Confronting Fear: Anxiety and Mental Pain in Everyday Life - Psychiatry

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Things that can cause fear and suffering?


Hello, Dr.
Wang.
My question is as follows: There are many terrifying things in this world, such as wars, significant casualties, and homicides.
I am very afraid that these things will happen to me, but I cannot avoid disasters.
Even when I go to the dentist, I worry about surgical errors or that my dental issues may be too severe to handle.
Living in such fear is truly painful; this mental suffering is no less than physical pain.
The conclusion is that what we fear will indeed cause fear, like a sharp blade; what hurts will cause pain, like a blade piercing the skin.
Are you not afraid of these things, or have you just never thought about them? Finally, I would like to list a few graphic scenarios: being buried alive in an earthquake or landslide, falling from a height, mass shootings, homicides, and car accidents.
Aren't these things frightening? Doctor, I really live in fear.

Jeff, 30~39 year old female. Ask Date: 2020/10/28

Dr. Wang Yaoting reply Psychiatry


Hello Jeff: From your description, it’s clear that you are really scared, and life must be quite difficult for you.
"Worry and anxiety" serve a fundamental purpose for humans: to avoid danger.
When the future is filled with "uncertainty," how can we create more certainty in our lives? Of course, thinking about it is the quickest way, because only by imagining various bad things happening do we feel like we are preventing something.
It is our instinct to defend against negative events in order to minimize future harm.
However, in reality, 99% of the things we worry about are unlikely to happen, or may never happen at all.
Therefore, my advice is: "Let go of what you cannot control, and only worry about what is happening in front of you." If you find that self-adjustment does not lead to improvement, I would recommend visiting a mental health clinic for evaluation.
Through medication and psychotherapy, there is usually significant improvement.
I hope this answers your question :)

Reply Date: 2020/10/28

More Info


Confronting fear and anxiety in our daily lives is a significant challenge that many individuals face. Your concerns about the various frightening events that can occur in the world—such as wars, violent crimes, and natural disasters—are valid and resonate with many people. The fear of these events can lead to a heightened state of anxiety, which can be debilitating and affect your quality of life.

Firstly, it's essential to understand that fear is a natural human response. It serves as a protective mechanism, alerting us to potential dangers. However, when fear becomes overwhelming and persistent, it can lead to anxiety disorders, which can manifest in various ways, including excessive worry, panic attacks, and avoidance behaviors. Your fear of dental procedures, for instance, is a common example of how anxiety can manifest in specific situations. Many people experience anxiety related to medical procedures due to the fear of pain, loss of control, or negative outcomes.

The feelings you describe—fear of the unknown, worry about potential disasters, and the emotional pain associated with these thoughts—are not uncommon. It's crucial to recognize that while these fears are valid, they often stem from our minds' tendency to focus on worst-case scenarios. This cognitive distortion can lead to a cycle of anxiety that is challenging to break.

To address these fears, several strategies can be helpful:
1. Cognitive Behavioral Therapy (CBT): This therapeutic approach focuses on identifying and challenging negative thought patterns and beliefs. By reframing your thoughts about fear and anxiety, you can learn to respond to these feelings in a healthier way.

2. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety levels. These techniques encourage you to stay present and focus on the here and now, rather than getting lost in fearful thoughts about the future.

3. Gradual Exposure: If certain situations trigger your anxiety, gradually exposing yourself to these situations in a controlled manner can help desensitize you to the fear. For example, if dental visits cause anxiety, consider starting with a simple consultation without any procedures to build your comfort level.

4. Limit Media Consumption: In today's digital age, constant exposure to news about disasters and violence can exacerbate feelings of fear and anxiety. Limiting your consumption of distressing news can help reduce anxiety levels.

5. Seek Professional Help: If your anxiety is significantly impacting your daily life, it may be beneficial to seek help from a mental health professional. Therapy can provide you with tools to manage your anxiety effectively, and medication may also be an option for some individuals.

6. Build a Support Network: Sharing your fears with trusted friends or family members can help alleviate feelings of isolation. They can provide support and perspective, which can be comforting during anxious times.

7. Focus on What You Can Control: While many events are beyond our control, focusing on aspects of your life that you can manage can empower you. Setting small, achievable goals can help you regain a sense of control and purpose.

In conclusion, while fear is an inherent part of the human experience, it is essential to find ways to manage it effectively. By employing coping strategies, seeking professional help, and building a supportive network, you can work towards reducing the impact of anxiety on your life. Remember, you are not alone in this struggle, and there are resources available to help you navigate your fears and anxieties.

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