the Feeling of Being Watched: A Medical Perspective - Family Medicine

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Does everyone know what I'm thinking?


Hello, I am experiencing a very strange phenomenon where others seem to know what I am thinking.
As a result, they are using this to attack me, which makes me feel very sad.
I understand that this is hard to believe, but it is true.
What could this be, and is there anyone who can help me? Thank you.

Wang, 30~39 year old female. Ask Date: 2004/04/06

Dr. Hong Chuanqi reply Family Medicine


Hello Wang Yongsen: As you mentioned, this is a mental health issue and should be addressed by a psychiatrist.
Our hospital is a specialized psychiatric facility with many experienced psychiatrists.
You are welcome to visit our outpatient psychiatric clinic, where our doctors will provide you with answers.
Thank you! (I apologize for accidentally deleting this email, which delayed my response.) Hong Chuanqi, May 24, 2004.

Reply Date: 2004/04/06

More Info


Hello,
Thank you for sharing your experience, which sounds quite distressing. From your description, it seems you may be experiencing symptoms that could be associated with a mental health condition, possibly involving paranoia or delusions. It’s important to understand that these feelings can be very real and impactful, even if they may not align with the experiences of others.

When individuals feel as though others can read their thoughts or are aware of their private feelings, it can lead to significant anxiety and distress. This phenomenon is often linked to conditions such as schizophrenia or other psychotic disorders, where individuals may experience hallucinations or delusions. In your case, the belief that others are aware of your thoughts and are using that knowledge against you could be classified as a delusion, which is a false belief that is strongly held despite evidence to the contrary.

The experience of feeling watched or judged can also be a symptom of social anxiety disorder or generalized anxiety disorder. In these cases, the individual may feel excessively self-conscious or fear negative evaluation from others, leading to a heightened sense of paranoia. This can create a cycle of anxiety that reinforces the belief that others are aware of and reacting to one's thoughts.

It’s crucial to approach this situation with compassion for yourself. Mental health conditions are medical issues that can often be treated effectively with the right support. Treatment options typically include psychotherapy, medication, or a combination of both. Cognitive-behavioral therapy (CBT) is particularly effective for addressing distorted thinking patterns and can help you develop healthier coping mechanisms. Medications, such as antipsychotics or antidepressants, may also be prescribed depending on the specific diagnosis and symptoms.

If you haven’t already, I strongly encourage you to seek help from a mental health professional. A psychiatrist or psychologist can provide a thorough assessment and work with you to develop a treatment plan tailored to your needs. It’s important to communicate openly about your experiences, as this will help the clinician understand your situation better and offer appropriate support.

Additionally, consider reaching out to trusted friends or family members who can provide emotional support during this time. Sharing your feelings with someone you trust can alleviate some of the burdens you may be carrying.

In summary, while your experiences may feel isolating and difficult to articulate, they are valid and deserve attention. With the right treatment and support, many individuals find relief from their symptoms and can lead fulfilling lives. Remember, you are not alone in this, and help is available.

Take care, and I wish you the best on your journey toward healing.

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