Am I Sick? Mental Health Concerns at 21 - Psychiatry

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It sounds like you are experiencing a complex mix of thoughts and feelings that can be quite distressing. At 21, navigating mental health issues can be particularly challenging, especially when you are trying to understand what you are going through. From your description, it seems you have been dealing with some symptoms that could be related to various mental health conditions, including anxiety, depression, or possibly even a form of psychosis.

Firstly, the experiences you describe, such as hearing voices or having intrusive thoughts, can be indicative of a few different mental health issues. For instance, hearing voices that tell you to stop thinking or that criticize you can be a form of auditory hallucination, which is often associated with conditions like schizophrenia or schizoaffective disorder. However, it’s important to note that not all auditory hallucinations mean you have a severe mental illness; they can also occur in the context of severe anxiety or depression.

The fact that you have been on psychiatric medication for over a year and have noticed little difference in your symptoms suggests that you may need a reevaluation of your treatment plan. It’s not uncommon for individuals to feel as though their medication isn’t working, especially if they are still experiencing significant symptoms. This could be due to a variety of factors, including the type of medication, dosage, or even the specific diagnosis. It’s crucial to communicate openly with your psychiatrist about your experiences, as they can help adjust your treatment plan accordingly.

Regarding the suggestion from one of your doctors about obtaining a disability card, this is often recommended for individuals whose mental health issues significantly impair their daily functioning. A disability card can provide access to various resources and support systems, which can be beneficial in managing your condition. However, this decision should be made in consultation with your healthcare provider and with the support of your family, as it can have implications for your treatment and support network.

It’s also important to consider the role of therapy in your treatment. Medication can be effective, but combining it with psychotherapy can often lead to better outcomes. Cognitive Behavioral Therapy (CBT), for instance, can help you address negative thought patterns and develop coping strategies for managing intrusive thoughts and anxiety.

You mentioned feeling like you are “used to” taking medication, which can sometimes lead to a sense of dependency. It’s essential to have a conversation with your doctor about how you feel regarding your medication and whether it’s truly necessary for you to continue taking it. They can help you weigh the pros and cons and explore alternative treatment options if needed.

Lastly, it’s crucial to prioritize your mental health and seek support from trusted friends, family, or mental health professionals. You don’t have to navigate this alone, and there are resources available to help you through this difficult time. Remember, acknowledging that you are struggling is the first step toward healing, and seeking help is a sign of strength, not weakness.

In summary, while it’s difficult to diagnose your condition based solely on your description, it’s clear that you are experiencing significant distress. I encourage you to continue seeking professional help, communicate openly with your healthcare providers, and consider integrating therapy into your treatment plan. Mental health is a complex and nuanced field, and finding the right support can make a significant difference in your overall well-being.