[20F] Experiencing emotional numbness and intense emotional reactions

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

1. Emotional Numbness and Intense Emotional Reactions:

   • Acute Stress Reaction: Given the recent stress of your best friend being missing, your body might be in a state of acute stress, leading to emotional numbness. This can sometimes be a protective mechanism.
   • Depression: The inability to feel sadness or panic, along with changes in sleep patterns, energy levels, and thoughts of self-harm, could be indicative of depression. Depression can sometimes manifest as emotional numbness or a lack of typical emotional responses.
   • Anxiety Disorders: The intense emotional reactions to seemingly minor events and overthinking about your relationship could be signs of an anxiety disorder.

2. Substance Use:

   • Robitussin (Cough Syrup) Misuse: Using cough syrup more frequently or in larger amounts than recommended can affect your mood and emotional state. Some cough syrups contain dextromethorphan, which can cause mood changes and emotional blunting when used in excess.

What you can do

Emotional Numbness and Intense Emotional Reactions:

• Seek Professional Help: It's crucial to talk to a mental health professional, such as a psychologist or psychiatrist, who can provide a proper diagnosis and treatment plan. They may recommend therapy, medication, or a combination of both.
• Practice Self-Care: Engage in activities that you enjoy and that help you relax. This could include exercise, reading, or spending time with loved ones.
• Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, and yoga can help manage stress and anxiety.
• Limit Substance Use: Avoid using cough syrup or any other substances in larger amounts than recommended. If you find it difficult to stop, seek help from a healthcare provider.

Thoughts of Self-Harm:

• Immediate Support: If you have thoughts of self-harm, it's important to seek immediate support. Talk to a trusted friend or family member, or contact a crisis hotline.
• Safety Plan: Work with a mental health professional to develop a safety plan that includes coping strategies and emergency contacts.

Changes in Sleep Patterns and Energy Levels:

• Establish a Routine: Try to go to bed and wake up at the same time every day. Create a relaxing bedtime routine to help signal to your body that it's time to sleep.
• Healthy Lifestyle: Regular exercise, a balanced diet, and staying hydrated can help improve your energy levels and overall mood.

Family History of Psychiatric Illnesses:

• Genetic Factors: Given your family history, you may be at a higher risk for certain psychiatric conditions. This makes it even more important to seek professional help and monitor your mental health.

Using MDandMe:

• Journal Your Symptoms: Use MDandMe to track your symptoms, mood changes, and any triggers you notice. This can provide valuable insights and help your healthcare provider understand your condition better.
• Share with Your Provider: Share your longitudinal medical notes with your healthcare provider to give them a comprehensive view of your symptoms over time.

What you should look out for

Given the severity of your symptoms and the potential for life-threatening consequences, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Worsening Thoughts of Self-Harm: If your thoughts of self-harm become more frequent or intense, seek immediate help.
• Severe Mood Changes: If you experience severe mood swings, hallucinations, or delusions, seek emergency care.
• Physical Symptoms: If you notice any physical symptoms such as chest pain, shortness of breath, or severe headaches, seek medical attention.

Remember, while I can provide information and suggestions, it's essential to consult with a real healthcare professional for a formal diagnosis and treatment plan. Take care, Iana.