How to address anxiety conditions?
Hello, Doctor: Recently, my cousin passed away suddenly due to a ruptured cerebral blood vessel, which has left me immersed in negative emotions.
A significant part of my feelings stems from the fear that I or my family might also leave suddenly, and I am also afraid of becoming ill or having some asymptomatic conditions.
As a result, I tend to excessively monitor my physical health, and my anxiety is affecting my body, leading to some symptoms of gastroesophageal reflux disease (GERD).
Whenever I feel even slightly unwell, I have a strong urge to get checked out, but I don't want to worry my family, and it's difficult for me to go for tests alone.
This uncertainty about my health only increases my anxiety.
Is this a mental health issue? How should I address this situation?
An An, 20~29 year old female. Ask Date: 2019/04/12
Dr. Huang Xiaoxian reply Psychiatry
Hello, I'm sorry to hear about your cousin's news.
Typically, when a young person experiences a sudden rupture of a cerebral blood vessel, it is often related to an underlying cerebral aneurysm, which is quite rare in the general population.
The sudden loss of a family member or friend can have a significant impact on you.
From a psychological perspective, the unexpected death of loved ones can lead to anxiety about death and prompt reflections on the meaning and value of one's own life.
This can often result in anxiety symptoms and concerns about having underlying health issues, which, in severe cases, may affect daily life.
I recommend that you seek an evaluation from a mental health professional to receive appropriate treatment and counseling to address these symptoms.
Wishing you all the best!
Reply Date: 2019/04/12
More Info
It sounds like you are experiencing a significant amount of anxiety and fear related to health and loss, which can be quite overwhelming. The sudden passing of a loved one, such as your cousin, can trigger intense feelings of grief and fear, especially concerning your own health and the health of those you care about. This is a common reaction, and it can lead to a cycle of anxiety that affects both your mental and physical well-being.
Your symptoms, including heightened awareness of bodily sensations and the urge to seek medical reassurance, suggest that you may be experiencing health anxiety, also known as illness anxiety disorder. This condition involves excessive worry about having a serious illness, often leading to frequent medical checks and consultations, which can further exacerbate anxiety. Additionally, the physical symptoms you mentioned, such as acid reflux, can indeed be manifestations of anxiety, as stress can significantly impact gastrointestinal health.
To address your concerns, it is essential to understand that while your feelings are valid, they do not necessarily indicate a severe mental illness. However, they do warrant attention and care. Here are some strategies that may help you cope with your anxiety and fear of illness:
1. Acknowledge Your Feelings: Recognizing that your fears are a natural response to loss can be the first step in managing them. Allow yourself to grieve and understand that it’s okay to feel anxious after such a traumatic event.
2. Limit Health-Related Research: While it’s tempting to search for information online, this can often lead to increased anxiety. Try to limit your internet searches about health concerns and focus on reliable sources if you need information.
3. Practice Mindfulness and Relaxation Techniques: Techniques such as deep breathing exercises, progressive muscle relaxation, and mindfulness meditation can help reduce anxiety. These practices can ground you in the present moment and alleviate the physical symptoms of anxiety.
4. Establish a Routine: Creating a daily routine that includes physical activity, healthy eating, and social interactions can provide structure and help distract you from anxious thoughts.
5. Talk About Your Fears: Sharing your feelings with trusted friends or family members can provide support and reduce feelings of isolation. You might also consider joining a support group where you can connect with others who have similar experiences.
6. Seek Professional Help: If your anxiety continues to interfere with your daily life, it may be beneficial to consult with a mental health professional. Cognitive-behavioral therapy (CBT) is particularly effective for health anxiety, as it helps individuals challenge and change unhelpful thought patterns.
7. Consider Medication: If your anxiety is severe, a healthcare provider may recommend medication to help manage your symptoms. This should be discussed with a professional who can provide guidance based on your specific situation.
8. Focus on What You Can Control: While you cannot control the health outcomes of yourself or your loved ones, you can focus on maintaining a healthy lifestyle, including regular check-ups and a balanced diet, which can help alleviate some of your fears.
9. Limit Exposure to Triggers: If certain situations or conversations trigger your anxiety, try to limit your exposure to them until you feel more equipped to handle them.
10. Engage in Enjoyable Activities: Find activities that bring you joy and help you relax, whether it’s reading, painting, or spending time in nature. Engaging in hobbies can provide a much-needed distraction from anxious thoughts.
In conclusion, while your feelings of anxiety and fear are understandable given your recent loss, there are effective strategies to help you cope. Remember that seeking help is a sign of strength, and you don’t have to navigate this journey alone. By taking proactive steps, you can work towards finding peace and balance in your life again.
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