Managing Anxiety and Panic Attacks: Seeking Solutions for Workplace Stress - Psychiatry

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Anxiety Panic Disorder


Hello Doctor, I have been working at a Japanese company for almost two years now.
Since I joined this company, I have frequently experienced dizziness and headaches.
In the past six months, my workload has increased, and working overtime has become the norm, making my condition worse.
I work in a high-pressure and stressful environment, and just thinking about work makes me anxious and tense.
I even start to feel dizzy when I go to places like supermarkets, bookstores, or other enclosed spaces.
Being in crowded areas also triggers this dizziness, leading me to avoid crowds.
I often feel fatigued, weak, and disinterested in everything, with only negative emotions.
I have visited a psychiatrist who diagnosed me with anxiety and panic disorder.
Doctor, how can I improve my situation? Would it be better for me to resign?

Xiao Zi, 20~29 year old female. Ask Date: 2019/03/09

Dr. Wu Enliang reply Psychiatry


Hello, Xiao Zi: There are many ways to improve the situation.
When facing stressors, one can *avoid, reduce, or modify the stressors.* *Develop stress management techniques.* *Practice positive thinking and self-affirmation.* *Implement effective time management.* *Engage in comprehensive career planning.* However, if none of these methods are effective, completely distancing oneself from the stressors can also be a viable option.
Therefore, resigning from a position may be a last resort.
I recommend discussing this further with your psychiatrist.
Dr.
Wu Enliang

Reply Date: 2019/03/09

More Info


It sounds like you are experiencing significant anxiety and panic symptoms related to your work environment, which is not uncommon in high-pressure jobs. The symptoms you describe, such as dizziness, headaches, feelings of tension and anxiety, and a lack of interest in activities, are often associated with anxiety disorders, particularly when they manifest in stressful situations like crowded places or when thinking about work.
Firstly, it's important to acknowledge that your feelings are valid and that many people experience similar challenges in stressful work environments. The pressure to perform, especially in a demanding job, can lead to a cycle of anxiety that affects both your mental and physical health.

Understanding Your Symptoms
The symptoms of anxiety can vary widely, but common manifestations include:
- Physical Symptoms: Dizziness, headaches, fatigue, and muscle tension are all physical responses to stress and anxiety. These can be exacerbated by prolonged periods of stress, such as working overtime or in a high-pressure environment.


- Emotional Symptoms: Feelings of dread, irritability, and a sense of being overwhelmed are also common. When faced with stress, it’s natural to feel a loss of interest in activities that once brought joy.

- Behavioral Symptoms: Avoidance of crowded places or situations that trigger anxiety is a common coping mechanism. However, this can lead to increased isolation and may worsen feelings of anxiety over time.


Strategies for Managing Anxiety
1. Cognitive Behavioral Therapy (CBT): This is a highly effective treatment for anxiety disorders. A therapist can help you identify negative thought patterns and develop coping strategies to manage anxiety more effectively.

2. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety levels. These techniques encourage you to focus on the present moment and can help alleviate feelings of panic.

3. Regular Physical Activity: Exercise is a powerful stress reliever. Engaging in regular physical activity can help improve your mood and reduce anxiety. Even simple activities like walking can be beneficial.

4. Healthy Lifestyle Choices: Ensure you are eating a balanced diet, getting enough sleep, and avoiding excessive caffeine and alcohol, as these can exacerbate anxiety symptoms.

5. Social Support: Connecting with friends, family, or support groups can provide a sense of community and understanding. Sharing your experiences with others can help alleviate feelings of isolation.

6. Professional Help: Since you have already consulted with a mental health professional, it may be beneficial to continue that relationship. If medication has been prescribed, ensure you discuss any concerns about its effectiveness with your doctor.


Considering Job Change
Regarding your question about whether leaving your job would be beneficial, this is a complex decision that depends on various factors:
- Work Environment: If your current job is consistently causing you distress and you feel that it is negatively impacting your health, it may be worth considering a change. A less stressful environment could provide the relief you need to manage your anxiety better.

- Career Goals: Think about your long-term career aspirations. If this job aligns with your goals but is currently overwhelming, consider discussing your workload with your supervisor or seeking accommodations that could help reduce stress.

- Financial Considerations: Ensure that any decision to leave your job takes into account your financial situation. Having a plan in place before making a significant change can help alleviate additional stress.

In conclusion, managing anxiety in the workplace requires a multifaceted approach, including professional help, lifestyle changes, and possibly reevaluating your work situation. Remember, it’s essential to prioritize your mental health and well-being. Seeking a supportive environment, whether through therapy or a different job, can significantly improve your quality of life.

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