Anxiety Disorders: When Worry Becomes Overwhelming - Psychiatry

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Anxiety disorder / excessive worry


Hello, doctor.
I tend to overthink, worry, and get anxious easily, somewhat like a person who fears the worst.
I once learned in class about rabies, which has a very high mortality rate and is almost always fatal.
Since that day, my love for animals has turned into a fear of wild dogs, and I avoid places like Nantou where rabies is more prevalent.
We live in a rural area, and I also worry about bats flying into our home, as well as the possibility of bats contaminating clothes left outside to dry, which I might accidentally touch and then infect a wound.
As a result, I often spray alcohol.
Recently, I visited a university with many wild dogs, and I was licked on my pants by one.
I am really scared that I might get infected because of that...
I'm also concerned that clothes washed together in the washing machine might come into contact with the virus, and then I might touch a wound and get infected...
These are all thoughts I have conjured up myself, and my emotions are often affected by them...
Is this a sign of illness? Should I see a doctor? Thank you!

Chen, 10~19 year old female. Ask Date: 2021/07/29

Dr. Wu Enliang reply Psychiatry


Hello, netizen: According to the data from the Centers for Disease Control (https://www.cdc.gov.tw/Category/Page/iHUOIaLSAbQowJjnNGH2uQ): In July 2013, a case of rabies infection was confirmed in a wild animal (the badger) in Taiwan.
On July 18 of the same year, the Council of Agriculture reported this case to the World Organisation for Animal Health (OIE), which published the notification on its website.
The date of the first reported case of badger-related injuries was noted as May 23, 2012, marking the onset of rabies in Taiwan.
Currently, Taiwan is classified as a rabies-affected area.
According to surveillance data released by the Bureau of Animal and Plant Health Inspection and Quarantine, the current outbreak is limited to wild animals such as badgers and the Formosan ferret-badger.
This means that as long as there is no contact with badgers or Formosan ferret-badgers, it is not possible to contract rabies in Taiwan.
However, if you are still very worried, prone to overthinking, anxious, or easily stressed, it is advisable to seek care at a nearby mental health facility.
Dr.
Wu Enliang

Reply Date: 2021/07/29

More Info


It sounds like you are experiencing significant anxiety that is affecting your daily life and emotional well-being. Your concerns about rabies and the potential for infection from animals, particularly wild dogs and bats, reflect a pattern of excessive worry that is characteristic of anxiety disorders. This type of anxiety can manifest in various ways, including obsessive thoughts, compulsive behaviors (like spraying alcohol), and avoidance of situations that trigger fear.

Anxiety disorders are a group of mental health conditions that involve excessive fear or worry. They can range from generalized anxiety disorder (GAD), where individuals experience persistent and excessive worry about various aspects of life, to specific phobias, where there is an intense fear of a particular object or situation. In your case, your fear of rabies and the potential for infection seems to be causing you significant distress, leading to compulsive behaviors and avoidance of certain environments.

It's important to understand that while some level of worry is normal, especially in response to perceived threats, when worry becomes overwhelming and starts to interfere with your daily life, it may indicate an anxiety disorder. Your fear of wild dogs and bats, as well as the compulsive behaviors you engage in to mitigate these fears, suggest that your anxiety may be more than just a passing concern.

Here are some key points to consider regarding your situation:
1. Recognizing the Impact of Anxiety: Your anxiety is not just a minor inconvenience; it is affecting your ability to enjoy life and engage with the world around you. This is a crucial indicator that it may be time to seek help.

2. Seeking Professional Help: Consulting with a mental health professional, such as a psychologist or psychiatrist, can provide you with the support and guidance you need. They can help you understand your anxiety, identify triggers, and develop coping strategies. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety disorders, as it helps individuals challenge and change unhelpful thought patterns.

3. Medication Options: In some cases, medication may be recommended to help manage anxiety symptoms. This can include antidepressants or anti-anxiety medications, which can help regulate mood and reduce excessive worry. A healthcare provider can discuss the potential benefits and side effects of medication with you.

4. Self-Help Strategies: While professional help is important, there are also self-help strategies you can implement. These include mindfulness practices, relaxation techniques, and regular physical activity, all of which can help reduce anxiety levels. Keeping a journal to express your thoughts and feelings can also be beneficial.

5. Understanding the Nature of Your Fears: It may be helpful to educate yourself about rabies and the actual risks involved. Understanding the facts can sometimes help reduce irrational fears. For example, rabies is indeed a serious disease, but the likelihood of contracting it from a wild dog or bat is relatively low, especially if you take appropriate precautions.

6. Building a Support System: Sharing your feelings with trusted friends or family members can provide emotional support. They can help you feel less isolated in your experiences and may offer perspectives that can help alleviate some of your fears.

In conclusion, your experiences and feelings are valid, and seeking help is a positive step towards managing your anxiety. You are not alone in this, and many people experience similar feelings. With the right support and strategies, it is possible to regain control over your thoughts and emotions, leading to a more fulfilling and less anxious life. If you feel comfortable, I encourage you to reach out to a mental health professional to discuss your concerns further.

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