Mental Health: Addressing Self-Talk, Emotional Imbalance, and Hallucinations - Psychiatry

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Mental health issues


Hello, doctor.
I would like to ask:
1.
If a person engages in self-questioning and answering in response to their circumstances, does this indicate schizophrenia? How can this situation be improved?
2.
If a person experiences physical injuries and encounters various issues in daily life that lead to psychological imbalance or feelings of sadness, anger, and resentment, does this indicate a psychological problem?
3.
How can auditory hallucinations be effectively treated? What steps should be taken?
4.
Thank you for your assistance and responses, and I wish you good health.

pony, 30~39 year old female. Ask Date: 2010/06/28

Dr. Wang Zhenyang reply Psychiatry


Hello, I can sense from your letter that the auditory hallucinations are causing you distress.
I am unsure if you are currently receiving treatment.
Although a brief letter may not provide you with an immediate and definitive diagnosis, due to your evident distress and corresponding emotional responses, I strongly recommend that you seek evaluation and treatment at a psychiatric or psychosomatic clinic.
Our outpatient hours are Monday to Saturday mornings and Monday to Thursday afternoons.
Sincerely, Taoyuan Psychiatric Hospital.

Reply Date: 2010/06/28

More Info


Understanding mental health is a complex and multifaceted endeavor, especially when it comes to phenomena such as self-talk, emotional imbalances, and hallucinations. Let's address your questions one by one.

1. Self-Talk and Personality Disorders: Engaging in self-talk, or having internal dialogues, is not inherently indicative of a personality disorder, such as dissociative identity disorder (formerly known as multiple personality disorder). Many people engage in self-talk as a means of processing thoughts and emotions. This can be a healthy coping mechanism, allowing individuals to reflect on their feelings and experiences. However, if self-talk becomes distressing or involves negative self-criticism, it may indicate underlying issues such as anxiety or depression. To improve this situation, it is beneficial to practice mindfulness and cognitive-behavioral techniques. These approaches can help individuals recognize negative thought patterns and replace them with more constructive self-dialogue. Seeking therapy can also provide support and strategies for managing these thoughts.

2. Emotional Responses to Life Events: Experiencing sadness, anger, or frustration in response to injury or life challenges is a normal human reaction. However, if these emotions become overwhelming or persistent, they may signal a deeper psychological issue. Emotional imbalances can manifest as mood disorders, such as depression or anxiety. It is essential to acknowledge these feelings and seek support when they interfere with daily functioning. Therapy can help individuals process their emotions and develop healthier coping strategies. Additionally, engaging in self-care practices, such as exercise, social support, and relaxation techniques, can promote emotional well-being.

3. Addressing Hallucinations: Hallucinations, including auditory hallucinations (hearing voices), can be distressing and may indicate a serious mental health condition, such as schizophrenia or severe mood disorders. The treatment for hallucinations typically involves a combination of medication and psychotherapy. Antipsychotic medications can help reduce the frequency and intensity of hallucinations. Therapy, particularly cognitive-behavioral therapy (CBT), can assist individuals in coping with their experiences and developing strategies to manage symptoms. It is crucial to consult a mental health professional for a comprehensive evaluation and tailored treatment plan.

4. Conclusion: Thank you for your thoughtful questions. Mental health is a vital aspect of overall well-being, and understanding the nuances of self-talk, emotional responses, and hallucinations is essential for fostering resilience and recovery. If you or someone you know is struggling with these issues, I encourage seeking professional help. Mental health professionals can provide the necessary support and guidance to navigate these challenges effectively. Remember, reaching out for help is a sign of strength, and with the right resources, improvement is possible. Wishing you health and well-being on your journey.

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