Am I Struggling with Anxiety? Emotional Turmoil and Loss - Psychiatry

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Do I have an anxiety problem?


Hello, doctor.
I am a very emotional person and I easily experience feelings, though not always negative ones.
It all started last year.
In July, my grandmother fell ill and was transferred from National Taiwan University Hospital in Hsinchu to National Taiwan University Hospital in Taipei, where she stayed in the emergency intensive care unit for a month before passing away in mid-September.
When I was younger, my father had conflicts with his siblings, so we didn’t visit our grandparents often.
However, when my grandmother was transferred to Taipei, I was very concerned about her and spent as much time with her as I could whenever I was allowed.
After the end of the year, I started to feel more at peace because my grandmother had pre-existing heart issues.
Before the Lunar New Year, I wanted to return home to care for my grandfather, who has dementia, and spent some time there.
One day, as I was about to leave for an errand, I saw my uncle giving my grandfather rice cake to eat.
My uncle stepped away to make a phone call, and I thought I would wait until my grandfather finished eating before leaving.
Unfortunately, he choked on the food.
We called 119 and performed chest compressions.
When we arrived at the hospital, my grandfather's SpO2 was only 60.
He spent a month and two days in the intensive care unit before being transferred to a regular ward.
When he was moved, I specifically traveled from Kaohsiung to Miaoli to see him.
The night before, I stayed at someone else's house, and the next day, as I was about to leave, my uncle called to tell me...
that my grandfather had unfortunately passed away...
I have lost two loved ones in six months.
Over the past month, I have gradually developed insomnia, constantly overthinking and imagining the worst.
I feel exhausted every day and overwhelmed with guilt, thinking that if I had just taken that rice cake away, this wouldn’t have happened.
I feel irritable, restless, and unable to relax or sit still.
I have little expectation for life and fear losing someone again.
I often find it hard to control my emotions.
What is happening to me? 🤔😫😭

Xiao Yi, 10~19 year old female. Ask Date: 2018/04/06

Dr. Xiao Minghong reply Psychiatry


Hello, Xiao Yi: Losing two loved ones within six months is a significant blow for anyone, so it is natural for you to experience some emotional fluctuations.
Currently, you may even feel a sense of guilt.
I suggest that you seek the companionship of family and friends during this time, allowing yourself to gradually process your emotions.
However, if you experience overwhelming guilt or have thoughts of hopelessness, I recommend seeking professional medical assistance.
Wishing you all the best.

Sincerely,
Dr.
Hsiao Ming-Hung

Reply Date: 2018/04/06

More Info


I'm sorry to hear about the emotional turmoil you've been experiencing. It sounds like you've gone through a significant amount of loss and stress over the past year, which can understandably lead to feelings of anxiety, sadness, and emotional instability. Let's break down what you might be experiencing and how you can address it.

Firstly, the loss of loved ones, especially in such a short time frame, can have a profound impact on your mental health. Grief is a complex process, and it can manifest in various ways, including anxiety, irritability, and difficulty concentrating. The feelings of guilt you mentioned—wondering if you could have prevented your grandfather's choking incident—are also common in grief. It's important to recognize that these thoughts are part of the grieving process, and it's natural to question what could have been done differently.

Your symptoms, such as insomnia, constant worry, irritability, and a lack of interest in life, suggest that you may be struggling with anxiety and possibly depression. Anxiety can often arise from unresolved grief, leading to a cycle of negative thoughts and feelings. The fact that you find it hard to relax and are easily agitated indicates that your body is in a heightened state of stress, which can be exhausting both mentally and physically.

Here are some steps you can take to help manage your emotional turmoil:
1. Seek Professional Help: It would be beneficial to talk to a mental health professional, such as a psychologist or psychiatrist. They can provide you with a safe space to express your feelings and help you process your grief. Therapy can also equip you with coping strategies to manage anxiety and emotional distress.

2. Practice Self-Care: Engage in activities that promote relaxation and well-being. This could include mindfulness practices, such as meditation or yoga, which can help ground you and reduce anxiety. Regular physical activity is also beneficial for mental health, as it releases endorphins that can improve your mood.

3. Connect with Others: Sharing your feelings with friends or family members can provide support. Sometimes, just talking about your experiences can help alleviate some of the emotional burden. You might also consider joining a support group for individuals who have experienced loss, as connecting with others who understand your situation can be comforting.

4. Establish a Routine: Creating a daily routine can provide structure and a sense of normalcy during a chaotic time. Try to include activities that you enjoy or that give you a sense of accomplishment, even if they are small.

5. Limit Negative Thoughts: When you find yourself spiraling into negative thinking, try to challenge those thoughts. Ask yourself if they are based on facts or assumptions. Practicing gratitude by focusing on positive aspects of your life, no matter how small, can also help shift your perspective.

6. Consider Medication: If your symptoms are significantly impacting your daily life, medication may be an option to discuss with a healthcare provider. Antidepressants or anti-anxiety medications can help stabilize your mood and reduce anxiety, making it easier for you to engage in therapy and self-care.

7. Be Patient with Yourself: Healing from grief and anxiety takes time. Allow yourself to feel your emotions without judgment, and remember that it's okay to seek help when you need it.

In conclusion, it sounds like you are experiencing a combination of grief and anxiety, which is understandable given the losses you've faced. Seeking professional help and implementing self-care strategies can significantly improve your emotional well-being. Remember, you are not alone in this, and there are resources available to support you through this challenging time.

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