Coping with Anxiety and Panic Attacks: Managing Physical Symptoms - Psychiatry

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Anxiety Panic Disorder


Recently, I have been experiencing difficulty breathing due to nasal congestion, and I have scheduled surgery for the end of the month.
However, over the past few weeks, I have also been experiencing chest pain.
I went to the hospital for an examination, and both the electrocardiogram and chest X-ray showed no issues.
Despite this, the pain still occurs intermittently, and because of the pain, I have been researching information online, which has mostly yielded serious results, causing me to feel very anxious.
I know that the tests showed no significant problems, but the pain makes me anxious.
Are there any solutions to this?

Wu, 20~29 year old female. Ask Date: 2021/09/08

Dr. Wu Enliang reply Psychiatry


Hello, netizen: Psychosomatic disorders can cause various physical symptoms.
It is advisable to seek medical attention at a mental health facility.
Dr.
Wu En-Liang.

Reply Date: 2021/09/08

More Info


Coping with anxiety and panic attacks, especially when they are triggered by physical symptoms, can be quite challenging. It’s understandable that your recent experiences with nasal congestion and chest pain have led to increased anxiety. The interplay between physical sensations and anxiety can create a vicious cycle where the fear of the symptoms exacerbates the symptoms themselves. Here are some strategies to help you manage your anxiety and physical symptoms effectively.


Understanding the Connection Between Physical Symptoms and Anxiety
When you experience physical symptoms like chest pain, it’s natural to worry about what they might mean, especially if you’ve done some online research that leads to alarming conclusions. However, it’s important to remember that anxiety can manifest in physical ways, including muscle tension, increased heart rate, and even pain. This is often referred to as somatic anxiety, where psychological distress translates into physical symptoms.


Strategies for Managing Anxiety and Physical Symptoms
1. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you stay grounded in the present moment and reduce anxiety. Techniques such as deep breathing, progressive muscle relaxation, or guided imagery can help calm your mind and body. For instance, when you feel chest pain, take a moment to focus on your breathing. Inhale deeply through your nose, hold for a few seconds, and exhale slowly through your mouth. This can help reduce the intensity of your anxiety.

2. Cognitive Behavioral Therapy (CBT): CBT is a highly effective treatment for anxiety. It involves identifying negative thought patterns and replacing them with more balanced thoughts. For example, if you find yourself thinking, “This pain means something is seriously wrong,” you can challenge that thought by reminding yourself of the medical evaluations you’ve had that showed no serious issues. Working with a therapist trained in CBT can provide you with tools to manage your anxiety more effectively.

3. Limit Information Overload: While it’s good to be informed, excessive research can lead to increased anxiety. Try to limit your time spent searching for information online, especially if it tends to lead you to worst-case scenarios. Instead, focus on reliable sources or consult with your healthcare provider for accurate information.

4. Physical Activity: Regular physical activity can significantly reduce anxiety levels. Exercise releases endorphins, which are natural mood lifters. Even a short walk can help clear your mind and reduce feelings of anxiety.
5. Establish a Routine: Having a daily routine can provide structure and predictability, which can be comforting when you’re feeling anxious. Include time for relaxation, hobbies, and social interactions in your routine.

6. Seek Professional Help: If your anxiety continues to interfere with your daily life, consider seeking help from a mental health professional. They can provide you with tailored strategies and possibly recommend medication if necessary.
7. Stay Connected: Talk to friends or family about your feelings. Sharing your experiences can help alleviate feelings of isolation and provide you with support. Sometimes, just knowing that others understand what you’re going through can be comforting.

8. Focus on What You Can Control: Since you have a surgery scheduled for your nasal congestion, focus on preparing for that rather than worrying about the chest pain. Engage in activities that promote relaxation and well-being while you wait for your procedure.


Conclusion
Managing anxiety, especially when it’s linked to physical symptoms, requires a multifaceted approach. By incorporating mindfulness techniques, cognitive behavioral strategies, and physical activity into your routine, you can create a more balanced response to anxiety. Remember, it’s okay to seek help, and you don’t have to navigate this journey alone. Your health care providers are there to support you, and addressing both your physical and mental health is crucial for your overall well-being.

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