Anxiety and Panic Disorders in Mothers: Seeking Help

Anxiety Panic Disorder

Hello Dr.
Wu: I have two sons who are both adults and have stable jobs, but I find the role of "mother" to be overwhelming.
I am constantly worried about them, and recently it has become very severe.
I have thought countless times about using death as a means of escape.
Am I unwell? Thank you for taking the time to respond!

Nancy, 40~49 year old female. Ask Date: 2018/06/03

Dr. Wu Enliang reply Psychiatry

Hello, life is very precious.
There are many people in Taiwanese society (including myself) who are willing to help you through difficult times.
I wonder if you might be suffering from depression? Depression is not a sign of weakness; it is a condition caused by a decrease in brain chemicals due to the inability to cope with life's stressors.

Depression requires an accurate diagnosis, and its treatment necessitates patience.
It is a condition that is often treatable and effective, with a combination of medication and psychological and social therapies.
Approximately 85% of patients with severe depression can achieve significant improvement, but treatment typically takes six to twelve months or more.

Regular exercise can alleviate depressive symptoms by improving the secretion of neurotransmitters in the brain, helping to restore normal function and thereby improving depressive symptoms.
Therefore, I recommend that you seek care at a nearby mental health or psychiatric facility as soon as possible.
Wishing you a speedy recovery and the restoration of your motivation for life!

Reply Date: 2018/06/03

More Info

It sounds like you are experiencing a significant amount of distress related to your role as a mother, which has escalated to feelings of hopelessness and thoughts of self-harm. First and foremost, it is crucial to acknowledge that your feelings are valid, and you are not alone in experiencing such overwhelming emotions. Many mothers face similar challenges, and it is essential to seek help when these feelings become unmanageable.

From a medical perspective, the symptoms you describe may indicate a serious mental health condition, such as depression or anxiety disorder. Depression is not merely a sign of weakness; it is a complex condition that can arise from various factors, including biological, psychological, and environmental influences. It can manifest in various ways, including persistent sadness, loss of interest in activities, feelings of worthlessness, and even thoughts of self-harm or suicide.

The first step in addressing these feelings is to seek professional help. A mental health professional, such as a psychiatrist or psychologist, can provide a comprehensive evaluation to determine if you are experiencing depression, anxiety, or another mental health condition. They can also help you understand the underlying causes of your feelings and develop a tailored treatment plan. Treatment may involve a combination of psychotherapy (talk therapy), medication, and lifestyle changes.

Cognitive Behavioral Therapy (CBT) is one effective form of therapy for anxiety and depression. It focuses on identifying and changing negative thought patterns and behaviors that contribute to your distress. Additionally, medication, such as antidepressants or anti-anxiety medications, can help regulate brain chemistry and alleviate symptoms. It is essential to remember that treatment is a process that may take time, and improvement often occurs gradually.

In addition to professional help, there are several self-care strategies you can implement to support your mental health. Regular physical activity has been shown to improve mood and reduce anxiety. Aim for at least 30 minutes of moderate exercise most days of the week. Additionally, maintaining a balanced diet, getting enough sleep, and practicing relaxation techniques, such as mindfulness or meditation, can also be beneficial.

Connecting with others can provide immense support during difficult times. Consider reaching out to friends, family, or support groups where you can share your feelings and experiences. Sometimes, just talking about what you are going through can provide relief and help you feel less isolated.

It is also important to set realistic expectations for yourself as a mother. Parenting is a challenging role, and it is okay to seek help and take breaks when needed. Remember that taking care of your mental health is not selfish; it is essential for your well-being and the well-being of your family.

If you ever feel that you are in immediate danger or have thoughts of harming yourself, please reach out for help right away. Contact a mental health crisis line, go to the nearest emergency room, or call a trusted friend or family member. Your life is valuable, and there are people who want to help you through this difficult time.

In summary, your feelings of distress as a mother are significant and deserve attention. Seeking professional help is a crucial step in understanding and managing your anxiety and depressive symptoms. With the right support and treatment, it is possible to regain a sense of hope and fulfillment in your life. Remember, you are not alone, and there is help available.

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