What is wrong with me?
Hello, Doctor.
I've recently been experiencing some issues and I'm not sure what's wrong with me.
I used to be a person who worried a lot about various things, such as going crazy, dying, or getting sick.
I often felt overwhelmed by anxiety.
Recently, however, I've felt a bit different.
A close relative of mine passed away suddenly, and on the day I went to pay my respects, the number of the mourning hall was 19.
Later, when I arrived at the place for chanting, the number was 27.
I suddenly realized that my birthday is September 27.
Although they are not exactly the same, I became anxious, fearing that I might also die.
In a panic, I sought help from various sources, and they assured me that I was fine and just overthinking.
Eventually, I came to understand that I was indeed okay, but my mind still couldn't control the worry, as if I was deeply afraid of any possible outcome.
Additionally, I had previously consulted someone online and provided them with my information.
Later, I discovered that this person had no information on their Facebook profile, which felt strange and made me worry that my data might be misused or that I could be harmed.
I became so anxious that I couldn't sleep well.
After learning more, I realized that this person was not a fraud, which eased my worries somewhat.
However, I began to question whether my feelings were a form of paranoia.
Now, I can't stop worrying, and I'm very afraid of becoming what is referred to as psychotic.
This fear itself adds to my anxiety.
Doctor, can anxiety disorders cause someone to be aware that there is nothing wrong, yet still have their brain continuously nagging them to worry about something?
Chen, 20~29 year old female. Ask Date: 2020/04/18
Dr. Wu Enliang reply Psychiatry
Anxiety disorders can indeed make individuals aware that there is nothing wrong, yet their brains continue to ruminate.
The issue lies in the amygdala, which causes excessive vigilance.
If it interferes with daily life, it is advisable to seek assistance from professionals such as psychologists or psychiatrists.
Dr.
Wu Enliang.
Reply Date: 2020/04/18
More Info
Anxiety, particularly in the context of loss, can manifest in various ways, and it is not uncommon for individuals to experience heightened worry and fear following the death of a loved one. Your situation reflects a common response to grief, where the mind becomes preoccupied with thoughts of mortality and the potential for harm. This can lead to a cycle of anxiety that feels overwhelming and difficult to manage.
Firstly, it is important to recognize that anxiety can often persist even when we intellectually understand that our fears are unfounded. This is because anxiety is not solely a cognitive issue; it is also deeply rooted in our emotional and physiological responses. When you experienced the loss of your loved one, your brain may have entered a heightened state of alertness, interpreting various stimuli as potential threats. The connection you made between the numbers associated with your loved one’s passing and your own birthday is a classic example of how the mind can create associations that amplify anxiety.
Regarding your concerns about whether this could lead to a more severe mental health issue, such as psychosis, it is essential to understand that anxiety disorders can indeed cause intrusive thoughts and fears that feel very real, even when they are not based on reality. However, experiencing anxiety does not mean you are developing a psychotic disorder. Psychosis typically involves a disconnection from reality, including hallucinations or delusions, which is different from the anxious thoughts you are describing.
To cope with your anxiety, especially after a significant loss, consider the following strategies:
1. Acknowledge Your Feelings: It’s important to allow yourself to grieve and recognize that your feelings of anxiety are valid. Loss can trigger a range of emotions, including fear and uncertainty about your own life.
2. Grounding Techniques: When you find yourself spiraling into anxious thoughts, grounding techniques can help bring you back to the present. This might include focusing on your breath, engaging in mindfulness exercises, or using sensory experiences (like holding a comforting object) to anchor yourself.
3. Limit Exposure to Triggers: If certain activities, such as seeking out fortune-telling or excessive online research, exacerbate your anxiety, it may be beneficial to limit these behaviors. Instead, focus on activities that promote relaxation and well-being.
4. Talk About It: Sharing your feelings with trusted friends or family members can provide relief. Sometimes, just verbalizing your fears can help diminish their power.
5. Seek Professional Help: If your anxiety continues to interfere with your daily life, consider reaching out to a mental health professional. Therapy, particularly cognitive-behavioral therapy (CBT), can be effective in addressing anxiety by helping you reframe negative thought patterns and develop coping strategies.
6. Practice Self-Care: Engage in activities that promote relaxation and joy, whether it’s exercise, hobbies, or spending time in nature. Taking care of your physical health can also positively impact your mental well-being.
7. Educate Yourself: Understanding anxiety and its mechanisms can empower you. Knowledge can help demystify your experiences and reduce fear.
In summary, while it is normal to experience anxiety after a loss, it is crucial to address these feelings constructively. By employing coping strategies and seeking support, you can navigate this challenging time and work towards regaining a sense of peace and stability in your life. Remember, you are not alone in this journey, and help is available.
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