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Hello and thank you for your question. I am sorry that you are having these episodes of punching yourself in the face, I can understand how distressing this can be for you. Can you tell me do these episodes of punching yourself in the face occur on an impulse or do you think about it beforehand? Do you punch yourself multiple times in rapid succession or is it just one time before you stop yourself? Lastly what is your mood like before you start to punch yourself...are you happy, sad, anxious, angry, etc....?
I understand that you have seen a psychiatrist who told you that there was nothing wrong, but I am assuming that you are asking your question here because you want a second opinion. Can you answer the first two questions I posed so that I can better understand your situation.... 1. Can you tell me do these episodes of punching yourself in the face occur on an impulse or do you think about it beforehand? 2. Do you punch yourself multiple times in rapid succession or is it just one time before you stop yourself?
So if you state that there is nothing wrong with you, than what is your specific mental health question? My assumption is that you wanted a second opinion, is that what you are looking for?
I would agree with the acute stress disorder, but the act of punching yourself in the face like you described could be an impulse control disorder where you basically act without thinking. This impulse control disorder can cause you harm, and you do so to help you cope and relieve your stress/anxiety. This is considered a maladaptive coping strategy and it will only worsen your anxiety/stress in the long-term, which is why you may want to consider seeking treatment for your acute stress disorder and this possible impulse control disorder. If the psychiatrist you saw will not help you than maybe you can see a psychologist for therapy, so that you can learn more proper techniques to cope with your anxiety and stress, so that you do not have to resort to the self-harm.
I hope this answers your questions and gives you some guidance on this issue. Please let me know if you have any questions or concerns as I am happy to assist and support you regarding this issue.
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