Existential Thoughts and Emotional Distress in Adolescents

Mental

Hello, doctor.
I have been troubled by this issue for about a week, and I don't know why.
While watching a movie, a thought suddenly crossed my mind: "This is fake.
Why am I watching this? What is the meaning of it?" This thought inexplicably arises, and the same happens when I read comics; as soon as I think about it, all the enjoyment disappears.
As I am currently facing college entrance exams, I sometimes wonder, "Even if I do well on the exams, then what?" I completely lack normal feelings and suddenly feel unmotivated.
I am very afraid that these thoughts will persist, yet I cannot seem to eliminate them.
I initially thought it might be depression, but I still feel normal; I can laugh and talk.
However, when I think about what is funny or why I should laugh, I find myself lost and confused.
Doctor, what is happening to me, and what should I do? (I often feel dissatisfied with my parents' words and tone, and I argue back.
They are very worried about my grades, and I have high expectations for myself, but my personality makes me easily distracted.
Therefore, I am aware of the pressure I am under.) Nowadays, I find that I don't understand anything and can't comprehend things well; it seems like my understanding is somewhat impaired.
Thank you.

Ping~, 10~19 year old female. Ask Date: 2001/04/23

Dr. Dai Wanxiang reply Psychiatry

Based on your description, it is currently difficult for me to determine the exact cause of your issues, and I can only make some simple speculations.
Each individual faces different challenges regarding the significance of life and existence at various developmental stages.
As adolescents transition into adulthood, they often encounter issues of identity and the pursuit of autonomy, such as choices about lifestyle, friendships, future partners, and ideals.
This period is marked by confusion about one's life, contemplation of its meaning, or feelings of meaninglessness, which can lead to emotional detachment and alienation.
These are common challenges faced during this stage of growth, and it is normal for this process to be accompanied by depressive emotions.
Engaging in discussions with teachers or friends, or seeking simple psychological counseling or guidance, may help you navigate this period of uncertainty.
It is also possible that the depressive symptoms you mentioned manifest as apathy, detachment, unhappiness, and loss of interest.

As for depression, it is a diagnostic term used in psychiatry.
In addition to depressive moods, it may include symptoms such as low self-esteem, feelings of inferiority, guilt, difficulty concentrating, fatigue, insomnia, loss of appetite, and even suicidal thoughts.
I am unsure of your specific situation—adolescent depressive symptoms often present atypically.
If you are experiencing any of the aforementioned symptoms, psychiatric support may be necessary.
Of course, there could be other underlying causes, but I would need more information from you to make a proper assessment.
I hope the advice I provided is somewhat helpful, and feel free to reach out with any other questions.

Reply Date: 2001/04/23

More Info

It sounds like you're going through a very challenging time, and I want to acknowledge the complexity of what you're experiencing. The feelings of existential questioning, emotional distress, and the sense of losing interest in activities that once brought you joy can be quite overwhelming, especially during a period of significant stress like preparing for exams.

From what you've described, it seems you are grappling with thoughts about the meaning of life and your current situation. This is not uncommon, especially in adolescents who are navigating the pressures of academic performance, social dynamics, and personal expectations. The feelings of disconnection from what you once enjoyed, such as watching movies or reading comics, can be indicative of an underlying emotional struggle, possibly related to anxiety or depression.

It's important to recognize that these feelings can stem from various sources, including academic pressure, family expectations, and personal identity struggles. The fact that you are aware of your emotional state and are seeking to understand it is a positive step. However, the persistent nature of these thoughts and feelings suggests that it might be beneficial to seek professional help. A mental health professional can provide you with tools to cope with these feelings and help you explore the underlying issues contributing to your distress.

You mentioned that you can still engage in social interactions and experience moments of joy, which is a good sign. However, the intrusive thoughts about the meaning of your actions and the feeling of being lost can be distressing. This could be a sign of existential anxiety, which often arises during periods of significant life transitions or stress. It’s not uncommon for adolescents to question their purpose and the value of their experiences, especially when faced with high expectations from themselves and others.

In terms of how to approach this situation, consider the following steps:
1. Talk to Someone: It might be helpful to talk to a trusted friend, family member, or a school counselor about what you're feeling. Sometimes, just expressing your thoughts can provide relief and clarity.

2. Seek Professional Help: If these feelings persist or worsen, consider reaching out to a mental health professional. They can help you explore your feelings in a safe environment and provide coping strategies tailored to your needs.

3. Practice Mindfulness: Engaging in mindfulness practices, such as meditation or deep breathing exercises, can help ground you in the present moment and reduce feelings of anxiety.

4. Limit Stressors: If possible, try to identify and limit sources of stress in your life. This could mean taking breaks from studying, engaging in physical activity, or pursuing hobbies that bring you joy.

5. Set Realistic Goals: Instead of overwhelming yourself with high expectations, set small, achievable goals. This can help you regain a sense of control and accomplishment.

6. Reflect on Your Interests: Take some time to reflect on what truly interests you outside of academic pressures. Engaging in activities that you find fulfilling can help rekindle your passion and joy.

7. Consider Family Dynamics: If family expectations are contributing to your stress, it might be worth discussing your feelings with your parents. Open communication can sometimes alleviate pressure and foster understanding.

Regarding your concerns about seeing a mental health professional, many insurance plans cover mental health services, but it’s best to check with your provider about specific coverage details. The process of seeing a mental health professional may differ from regular medical appointments, as it often involves a more in-depth discussion about your feelings, thoughts, and behaviors.

In conclusion, while it’s normal to experience periods of existential questioning, persistent feelings of distress warrant attention. Seeking help is a sign of strength, and with the right support, you can navigate this challenging time and find clarity and purpose in your experiences. Remember, you are not alone in this journey, and there are resources available to help you through it.

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