Fear of death
Since elementary school, I have been thinking about death, and then I think about being separated from my family, not being able to participate in everything in the world, and being unconscious until "forever." Just thinking about this "forever" makes my chest feel very tight, and I cry a lot.
I improved a lot later, but recently it has started again.
I end up crying until my eyes are swollen, and the next day I feel very tired.
Even when I'm with my family, I think about how we will eventually have to part...
Is there any way to help me stop thinking about these things?
Na, 10~19 year old female. Ask Date: 2022/01/05
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam,
From your letter, it is evident that you are experiencing discomfort and distress due to your simultaneous fears of death and separation, which require a professional physician's personal diagnosis and treatment.
1.
Facing an uncertain future, psychosomatic disorders are common in modern individuals.
This is a chronic condition that requires long-term treatment for recovery.
2.
Psychosomatic disorders are chronic illnesses that have periods 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 constitution, it may take time to determine the most suitable medication, and it is not possible to simply attribute which medication is more effective.
Please be patient and cooperate with your physician.
3.
Regarding medication treatment, each medication may have side effects.
It is advisable to note the duration and frequency of any adverse symptoms you experience and discuss them with your physician.
4.
In addition to medication and psychotherapy, repetitive transcranial magnetic stimulation (rTMS) is a non-invasive, anesthesia-free, highly safe treatment that does not require hospitalization.
It can improve anxiety and depressive moods.
For patients with treatment-resistant depression or poor response to medications, significant improvement in depressive symptoms can be observed after rTMS treatment.
Our clinic is open for consultations from Monday to Friday, both in the morning and afternoon.
I recommend that you consider visiting the clinic for a personal assessment of your symptoms by a physician, so that we can collaboratively discuss the best decisions for you.
Wishing you mental and physical well-being.
Sincerely,
Dr.
Chang Geng-Jia
Department of Psychiatry
Reply Date: 2022/01/05
More Info
Coping with death anxiety is a profound challenge that many individuals face, often stemming from a deep-seated fear of separation from loved ones and the unknown nature of death itself. It’s important to recognize that these feelings are not uncommon and can be addressed through various strategies aimed at finding peace of mind.
Firstly, understanding the nature of death anxiety is crucial. This anxiety often arises from existential concerns, such as the fear of losing loved ones, the fear of non-existence, and the uncertainty surrounding what happens after death. These thoughts can lead to overwhelming emotions, including sadness, fear, and even panic attacks. It is essential to acknowledge these feelings without judgment, as they are a natural part of the human experience.
One effective strategy for coping with death anxiety is mindfulness meditation. Mindfulness encourages individuals to stay present in the moment, which can help reduce the tendency to ruminate on fears about the future. By focusing on the here and now, you can cultivate a sense of peace and acceptance regarding life’s uncertainties. Practicing mindfulness can involve simple techniques such as deep breathing, progressive muscle relaxation, or guided imagery. These practices can help ground you and provide a sense of calm when anxiety arises.
Another helpful approach is cognitive-behavioral therapy (CBT), which focuses on identifying and challenging negative thought patterns. For instance, when you find yourself spiraling into thoughts about death and separation, you can practice reframing these thoughts. Instead of thinking, “I will lose my family and never see them again,” you might reframe it to, “While loss is a part of life, I can cherish the moments I have with my loved ones now.” This shift in perspective can help lessen the emotional burden of these thoughts.
Engaging in meaningful activities can also serve as a powerful antidote to death anxiety. When you immerse yourself in hobbies, volunteer work, or spending quality time with loved ones, you create positive experiences that can distract you from anxious thoughts. Additionally, fostering connections with others who share similar fears can provide a sense of community and support. Consider joining a support group where you can share your feelings and hear from others who are navigating similar challenges.
Furthermore, exploring philosophical or spiritual perspectives on death can be beneficial. Many find comfort in understanding that death is a natural part of life’s cycle. Reading literature on existential philosophy or engaging in spiritual practices can provide insights that help reframe your understanding of life and death. This exploration can lead to a greater acceptance of mortality and a deeper appreciation for the present moment.
Lastly, if your anxiety becomes overwhelming or interferes significantly with your daily life, seeking professional help is a wise choice. A mental health professional can provide tailored strategies and support to help you navigate your feelings. Therapy can offer a safe space to explore your fears and develop coping mechanisms that resonate with you.
In conclusion, coping with death anxiety involves a multifaceted approach that includes mindfulness, cognitive reframing, engaging in meaningful activities, exploring philosophical perspectives, and seeking professional support when necessary. By implementing these strategies, you can cultivate a greater sense of peace and acceptance regarding life’s uncertainties. Remember, it’s okay to seek help and take the time you need to work through these feelings. Life is precious, and finding joy in the present can help alleviate the weight of anxiety about the future.
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