Anxiety: Coping with Pest-Related Fears and Obsessions - Psychiatry

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What is wrong with me...?


Hello, doctor: About 1.2 weeks ago, we had a pest problem in our room (mostly ants, along with other insects).
After addressing the issue, a problem arose.
Since the day the pest issue occurred, I feel compelled to check the room repeatedly at intervals to see if there are any new pest invasions.
Even though I have checked, I still worry constantly (thoughts like whether pests have invaded the room keep recurring), which makes me feel very anxious, scared, and unable to sleep well.
I also find myself eating only once every few days (about every 5 to 6 days).
I keep ruminating and can't stop thinking about it.
This has been ongoing until now.
Doctor, can you tell me what is wrong with me? I have no idea what to do now...
What kind of specialist should I see? I'm on the verge of a breakdown...

Mr. Wang, 20~29 year old female. Ask Date: 2021/06/05

Dr. Wu Enliang reply Psychiatry


Hello, internet user: It seems that your anxiety is quite severe, and you may need to consider short-term treatment with some anxiolytic medications along with relaxation training.
It is advisable to consult a psychiatrist (or a psychosomatic specialist).
You can download the Mood Temperature app to learn relaxation techniques and find nearby mental health resources.
Dr.
Wu Enliang

Reply Date: 2021/06/05

More Info


It sounds like you are experiencing significant anxiety related to a pest issue in your home, which has led to obsessive thoughts and compulsive behaviors. This is not uncommon, as anxiety can manifest in various forms, including obsessive-compulsive tendencies. Let’s break down your situation and explore some coping strategies and potential next steps.


Understanding Your Symptoms
From your description, it seems that the initial pest problem triggered a heightened state of anxiety. This is often how anxiety disorders begin; a specific event can lead to persistent worry and fear, even after the original problem has been resolved. Your need to frequently check for pests, despite having already done so, indicates a compulsive behavior that is often associated with obsessive-compulsive disorder (OCD).

The Cycle of Anxiety
Anxiety often creates a vicious cycle. You may experience intrusive thoughts about pests invading your space, which leads to compulsive checking behaviors. While these behaviors may provide temporary relief, they ultimately reinforce the anxiety, making it worse over time. This cycle can lead to sleep disturbances, changes in appetite, and an overall decline in your quality of life, as you have described.


Coping Strategies
1. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you become more aware of your thoughts and feelings without judgment. Techniques such as deep breathing, progressive muscle relaxation, or guided imagery can reduce anxiety levels. Apps like Headspace or Calm can be useful for guided meditation.

2. Limit Checking Behaviors: Set specific times during the day when you will check for pests, and try to stick to those times. Gradually increase the intervals between checks. This can help reduce the compulsive need to check constantly.

3. Cognitive Behavioral Therapy (CBT): This is a highly effective treatment for anxiety disorders, including OCD. CBT helps you identify and challenge irrational thoughts and beliefs, replacing them with more balanced and rational ones. A therapist can guide you through this process.

4. Exposure and Response Prevention (ERP): This is a specific type of CBT that involves gradual exposure to the source of your anxiety (in this case, the fear of pests) while preventing the compulsive response (checking). Over time, this can help reduce the anxiety associated with the fear.

5. Healthy Lifestyle Choices: Regular physical activity, a balanced diet, and adequate sleep can significantly impact your mental health. Engaging in activities you enjoy can also provide a distraction from anxious thoughts.


Seeking Professional Help
Given the intensity of your symptoms and the impact they are having on your daily life, it would be beneficial to seek professional help. A mental health professional, such as a psychologist or psychiatrist, can provide a proper diagnosis and develop a tailored treatment plan. They may suggest therapy, medication, or a combination of both, depending on your specific needs.


Conclusion
It’s important to remember that you are not alone in this experience, and help is available. Anxiety can be overwhelming, but with the right strategies and support, you can regain control over your thoughts and feelings. Don’t hesitate to reach out to a mental health professional who can guide you through this process. Taking that first step towards seeking help is a significant move towards recovery.

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