeling nauseous at the thought of germs. This can significantly impact your daily life, including your social interactions and eating habits.

The suicidal thoughts and feelings of worthlessness are particularly concerning. It’s important to take these feelings seriously. Many adolescents experience fluctuations in mood and self-esteem, but persistent thoughts of self-harm or suicide should prompt immediate professional help. It’s crucial to talk to someone who can provide support, such as a mental health professional. They can help you navigate these feelings and develop coping strategies.

Your mention of emotional numbness or feeling indifferent to significant events is also a common symptom of depression. This can manifest as a lack of interest in activities that once brought you joy or a sense of detachment from your surroundings. It’s as if you’re observing life rather than participating in it, which can be incredibly isolating.

The cognitive difficulties you’re experiencing, such as trouble concentrating and feeling overwhelmed by noise in your head, can be linked to anxiety and depression as well. When your mind is preoccupied with distressing thoughts, it can be challenging to focus on tasks at hand. This can lead to a cycle of frustration and further anxiety, especially in a school environment where academic performance is often emphasized.

Given the severity of your symptoms, I strongly encourage you to seek professional help. A psychologist or psychiatrist can provide a thorough assessment and help you understand what you’re experiencing. They may suggest therapy, such as cognitive-behavioral therapy (CBT), which is effective for many adolescents dealing with anxiety and depression. In some cases, medication may also be recommended to help manage symptoms.

When discussing your feelings with your family, it might be helpful to express how these issues are affecting your daily life and emotional well-being. You could say something like, “I’ve been feeling really overwhelmed and struggling with my thoughts and emotions. I think it would help if I could talk to someone who understands mental health.” This approach can open the door for a supportive conversation about seeking help.

Lastly, remember that you are not alone in this journey. Many adolescents face similar challenges, and reaching out for help is a strong and positive step. It’s essential to prioritize your mental health and well-being, and there are resources available to support you through this difficult time.

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