Coping with Adjustment Disorder: Overcoming Anxiety and Negative Thoughts - Psychiatry

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Adjustment Disorder


I am currently studying in graduate school, and my teacher initially planned to let me take my oral exam early.
However, when I discovered errors in my research data, I fell into a state of negative emotions and anxiety, even contemplating death.
I didn't want to interact with anyone and experienced insomnia for two to three weeks.
Consequently, I sought help from a psychiatrist, who diagnosed me with adjustment disorder with anxiety and prescribed medication.
My teacher has agreed to let me take a break for a while, but even after starting the medication, I still find myself constantly thinking negatively and unable to feel joy.
This is mainly because I am fixated on the mistakes I made, and I don't understand why I keep getting stuck in this mindset.
Many people have advised me that research inherently has its limitations, and my teacher believes I can move past this, but I still can't overcome this mental barrier.
My teacher has said that once I finish my break, I can choose to change my topic or continue with the original one.
Right now, I truly feel hopeless.
I know that my issues are significant, but I can't convince myself, and how could I possibly produce a thesis? I am filled with various anxieties, wondering why others have no problems while I am stuck in this deadlock.
I feel exhausted.
I have considered dropping out, but my teacher and family think it would be a shame.
I might want to escape because of my current situation, but I feel really helpless, and I have cried many times.
My family continues to encourage me, but I am trapped in a cycle of negative thinking.

I would like to ask: 1.
Should I continue to push through? I am also afraid that if I force myself, I might end up in a worse situation.
2.
Can adjustment disorder with anxiety really heal in a short time? I currently lack the confidence and belief that I can complete my studies.
Thank you, doctor.

Ahao, 20~29 year old female. Ask Date: 2021/12/12

Dr. Wu Enliang reply Psychiatry


Hello, internet user: Some individuals with anxiety-related adjustment disorders can indeed recover in a short period of time.
However, sometimes due to excessive stress, it may develop into depression or anxiety disorders.
It is advisable to collaborate and discuss with your psychiatrist, and you may also consider individual psychotherapy.
In any case, seeking help from others will certainly lead to improvement.
Dr.
Wu En-Liang

Reply Date: 2021/12/12

More Info


Coping with Adjustment Disorder, particularly when it involves anxiety and negative thoughts, can be a challenging journey, especially for someone in a demanding academic environment like graduate school. Your situation reflects a common struggle among students who face high expectations and the pressure to perform, which can lead to feelings of inadequacy and anxiety when things don’t go as planned.

Firstly, it’s important to acknowledge that your feelings are valid. Discovering errors in your research can be disheartening, and it’s natural to feel overwhelmed, especially when you’re already dealing with anxiety. The fact that you sought help from a mental health professional is a positive step. Adjustment Disorder with anxiety is characterized by an inability to cope with a significant life change or stressor, which in your case appears to be related to your academic pressures.

1. Should You Keep Pushing Through?
It's understandable to feel like you’re at a crossroads. The fear of pushing through and worsening your mental health is legitimate. However, it’s crucial to consider that taking a break or stepping back doesn’t equate to failure. It’s about self-preservation and ensuring that you can return to your studies with a clearer mind. Your mental health should be a priority. If you feel that continuing in your current state may lead to a more severe breakdown, it might be wise to take a step back. Discuss with your advisor or a trusted mentor about possibly delaying your research or taking a leave of absence if necessary.
2. Can Adjustment Disorder Heal Quickly?
Adjustment disorders can vary in duration and intensity. Some individuals may find relief within a few months, especially with appropriate treatment, while others may take longer. The key is to engage in effective coping strategies and possibly adjust your treatment plan with your healthcare provider. Medication can help alleviate symptoms, but it’s also essential to incorporate therapeutic techniques such as cognitive-behavioral therapy (CBT), which can help you reframe negative thoughts and develop healthier coping mechanisms.

Here are some strategies that may help you cope with your current situation:
- Cognitive Restructuring: Work on identifying negative thought patterns and challenge them. For instance, instead of thinking, “I’ll never be able to finish my thesis,” try reframing it to, “I’m facing challenges, but I can seek help and find solutions.”
- Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, or yoga can help reduce anxiety and improve your emotional regulation.

- Set Small Goals: Instead of focusing on the entire thesis, break it down into smaller, manageable tasks. Celebrate small victories to help rebuild your confidence.

- Seek Support: Continue to lean on your family and friends for support. Sometimes, sharing your thoughts and feelings can alleviate some of the burdens. Consider joining a support group for students facing similar challenges.

- Limit Exposure to Stressors: If certain environments or situations trigger your anxiety, try to limit your exposure to them when possible. This might mean taking breaks from academic discussions or social media that exacerbate your feelings of inadequacy.

- Professional Help: If you find that your current medication isn’t helping or if your symptoms worsen, don’t hesitate to reach out to your healthcare provider. They may need to adjust your treatment plan.

In conclusion, while it’s understandable to feel trapped in a cycle of negative thinking and anxiety, remember that you are not alone in this struggle. Many students face similar challenges, and it’s okay to seek help and take the necessary time to heal. Your mental health is crucial, and with the right support and strategies, you can navigate through this difficult period. Focus on small steps forward, and allow yourself the grace to heal and adjust at your own pace.

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