Anxiety and Its Connection to Mental Health Concerns - Psychiatry

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Feeling very anxious..?


Hello, doctor.
I often feel very anxious because I have depression, and I'm also worried that I might develop schizophrenia.
A few months ago, I spent a lot of time researching the symptoms of schizophrenia online.
I found that some symptoms include feeling like others are targeting or hating you.
After reading about these symptoms, I became very concerned that they might happen to me.
As a result, I often suddenly think, "Does he hate me?" When someone is nice to me, I might suddenly wonder, "Is he trying to harm me?" But then, in the next moment, I tell myself that it's impossible.
I also read about the fear of being poisoned, so sometimes when I'm eating, I might have a fleeting thought that someone has poisoned my food.
However, I know that this is similar to what I mentioned earlier and is impossible.
I really don't want to have such thoughts, but they come to me involuntarily.
I would like to ask the doctor if this means I have schizophrenia or if I'm just overly anxious...

Ru, 20~29 year old female. Ask Date: 2017/12/30

Dr. Zhang Zhehong reply Psychiatry


Hello: It seems that you are experiencing significant anxiety.
I recommend that you visit a mental health specialist for a thorough evaluation and to discuss a treatment plan with a physician.

Reply Date: 2017/12/30

More Info


Understanding anxiety and its connection to mental health concerns is a complex issue that many individuals face, particularly those who have pre-existing conditions such as depression. Your experience of anxiety, especially in relation to fears of developing more severe mental health issues like schizophrenia, is not uncommon. It’s important to recognize that anxiety can manifest in various ways, including intrusive thoughts, heightened sensitivity to perceived threats, and a tendency to ruminate over negative possibilities.

From your description, it seems you are experiencing a significant amount of anxiety, which is likely exacerbated by your existing depression. The thoughts you mentioned—such as believing others are targeting you or that they harbor ill intentions—are often referred to as paranoid thoughts. While these thoughts can be distressing, they do not necessarily indicate that you are developing schizophrenia. Schizophrenia is characterized by a range of symptoms, including delusions, hallucinations, disorganized thinking, and impaired functioning. The thoughts you are experiencing, while troubling, are more indicative of anxiety and possibly obsessive-compulsive tendencies rather than a full-blown psychotic disorder.

It’s crucial to understand that anxiety can lead to a cycle of negative thinking. When you search for information about mental health conditions, it can sometimes reinforce your fears and lead to increased anxiety. This is often referred to as “health anxiety” or “hypochondria,” where individuals become overly concerned about their health and may misinterpret normal bodily sensations or thoughts as signs of a serious condition.
To address your concerns, here are some strategies that may help:
1. Cognitive Behavioral Therapy (CBT): This is a highly effective treatment for anxiety and depression. CBT helps individuals identify and challenge negative thought patterns and replace them with more balanced and realistic thoughts. Working with a therapist can provide you with tools to manage your anxiety and reduce intrusive thoughts.

2. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you stay grounded in the present moment and reduce the tendency to ruminate on negative thoughts. Techniques such as deep breathing, progressive muscle relaxation, or meditation can help calm your mind and body.

3. Limit Information Seeking: While it’s natural to want to understand your symptoms, excessive searching for information online can heighten anxiety. Try to limit your research and focus on evidence-based resources or consult with a mental health professional for accurate information.

4. Medication: If your anxiety is significantly impacting your daily life, discussing medication options with a psychiatrist may be beneficial. Antidepressants or anti-anxiety medications can help alleviate symptoms and allow you to engage more fully in therapy.

5. Support System: Surround yourself with supportive friends and family who can provide reassurance and understanding. Sharing your feelings with trusted individuals can help reduce feelings of isolation and fear.

6. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process your emotions. It can also help you identify patterns in your thinking and recognize when your thoughts are becoming irrational.

7. Physical Activity: Regular exercise has been shown to reduce anxiety and improve mood. Engaging in physical activity can help release endorphins, which are natural mood lifters.

8. Professional Help: If you haven’t already, consider seeking help from a mental health professional. They can provide a comprehensive assessment and tailor a treatment plan that meets your specific needs.

In conclusion, while your experiences of anxiety and intrusive thoughts are concerning, they do not necessarily indicate the onset of schizophrenia. It’s essential to approach your mental health with compassion and seek appropriate support. Remember, you are not alone in this journey, and with the right tools and support, it is possible to manage anxiety and improve your overall well-being.

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