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Hello Doctor: I used to be cheerful but also had negative thoughts.
However, now I feel even more negative.
After giving birth, I developed hyperthyroidism and have been working hard to treat it.
My condition is stable, and I am continuously taking medication to manage it.
Recently, after getting sick, I became worried about my health and how to take care of my child, who is still very young.
Last month, I had surgery for a hernia, and I was anxious about the risks of anesthesia and the possibility of a thyroid storm, which plunged me into a cycle of negative and fearful emotions.
This led to a rapid heart rate of 180 in the post-operative recovery room.
The doctor said it was due to hyperventilation and offered to give me a shot to help me relax and sleep, but I was afraid that it might cause my heart rate to increase even more.
I declined the injection and returned to my hospital room.
After a day of observation, my heart rate stabilized, and I was discharged.
During my hospital stay, I kept asking the doctors to arrange for an ECG, but they criticized me, saying it was unnecessary.
I gradually realized that I am afraid of getting sick, fearing that illness could lead to death or prevent me from caring for my child.
I often create worries for myself, and I have a fear of taking medication, which may be related to my upbringing.
Recently, I wanted to buy insurance and went for a health check-up, which included a urine test for occult blood (+/-).
I consulted a doctor, who reassured me that there was no need for further treatment since my kidney and liver function tests were normal, and the urine test was mostly normal except for the occult blood result.
However, after seeing the report and hearing from the insurance company that it was serious, I felt compelled to go back to the hospital, realizing that I am quite fearful about my health.
My mother had been ill for many years, and I took care of her until she passed away seven years ago.
What should I do? Please help me, Doctor.
Cindy, 40~49 year old female. Ask Date: 2018/11/25
Dr. Li Zhengfeng reply Psychiatry
Hello: Negative emotions are one of the symptoms of depression.
Treatment options include medication, psychotherapy, and activity therapy.
It is advisable to consult a psychiatrist to choose the appropriate treatment based on your condition.
Wishing you a speedy recovery.
Reply Date: 2018/11/25
More Info
Overcoming postpartum anxiety, especially when compounded by health concerns such as hyperthyroidism and the fear of illness, can be a challenging journey. Your experience reflects a common struggle among new parents, particularly those who have faced significant health issues. It’s important to acknowledge your feelings and understand that they are valid. Here’s a comprehensive approach to managing your anxiety and fear.
Understanding Your Anxiety
Postpartum anxiety can manifest in various ways, including excessive worry about health, fear of not being able to care for your child, and heightened sensitivity to physical sensations. Your history of caring for a sick parent and the loss you experienced may have intensified these fears, leading to a cycle of anxiety that feels overwhelming. It’s crucial to recognize that these feelings are not uncommon, and many new parents experience similar challenges.
Strategies for Managing Anxiety
1. Seek Professional Help: If you haven’t already, consider consulting a mental health professional who specializes in postpartum issues. Cognitive Behavioral Therapy (CBT) can be particularly effective in addressing anxiety by helping you identify and challenge negative thought patterns. A therapist can provide you with coping strategies tailored to your specific fears.
2. Medication Management: Since you are already on medication for hyperthyroidism, it’s essential to discuss any anxiety symptoms with your healthcare provider. They may recommend medications specifically for anxiety, which can help stabilize your mood and reduce fear responses. It’s important to communicate openly about your fears regarding medication, as a supportive doctor can help alleviate those concerns.
3. 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. Techniques like progressive muscle relaxation can also be beneficial, especially when you feel your heart racing or experience panic.
4. Limit Information Overload: In today’s digital age, it’s easy to become overwhelmed by health information. Try to limit your exposure to medical news or discussions that trigger your anxiety. Instead, focus on reliable sources and consult your healthcare provider for any concerns.
5. Build a Support Network: Surround yourself with supportive friends and family who understand your situation. Sharing your feelings with others can provide relief and help you feel less isolated. Consider joining a support group for new parents, where you can connect with others who may be experiencing similar challenges.
6. Establish a Routine: Creating a daily routine can provide structure and predictability, which can be comforting during times of anxiety. Include time for self-care, such as exercise, hobbies, or relaxation, to help balance the demands of parenting.
7. Focus on What You Can Control: It’s natural to worry about your health and your ability to care for your child, but try to focus on what you can control. Engage in healthy habits like eating well, staying active, and getting enough sleep. These practices can improve your overall well-being and reduce anxiety.
8. Gradual Exposure to Fears: If certain situations trigger your anxiety, consider gradually exposing yourself to those fears in a controlled manner. For example, if you fear medical procedures, educate yourself about them and discuss your concerns with your doctor beforehand. This can help demystify the experience and reduce anxiety.
Reflecting on Your Past
Your experiences with your mother’s illness and passing have undoubtedly shaped your current fears. It may be beneficial to explore these feelings with a therapist, as processing grief can be an essential part of healing. Understanding how your past influences your present can empower you to break free from the cycle of anxiety.
Conclusion
Overcoming postpartum anxiety is a journey that requires patience and self-compassion. By seeking professional help, practicing mindfulness, and building a supportive network, you can gradually reduce your fears and regain a sense of control over your life. Remember, it’s okay to ask for help, and taking small steps toward managing your anxiety can lead to significant improvements in your overall well-being. You are not alone in this, and with the right support and strategies, you can navigate this challenging time.
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