Self-Harm: When to Seek Help for Emotional Distress

Q: Self-Harm: When to Seek Help for Emotional Distress

Dear Ting： It seems that your emotional distress has been ongoing for quite some time. <br>You feel quite lonely, scared, and helpless! You care a lot about how others perceive you, and you feel that no one understands you. <br>You struggle to control your own behaviors and often

I'm sorry

Hello, doctor: I am someone who does not express my emotions in front of others (especially anger).
When I try to suppress my emotions, I sometimes harm myself.
Initially, when I felt bad, listening to music would help me feel better.
Gradually, I started turning the volume up louder, and eventually, I began to bite myself and hit myself with objects, even using a knife to cut myself.
The injuries have increased from one area to multiple areas, spreading from my hands to my feet.
My emotions tend to improve a little after I inflict pain on my right hand; the physical pain allows me to forget my emotional distress for a moment.
I am very afraid of the dark, yet when I feel bad, I isolate myself in a dark place, wanting to hear no sounds and not wanting to talk.
Sometimes I cry and laugh at the same time or talk to myself, alternating between stopping and crying again.
Should I see a doctor?

Ting, 20~29 year old female. Ask Date: 2001/06/18

Dr. Tang Xinbei reply Psychiatry

Dear Ting: It seems that your emotional distress has been ongoing for quite some time.
You feel quite lonely, scared, and helpless! You care a lot about how others perceive you, and you feel that no one understands you.
You struggle to control your own behaviors and often find yourself in a state of emotional instability, resorting to self-harm as a way to express your dissatisfaction.
Your family does not understand you, and you are also unclear about why you feel this way.
I strongly recommend that you seek help from a psychiatric hospital as soon as possible for a professional evaluation and necessary assistance; you may even require long-term medication and psychotherapy.
Wishing you peace and joy! If you need help, feel free to visit our clinic.
Phone: 06-2795019 ext.
1537 Address: No.
80, Lane 870, Zhongshan Road, Rende Township, Tainan County.

Reply Date: 2001/06/18

More Info

It sounds like you are experiencing a significant amount of emotional distress, which is manifesting in self-harming behaviors. Self-harm can often serve as a coping mechanism for individuals who feel overwhelmed by their emotions, providing a temporary release or distraction from emotional pain. However, it is important to recognize that while self-harm may provide short-term relief, it does not address the underlying issues and can lead to more serious physical and psychological consequences.

Based on your description, it seems that your emotional state fluctuates significantly, leading to feelings of anger, sadness, and isolation. You mentioned that you tend to suppress your emotions, particularly anger, which can create a buildup of internal tension. This tension may eventually lead to self-harming behaviors as a way to cope with or express those feelings. Additionally, the fact that you have escalated from minor self-harm to more severe forms indicates that your emotional distress may be worsening over time.

It is crucial to understand that seeking help from a mental health professional is not only advisable but necessary in your situation. A mental health professional can provide you with a safe space to explore your feelings, understand the triggers for your emotional distress, and develop healthier coping mechanisms. Therapy can help you learn how to express your emotions in a constructive way rather than resorting to self-harm. Cognitive-behavioral therapy (CBT), for example, is an effective treatment for individuals struggling with self-harm and emotional regulation. It focuses on identifying and changing negative thought patterns and behaviors.

Moreover, it is essential to address the fear and anxiety you experience, particularly your fear of darkness and isolation. These feelings can exacerbate your emotional distress and lead to a cycle of negative thoughts and behaviors. A therapist can work with you to develop strategies to manage anxiety and create a more supportive environment for yourself.

In addition to therapy, consider reaching out to trusted friends or family members about your feelings. While it may be challenging to open up, having a support system can be incredibly beneficial. You do not have to go through this alone, and sharing your experiences with someone who cares can help alleviate some of the burdens you are carrying.

If you ever feel that your self-harming behaviors are becoming more severe or if you have thoughts of suicide, it is imperative to seek immediate help. You can contact a crisis hotline or go to the nearest emergency room. Remember, your safety is the top priority.

In summary, your experiences indicate that you are in need of professional help. Self-harm is a serious issue, and while it may provide temporary relief, it is not a sustainable or healthy coping mechanism. Seeking therapy can help you address the underlying emotional distress, learn healthier coping strategies, and ultimately improve your overall well-being. Please consider reaching out to a mental health professional as soon as possible. You deserve support and assistance in navigating these difficult emotions.

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