Anxiety and Health Concerns During Pregnancy

Anxiety? Obsession? Or hypochondria?

Hello, Doctor: Since my mother was diagnosed with cancer over five years ago, I, as the eldest daughter, have been accompanying her through her treatment while my father has been abroad for many years.
As a result, I have seen many cases in the hospital, which has gradually made me, who was once optimistic, become more anxious.
My mother has completed her treatment and is now living a normal life, but my mental state has become abnormal.
Initially, I started checking my own body and searching for information online, often scaring myself.
I have been living in a constant state of tension, always wondering if something is wrong and if I need to see a doctor.
I find myself opening my mouth to check my throat or examining my stool, constantly checking if my pulse is within the normal range, and so on.

Later, I went for various medical check-ups and found that some doctors mentioned there might be congenital issues that need to be monitored, which, although not affecting my daily life, still left me anxious.
During the annual follow-ups, I always lived in fear, and I would become very nervous when it was time for those check-ups.
Recently, I became pregnant, and I noticed that my anxiety has worsened.
My anxiety has extended to my husband; I check his skin, worry about him catching a cold, and when his company health check report indicated the need for follow-up, I felt like crying.
I can't help but search online for information, which often leads me to negative news, increasing my anxiety.
I never thought about not wanting to live before, but recently, being trapped in this emotional state has made me have such thoughts for the first time.

I have many anxieties; I check the doors and gas every day, and when traveling abroad, I look up safety precautions (for example, someone mentioned radiation in Japan and that I should take calcium supplements, so I make sure to buy them).
I feel that life is really exhausting.
Could my pregnancy be causing these psychological changes? Is this related to prenatal depression? Recently, I find myself wanting to cry every day, worrying about myself, my beloved husband, and the baby in my womb.
This incessant worry fills my life with stress and anxiety, and I feel so depressed every day.
Where has the old me gone? I used to be the type of person who didn't worry or follow up when there were abnormalities in health checks...

Wendy, 30~39 year old female. Ask Date: 2016/05/19

Dr. Ding Shuyan reply Psychiatry

Hello, your problem can be very difficult or exceptionally simple.
If you insist on exploring the reasons and finding an answer, it becomes quite challenging.
Alternatively, you can divert your attention and ignore it, and you will immediately return to your previous state, which is very simple.
Some individuals with obsessive-compulsive disorder (OCD) have a fundamental assumption that if the things they worry about are not handled properly, the consequences will be unimaginable and unbearable.
In reality, this is a mental maze they have woven for themselves, which has no real connection to the actual world.
Because of this, these obsessive thoughts, whether resolved or not, will not lead to any unfortunate events occurring.

Another surprising fact is that the more we dwell on these thoughts, the larger this maze becomes, appearing increasingly real.
If we start right now to stop thinking about it, this fictional world begins to shrink and lose its power.
My suggestion is not to fight against the thoughts you are worried about, but also not to follow them continuously.
When a thought arises, tell yourself to wait and do something else first, and then come back to it later, giving yourself the opportunity to shift your focus.
This will interrupt the chance to fuel this maze, and gradually, you will care less about it.

In my experience, many individuals with OCD, anxiety disorders, and depression improve not by understanding or resolving their issues, but by gradually stopping the waste of time on these worrying topics, allowing their time and energy to return to normal life.
Seeing a doctor and taking medication is also a good option.

Wishing you all the best,
Dr.
Ding Shuo-Yan

Reply Date: 2016/05/19

More Info

It's understandable to feel overwhelmed with anxiety, especially during pregnancy, which is a time of significant emotional and physical change. Your experiences reflect a common phenomenon known as health anxiety or hypochondria, which can be exacerbated by stressful life events, such as your mother's illness. The transition into pregnancy can amplify these feelings, as you are now not only concerned about your own health but also about the health of your partner and your unborn child.

Pregnancy itself can trigger a range of emotional responses due to hormonal changes, physical discomfort, and the anticipation of becoming a parent. It's not uncommon for women to experience heightened anxiety during this time, especially if they have a history of anxiety or have faced traumatic experiences in the past. Your concerns about your health and the health of your baby are valid, but they can also lead to a cycle of worry that may not be productive.

Research indicates that high levels of anxiety during pregnancy can have implications for both the mother and the fetus. Maternal anxiety can lead to increased stress hormones, which may affect fetal development and could potentially lead to complications such as preterm birth or low birth weight. However, it's important to note that not all anxiety will lead to negative outcomes, and many women with anxiety have healthy pregnancies and babies.

To address your concerns, consider the following strategies:
1. Seek Professional Help: Consulting with a mental health professional, such as a psychologist or psychiatrist, can provide you with coping strategies tailored to your situation. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety disorders and can help you reframe your thoughts and reduce anxiety.

2. Practice Mindfulness and Relaxation Techniques: Engaging in mindfulness practices, such as meditation or yoga, can help ground you in the present moment and reduce feelings of anxiety. These practices can also improve your overall well-being during pregnancy.

3. Limit Information Overload: While it’s natural to seek information, excessive research can lead to increased anxiety. Try to limit your time spent online searching for health information, and instead, focus on trusted sources or consult your healthcare provider for reassurance.

4. Communicate Your Feelings: Sharing your feelings with your partner, family, or friends can help alleviate some of the burdens you’re carrying. They can provide support and understanding, which is crucial during this time.

5. Establish a Routine: Creating a daily routine that includes time for self-care, relaxation, and enjoyable activities can help provide structure and reduce feelings of chaos.

6. Focus on Positive Affirmations: Remind yourself of your strengths and the positive aspects of your life. Keeping a gratitude journal can help shift your focus from worries to the things you appreciate.

7. Stay Active: Regular physical activity, as recommended by your healthcare provider, can improve your mood and reduce anxiety. Even gentle activities like walking or prenatal yoga can be beneficial.

8. Monitor Your Symptoms: If you find that your anxiety is becoming unmanageable or if you experience persistent feelings of sadness or hopelessness, it’s crucial to seek help. Prenatal depression is a real concern, and addressing it early can lead to better outcomes for both you and your baby.

In conclusion, while your anxiety is understandable given your past experiences and current circumstances, it’s important to take proactive steps to manage it. Remember that you are not alone, and many women face similar challenges during pregnancy. Seeking support and employing coping strategies can help you navigate this journey with greater ease and confidence. Your well-being is essential not only for you but also for your growing family.

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