Anxiety: Symptoms, Management, and When to Seek Help - Psychiatry

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Inquiry about anxiety disorders?


I have already seen a doctor who diagnosed me with anxiety disorder.
I don't need to take medication and should manage it on my own.
Previously, I experienced numbness in both my hands and feet, but now it has changed to only my left hand and left foot feeling a bit numb, and they also feel somewhat weak.
Sometimes, my heart races and I sweat.
I looked online and found that these could be signs of a stroke.

Wei, 10~19 year old female. Ask Date: 2016/04/11

Dr. Liang Sunyuan reply Psychiatry


Hello, Wei: Sweating, rapid heartbeat, and feelings of worry can indeed be related to anxiety.
Initially, the assessment may suggest that medication is not necessary, but if the symptoms persist without improvement, you can return for a follow-up appointment to discuss this with your physician.
Wishing you all the best.

Reply Date: 2016/04/11

More Info


Understanding anxiety is crucial, especially when it manifests in physical symptoms, as you've described. Anxiety disorders are among the most common mental health issues, affecting millions of people worldwide. They can present with a range of symptoms, both psychological and physical, which can sometimes lead to confusion about their origins.

From your description, it seems that you have been diagnosed with an anxiety disorder by your doctor, which is a significant first step in managing your condition. Anxiety can lead to various physical sensations, including tingling or numbness in the limbs, weakness, rapid heartbeat, and sweating. These symptoms can be alarming and may mimic more severe medical conditions, such as a stroke or heart issues, which is why it’s essential to understand their context within anxiety.


Symptoms of Anxiety Disorders
1. Physical Symptoms: These can include:
- Tingling or numbness in the hands and feet
- Muscle tension or weakness
- Rapid heartbeat or palpitations
- Sweating or chills
- Shortness of breath
- Gastrointestinal issues (nausea, diarrhea)
2. Psychological Symptoms: These often include:
- Excessive worry or fear
- Irritability
- Difficulty concentrating
- Restlessness or feeling on edge
- Avoidance of certain situations or places

Management Strategies
Managing anxiety often involves a combination of self-help strategies, lifestyle changes, and professional support. Here are some effective methods:
1. Cognitive Behavioral Therapy (CBT): This is a highly effective treatment for anxiety disorders. It helps individuals identify and challenge negative thought patterns and develop coping strategies.

2. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety symptoms.

3. Regular Physical Activity: Exercise is a powerful stress reliever. It can help reduce tension, improve mood, and promote better sleep.

4. Healthy Lifestyle Choices: Maintaining a balanced diet, getting enough sleep, and avoiding excessive caffeine and alcohol can significantly impact anxiety levels.

5. Social Support: Connecting with friends, family, or support groups can provide emotional support and reduce feelings of isolation.

6. Journaling: Writing about your thoughts and feelings can help you process your emotions and identify triggers for your anxiety.


When to Seek Help
While self-management strategies can be effective, it’s essential to seek professional help if:
- Your symptoms worsen or become unmanageable.

- You experience panic attacks or severe anxiety that interferes with your daily life.

- You have thoughts of self-harm or suicide.

- You find it challenging to cope with daily responsibilities due to anxiety.


Conclusion
It's important to remember that anxiety disorders are treatable, and many people find relief through various methods. Since your doctor has advised against medication for now, focusing on self-management techniques and lifestyle changes can be beneficial. However, if your symptoms persist or escalate, don't hesitate to reach out for further professional support. Mental health is just as important as physical health, and taking proactive steps towards managing your anxiety can lead to a more fulfilling life.

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