Managing Morning Anxiety: Tips to Overcome Health Worries - Psychiatry

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Frequently feeling anxious?


Doctor, I usually wake up in the morning feeling a bit down, and then I start to worry about my health.
For example, if I've had the heater on all night and I wake up with dry nasal mucus, and I find a little blood in it, I get really anxious thinking it might be something serious.
However, I had a nasopharyngoscopy about six months ago due to anxiety, and everything was fine (I was also worried about blood in my nasal mucus back then).
I find it frustrating that I pay too much attention to every little change in my body.
For instance, if I notice a small mole on my thumb, I start to wonder if it just appeared recently and rush to ask a doctor.
The doctor reassured me that even if it had appeared recently, it was just a benign-looking mole that had been there for years.

Even small issues make me anxious, worrying that they might indicate a serious illness.
I've been trying to manage this for about six months and feel that I've improved.
In the past, I could get so anxious that I would consult multiple doctors before feeling reassured.
Now, I can usually control my anxiety to the point where it subsides within half a day, but I still find it frustrating and fear discovering something else to obsess over.
The human body naturally has various conditions, and I don't want to be overly anxious.
I once consulted a psychiatrist who advised me to ignore the anxious thoughts and to maintain a regular daily routine, such as scheduling specific activities to distract myself (I work from home).

Doctor, do you have any suggestions? Should I try not to react to my anxiety and tension in order to return to my previous self, who was indifferent to such matters? Thank you.

A You, 30~39 year old female. Ask Date: 2020/02/04

Dr. Liang Sunyuan reply Psychiatry


Hello Ayu: It is advisable to first accept your current tendency to excessively worry about your health.
When you notice that you are falling back into this pattern of excessive worry, take a moment to mentally say "stop," and then proceed to engage in the next task you intended to do, focusing as much as possible on that activity.
When anxious thoughts arise again, smile, relax, and redirect your attention back to your original task.
Be patient and practice this gradually until it becomes a habit.
Additionally, try to engage in relaxing activities during other times, as this will also help with your relaxation.
If you continue to feel distressed, seeking medical assistance may be beneficial.

Reply Date: 2020/02/04

More Info


Managing morning anxiety and health worries can be quite challenging, especially when you find yourself fixating on minor physical symptoms. It’s important to recognize that these feelings are common among individuals who experience anxiety, and there are effective strategies to help you cope and regain a sense of control over your thoughts and emotions.

Firstly, it’s essential to understand that anxiety often amplifies our perception of bodily sensations. When you wake up and notice something like dry nasal mucus with a hint of blood, your mind may jump to worst-case scenarios, despite having previously undergone medical evaluations that showed no serious issues. This tendency to catastrophize is a hallmark of anxiety and can lead to a cycle of worry that is difficult to break.

One effective approach to managing these feelings is through cognitive-behavioral techniques. Cognitive Behavioral Therapy (CBT) focuses on identifying and challenging irrational thoughts. For instance, when you notice a physical symptom, instead of immediately assuming it indicates a serious health issue, try to remind yourself of the medical evaluations you’ve had and the reassurance you received from healthcare professionals. Keeping a journal where you document these thoughts and the evidence against them can help you develop a more rational perspective over time.

Mindfulness practices can also be beneficial. Mindfulness involves being present in the moment and observing your thoughts without judgment. When you wake up feeling anxious, instead of immediately reacting to those feelings, take a few moments to breathe deeply and acknowledge your thoughts. You might say to yourself, “I notice I’m feeling anxious about my health, but I can choose to focus on my day ahead instead.” This practice can help create a buffer between your thoughts and your emotional reactions.

Establishing a structured daily routine can also be helpful. Since you work from home, creating a schedule that includes specific times for work, breaks, and self-care activities can provide a sense of normalcy and control. During your breaks, engage in activities that you enjoy or find relaxing, such as reading, going for a walk, or practicing a hobby. This can help divert your attention from anxious thoughts and reinforce positive feelings.

Additionally, consider incorporating physical activity into your daily routine. Exercise is a powerful tool for reducing anxiety and improving mood. It releases endorphins, which are natural mood lifters, and can help you feel more grounded. Even a short walk or some stretching exercises can make a significant difference in how you feel.

If you find that your anxiety continues to interfere with your daily life, it may be beneficial to seek support from a mental health professional. They can provide you with tailored strategies and coping mechanisms to address your specific concerns. You mentioned that you’ve previously seen a mental health professional who advised you to let go of anxious thoughts; this is a common and effective strategy. However, if you feel that you need more support, don’t hesitate to reach out again.

Lastly, remember that it’s okay to have moments of anxiety. Acknowledging your feelings without judgment can be a powerful step toward managing them. You are not alone in this experience, and with time and practice, you can learn to navigate your health worries more effectively. Focus on progress rather than perfection, and celebrate the small victories along the way.

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