Anxiety and Stress: Coping with Workplace Challenges - Psychiatry

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Anxiety and Stress


Hello, Doctor: I am currently in a work environment where some colleagues and supervisors are not very friendly, and they monitor my work, which makes me feel anxious and tense.
I often worry about making mistakes.
I am also very sensitive and care about others' evaluations, which keeps me in a high-pressure situation.
Sometimes, I even feel signs of inflammation within my body.
When my work situation is not ideal and I receive subtle criticism from my supervisor, my stress increases even more.
During times of anxiety or when faced with unfriendly treatment, I find myself unconsciously using profanity, which surprises and frightens me because I didn't used to behave this way.
When I am anxious, I also engage in repetitive, meaningless actions, such as repeatedly opening a certain app to observe the patterns that appear, as a way to predict my fate.
These behaviors only occur when I am anxious; they do not happen when I am calm.
I would like to ask the doctor why I am experiencing these reactions and whether I need to seek medical attention or counseling.
Thank you!

An An, 30~39 year old female. Ask Date: 2021/05/28

Dr. Lin Mianzhang reply Psychiatry


Hello! It seems that you are quite aware that when you feel anxious, you may resort to swearing or engaging in repetitive meaningless actions.
These behaviors are actually normal expressions of emotional release.
If these occurrences are infrequent and do not significantly impact your daily life, there is no need for medical intervention.
However, if these behaviors happen frequently and noticeably affect your life, it is advisable to seek medical attention.
Visiting a healthcare professional does not necessarily mean you are ill; it simply allows a doctor to assess your situation and explore ways to help you reduce stress and anxiety.
When your stress and anxiety levels decrease, these unusual behaviors are likely to diminish as well.
Wishing you peace and good health!

Reply Date: 2021/05/28

More Info


Hello! It sounds like you are experiencing significant anxiety and stress related to your work environment, which is not uncommon in today's fast-paced and often competitive workplaces. Your description of feeling monitored by colleagues and supervisors, coupled with a heightened sensitivity to criticism, indicates that you are in a high-pressure situation that is affecting your mental and emotional well-being.

Anxiety can manifest in various ways, and the symptoms you are experiencing—such as feeling tense, being overly concerned about making mistakes, and reacting with frustration or anger—are common responses to stress. The fact that you find yourself using profanity or engaging in repetitive, seemingly meaningless actions when anxious suggests that your coping mechanisms are being overwhelmed. These behaviors can serve as a way to release pent-up tension or distract yourself from the anxiety you are feeling.

The physical sensations you mentioned, such as feeling inflammation within your body, could be a psychosomatic response to stress. Chronic stress can lead to various physical symptoms, including muscle tension, headaches, gastrointestinal issues, and even inflammatory responses. This is because stress activates the body's fight-or-flight response, which can lead to increased levels of cortisol and other stress hormones that affect your overall health.

Your concern about needing to consult a professional is valid. Given the impact that these feelings and behaviors are having on your daily life and work performance, seeking help from a mental health professional could be beneficial. A therapist or counselor can provide you with strategies to manage your anxiety, improve your coping mechanisms, and help you develop a more resilient mindset. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety, as it focuses on changing negative thought patterns and behaviors.

In addition to professional help, there are several self-care strategies you can implement to help manage your anxiety:
1. Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, or yoga can help calm your mind and reduce anxiety. These techniques encourage you to focus on the present moment, which can alleviate worries about the future.

2. Physical Activity: Regular exercise is a powerful stress reliever. It can help reduce anxiety levels, improve mood, and promote better sleep. Even a short walk during your breaks can make a difference.

3. Establish Boundaries: If possible, try to set boundaries with your work environment. This may include limiting your exposure to negative colleagues or finding ways to communicate your needs to your supervisor.

4. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process your emotions. It can also help you identify triggers and patterns in your anxiety.

5. Social Support: Reach out to friends or family members who can provide emotional support. Sharing your experiences with someone you trust can help you feel less isolated.

6. Limit Caffeine and Alcohol: Both substances can exacerbate anxiety symptoms. Reducing your intake may help you feel calmer.

7. Seek Professional Help: As mentioned earlier, consulting with a mental health professional can provide you with tailored strategies and support to manage your anxiety effectively.

In conclusion, your experiences are valid, and it’s important to address them. By seeking help and implementing coping strategies, you can work towards a healthier relationship with your work environment and improve your overall well-being. Remember, you are not alone in this, and there are resources available to support you.

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