Am I Experiencing Anxiety? Symptoms and Triggers - Psychiatry

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Is this anxiety disorder?


Hello doctor, I get nervous very easily.
Sometimes when I'm at home, like washing something in the kitchen, if someone approaches me from behind, I get startled and scream.
When I have to perform on stage, I become so tense that my muscles are completely tight, and I feel very anxious.
Occasionally, I can't control my emotions and suddenly feel a strong urge to get angry (about once or twice a month).
I've had a habit of biting my nails since I was a child.

Niming, 20~29 year old female. Ask Date: 2016/12/20

Dr. Liang Sunyuan reply Psychiatry


Hello: Each person's personality traits are different, and anxiety may be one of those traits.
The characteristic of anxiety helps us pay more attention to changes in our environment, allowing us to respond early.
However, if it becomes excessive, it can lead to overall physical and mental fatigue, as being in a constant state of alertness is very energy-consuming.
Nail-biting can indeed be an outward symptom of internal anxiety.
It is recommended to focus on two directions: First, find your interests and hobbies, allowing yourself more time to immerse in them.
Typically, engaging in these activities can help relax the body and mind, alleviating tension.
The second direction is to identify the sources of your anxiety—whether it stems from worrying about not performing well or fearing negative outcomes.
Challenge any irrational beliefs and replace them with more rational and reasonable thoughts to counter past pessimistic beliefs.
If it is difficult to manage on your own, seeking medical assistance is advisable.
Wishing you all the best.

Reply Date: 2016/12/20

More Info


It sounds like you are experiencing a range of symptoms that could indeed be indicative of anxiety. Anxiety disorders are characterized by excessive fear or worry that can interfere with daily activities. Your experiences of being startled easily, feeling tense during performances, and having difficulty controlling your emotions suggest that you may be dealing with anxiety-related issues.

One common symptom of anxiety is hyperarousal, which can manifest as being easily startled or feeling tense in situations that may not warrant such a reaction. This hyperarousal can lead to physical symptoms, such as muscle tension, which you mentioned experiencing during performances. The fact that you have a habit of nail-biting is also noteworthy, as this is often a coping mechanism for anxiety or stress.

It's important to recognize that anxiety can take many forms, and it can be triggered by various factors, including stress, past experiences, or even genetic predispositions. Your sudden emotional outbursts, such as feeling angry or overwhelmed, could be a response to the buildup of anxiety over time. This is not uncommon; many people with anxiety disorders find that their emotions can feel out of control at times.

To better understand your situation, consider the following points:
1. Triggers: Identifying what specifically triggers your anxiety can be helpful. For instance, is it social situations, performance-related stress, or unexpected surprises? Keeping a journal of your feelings and situations that provoke anxiety can provide insight into patterns and triggers.

2. Coping Mechanisms: While nail-biting is a common response to anxiety, it may be beneficial to explore healthier coping strategies. Techniques such as deep breathing exercises, mindfulness, or progressive muscle relaxation can help manage anxiety symptoms. Engaging in regular physical activity can also be a powerful way to reduce anxiety.

3. Professional Help: If your anxiety is significantly impacting your daily life, it may be beneficial to seek professional help. A mental health professional can provide a proper assessment and may suggest therapy options, such as cognitive-behavioral therapy (CBT), which is effective for treating anxiety disorders. They can also discuss whether medication might be appropriate for your situation.

4. Support System: Sharing your feelings with trusted friends or family members can provide emotional support. Sometimes, just talking about what you're experiencing can alleviate some of the burdens of anxiety.

5. Self-Care: Prioritizing self-care is crucial. Ensure you are getting enough sleep, eating well, and engaging in activities that bring you joy and relaxation. Establishing a routine can also provide a sense of stability.

6. Education: Learning more about anxiety and its symptoms can empower you to understand what you are experiencing. Knowledge can help demystify your feelings and reduce fear associated with them.

In conclusion, while it is possible that you are experiencing anxiety, a thorough evaluation by a mental health professional is essential for an accurate diagnosis and appropriate treatment plan. Remember, seeking help is a sign of strength, and there are effective strategies and treatments available to help you manage your symptoms and improve your quality of life.

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