Is My Anxiety About Cleanliness Due to the Pandemic? - Psychiatry

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I'm not sure if it's excessive worry?


Hello, Doctor.
Since the beginning of the pandemic, I have developed a feeling that everything I touch or come into contact with is unclean, which makes me want to wash things, such as my clothes.
I often feel the need to wash items or clothing that others have taken out, especially when they come into contact with my bed sheets or chairs.
As a result, I find myself washing 3-4 sets of clothes a day or washing my bed sheets every two to three days.
This has become quite exhausting for me.
Before the pandemic, I was able to manage normally without such excessive reactions.
I would like to ask: 1.
Is this excessive reaction due to the pandemic? 2.
Am I being overly cautious in preventing the spread of the virus? I personally have not been in high-risk areas.
3.
If this is indeed an overreaction, what can I do to stop these thoughts? This issue has been bothering me for quite some time.
Thank you, Doctor.

Xiao Yao, 20~29 year old female. Ask Date: 2021/07/07

Dr. Wu Enliang reply Psychiatry


Hello, netizen:
1.
Is this overthinking and overreacting due to the pandemic?
A: Indeed, many people (including you and me) have experienced varying degrees of anxiety due to the pandemic, which is a normal self-protective mechanism in animals.
2.
Am I being too extreme in my precautions against the pandemic, considering I haven't been to high-risk areas?
A: Yes, it is indeed a bit excessive.
3.
If this is truly an overreaction, what should I do to stop thinking this way?
A: Remind yourself of the basic preventive measures recommended by health experts: wear a mask when going out, wash your hands with soap upon returning home, maintain social distancing, and at most, change your clothes when you get home.
It's best to limit your news consumption to official sources and avoid sensationalized reports related to the pandemic.
If you still feel very anxious, you may need to consider short-term use of anti-anxiety medication.
Dr.
Wu Enliang

Reply Date: 2021/07/07

More Info


Your concerns about cleanliness and the compulsive behaviors you've developed since the onset of the pandemic are not uncommon. Many individuals have experienced heightened anxiety and obsessive thoughts regarding cleanliness and hygiene due to the COVID-19 pandemic. This phenomenon can be attributed to several psychological factors that have been exacerbated by the global health crisis.

1. Pandemic-Induced Anxiety: The pandemic has created an environment of uncertainty and fear, leading many people to develop anxiety-related behaviors. Your feelings of needing to wash clothes multiple times a day or disinfect surfaces can be seen as a natural response to the heightened awareness of germs and viruses. This is a form of anxiety that manifests as compulsive cleaning or checking behaviors, which can be classified as a type of obsessive-compulsive disorder (OCD). It is important to recognize that these behaviors are often a coping mechanism to manage the anxiety stemming from the fear of illness.

2. Overreacting to Hygiene: While maintaining good hygiene is crucial, your current practices may indeed be excessive. The Centers for Disease Control and Prevention (CDC) recommends basic hygiene practices such as washing hands regularly, using hand sanitizer, and cleaning frequently touched surfaces. However, if your cleaning rituals are taking up a significant portion of your day and causing distress, it may indicate that your response has gone beyond what is necessary for health and safety.
3. Managing Overreactions: To address your concerns and reduce the anxiety associated with cleanliness, consider the following strategies:
- Set Limits: Establish a routine for cleaning and stick to it. For example, designate specific times for washing clothes or disinfecting surfaces rather than doing it impulsively throughout the day. This can help create a sense of control over your cleaning habits.

- Challenge Your Thoughts: When you feel the urge to clean or disinfect, take a moment to assess whether the situation truly warrants it. Ask yourself if the item or surface is genuinely dirty or if your anxiety is driving the need to clean. Cognitive-behavioral therapy (CBT) techniques can be beneficial in challenging and reframing these thoughts.

- Mindfulness and Relaxation Techniques: Engage in mindfulness practices, such as meditation or deep breathing exercises, to help manage anxiety. These techniques can help ground you in the present moment and reduce the urge to engage in compulsive behaviors.

- Limit Exposure to News: While it's essential to stay informed, excessive consumption of news related to the pandemic can heighten anxiety. Try to limit your exposure to news sources that amplify fear and focus on reliable information from health authorities.

- Seek Professional Help: If your anxiety continues to interfere with your daily life, consider reaching out to a mental health professional. Therapy, particularly cognitive-behavioral therapy, can provide you with tools to manage your anxiety and compulsive behaviors effectively. In some cases, medication may also be recommended to help alleviate symptoms.

In conclusion, your anxiety about cleanliness is likely a response to the pandemic and the fear it has instilled in many individuals. By implementing strategies to manage your thoughts and behaviors, you can work towards regaining a sense of normalcy and reducing the burden of excessive cleaning. Remember, seeking help is a sign of strength, and you don't have to navigate this alone.

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