Overcoming Persistent Thoughts: Managing Emotional Distress and Pain - Psychiatry

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A persistent thought or idea?


Hello, I would like to ask about some issues I've been experiencing.
At that time, I didn't manage my emotions well and kept repeating certain thoughts throughout the day.
My mind has been filled with the same recurring ideas (even though I go to work, eat, sleep, and maintain a normal routine, I have been almost constantly in a state of anger) for about a year at most.
Later, I left my original environment, but it has caused headaches (which feel like they originate from the central part of my skull and radiate to my forehead and eyebrows).
Is there any way to improve this situation? It's really unbearable!
Additionally, I feel like my understanding of my emotions and thoughts is very different from others.
It seems that I never learned how to regulate my emotions growing up, and I've been told that I have issues with sensory integration and emotional dysregulation.
What is the correct way to address this? Recently, my emotions have become more stable, but I still often feel like people are looking at me strangely when I walk down the street.
I have never talked to anyone (a doctor or friends) about this because I feel like I would be bothering them, and I doubt anyone would want to listen to someone else's painful experiences.
As for doctors, there are costs involved, and I really don't know what to do! I feel like I have issues with sensory integration as others have said.
Recently, I have decided to find a doctor; could you please help me with a recommendation? These past few years have felt very strange and stagnant, and I feel a bit trapped.
Thank you!

Kaiqing, 20~29 year old female. Ask Date: 2010/03/01

Dr. Yu Fengyu reply Psychiatry


Hello, Kaiqing.
Emotional distress leading to physical symptoms is a common phenomenon.
Based on your description, it seems that this began after a certain event and has persisted for a year, leaving you trapped in a cycle of anger, which has resulted in constant intrusive thoughts and even headaches.
This situation suggests that your usual coping mechanisms for stress may involve repression and withdrawal, neglecting the appropriate expression of emotions.
The long-term accumulation of this tension can lead others to perceive you as having a disorganized state.
Regarding your suspicion of others' unusual gazes while on the road, this may stem from prolonged anxiety and could also indicate other underlying issues.
It is advisable to seek medical attention as soon as possible.
The current healthcare system is quite good, and most psychiatric consultations, including some psychological therapies, are covered by insurance.
I recommend considering a nearby professional psychiatrist for convenience in follow-up visits.
Seeking help early and taking that difficult first step can be a turning point for change.
Best wishes, Dr.
Yu Fengyu.

Reply Date: 2010/03/01

More Info


It sounds like you are experiencing a significant amount of emotional distress and persistent negative thoughts, which can be incredibly overwhelming. Your description suggests that you have been dealing with these feelings for an extended period, and it’s understandable that you are seeking ways to manage them.
First and foremost, it’s important to acknowledge that what you are feeling is valid. Many people go through periods of intense emotional turmoil, and it can be exacerbated by unresolved issues from the past or ongoing stressors in your life. The fact that you have been experiencing these feelings for about a year indicates that it may be time to seek professional help.
Persistent negative thoughts, especially those tied to anger, can lead to physical symptoms such as headaches, as you described. This is often a manifestation of stress and anxiety. The brain and body are closely connected, and emotional distress can indeed result in physical pain. It’s crucial to address both aspects—your emotional health and your physical symptoms.

Here are some strategies that may help you manage your emotional distress:
1. Seek Professional Help: It’s commendable that you are considering finding a doctor or therapist. A mental health professional can provide you with the tools and support you need to understand and manage your emotions better. They can also help you explore the underlying causes of your feelings and thoughts. Many therapists offer sliding scale fees or community resources that can make therapy more affordable.

2. Practice Mindfulness and Relaxation Techniques: Mindfulness practices, such as meditation, deep breathing exercises, or yoga, can help you become more aware of your thoughts and feelings without judgment. These practices can also help reduce stress and improve your emotional regulation.

3. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process what you are experiencing. It can help you identify patterns in your thinking and provide an outlet for your emotions.

4. Physical Activity: Regular exercise is known to have a positive impact on mental health. It can help reduce anxiety and depression, improve mood, and even alleviate physical symptoms like headaches.

5. Connect with Others: While you may feel hesitant to burden friends with your struggles, it’s important to remember that sharing your feelings can be a relief. You might be surprised by how supportive your friends can be. If you feel uncomfortable talking to friends, consider support groups where you can connect with others who understand what you are going through.

6. Educate Yourself: Learning more about emotional regulation and mental health can empower you. Understanding that many people struggle with similar issues can help you feel less isolated.

7. Limit Stressors: If there are specific situations or people that trigger your negative thoughts, try to limit your exposure to them when possible. This can help create a more supportive environment for your healing.

8. Consider Medication: If your symptoms are severe, medication may be an option to discuss with a healthcare provider. Antidepressants or anti-anxiety medications can help stabilize your mood and reduce the intensity of your emotional pain.

Remember, healing is a process, and it’s okay to take small steps toward feeling better. You are not alone in this, and seeking help is a strong and positive step forward. Your mental health is just as important as your physical health, and addressing these issues can lead to a more fulfilling and balanced life.

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