Am I Experiencing Mental Health Issues? Seeking Answers and Support - Psychiatry

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Is this considered a mental illness?


I often feel very frustrated and tired, even though I haven't done much.
Sometimes I lack confidence and when I'm alone, I find myself fantasizing about various scenarios, such as imagining being someone else or embarking on certain missions.
At times, I even have conversations with myself.
Is this a problem? I also have issues with acne and hope to improve my social interactions and temper.
Please provide me with some guidance, doctor.
Thank you.

Ya Zai, 10~19 year old female. Ask Date: 2006/02/15

Dr. Chen Wenyu reply Psychiatry


Hello, Tooth: Fantasies exist across all age groups, especially during the developmental stages of children and adolescents when their minds are not fully matured.
To be honest, it's not easy; you’re already asking questions online at your age, which shows that you spend a considerable amount of time on the internet.
Introverted individuals are more prone to fantasizing, using it to achieve emotional fulfillment.
The internet is a virtual world, and spending extended periods online will undoubtedly impact your personality development.
If you want to have good relationships, it’s not about acne; it’s about whether you are willing to spend more time genuinely engaging with all your friends in the real world.
Thank you for your letter!

Reply Date: 2006/02/15

More Info


It sounds like you're going through a challenging time, and it's commendable that you're seeking answers and support regarding your mental health. Based on your description, it seems you may be experiencing symptoms that could be related to anxiety, depression, or possibly other mental health issues. Let’s break down some of the aspects you've mentioned and explore them further.

Firstly, feeling persistently bored, tired, or lacking motivation can be indicative of underlying mental health issues. These feelings can sometimes manifest as a lack of interest in activities that you once enjoyed or a general sense of dissatisfaction with life. This could be a sign of depression, which is characterized by a persistent low mood, loss of interest, and fatigue. If these feelings are affecting your daily life, it’s essential to address them.

The fact that you find yourself daydreaming or fantasizing about being someone else or completing certain tasks can be a coping mechanism. This kind of escapism is not uncommon, especially when someone feels overwhelmed or dissatisfied with their current reality. However, if this behavior becomes excessive or interferes with your ability to engage with the real world, it might be worth discussing with a mental health professional.

Talking to yourself is another behavior that can be interpreted in various ways. For some, it can be a way to process thoughts and emotions, while for others, it might indicate a struggle with loneliness or a desire for companionship. If you find that these conversations are becoming more frequent or intense, it could be beneficial to explore this further with a therapist.

You also mentioned concerns about your skin and wanting to improve your social interactions. Skin issues, such as acne, can significantly impact self-esteem and body image, which in turn can affect mental health. It's important to remember that many people experience skin problems, and seeking treatment from a dermatologist can help. Additionally, working on self-esteem and interpersonal skills can be beneficial. Engaging in social activities, even in small doses, can help you build connections and improve your mood.

Here are some steps you might consider taking:
1. Seek Professional Help: Consulting with a mental health professional can provide you with a safe space to discuss your feelings and experiences. They can help you identify any underlying issues and develop coping strategies.

2. Practice Self-Care: Engage in activities that promote your well-being, such as exercise, healthy eating, and adequate sleep. These can have a positive impact on your mood and overall mental health.

3. Mindfulness and Relaxation Techniques: Techniques such as meditation, deep breathing exercises, or yoga can help reduce anxiety and improve your emotional state.

4. Connect with Others: Try to reach out to friends or family, even if it feels challenging. Building a support network can help alleviate feelings of loneliness.

5. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process emotions and reflect on your experiences.

6. Limit Social Media: If you find that social media contributes to your feelings of inadequacy or anxiety, consider taking a break from it.

In conclusion, while it’s normal to experience ups and downs in life, persistent feelings of sadness, anxiety, or disconnection warrant attention. Seeking help is a sign of strength, and there are many resources available to support you. Remember, you are not alone in this journey, and taking the first step towards seeking help can lead to significant improvements in your mental health and overall well-being.

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