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What could cause extreme anger, self-harm, and bad self-image?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I think I have BPD; I have experienced a lot of symptoms, like intense emotions that I cannot control, such as anger, a constant feeling of emptiness, and self-harm. I have a bad self-image and am bad at controlling emotions. Sometimes, I have episodes where I either feel everything at once or get completely numb to everything and cannot feel anything. Also, I have a fear of abandonment. I have had these symptoms for two years, which is getting worse. I want to know what this could be. Kindly suggest.

Answered by Dr. Vipul Chelabhai Prajapati

Education:

MBBS

Professional Bio:

Dr. Vipul Chelabhai Prajapati is a Psychiatrist skilled in diagnosing and managing a wide range of mental health conditions. His expertise includes mood disorders (depression, bipolar disorder), anxiety disorders, psychotic disorders (such as schizophrenia), substance use disorders, child and adolescent psychiatry, geriatric psychiatry, and psychotherapy. He is also experienced in stress management, counseling, and rehabilitation support.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

As per your mentioned symptoms and history, I think you are going through depression and anxiety. We need to find out underlying personality issues. I suggest you start antidepressant and antianxiety medicine. Avoid smoking and drinking if any, exercise regularly, and if required start magnetic stimulation. I hope you find this helpful.

Thank you.

Medically reviewed by iCliniq medical review team
Published At February 22, 2025
Reviewed At February 25, 2025

Education:

MBBS

Professional Bio:

Dr. Vipul Chelabhai Prajapati is a Psychiatrist skilled in diagnosing and managing a wide range of mental health conditions. His expertise includes mood disorders (depression, bipolar disorder), anxiety disorders, psychotic disorders (such as schizophrenia), substance use disorders, child and adolescent psychiatry, geriatric psychiatry, and psychotherapy. He is also experienced in stress management, counseling, and rehabilitation support.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Vipul Chelabhai Prajapati is a Psychiatrist skilled in diagnosing and managing a wide range of mental health conditions. His expertise includes mood disorders (depression, bipolar disorder), anxiety disorders, psychotic disorders (such as schizophrenia), substance use disorders, child and adolescent psychiatry, geriatric psychiatry, and psychotherapy. He is also experienced in stress management, counseling, and rehabilitation support.

This doctor is not available for online consultations on the platform anymore.

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