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How to identify if a person is psychotic?

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

Patient's Query

Hello doctor,

I am afraid that I am jumping to conclusions. Am I psychotic? Am I a psychopath? I am very manipulative. I easily lose interest. I cannot focus on one thing. I empathize one second, the next minute I do not care. I have guilt but I can easily gaslight myself. I feel guilt but again, I can easily discard it. I am not narcissistic, though. Before I was, but I can say now that I am not. After being narcissistic, I suddenly became extremely insecure. Now I am afraid I am just mirroring people's feelings and I do not feel them.

Please help.

Hi,

Welcome to icliniq.com.

Thank you for taking help from a psychiatrist. You may have a borderline personality disorder. It is a type of personality, nature. You may have a chronic feeling of emptiness, emotional outbursts, self-harming behavior, and overwhelming behavior. You mostly feel that no one understands you in this world. You may have difficulty to keep the relationship for a long time. You may have frequent job-related issues. You may have anger outbursts. You are manipulative. There is non-pharmacological management for it. You should try to follow the below guidelines for it.

  1. You should do exercises daily for 30 to 45 minutes like at least going for a walk.
  2. You should do meditation for 20 minutes daily, just sit in one place in a comfortable position, and try to concentrate on your normal breathing, do not stop or force yourself to stop your thoughts, just let it be.
  3. You should eat healthy home-cooked foods, and avoid junk foods.
  4. You should spend quality time with friends and family daily or do video calls if you are living away from your family.
  5. You should spend time on creative hobbies like reading good books, writing journals, painting, drawing, and learning new skills or language or musical instruments.
  6. You should get enough seven to eight hours of sleep daily.
  7. You must avoid tobacco alcohol or any substance abuse.
  8. Live your life, do not just spend it.
  9. Be bold and confident.

I hope that you get your answer.

Please let me know if you want some help.

Thank you.

Medically reviewed byiCliniq medical review team

Published At August 30, 2024
Reviewed AtAugust 30, 2024

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