Mental Stress: Coping with Anxiety and Impulses

Psychological stress

I would like to ask, I am currently retaking exams and rely on masturbation to relieve stress every day.
I really want to quit, but I can't control the impulse.
I also have mild insomnia and sometimes suddenly feel depressed and lethargic.
I easily feel irritable or anxious.
I have been experiencing these symptoms since April or May of last year.
What kind of mental health issue does this seem to be? Can medication help improve this?

lee, 10~19 year old female. Ask Date: 2016/01/27

Dr. Liang Sunyuan reply Psychiatry

Hello, the period of retaking exams can indeed be a challenging process.
I suggest you adopt various stress-relief methods, such as listening to music, reading, exercising, chatting with friends, or engaging in creative activities.
Sometimes, taking timely breaks can make your subsequent studying more efficient.
For exam preparation, it's advisable to proceed step by step and do your best.
Your symptoms seem to be related to stress, so it may be helpful to adjust your daily routine and mindset.
If there is no improvement or if the situation worsens, seeking medical assistance could be beneficial.
Wishing you all the best.

Reply Date: 2016/01/27

More Info

It sounds like you are experiencing a combination of anxiety, impulsivity, and possibly symptoms of depression, which can be quite common during periods of high stress, such as preparing for exams. The reliance on masturbation as a coping mechanism is not unusual; many people turn to various forms of self-soothing behaviors when they feel overwhelmed. However, if you feel that this behavior is becoming compulsive and is interfering with your daily life, it may be time to explore healthier coping strategies.

The symptoms you describe—difficulty sleeping, feelings of sadness or lethargy, irritability, and impulsive behavior—could indicate a few different mental health issues, including generalized anxiety disorder (GAD), depression, or even adjustment disorder due to the stress of retaking exams. It's important to understand that mental health is complex, and symptoms can overlap between different conditions.

In terms of medication, there are various options available that can help alleviate symptoms of anxiety and depression. Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed for these conditions and can help regulate mood and reduce anxiety. However, medication is not a one-size-fits-all solution, and it is essential to consult with a mental health professional who can evaluate your specific situation and recommend an appropriate treatment plan. This may include therapy, medication, or a combination of both.

Cognitive-behavioral therapy (CBT) is particularly effective for anxiety and depression. It focuses on identifying and changing negative thought patterns and behaviors. Through CBT, you can learn healthier coping mechanisms, which may help reduce your reliance on masturbation as a stress relief method. Techniques such as mindfulness, relaxation exercises, and physical activity can also be beneficial in managing stress and anxiety.

Additionally, establishing a structured routine can help create a sense of stability and predictability in your life, which can be comforting during stressful times. Make sure to allocate time for study, self-care, and relaxation. Engaging in hobbies or activities that you enjoy can also provide a much-needed break from the pressure of studying.

It's crucial to reach out for support, whether from friends, family, or a mental health professional. Talking about your feelings and experiences can be incredibly therapeutic and can help you feel less isolated in your struggles. If you are hesitant to seek professional help, consider starting with a support group or online forums where you can connect with others who may be experiencing similar challenges.

In summary, while your symptoms may indicate anxiety and possibly depression, it is essential to consult with a mental health professional for a proper diagnosis and treatment plan. Medication can be effective, but therapy and lifestyle changes are also critical components of managing mental health. Remember, seeking help is a sign of strength, and you do not have to navigate this journey alone.

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