Do I Need to See a Doctor for My Anxiety and Social Fears?

Q: Do I Need to See a Doctor for My Anxiety and Social Fears?

Hello： The symptoms you described, although not many, suggest that you may have a more anxious and sensitive personality. <br>Whether this reaches the level of social anxiety disorder or what is referred to as neurasthenia requires further evaluation. <br>If the symptoms are seve

Do I need to see a doctor for this?

Hello, Doctor:
1.
When I get nervous, my hands shake and I tend to speak until my face turns red, but this doesn't happen around people I'm familiar with.
As a result, others often misunderstand that I have a crush on someone, but I can't control it.
The more I worry, the more it happens, yet I can't help but feel anxious.

2.
I feel like I'm easily startled, not because of frightening things, but just a slightly loud noise can make me jump.
My classmates laugh at me, which makes me even more nervous during those moments of being startled.
I constantly feel like I'm on the verge of a breakdown.
Does this qualify as neurosis?
3.
If I do have social anxiety or neurosis, can it be self-treated, or do I need to rely on medication?

Chi, 10~19 year old female. Ask Date: 2016/04/25

Dr. Qiu Junda reply Psychiatry

Hello: The symptoms you described, although not many, suggest that you may have a more anxious and sensitive personality.
Whether this reaches the level of social anxiety disorder or what is referred to as neurasthenia requires further evaluation.
If the symptoms are severe, medication may be necessary to help alleviate them.
I recommend that you look for some relevant information first.
If self-training does not lead to improvement and this situation is significantly troubling you, it would be advisable to seek medical consultation.

Reply Date: 2016/04/25

More Info

It's understandable to feel anxious about seeking help for anxiety and social fears, especially when you have experienced discomfort in social situations. Your concerns are valid, and many people share similar feelings. Let's break down your questions and explore the importance of seeking professional help.

1. Understanding Your Symptoms: The symptoms you describe, such as trembling hands, blushing when speaking, and being easily startled, are common signs of anxiety. These reactions can be exacerbated by the fear of judgment from others, which can create a cycle of anxiety that feels overwhelming. It's important to recognize that these physical responses are not a reflection of your character but rather a manifestation of anxiety.
2. Social Anxiety Disorder: Based on your description, it sounds like you may be experiencing symptoms consistent with social anxiety disorder (SAD). This condition is characterized by an intense fear of social situations where one might be judged or scrutinized by others. People with SAD often go to great lengths to avoid situations that trigger their anxiety, which can lead to isolation and further exacerbate feelings of loneliness and depression.

3. Self-Treatment vs. Professional Help: While some individuals may find ways to manage their anxiety through self-help strategies, such as mindfulness, deep breathing exercises, or gradual exposure to feared situations, professional help is often necessary for more severe cases. Cognitive-behavioral therapy (CBT) is particularly effective for treating social anxiety. It helps individuals identify and challenge negative thought patterns and develop coping strategies for managing anxiety in social situations.

4. Medication: In some cases, medication may be recommended to help manage anxiety symptoms. Selective serotonin reuptake inhibitors (SSRIs) and other medications can be effective in reducing anxiety levels and improving overall functioning. However, medication is typically most effective when combined with therapy.

5. The Importance of Seeking Help: It’s crucial to understand that seeking help from a mental health professional does not mean you are weak or incapable. On the contrary, it takes strength to acknowledge your struggles and seek support. A mental health professional can provide a safe space for you to explore your feelings and develop strategies to cope with anxiety. They can also help you understand that you are not alone in your experiences.

6. Finding the Right Professional: If you have had negative experiences with healthcare providers in the past, it may be beneficial to seek recommendations from friends or family for a therapist or psychiatrist who is known for their empathy and understanding. It’s important to find someone you feel comfortable with, as the therapeutic relationship can significantly impact your progress.

7. Conclusion: In summary, it is advisable to see a doctor or mental health professional for your anxiety and social fears. They can help you understand your symptoms better, provide a diagnosis, and work with you to develop a treatment plan that may include therapy, medication, or a combination of both. Remember, seeking help is a proactive step towards improving your mental health and overall quality of life. You deserve support and the opportunity to live a fulfilling life without the constraints of anxiety.

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