Anxiety: Coping with Overwhelming Emotions and Self-Doubt - Psychiatry

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What is wrong with me?


Sometimes I suddenly feel very suffocated, irritable, and experience shortness of breath, even struggling to breathe.
Hearing certain sounds, like passing cars or barking dogs, can make me feel even more agitated and angry.
I often feel very sad, depressed, and overwhelmed, suddenly disappointed with everything and dislike myself.
It seems like there is no place in this world that can accommodate me.
I have always been a person with low self-confidence, and during these times, I feel even more overwhelmed, even questioning whether the world needs me at all.
I am not satisfied with my current situation and have certain expectations of myself, often feeling a lot of pressure.
I care a lot about how others perceive me and find it difficult to share my innermost thoughts with friends, unable to express all my feelings.
It feels like I am afraid that others won't accept me.
There are many emotions that I can't recall at the moment, but they have been troubling me for a long time, causing me significant distress and pain.
I want to understand what this situation is and inquire if there are any methods to alleviate it.

Zhang, 10~19 year old female. Ask Date: 2019/11/04

Dr. Wu Enliang reply Psychiatry


Hello Ms.
Chang, I would like to know if these symptoms are persistent or if they occur most of the time.
If so, we should consider the possibility of depression, and it would be necessary to seek treatment from a psychiatrist or a mental health professional for medication or psychotherapy.
However, if these feelings are as you described, "sometimes" or "suddenly," and you feel fine at other times, it may be related to personality traits or recent significant life stressors.
In that case, it might be helpful to talk to someone or find ways to reduce your stress.
Dr.
Wu Enliang

Reply Date: 2019/11/04

More Info


It sounds like you are experiencing a significant amount of emotional distress, which can manifest as anxiety, self-doubt, and feelings of isolation. These feelings can be overwhelming and may lead to physical symptoms such as shortness of breath, irritability, and a sense of hopelessness. It’s important to understand that you are not alone in feeling this way, and many people experience similar emotions at different points in their lives.

From what you've described, it seems that you may be dealing with anxiety symptoms, which can include feelings of restlessness, difficulty concentrating, and an overwhelming sense of dread or disappointment. These feelings can be exacerbated by external stimuli, such as noise or chaotic environments, which can make it difficult to find peace or comfort. The pressure you place on yourself to meet certain standards and the fear of judgment from others can further contribute to your anxiety and feelings of inadequacy.

One of the first steps in coping with these overwhelming emotions is to acknowledge and validate your feelings. It’s okay to feel anxious or self-critical; these emotions are part of being human. However, it’s crucial to find healthy ways to express and manage these feelings. Here are some strategies that may help:
1. Mindfulness and Breathing Exercises: Practicing mindfulness can help ground you in the present moment and reduce feelings of anxiety. Simple breathing exercises, such as inhaling deeply for a count of four, holding for four, and exhaling for four, can help calm your nervous system and provide immediate relief from feelings of panic or overwhelm.

2. Physical Activity: Engaging in regular physical activity can significantly improve your mood and reduce anxiety. Activities such as walking, running, or yoga can help release endorphins, which are natural mood lifters. Even a short walk outside can provide a change of scenery and help clear your mind.

3. Journaling: Writing down your thoughts and feelings can be a powerful way to process your emotions. It allows you to express what you’re going through without fear of judgment. You might find that putting your feelings on paper helps you gain clarity and perspective.

4. Limit Exposure to Stressors: If certain sounds or environments trigger your anxiety, try to limit your exposure to them when possible. Create a calming space at home where you can retreat when you feel overwhelmed. This could include soft lighting, calming music, or even noise-canceling headphones.

5. Seek Support: It’s essential to talk about your feelings with someone you trust. This could be a friend, family member, or a mental health professional. Sometimes, just sharing what you’re going through can provide relief and help you feel less isolated.

6. Professional Help: If your feelings of anxiety and self-doubt persist or worsen, consider seeking help from a mental health professional. Therapy can provide you with tools to cope with your emotions and help you understand the underlying causes of your anxiety. Cognitive-behavioral therapy (CBT), in particular, is effective for anxiety and can help you challenge negative thought patterns.

7. Self-Compassion: Practice being kind to yourself. Understand that everyone has moments of self-doubt and anxiety. Instead of criticizing yourself for feeling this way, try to treat yourself with the same compassion you would offer a friend in a similar situation.

In conclusion, while it’s normal to experience periods of anxiety and self-doubt, it’s important to address these feelings constructively. By implementing coping strategies, seeking support, and possibly engaging with a mental health professional, you can work towards feeling more balanced and at peace with yourself. Remember, it’s okay to ask for help, and taking that step can be a significant part of your healing journey.

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