Should I Seek Specialized Help for Weight Loss and Anxiety Issues?

Should I seek additional medical attention for weight loss and anxiety issues?

Hello Doctor, I recently just started my sophomore year and have experienced a weight drop from 54 kg to 45 kg over the past year.
My height is 159 cm, and I haven't intentionally tried to lose weight.
I would like to know if this is normal, as I have been feeling quite anxious due to not adapting well, which has led to a decreased appetite.
I have also visited the school counseling services several times.
Additionally, I often have negative thoughts and sometimes feel anxious about social interactions.
Should I seek treatment at a specialized clinic for this, or is this actually a normal phenomenon?

Zhang Yufeng, 10~19 year old female. Ask Date: 2021/10/02

Dr. Peng Liyun reply Psychiatry

Hello, based on the symptoms you described (social anxiety, negative thoughts, loss of appetite, and weight loss), in addition to psychological counseling, it is important to rule out other physiological and psychological issues.
I recommend that you undergo a comprehensive evaluation at a psychosomatic clinic.
Thank you for your inquiry! Sincerely, Dr.
Li-Yun Peng, Department of Child and Adolescent Psychiatry, Chianan Psychiatric Hospital.

Reply Date: 2021/10/02

More Info

It sounds like you are going through a challenging time, and it's important to address both your weight loss and anxiety issues with the appropriate care. Based on your description, it seems that your weight loss from 54 kg to 45 kg over the past year, especially without intentional dieting, could be a sign of underlying issues that need to be explored further.
Firstly, significant and unintentional weight loss can be concerning. It may indicate a variety of factors, including stress, anxiety, or even potential medical conditions that could be affecting your appetite and overall health. Given that you mentioned experiencing anxiety and a lack of appetite, it’s crucial to consider how these factors may be interconnected. Anxiety can lead to changes in eating habits, and in some cases, it can manifest physically, resulting in weight loss.
Your experience of feeling anxious, particularly in social situations, is also noteworthy. Social anxiety can significantly impact your quality of life, making it difficult to engage with others and enjoy social interactions. This can create a cycle where anxiety leads to social withdrawal, which in turn can exacerbate feelings of loneliness and further anxiety.
Given these factors, seeking specialized help would be a wise decision. A mental health professional, such as a psychologist or psychiatrist, can provide you with a comprehensive evaluation to determine the best course of action. They can help you understand the root causes of your anxiety and weight loss, and work with you to develop coping strategies. Therapy, particularly cognitive-behavioral therapy (CBT), has been shown to be effective for anxiety disorders and can help you challenge negative thoughts and behaviors that contribute to your anxiety.

Additionally, a registered dietitian can be beneficial in addressing your nutritional needs. They can help you create a balanced eating plan that supports your mental and physical health, ensuring you are getting the nutrients necessary for your body to function optimally.
It's also important to consider that your feelings and experiences are valid. You are not alone in this, and many individuals face similar challenges during transitions, such as moving to college. The stress of adapting to new environments can take a toll on mental health, and it’s okay to seek help during this time.
In summary, I strongly encourage you to seek specialized help for both your weight loss and anxiety issues. This could involve visiting a mental health professional for therapy and possibly medication management if needed, as well as consulting with a dietitian to ensure you are meeting your nutritional needs. Taking these steps can help you regain control over your health and well-being, and ultimately lead to a more fulfilling college experience. Remember, seeking help is a sign of strength, and prioritizing your mental health is essential for your overall well-being.

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