the Mental Struggles: What Condition Am I Facing? - Psychiatry

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What disease is this?


Hello Dr.
Tang,
Thanks to your guidance, I have truly benefited greatly, and I am very grateful to you! Now, I would like to ask you a question.
I have given up the indifference and uniqueness of being a "Blackjack" player because I have found what is called (love), not the romantic kind, but the love of family.
However, what I cannot understand is that I still have thoughts of wanting to curse at or hit others! How can I free myself from the constraints of this condition? What exactly is this condition? I would greatly appreciate your insights amidst your busy schedule.
Thank you.

Xiao Jie, 20~29 year old female. Ask Date: 2002/05/05

Dr. Tang Xinbei reply Psychiatry


Dear Xiao Jie: I am glad to hear that you are making progress! You have been feeling confused about your condition.
You mentioned that "you still have thoughts of wanting to curse or hit someone." It may be helpful to clarify what these thoughts stem from.
Are they due to feeling mistreated by others? Are you worried or afraid that others may harm you? Are you feeling angry? Or is it an inexplicable impulse? Who are the targets of your thoughts of cursing or hitting? Since these details remain unclear, and I do not recommend diagnosing conditions through online consultations, I cannot provide a definitive answer regarding your condition or how to free yourself from its constraints.
Wishing you peace and joy!

Reply Date: 2002/05/05

More Info


Hello! Thank you for reaching out and sharing your thoughts and feelings. It sounds like you are navigating a complex emotional landscape, and I appreciate your openness in discussing your mental health struggles. Based on your description, it seems you may be experiencing symptoms that could be associated with several psychological conditions, including but not limited to anxiety, depression, and possibly elements of personality disorders.

From what you’ve shared, it appears that you have made significant progress in understanding your emotions and the underlying motivations behind them. The fact that you have found a sense of love—specifically, familial love—is a positive development. However, the persistent thoughts of aggression, such as wanting to yell at or hit someone, can be concerning and may indicate unresolved anger or frustration.

These aggressive thoughts can stem from various sources. They might be a reaction to past trauma, unresolved conflicts, or even feelings of powerlessness in your current situation. It’s essential to recognize that having these thoughts does not define you as a person; rather, they are signals that something within you needs attention and healing.

One possible explanation for your feelings could be related to unresolved anger or frustration. When individuals experience significant emotional pain or trauma, they may develop coping mechanisms that include emotional detachment or aggression. This detachment, which you referred to as "the coldness of Blackjack," might have served as a protective measure against emotional pain, but it can also lead to difficulties in processing emotions healthily.

To address these feelings, it might be helpful to engage in therapeutic practices that allow you to explore and express your emotions safely. Cognitive Behavioral Therapy (CBT) is one approach that can help you identify and challenge negative thought patterns, including aggressive impulses. Additionally, mindfulness practices can assist you in becoming more aware of your emotions as they arise, allowing you to respond to them in a more constructive manner rather than reacting impulsively.

It’s also crucial to develop healthy coping strategies for managing anger. Techniques such as deep breathing, physical exercise, or creative outlets (like art or writing) can provide a release for pent-up emotions. Engaging in activities that promote relaxation and self-care can also help mitigate feelings of aggression.

Furthermore, if you haven’t already, consider discussing these aggressive thoughts with a mental health professional. They can provide you with tailored strategies to manage these feelings and help you understand the underlying causes. Therapy can be a safe space to explore your emotions without judgment and to develop healthier ways of coping.

In summary, while it’s commendable that you have found love and connection, the presence of aggressive thoughts suggests that there may still be unresolved issues that need to be addressed. Seeking professional help can be a vital step in your journey toward emotional well-being. Remember, it’s okay to ask for support, and doing so can lead to significant positive changes in your life. Thank you for sharing your journey, and I wish you the best in your healing process.

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