Managing Work Anxiety: Coping Strategies for a Healthier Mind - Psychiatry

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Work-related anxiety


Hello, doctor.
I have been experiencing work-related anxiety.
I've been in my new job for six months, and although I'm gradually getting used to it, I still worry about various things.
Recently, due to poor business performance, I am very afraid of being reprimanded.
I experience stomach pain before work every day, and I feel restless and irritable while at work.
I also have a poor appetite.
I previously had symptoms of autonomic nervous system dysfunction and recovered after a year of treatment with antidepressants, but the stomach pain and negative thinking caused by the medication are really overwhelming for me.
The current restlessness is quite troubling.
Although I have sought psychological counseling recently in hopes of changing my mindset to manage my work anxiety, I still feel that progress is slow, especially since I have to go to work every day.
I am considering taking medication to cope for a year, but I am afraid of the side effects similar to those I experienced with the antidepressants, and I worry about the possibility of being on medication for life.
It's such a contradiction.

A Mei, 30~39 year old female. Ask Date: 2017/11/04

Dr. Liang Sunyuan reply Psychiatry


Hello Mei: The first six months of a new job can be the toughest, and you have successfully made it through.
You should be more familiar with your work now.
I suggest you be kind to yourself; you have likely handled the situations you've encountered.
Just focus on your work.
There may still be moments when your performance isn't perfect, and that's okay—no one can perform perfectly all the time, and everyone makes mistakes.
Additionally, some people communicate in a reprimanding tone, which doesn't necessarily mean we did something wrong.
When you do receive criticism for not performing well, just maintain a positive attitude and concentrate on how to improve next time.
Medication for anxiety and psychological counseling can both be helpful.
Once your condition stabilizes, you can gradually taper off the medication or discontinue treatment, but the priority is to get better first.
Wishing you all the best.

Reply Date: 2017/11/04

More Info


Managing work anxiety can be a complex and challenging process, especially when it becomes intertwined with physical symptoms and negative thought patterns. From your description, it seems that your anxiety manifests in various ways, including physical discomfort (like stomach pain), restlessness, and a pervasive sense of dread about work performance and potential criticism. These feelings can be exacerbated by external factors, such as business downturns, which can create a heightened sense of vulnerability in the workplace.

Firstly, it’s important to acknowledge that what you’re experiencing is not uncommon. Many individuals face anxiety in their professional lives, particularly during transitions or challenging periods. The key to managing this anxiety lies in understanding its roots and developing effective coping strategies.


Understanding Your Anxiety
1. Physical Symptoms: The stomach pain and restlessness you experience are common manifestations of anxiety. The body often reacts to stressors with physical symptoms, which can create a vicious cycle where anxiety leads to discomfort, and discomfort further exacerbates anxiety.

2. Negative Thought Patterns: It sounds like you may be engaging in negative self-talk or catastrophic thinking, where you anticipate the worst possible outcomes. This can lead to a heightened state of alertness and anxiety, making it difficult to focus on your tasks.

3. Past Experiences: Your history with autonomic nervous system disorders and previous anxiety episodes may contribute to your current feelings. Past experiences can create a heightened sensitivity to stress, making you more prone to anxiety in similar situations.


Coping Strategies
1. Cognitive Behavioral Therapy (CBT): Since you are already seeking psychological counseling, consider focusing on CBT techniques. This form of therapy helps individuals identify and challenge negative thought patterns, replacing them with more balanced and realistic thoughts. This can be particularly effective in managing work-related anxiety.

2. Mindfulness and Relaxation Techniques: Incorporating mindfulness practices, such as meditation, deep breathing exercises, or yoga, can help ground you in the present moment and reduce anxiety. These techniques can also help alleviate physical symptoms by promoting relaxation.

3. Structured Routine: Establishing a structured daily routine can provide a sense of control and predictability, which can be comforting during times of uncertainty. Include regular breaks and time for self-care in your schedule.

4. Physical Activity: Regular exercise is a powerful tool for managing anxiety. It can help reduce stress hormones and increase endorphins, which can improve your mood and overall sense of well-being. Even short walks during breaks can make a significant difference.

5. Healthy Lifestyle Choices: Pay attention to your diet, sleep, and caffeine intake. A balanced diet, adequate sleep, and reducing caffeine can help mitigate anxiety symptoms. Avoiding stimulants can be particularly important if you are prone to anxiety.

6. Medication: If you are considering medication, it’s crucial to discuss your concerns with a healthcare professional. While medications can be effective in managing anxiety, they also come with potential side effects. A doctor can help you weigh the benefits against the risks and find a suitable option if necessary.

7. Support System: Lean on your support system, whether it’s friends, family, or colleagues. Sharing your feelings and experiences can provide relief and help you feel less isolated in your struggles.


Conclusion
Managing work anxiety is a journey that requires patience and persistence. It’s commendable that you are seeking help and exploring different strategies to cope with your feelings. Remember that it’s okay to take things one step at a time. By combining therapeutic approaches, lifestyle changes, and support from professionals and loved ones, you can develop a healthier mindset and reduce the impact of anxiety on your work life. If your symptoms persist or worsen, consider revisiting your healthcare provider to discuss further options for support and treatment.

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