Anxiety Panic Disorder
Hello Doctor, I would like to ask you some questions.
I just graduated from middle school and have chosen to attend a vocational school in another city.
However, I am starting to experience feelings of worry and fear, which I think might be related to moving away.
I feel chest tightness, extreme panic, fear, and a desire not to stay at home.
I want to be around familiar people.
I have tried to get to know new classmates (I have joined a group online), but I inexplicably start feeling scared and uneasy again.
What should I do, Doctor? Will everyone think I am strange? I have tried talking to my parents, but they say I am overthinking things.
I really want to return to my familiar environment.
I have been troubled by this issue for a long time, and I couldn't enjoy my entire summer vacation.
Doctor, please help me.
Niming, 10~19 year old female. Ask Date: 2017/08/28
Dr. Song Chengxian reply Psychiatry
Hello: When facing a new environment, it is common to experience feelings of anxiety or unease.
If these feelings become too severe and interfere with daily life, it may be necessary to seek formal medical attention and professional counseling assistance.
It is recommended that you seek help from nearby medical institutions or the counseling resources available at your school.
Reply Date: 2017/08/28
More Info
It sounds like you are experiencing significant anxiety related to your transition to a new school environment, which is quite common among young adults. Many individuals face similar feelings when entering unfamiliar situations, especially when it involves moving away from home and starting a new chapter in their lives. Your symptoms, such as chest tightness, panic, and a desire for familiar companionship, are indicative of anxiety, possibly manifesting as social anxiety or generalized anxiety disorder.
First, it's essential to understand that what you're feeling is valid and not uncommon. Many young adults experience anxiety when faced with new social situations or environments. The fear of being judged or perceived as "strange" by others can exacerbate these feelings, leading to a cycle of avoidance and increased anxiety. It's important to remember that most people are focused on their own experiences and insecurities, and they are likely not judging you as harshly as you might think.
Here are some strategies that might help you manage your anxiety:
1. Gradual Exposure: Start small by engaging in low-pressure social situations. For instance, you could begin by participating in online group chats or forums related to your new school. Gradually, as you become more comfortable, you can transition to in-person interactions.
2. Mindfulness and Relaxation Techniques: Practicing mindfulness, deep breathing exercises, or meditation can help calm your mind and reduce feelings of panic. These techniques can be particularly useful when you start to feel overwhelmed.
3. Talk to Someone: While you mentioned that your parents may not fully understand your feelings, it could be beneficial to talk to a school counselor or a mental health professional. They can provide support and coping strategies tailored to your situation.
4. Journaling: Writing down your thoughts and feelings can help you process your emotions. It can also serve as a way to identify triggers for your anxiety and develop strategies to cope with them.
5. Stay Connected: Maintaining connections with friends and family can provide a sense of security. Don't hesitate to reach out to familiar faces, even if it's just for a chat or video call.
6. Physical Activity: Regular exercise can significantly reduce anxiety levels. Engaging in physical activities you enjoy can help release endorphins, which are natural mood lifters.
7. Educate Yourself: Understanding anxiety can empower you. Learning about anxiety disorders and their symptoms can help you recognize that you are not alone and that there are effective treatments available.
8. Limit Social Media: While social media can be a way to connect, it can also contribute to feelings of inadequacy or anxiety. Consider taking breaks from social media if you find it overwhelming.
It's crucial to acknowledge that seeking help is a sign of strength, not weakness. If your anxiety continues to interfere with your daily life, consider consulting a mental health professional who can provide a proper diagnosis and treatment plan. Therapy, particularly cognitive-behavioral therapy (CBT), has been shown to be effective for anxiety disorders. In some cases, medication may also be recommended to help manage symptoms.
Remember, transitioning to a new environment is a significant change, and it's okay to feel anxious about it. With time, support, and the right coping strategies, you can navigate this period and find comfort in your new surroundings. Don't hesitate to reach out for help—you're not alone in this journey.
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