Overcoming Anxiety and OCD: Tips for Managing Fear of Illness - Psychiatry

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Obsessive-Compulsive Disorder (OCD) and Panic Disorder?


Hello Dr.
Wu, I am quite scared because I once stepped on a condom on the street (due to some specific occupations on my way to school).
Since then, I have felt anxious whenever I see something uncertain on the road, fearing that I might get sick.
This has made me reluctant to go outside.
I previously sought treatment from a psychiatrist, which helped a lot, but I wonder if my recent feelings of depression are due to staying home during the pandemic.
How can I overcome this psychological barrier and feel less anxious about getting sick when going outside? I notice that patients being treated for genital warts by urologists seem to be less fearful, and I wish I could be as brave as they are.
I have some questions regarding sexually transmitted infections.
How long can the wart virus survive in the air? (I have heard of cases where people contracted warts from public restrooms.) Does the survival time of the virus remain the same in a dark place without sunlight but with air? Those are my questions.
I apologize for the interruption.
Thank you.

Ahao, 20~29 year old female. Ask Date: 2021/09/13

Dr. Wu Enliang reply Psychiatry


Hello, online friend: I am quite scared because I once stepped on a condom while walking (due to some activities related to certain industries on my way to school).
Since then, I feel anxious whenever I see something uncertain on the street, fearing that I might get sick.
This has made me reluctant to go out.
I previously sought treatment from a psychiatrist, which helped a lot, but I wonder if my recent feelings of depression are due to staying home because of the pandemic.
How can I overcome this psychological barrier and reduce my anxiety about getting sick when going outside? A: This is a specific phobia that requires psychological therapy or medication to overcome; it may be difficult to manage on your own.
Urologists treat patients with genital warts, and they are often not very fearful during the treatment process, which makes me wish I could be as brave as they are.
May I ask you some questions regarding sexually transmitted infections? A: Sure.
How long can the wart virus survive in the air? (I have heard of cases where people contracted warts from public restrooms.) A: Genital warts are caused by HPV, which is transmitted through direct contact rather than through the air.
Does the virus survive the same amount of time in a dark place without sunlight but with air? A: Different viruses have different survival times.
For example, the coronavirus is transmitted via respiratory droplets and can survive on contaminated surfaces for several hours to five days, according to research.
Dr.
Wu Enliang

Reply Date: 2021/09/13

More Info


Overcoming anxiety, especially when it is related to health concerns, can be a challenging journey. Your experience with anxiety and obsessive-compulsive tendencies, particularly in relation to fears of illness, is not uncommon. Many individuals find themselves in similar situations, especially after experiencing a traumatic event or during times of heightened stress, such as the ongoing pandemic. Here are some strategies that may help you manage your anxiety and regain a sense of control over your life.

1. Understanding Your Anxiety:
Recognizing that your fears, while valid, may be disproportionate to the actual risk is the first step. Anxiety often distorts our perception of reality, leading us to believe that we are in greater danger than we truly are. It can be helpful to keep a journal where you document your fears, the situations that trigger them, and the actual outcomes. This practice can help you see patterns and challenge irrational thoughts.

2. Cognitive Behavioral Therapy (CBT):
CBT is a highly effective treatment for anxiety and OCD. It focuses on identifying and changing negative thought patterns and behaviors. Working with a therapist can help you develop coping strategies and gradually expose yourself to the situations that trigger your anxiety in a controlled manner. This exposure can help desensitize you to your fears over time.

3. Mindfulness and Relaxation Techniques:
Practicing mindfulness can help you stay grounded in the present moment, reducing anxiety about the future. Techniques such as deep breathing, progressive muscle relaxation, and meditation can be beneficial. Apps like Headspace or Calm offer guided sessions that can help you get started.

4. Gradual Exposure:
If your fear of illness is preventing you from going outside, consider a gradual exposure approach. Start by taking small steps, such as sitting outside for a few minutes or taking a short walk in a safe area. Gradually increase your exposure to the outside world as you become more comfortable.

5. Limit Information Consumption:
In the age of the internet, it’s easy to fall into the trap of excessive research, which can exacerbate anxiety. Set boundaries for yourself regarding how much time you spend researching health-related topics. Instead, focus on reliable sources of information and limit your exposure to sensationalized news.

6. Support System:
Reach out to friends, family, or support groups who understand what you’re going through. Sharing your feelings can alleviate some of the burdens of anxiety. Sometimes, just knowing that others are there for you can provide comfort.

7. Professional Help:
If your anxiety continues to interfere with your daily life, consider seeking help from a mental health professional. They can provide tailored strategies and, if necessary, discuss medication options that can help manage your symptoms.

Regarding Your Health Concerns:
As for your question about the human papillomavirus (HPV), which causes conditions like genital warts (also known as "cauliflower" due to its appearance), it is important to understand how it spreads. HPV is primarily transmitted through direct skin-to-skin contact, particularly during sexual activity. While it is possible to contract HPV from surfaces, such as public restrooms, the risk is considered low. The virus does not survive long outside the human body, and factors like sunlight can further reduce its viability.
In conclusion, overcoming anxiety related to health fears is a process that requires patience and self-compassion. By employing coping strategies, seeking professional help, and gradually facing your fears, you can work towards regaining control over your life and reducing your anxiety. Remember, you are not alone in this journey, and support is available.

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