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Medical Professionals Share The Worst Mental Conditions They Know About

A doctor
Austin Distel/Unsplash

Reddit user MeepingBad6699 asked: 'Mental professionals of reddit, what is the worst mental condition that you know of?'

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We all have our bad days that can be completely debilitating.

Some days are worse than others and can lead to mental breakdowns.


For most of us, these moments are fleeting, and we can greet the next day with a fresh start and mindset.

But that luxury doesn't always apply to everyone.

Imagine those who perpetually experience such an extreme frequently, maybe even daily.

Curious to hear of various diagnoses of the mind, Redditor MeepingBad6699 asked:

"Mental professionals of reddit, what is the worst mental condition that you know of?"

There are patients who are convinced they are no longer with us but are still able to articulate it.

Dead But Alive

"Cotard delusion. I'm a nurse and had to take care of a huge man with this condition. He came in with some odd behavior and escalated to Cotard. The delusion makes you think you are actually dead. He would scream he was dead all day and night. Lived in constant terror. He was such a sweetheart, but became so worn down and terrified over time he got quite dangerous and punched a nurse in the face."

– bbourke0626

Unalive Patient

"I had a patient check into the ER with this once but I didn’t know the name, she just kept claiming she was dead. She got baker acted and transferred."

– Dimwit00

Rude Awakening

"Also a nurse. I had a couple patients get ICU delirium that presented with them believing they were dead. Definitely not a fun time."

"I mean it sorta makes sense. Being in the ICU can be comparable to torture with the sleep deprivation, constant beeping and other noises, lots of pain and other physical discomfort, the thirst and hunger (thirst and hunger are very psychological so even if we give someone nutrition through a feeding tube or IV, your brain still freaks out because you're not eating or drinking). And so for some people, if you wake up, don't know where you are and you feel like you're being tortured, reasonable enough to assume you are in hell."

– PaxonGoat

Statistics Say

"Wow. So according to the DSM 5 there have only been 200 cases since this condition was identified (how long ago, I want to say 1800s). Anyway, I just found a new study from 2022 that says that about 1% of patients with schizophrenia are now reporting this delusion. Which, as the authors point out, is a significant increase. I wonder what has changed in the decade since the DSM 5 was published that is driving this uptick?"

"It is especially odd when you consider that people actually used to believe that dead people could come back to life, even designing coffins and burial practices around this belief because it was so commonplace. You’d think if anything the condition would be becoming less frequent and not more. Interesting."

– DarthMomma_PhD

Severe memory loss is one of life's cruelest symptoms.

Losing A Sense Of Self

"Dementias."

"Watching a person, their memories, their personality die but their body remain living and confused, is horrifying..."

– Sacu_Shi_again

"Terrifying Prospect"

"My grandma has dementia (she can barely talk right now, but she's still physically healthy, somewhat) and a lot of my closely related family died due to Alzheimer's. Granted they acquired it / started showing severe symptoms when already quite old (early to late 80s), but it's still a terrifying prospect to know that I'll probably die in such a way. I hope that when the time comes, and it starts to affect me in a significant way, my wishes will be respected and I'll be euthanized. Both to spare me the horrors of it, and to not be a depressing burden to those around me."

– pale_sand

Warning Signs

"My grandma had it and now my dad is constantly complaining that he's forgetting things/can't remember anything. He's not even 60 yet."

– antisocialarmadillo1

Eating disorder was another horrific mental condition Redditors mentioned.

Hosting A Non-Existent Parasite

"Delusional parasitosis comes to mind with this prompt. I’ve watched a patient go to well over a dozen doctors trying to get confirmation that they’re parasite ridden. After countless stool samples, blood work, labs, scans, biopsies, etc., she clearly didn’t have any but remains convinced."

– Blahaj_shonk_lover

Side Effect

"A friend of my mom's ended up with something like this after getting into the wrong kinds of drugs."

"She was convinced that there were little bugs in her face. Absolutely convinced. She'd pick at her face day and night."

"She got clean for a little while, came to her senses, and stopped picking. But the damage was done, her entire face was scarred."

– ShiraCheshire

Alzheimer's hits too close to home.

I've known so many people related to or knowing someone with mental illnesses resulting in severe memory loss and it is heartbreaking.

Now a family member was just diagnosed and it's a lot for me to process it. It's not just the individual suffering. Their loved ones truly suffer too.

What I am learning, however, is to not take the present for granted. It's all we have.

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