Should You Consider Therapy for Anxiety After Medication Treatment?

Should I see a therapist for anxiety disorder?

Hello, doctor.
I used to work for a Japanese company where I had no freedom and little sleep, and my supervisor was very neurotic.
I was overworked every day, and due to excessive effort and lack of sleep, I developed anxiety disorder within six months.
I then sought treatment at a psychiatric clinic for two years, taking the mild medications Seroquel and Ritalin, and I am currently tapering off Seroquel.

Now, I'm feeling overwhelmed and wondering if I should see a therapist to stabilize my mental state.
Many of my friends are eager to try therapy, but when I mention it, they often say things that make me feel uncomfortable and stressed.
Initially, my doctor determined that I was not receiving fair treatment at work and suggested talking to someone.
However, I currently have zero social interaction and am very afraid of being hurt by others' careless comments.
I am always extremely polite and even tried to invite a former colleague to dinner, but they hung up on me.
This has made it very difficult for me to suppress suicidal thoughts (I am grateful for the support from Teacher Zhang's mailbox; I often think about suicide but only end up crying without taking action).
Although I have been practicing mindfulness meditation, I still hope to achieve a more stable state.

huanzhe, 30~39 year old female. Ask Date: 2020/07/27

Dr. Huang Xiaoxian reply Psychiatry

Dear yorusora, it sounds like interpersonal interactions and work stress are some challenges you're facing.
In fact, psychotherapy is a process that helps you gain a better understanding of yourself.
Many times, we are aware of our conscious thoughts, but we may not notice our subconscious thoughts, which often influence our behavior.
If we can better understand ourselves, we may have the option to avoid repeating past negative patterns.
I suggest discussing this with a physician and considering an evaluation for psychotherapy.
Wishing you all the best.

Reply Date: 2020/07/27

More Info

It sounds like you have been through a challenging journey with anxiety and medication treatment, and it's understandable to feel overwhelmed and uncertain about the next steps. Considering therapy after medication treatment can be a beneficial approach for many individuals dealing with anxiety, and I would like to elaborate on why this might be the case.

Firstly, medication can be effective in managing the symptoms of anxiety, but it often does not address the underlying issues that contribute to anxiety disorders. Medications like the ones you mentioned (such as Clonazepam and other anxiolytics) can help alleviate symptoms in the short term, but they may not provide the tools necessary for long-term coping and emotional regulation. This is where therapy comes into play.

Cognitive Behavioral Therapy (CBT) is one of the most researched and effective forms of therapy for anxiety. It focuses on identifying and changing negative thought patterns and behaviors that contribute to anxiety. Through CBT, you can learn coping strategies, develop healthier thought processes, and gradually face your fears in a controlled and supportive environment. This can be particularly helpful if you are experiencing social anxiety or fear of judgment from others, as it can provide you with the skills to navigate social situations more comfortably.

Additionally, therapy can offer a safe space to explore your feelings and experiences without judgment. It can help you process the stressors from your previous job and the impact they had on your mental health. A therapist can also assist you in developing a more positive self-image and building confidence in social interactions, which seems to be a concern for you right now.

It's also important to recognize that therapy is not just for those who are in crisis; it can be a valuable resource for anyone looking to improve their mental well-being. Engaging in therapy can help you build resilience, learn mindfulness techniques, and develop a support system that can be crucial in times of stress.

You mentioned feeling pressure from friends who are eager to try therapy but may not understand your situation. It's essential to prioritize your own needs and comfort level when considering therapy. You might find it helpful to seek out a therapist who specializes in anxiety disorders and has experience working with individuals who have similar backgrounds or experiences. This can create a more tailored and effective therapeutic experience.

Lastly, it's crucial to maintain open communication with your healthcare provider about your feelings and experiences as you transition off medication. They can provide guidance on whether therapy would be a suitable complement to your current treatment plan. If you are feeling suicidal, even if you do not intend to act on those thoughts, it is vital to seek immediate support from a mental health professional or a crisis hotline.

In conclusion, considering therapy after medication treatment for anxiety can be a wise decision. It can provide you with the tools to manage your anxiety more effectively, address underlying issues, and improve your overall quality of life. Remember, seeking help is a sign of strength, and taking the step to engage in therapy can lead to significant positive changes in your mental health journey.

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