Anxiety and Stress: Coping Strategies for Young Professionals - Psychiatry

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Feeling anxious, panicked, and under a lot of stress?


Hello, doctor.
I graduated from university this year and recently started working on the production line at a tech company.
The work is not busy and is quite easy, but I constantly feel anxious and scared during my shifts.
Even a small mistake can make me extremely flustered, and when I calm down, I can't help but want to cry.
During breaks, I find myself scrolling through my phone and crying.
I have no appetite and don't feel hungry, and I end up crying all the way home.
Once I get home, I continue to cry, which often turns into sobbing.
I never experienced this kind of situation during my previous internships.
This happened last year as well when I was preparing for my graduation exhibition and faced the death of my father.
During those days, I often felt this way, and although I usually enjoy painting, I completely lost the motivation to do so at that time.
I have been very introverted and shy since childhood; I prefer not to go out, and even shopping at convenience stores makes me anxious.
When I have to give presentations at school, even after practicing many times, I end up stuttering and can't get the words out, feeling confused and extremely nervous with cold sweats.
I always feel like strangers are watching me, which makes me very insecure and lacking in courage.
When I'm nervous, I can't help but pick at my hands, and when relatives visit, I want to hide quickly.
Could this be due to high stress, or is there a mental health issue at play?

Chu Xiao, 20~29 year old female. Ask Date: 2018/09/11

Dr. Qiu Junda reply Psychiatry


Hello.
The symptoms described in the text are likely adverse reactions to stress, which are also related to one's personality (having lower stress resilience).
I recommend that you search for information on stress management.
You can learn some methods from it, such as talking to friends or engaging in leisure activities after work.
You may also consider consulting a mental health clinic nearby.
If necessary, short-term use of medication (such as anxiolytics) can be helpful.
I believe you will be able to restore your mental and physical health soon and alleviate your concerns.

Reply Date: 2018/09/11

More Info


It sounds like you are experiencing significant anxiety and emotional distress, particularly in your new job and following the loss of your father. Your symptoms—such as feeling overwhelmed, crying frequently, loss of appetite, and a general sense of panic—are indicative of anxiety, which can be exacerbated by stressors in your life, including your recent bereavement and the pressures of adapting to a new work environment.

From what you've described, it seems that your anxiety may stem from a combination of situational stressors and possibly underlying traits such as being introverted and having a history of social anxiety. It's not uncommon for individuals who are naturally more reserved or introverted to feel heightened anxiety in social or performance situations, such as speaking in front of others or interacting with new colleagues. The fact that you felt more at ease during your previous internship suggests that the current environment may be triggering these feelings more intensely, possibly due to the added stress of your father's passing.

Here are some coping strategies that may help you manage your anxiety and emotional distress:
1. Acknowledge Your Feelings: It's important to recognize that what you are feeling is valid. Grieving the loss of a loved one can manifest in various ways, including anxiety and emotional instability. Allow yourself to grieve and express your feelings without judgment.

2. Seek Professional Help: Given the intensity of your symptoms, it may be beneficial to consult with a mental health professional. A therapist can provide you with coping strategies tailored to your specific situation and help you process your grief. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety and can help you reframe negative thoughts and develop healthier coping mechanisms.

3. Practice Mindfulness and Relaxation Techniques: Engaging in mindfulness practices, such as meditation or deep breathing exercises, can help ground you in the present moment and reduce feelings of panic. These techniques can be particularly useful when you start to feel overwhelmed at work.

4. Establish a Routine: Creating a daily routine can provide structure and predictability, which can be comforting during times of stress. Include time for self-care activities that you enjoy, such as drawing or other creative outlets.

5. Communicate Your Feelings: If you feel comfortable, consider sharing your feelings with someone you trust, whether it's a friend, family member, or colleague. Sometimes, simply talking about what you're going through can alleviate some of the burden.

6. Limit Stressors: If possible, identify specific stressors in your work environment that contribute to your anxiety. This could include certain tasks or interactions. Discussing these with a supervisor or seeking accommodations may help reduce your stress levels.

7. Gradual Exposure: If social situations trigger your anxiety, consider gradually exposing yourself to these situations in a controlled manner. Start with less intimidating scenarios and gradually work your way up to more challenging interactions.

8. Physical Activity: Regular exercise can significantly reduce anxiety levels. It helps release endorphins, which can improve your mood and overall sense of well-being.

9. Nutrition and Sleep: Pay attention to your diet and ensure you are getting enough sleep. Both are crucial for mental health and can impact your ability to cope with stress.

10. Avoid Self-Criticism: Be gentle with yourself. It's okay to feel anxious, and it doesn't define your worth or abilities. Recognize that many people experience similar feelings, especially during transitions or after significant life changes.

In conclusion, while your feelings of anxiety and distress are understandable given your circumstances, they are also manageable with the right support and strategies. Seeking professional help can be a crucial step in your journey toward healing and finding effective ways to cope with the pressures you are facing. Remember, you are not alone in this, and there are resources available to help you navigate through these challenging times.

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