This world makes people live in fear?
Hello, Dr.
Chang.
I have a question.
There are many frightening things in this world, such as fires, car accidents, earthquakes, diseases, and injuries.
These terrifying events make me live in fear.
Most doctors suggest finding activities I enjoy to distract myself, but I have tried that and it hasn’t worked.
I want to emphasize that these frightening events have indeed occurred in this world and will continue to happen.
I truly cannot imagine the fear and pain these events bring, nor can I optimistically tell myself that they won't happen to me.
Do you also fear these things? I would appreciate any advice you could give me.
Thank you.
Mimi Yan, 30~39 year old female. Ask Date: 2021/09/29
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam,
From your letter, it is evident that you are experiencing discomfort and distress due to the pressures of fear and pain.
1.
Facing an uncertain future, somatic symptom disorder is a common condition in modern society.
This is a chronic illness that requires long-term treatment for recovery.
2.
Somatic symptom disorder is characterized by episodes of exacerbation, remission, recovery, and relapse.
More than half of patients may experience a recurrence of symptoms even after they have improved.
Due to individual differences in physiology, it may take time to identify the most suitable medication, and it is not possible to simply attribute effectiveness to one specific drug.
Please be patient and cooperate with your physician.
3.
Regarding pharmacological treatment, each primary medication requires 4 to 6 weeks to assess its efficacy.
If you experience any discomfort, it is advisable to note the duration and frequency of these symptoms.
4.
In addition to medication and psychotherapy, repetitive transcranial magnetic stimulation (rTMS) is a non-invasive, anesthesia-free, and highly safe treatment option that does not require hospitalization.
It can improve anxiety and depressive moods.
For patients with treatment-resistant depression or poor response to medication, significant improvement in depressive symptoms has been observed following rTMS treatment.
Please discuss your somatic symptoms thoroughly with your physician during your follow-up visit, as some symptoms may be related to the original condition, while others may be side effects of the medication.
Our clinic is open for consultations from Monday to Friday, both in the morning and afternoon.
We recommend that you consider coming in for a personal evaluation of your symptoms, so that we can collaboratively determine the best course of action for you.
Wishing you mental and physical well-being.
Sincerely,
Dr.
Chang Geng-Jia
Department of Psychiatry
Reply Date: 2021/09/29
More Info
Overcoming fear and anxiety in today's world can be a significant challenge, especially when faced with the realities of potential dangers such as fires, car accidents, earthquakes, diseases, and injuries. It's understandable to feel overwhelmed by these thoughts, as they are not only common but also rooted in real-life events that can and do occur. However, it's essential to recognize that while these fears are valid, they can also become debilitating if left unchecked.
First and foremost, it’s important to acknowledge that fear is a natural human emotion. Even healthcare professionals experience fear; however, the key lies in how we manage and respond to that fear. Here are several strategies that may help you cope with anxiety and fear more effectively:
1. Mindfulness and Grounding Techniques: Practicing mindfulness can help you stay present and reduce anxiety about future events. Techniques such as deep breathing, progressive muscle relaxation, or grounding exercises (like focusing on your senses) can help anchor you in the moment and alleviate feelings of panic.
2. Cognitive Behavioral Therapy (CBT): This therapeutic approach focuses on identifying and challenging negative thought patterns. By reframing your thoughts about fear and anxiety, you can learn to respond differently to these feelings. A therapist trained in CBT can guide you through this process, helping you to develop healthier coping mechanisms.
3. Limit Exposure to Triggers: While it’s important to stay informed, excessive exposure to news or media that highlights disasters can exacerbate anxiety. Consider setting boundaries around your media consumption. Instead, focus on positive news or engaging content that uplifts you.
4. Engage in Physical Activity: Regular exercise has been shown to reduce anxiety and improve mood. Physical activity releases endorphins, which can help counteract feelings of fear and anxiety. Find an activity you enjoy, whether it’s walking, dancing, or yoga, and incorporate it into your routine.
5. Connect with Others: Sharing your fears with trusted friends or family members can provide relief. They may offer support, perspective, or simply a listening ear. Sometimes, just knowing that you are not alone in your feelings can be comforting.
6. Focus on What You Can Control: While you cannot control external events, you can control your reactions and preparations. For example, if you fear a fire, consider taking a fire safety course or creating an emergency plan. Taking proactive steps can empower you and reduce feelings of helplessness.
7. Seek Professional Help: If your anxiety becomes overwhelming or interferes with your daily life, it may be beneficial to seek help from a mental health professional. They can provide tailored strategies and, if necessary, discuss medication options that can help manage anxiety symptoms.
8. Practice Self-Compassion: It’s crucial to be kind to yourself. Understand that it’s okay to feel fear and anxiety; these are human emotions. Instead of criticizing yourself for feeling this way, try to approach your feelings with compassion and understanding.
9. Develop a Routine: Establishing a daily routine can provide structure and predictability, which can be comforting in times of anxiety. Include activities that bring you joy and relaxation, and make time for self-care.
10. Explore Relaxation Techniques: Techniques such as meditation, yoga, or tai chi can help calm the mind and body. These practices encourage relaxation and can help reduce anxiety levels.
In conclusion, while the world can indeed be a frightening place, it’s important to remember that you have the power to manage your fears. By implementing these strategies, you can cultivate resilience and find peace amidst uncertainty. If you find that your anxiety persists or worsens, do not hesitate to reach out for professional support. You deserve to live a life free from the constraints of fear.
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