Relieving Anxiety Disorders
Hello doctor, I was previously diagnosed with mild anxiety by a physician, who advised that I could take medication when symptoms arise.
However, sometimes the anxiety comes on very suddenly and unexpectedly.
I would like to ask the doctor how I can alleviate my anxiety issues?
QQ, 20~29 year old female. Ask Date: 2020/10/21
Dr. Lin Mianzhang reply Psychiatry
Hello QQ: May I ask in what situations you usually feel anxious? If you experience anxiety in specific situations, it's important to understand why that anxiety arises in those contexts, which can be addressed through psychological counseling.
However, if your anxiety occurs unexpectedly and not in specific situations, it may be more effective to combine medication treatment.
The medication you mentioned is likely taken as needed, which suggests it is a sedative.
Sedatives are more suitable for emergency use; they only address the symptoms and do not tackle the root cause.
To address the root cause, it would be more appropriate to use antidepressants, which, when taken regularly and appropriately, can significantly reduce the frequency of your anxiety episodes.
Of course, combining this with psychological counseling will yield even better results.
Additionally, you can practice mindfulness, starting with the basic observation of your breath.
The key is to focus on the present moment without any judgment.
If you're interested, you can search for related resources or participate in local courses.
This can greatly help in reducing anxiety and stress, as well as stabilizing your emotions.
Wishing you a speedy recovery!
Reply Date: 2020/10/21
More Info
Managing sudden anxiety symptoms can be challenging, especially when they arise unexpectedly. Here are some effective strategies that can help you cope with these feelings:
1. Deep Breathing Exercises: One of the most immediate ways to manage anxiety is through deep breathing. When you feel anxious, your breathing tends to become shallow and rapid. Try to take slow, deep breaths. Inhale deeply through your nose for a count of four, hold for a count of four, and exhale slowly through your mouth for a count of four. Repeat this several times until you feel calmer.
2. Grounding Techniques: Grounding techniques can help bring your focus back to the present moment. One popular method is the "5-4-3-2-1" technique, where you identify five things you can see, four things you can touch, three things you can hear, two things you can smell, and one thing you can taste. This can help distract your mind from anxious thoughts and bring you back to reality.
3. Physical Activity: Engaging in physical activity can help reduce anxiety. Whether it's a brisk walk, a run, or even some stretching exercises, moving your body can release endorphins, which are natural mood lifters. Aim for at least 30 minutes of moderate exercise most days of the week.
4. Mindfulness and Meditation: Practicing mindfulness or meditation can help you become more aware of your thoughts and feelings without judgment. Apps like Headspace or Calm can guide you through meditation sessions that can help reduce anxiety over time.
5. Limit Caffeine and Sugar: Both caffeine and sugar can exacerbate anxiety symptoms. Try to limit your intake of caffeinated beverages and sugary snacks, especially if you notice a correlation between their consumption and your anxiety levels.
6. Establish a Routine: Having a daily routine can provide structure and predictability, which can be comforting when you're feeling anxious. Try to maintain regular sleep patterns, meal times, and activities to help stabilize your mood.
7. Talk About It: Sometimes, simply talking about your feelings can help alleviate anxiety. Reach out to a trusted friend or family member and share what you're experiencing. If you feel comfortable, consider seeking support from a mental health professional who can provide guidance and coping strategies tailored to your needs.
8. Medication: If your anxiety symptoms are severe or persistent, it may be beneficial to discuss medication options with your healthcare provider. As mentioned in previous discussions, medications like SSRIs (e.g., sertraline) can take several weeks to show effects, while benzodiazepines (e.g., bromazepam, Xanax) can provide more immediate relief but come with a risk of dependence. It's essential to work closely with your doctor to find the right balance for your situation.
9. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process your anxiety. It can help you identify triggers and patterns in your anxiety, making it easier to address them in the future.
10. Professional Help: If you find that your anxiety is overwhelming or persistent, seeking help from a mental health professional is crucial. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety disorders, as it helps you identify and change negative thought patterns.
In conclusion, managing sudden anxiety symptoms involves a combination of immediate coping strategies and long-term lifestyle changes. By incorporating these techniques into your daily routine, you can build resilience against anxiety and improve your overall mental health. Remember, it's essential to be patient with yourself as you navigate these challenges, and don't hesitate to seek professional help if needed.
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