Mental Health Issues: Signs and Symptoms in Young Adults

Q: Mental Health Issues: Signs and Symptoms in Young Adults

Hello： As mentioned in the letter, there are indeed differences compared to the general population, but online descriptions cannot lead to a diagnosis. <br>It is recommended to consult a psychiatrist. <br>Thank you for your correspondence.

Psychological disorders?

My sister has started to feel like crying, is paranoid, and has become very angry.
She also begins to wonder what it feels like to jump off a building or to commit suicide.
Her hair is falling out more and more, and she gradually talks less.
She often skips meals and seems indifferent to everything.
Her emotions fluctuate greatly, and she frequently experiences insomnia, often waking up suddenly in fear.
She is also afraid of facing crowds and her memory is deteriorating; she often forgets what she just said.
She easily feels that others dislike her (even though no one actually thinks that).
She is 18 years old.
Could you please tell me if my sister has a mental illness, and if so, what level it might be?

Ftlsland520, 10~19 year old female. Ask Date: 2015/07/21

Dr. Li Zhengfeng reply Psychiatry

Hello: As mentioned in the letter, there are indeed differences compared to the general population, but online descriptions cannot lead to a diagnosis.
It is recommended to consult a psychiatrist.
Thank you for your correspondence.

Reply Date: 2015/07/21

More Info

It sounds like your sister is experiencing a range of concerning symptoms that could indicate a mental health issue. Based on what you've described, she is showing signs of emotional distress, including significant mood swings, anxiety, possible depression, and even thoughts of self-harm. These symptoms can be indicative of several mental health conditions, including depression, anxiety disorders, or even more severe conditions like bipolar disorder or borderline personality disorder.

Signs and Symptoms
1. Emotional Distress: Your sister's frequent crying spells and feelings of paranoia suggest she may be struggling with anxiety or depression. These conditions often manifest as overwhelming sadness, feelings of hopelessness, and an inability to cope with daily life.

2. Anger and Irritability: The episodes of rage can be a sign of emotional dysregulation, which is common in various mental health disorders. This can lead to impulsive actions and difficulty managing emotions.

3. Suicidal Thoughts: The fact that she is contemplating what it would be like to jump from a height or has thoughts about self-harm is particularly alarming. This is a serious symptom that requires immediate attention from a mental health professional.

4. Physical Symptoms: The increase in hair loss, changes in appetite (eating irregularly), and sleep disturbances (insomnia and waking up startled) can all be physical manifestations of stress and anxiety. These symptoms can exacerbate feelings of depression and anxiety, creating a vicious cycle.

5. Social Withdrawal: A decline in communication and a growing fear of social situations can indicate social anxiety or depression. This withdrawal can further isolate her, making her symptoms worse.

6. Cognitive Issues: Difficulty with memory and concentration, such as forgetting conversations or feeling confused, can be associated with anxiety and depression. These cognitive symptoms can impact her daily functioning and academic performance.

Recommendations
Given the severity of her symptoms, it is crucial that your sister seeks professional help as soon as possible. Here are some steps you can take:
1. Encourage Open Communication: Talk to her about her feelings without judgment. Let her know that it's okay to feel this way and that seeking help is a sign of strength, not weakness.

2. Seek Professional Help: Encourage her to see a mental health professional, such as a psychologist or psychiatrist. They can provide a proper diagnosis and create a treatment plan tailored to her needs. This may include therapy, medication, or a combination of both.

3. Emergency Support: If she expresses any thoughts of self-harm or suicide, it is critical to seek immediate help. This could involve contacting a crisis hotline, taking her to an emergency room, or contacting a trusted adult who can assist.

4. Supportive Environment: Create a supportive home environment where she feels safe to express her feelings. Encourage healthy habits, such as regular exercise, a balanced diet, and sufficient sleep, which can positively impact mental health.

5. Educate Yourself: Understanding mental health issues can help you support her better. There are many resources available online and in libraries that can provide information about mental health conditions and coping strategies.

Conclusion
Your sister's symptoms are concerning and warrant professional evaluation. Mental health issues can significantly impact a person's quality of life, but with the right support and treatment, recovery is possible. Encourage her to take the first step towards healing by seeking help. Remember, you are not alone in this; there are many resources and professionals ready to assist her on her journey to better mental health.

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