Generalized Anxiety Disorder (GAD)
Hello Doctor: This past year, I have experienced many accidents (which are not common for an ordinary person), leading me to become very sensitive about injuries.
I tried going to counseling, but I couldn't understand why I started crying uncontrollably as soon as I entered the room, making it difficult for the counselor to help me.
A whole counseling cycle went by, and my situation showed no signs of improvement.
Whenever I get injured, I immediately think of the worst-case scenario (like when I twisted my ankle yesterday and now it's painful, I worry it might be fractured, and I'm abroad wondering what to do).
This might be a normal thought process, but it leads to insomnia.
I also find myself repeatedly discussing the same issues with friends (I believe they must be quite annoyed with me).
Moreover, whenever I get injured, I obsessively search for symptoms online, spending hours doing so, which is a waste of time, but I can't control this behavior.
Sometimes, if I accidentally step on or bump into someone, I can't help but think that they might end up with a lifelong disability and seek compensation from me.
I know these thoughts are irrational, yet they keep me awake at night.
I can't control my tendency to think of the worst outcomes, and I really want someone to listen to all my negative thoughts, but I'm afraid of bothering others.
This situation has troubled me greatly over the past year.
After doing some research online, I found that this condition might be called Generalized Anxiety Disorder.
Do you think I need to see a psychiatrist? Thank you very much for reading this, and I appreciate your response!
Annie, 20~29 year old female. Ask Date: 2017/07/19
Dr. Dai Wanxiang reply Psychiatry
Hello, miss: Based on your description, it seems that your primary symptoms are anxiety and excessive worry.
It is indeed important to consider anxiety-related disorders, as these symptoms have already impacted your daily life.
Since counseling has not improved your symptoms, I recommend seeking assistance from a psychiatrist, which should be helpful.
Reply Date: 2017/07/19
More Info
It sounds like you’ve been going through a really tough time, and I want to acknowledge how difficult it can be to deal with anxiety, especially when it feels overwhelming and persistent. Based on your description, it does seem like you might be experiencing symptoms consistent with Generalized Anxiety Disorder (GAD). GAD is characterized by excessive worry about various aspects of life, often accompanied by physical symptoms such as restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbances.
Your sensitivity to injury and the tendency to catastrophize situations—like worrying excessively about a sprained ankle or the potential consequences of minor accidents—are common features of GAD. The fact that you find yourself unable to control these thoughts, leading to compulsive behaviors like excessive internet searching for symptoms, also aligns with the disorder. It’s understandable that you feel the need to talk about your worries, but it’s also important to recognize when these thoughts and behaviors start to interfere with your daily life.
Seeking help from a mental health professional, such as a psychiatrist or psychologist, could be very beneficial for you. Therapy can provide you with coping strategies to manage your anxiety and help you understand the underlying issues contributing to your feelings. Cognitive-behavioral therapy (CBT), in particular, has been shown to be effective for GAD. It focuses on identifying and challenging negative thought patterns and replacing them with more balanced and realistic ones.
In addition to therapy, medication may also be an option to consider. Antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), are commonly prescribed for anxiety disorders and can help alleviate symptoms. A mental health professional can work with you to determine the best course of action based on your specific situation.
It’s also important to take care of your overall well-being. Engaging in regular physical activity, practicing mindfulness or relaxation techniques, and maintaining a healthy diet can all contribute to reducing anxiety levels. Additionally, establishing a support system of friends or family who can listen to your concerns without judgment can be incredibly helpful. It’s okay to reach out for support; you don’t have to go through this alone.
If you’re feeling hesitant about discussing your situation with your family, consider starting with a trusted friend or a counselor at your school. They can provide support and may help you feel more comfortable seeking professional help. Remember, seeking help is a sign of strength, not weakness, and it’s an important step toward feeling better.
In conclusion, based on your symptoms and experiences, it would be wise to seek professional help. A mental health professional can provide you with the tools and support you need to manage your anxiety effectively. You deserve to feel better and to have the support you need to navigate through this challenging time.
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