Anxiety Disorders: Are You Experiencing General Anxiety or Something More?

Is this generalized anxiety disorder or simply anxiety disorder?

I'm sorry to hear that you're feeling this way.
It's really important to talk to someone who can help you, such as a mental health professional.

Yao, 20~29 year old female. Ask Date: 2020/07/04

Dr. Zhang Fangrong reply Psychiatry

Dear Sir/Madam,
I apologize for the delay in responding to your letter, as I have been busy with the COVID-19 prevention efforts.
I sincerely regret any inconvenience this may have caused.
Based on your detailed description, it is clear that you have been experiencing long-term emotional discomfort and life stress, while also striving to maintain your well-being.
Feelings of sadness, difficulty in interacting and communicating with others, and the need to explore life goals and direction can indeed be distressing and cause significant concern and discomfort.
I have also noticed that you seek support and advice from friends, which is an important and beneficial approach.
However, this method can sometimes be limited, especially if friends are unavailable due to their own commitments.
Considering that you have faced related emotional issues and stress since middle school, from a mental health professional's perspective, the field of psychiatry can provide the care and assistance you need.

Whether it is through emotional assessments and psychological counseling by a psychologist, or evaluations and discussions regarding the feasibility of medication treatment by a physician, these options can be arranged and discussed.
Medical support is also crucial for you, as it allows professionals to provide care and suggestions tailored to your needs.
Currently, public healthcare institutions allow you to utilize health insurance resources, which alleviates the financial burden of medical expenses.
I sincerely recommend that you take the time to visit the psychiatry department at a public hospital and discuss your current situation with a physician to develop a suitable treatment plan for you.
Wishing you mental and physical well-being.
Sincerely,
Dr.
Fang-Rong Chang
Department of Psychiatry

Reply Date: 2020/07/04

More Info

It sounds like you are experiencing a complex mix of emotions and symptoms that could be indicative of anxiety disorders, depression, or even a combination of both. Your narrative reflects a profound struggle with feelings of inadequacy, social anxiety, and possibly depressive episodes, which can significantly impact your daily life and overall well-being.

Understanding Your Symptoms
1. Anxiety Symptoms: You have described feelings of being overwhelmed, difficulty concentrating, and a sense of panic in social situations. These are common symptoms of anxiety disorders, particularly Generalized Anxiety Disorder (GAD) and Social Anxiety Disorder. GAD is characterized by excessive worry about various aspects of life, while Social Anxiety Disorder involves intense fear of social situations and being judged by others.

2. Depressive Symptoms: Your feelings of hopelessness, lack of interest in activities, and thoughts of self-harm suggest that you may also be experiencing depressive symptoms. Depression can manifest as persistent sadness, fatigue, and a sense of emptiness, which can lead to thoughts of self-harm or suicide.

3. Cognitive Patterns: The "thinking loops" you mentioned, where you find yourself caught in cycles of worry and negative thoughts, are common in both anxiety and depression. This can create a feedback loop that exacerbates your symptoms, making it difficult to break free from these patterns.

Distinguishing Between Disorders
While anxiety and depression can coexist, they are distinct conditions. Anxiety often involves heightened arousal and worry, while depression is characterized by low mood and energy. It’s essential to recognize that both conditions can influence each other, and one can exacerbate the other.

Seeking Help
Given the severity of your symptoms and the impact they have on your life, it is crucial to seek professional help. Here are some steps you can take:
1. Consult a Mental Health Professional: A psychologist or psychiatrist can provide a comprehensive evaluation and help determine the best course of treatment. This may include therapy, medication, or a combination of both.

2. Therapy Options: Cognitive Behavioral Therapy (CBT) is particularly effective for anxiety and depression. It helps you identify and change negative thought patterns and behaviors. Other therapeutic approaches, such as mindfulness-based therapy, can also be beneficial.

3. Medication: If your symptoms are significantly impacting your daily life, medication may be an option. Antidepressants and anti-anxiety medications can help alleviate symptoms and improve your quality of life.

4. Support Systems: Engage with supportive friends or family members who can provide emotional support. It’s also beneficial to connect with support groups where you can share experiences with others facing similar challenges.

5. Lifestyle Changes: Incorporating regular physical activity, a balanced diet, and sufficient sleep can have a positive impact on your mental health. Mindfulness practices, such as meditation or yoga, can also help reduce anxiety and improve mood.

Moving Forward
It’s understandable to feel overwhelmed and uncertain about the future, especially when dealing with mental health challenges. However, it’s important to remember that recovery is possible. Many individuals with anxiety and depression find effective ways to manage their symptoms and lead fulfilling lives.

You are not alone in this journey, and seeking help is a courageous step toward understanding and overcoming your struggles. By addressing your symptoms with the appropriate support and treatment, you can work towards a more balanced and hopeful future.

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