Cranial development issues?
Hello, Doctor: I would like to ask until what age do male bones generally develop? Does the skull continue to grow after the age of 18? Two years ago, I was diagnosed with obsessive-compulsive disorder and often overthink things, which causes me headaches.
After a while, I noticed a bump on the top of my head when I massaged it (I might be mistaken, but I really don't recall having this bump before...
so could mental issues potentially affect the skull?).
Thank you, Doctor.
Is it possible that the pressure and pain on the top of my head made me more aware of the bump? I am no longer overthinking, but I still feel pain when I touch the top of my head.
What could be the reason for this? Which specialist should I see?
Azhong, 20~29 year old female. Ask Date: 2015/02/04
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter.
Mental illnesses are generally not related to the appearance of the skull, unless the mental illness is caused by head trauma, in which case the patient may have fractures in the skull.
After the age of 18, the skull should have fully formed and will not grow any further.
Patients with obsessive-compulsive disorder may experience headaches due to repetitive thinking, but this will not affect the appearance of the skull.
It is likely that the protrusion was already present.
For headaches, you may consult a neurologist.
Wishing you a speedy recovery, thank you.
Reply Date: 2015/02/04
More Info
Understanding skull development and its connection to mental health issues is a multifaceted topic that intertwines aspects of physical growth, psychological well-being, and the intricate relationship between the two.
To address your first question regarding skull development, the human skull undergoes significant changes during childhood and adolescence. Generally, the bones of the skull are not fully fused at birth; they consist of several separate bones connected by sutures, which are flexible joints. These sutures allow for growth as the brain expands during early development. In males, the skull typically reaches its full size by the late teenage years, around 18 to 20 years of age. However, some studies suggest that certain areas of the skull may continue to develop slightly into the early twenties, particularly in response to factors such as hormonal changes and physical activity.
Regarding your concern about the development of a bump on your skull and its potential connection to your mental health issues, it is essential to understand that psychological stress and anxiety can manifest in various physical symptoms. Conditions like obsessive-compulsive disorder (OCD), which you mentioned being diagnosed with, can lead to heightened tension and discomfort in the body, including the head. This tension can sometimes cause muscle tightness or discomfort, which may be perceived as pain or pressure in the skull area.
The presence of a new bump on your skull could be due to several factors, including benign bone growth, muscle tension, or even a previous injury that you may not have noticed at the time. It is not typical for mental health issues to directly cause structural changes in the skull, but the stress and anxiety associated with these conditions can lead to physical discomfort. For instance, if you have been experiencing significant stress, you might unconsciously tense the muscles in your neck and head, leading to pain or discomfort in those areas.
If you are experiencing persistent pain or discomfort in your skull, it is advisable to consult a healthcare professional. A primary care physician or a neurologist would be appropriate for evaluating your symptoms. They can perform a physical examination and, if necessary, imaging studies such as X-rays or MRIs to assess any structural changes in your skull. Additionally, if you are still dealing with the psychological aspects of your condition, a mental health professional, such as a psychologist or psychiatrist, can help you manage your OCD and any associated anxiety.
In summary, while the skull typically stops growing in late adolescence, the interplay between mental health and physical symptoms is complex. Stress and anxiety can lead to physical discomfort, but structural changes in the skull are less likely to be directly caused by psychological issues. It is crucial to seek professional advice to address both your physical symptoms and mental health concerns comprehensively. Engaging in regular mental health support, such as therapy or counseling, can also be beneficial in managing the symptoms of OCD and improving your overall well-being.
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