Doctor, do I have paranoid delusions?
Hello, doctor: I've been thinking about something that happened a year and a half ago.
At that time, I did something that caused someone to get angry, and that person came to confront me.
He was aggressive, and after yelling at me, he said he didn't want to see this kind of thing happen again.
Does this mean that everything is okay now? (Can you tell me if this indicates that everything is fine? This is my question 1.)
Question 2 is that I've been worried he might come back to seek revenge and harm my family or cause trouble for my girlfriend.
For the past month, I've been avoiding going out and even told people that I'm dying to make it harder for them to find me.
I also feel like my friends might betray me because the person I had a conflict with has a friend who knows my friends.
So, I lied to my friends that I moved and let someone else stay in my old place to make it harder for them to find me, as I'm afraid my friends might team up with that person to cause me trouble.
Niming, 10~19 year old female. Ask Date: 2015/11/15
Dr. Liang Sunyuan reply Psychiatry
Hello, it has been a year and a half since the incident, and generally, it should be resolved by now.
However, you have recently started experiencing excessive anxiety and overly pessimistic thoughts related to this event, which seems to be affecting your personal functioning.
I recommend seeking medical attention to discuss coping strategies with a physician.
Wishing you all the best.
Reply Date: 2015/11/15
More Info
It sounds like you are experiencing significant anxiety and fear related to a past incident, which is understandably distressing. Your concerns about being targeted or harmed by this individual, as well as your feelings of paranoia regarding your friends, indicate that you may be dealing with heightened anxiety and possibly some paranoid thoughts. Let's break down your concerns and explore them further.
Understanding Your Concerns
1. Past Incident and Its Impact: The event you mentioned, where you felt threatened and blamed by someone, seems to have left a lasting impression on you. It's common for traumatic or stressful experiences to linger in our minds, leading to anxiety about potential repercussions. The fact that you are fixating on this incident suggests that it has not been fully processed, which can lead to ongoing fear and anxiety.
2. Fear of Retaliation: Your worry that this person might seek revenge or harm your loved ones is a manifestation of anxiety. It’s important to recognize that while it’s natural to feel concerned about safety after a threatening encounter, excessive worry can lead to irrational fears and behaviors. This can create a cycle of anxiety where you feel compelled to take extreme measures (like moving or isolating yourself) to protect yourself, which may not be necessary.
3. Paranoia About Friends: The belief that your friends might betray you or align with the person who threatened you indicates a level of distrust that can be associated with anxiety and paranoia. It’s crucial to differentiate between rational concerns and those that may be exaggerated due to anxiety. If you find yourself constantly questioning the intentions of those around you, it may be helpful to reflect on the evidence for these beliefs and consider whether they are based on facts or fears.
Recommendations for Moving Forward
1. Seek Professional Help: Given the intensity of your feelings and the impact they are having on your daily life, it would be beneficial to consult with a mental health professional. A psychologist or psychiatrist can help you explore these feelings in a safe environment and provide strategies to manage anxiety and paranoia. Cognitive-behavioral therapy (CBT) is particularly effective for addressing anxiety and irrational fears.
2. Develop Coping Strategies: In the meantime, consider developing coping strategies to manage your anxiety. Techniques such as mindfulness, deep breathing exercises, and grounding techniques can help you stay present and reduce feelings of panic. Journaling about your thoughts and feelings may also provide clarity and help you process your emotions.
3. Communicate with Trusted Individuals: If you feel comfortable, talk to someone you trust about your fears. Sharing your concerns can help alleviate some of the burden and provide you with support. It’s important to have a support system that can help you navigate these feelings.
4. Limit Exposure to Triggers: If certain situations or discussions trigger your anxiety, it may be helpful to limit your exposure to them until you feel more equipped to handle them. This could mean avoiding certain social situations or discussions that lead to heightened anxiety.
5. Focus on Safety: While it’s important to take your feelings seriously, also consider practical steps to ensure your safety without isolating yourself. This could include discussing your concerns with family or friends who can provide support and reassurance.
Conclusion
Your feelings of fear and anxiety are valid and deserve attention. It’s essential to address these concerns with the help of a mental health professional who can guide you through understanding and managing your emotions. Remember, you are not alone in this, and seeking help is a courageous step towards healing and regaining a sense of safety and control in your life.
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