Am I Experiencing Anxiety? Symptoms and Seeking Help - Psychiatry

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Does this qualify as an anxiety disorder?


Hello, doctor.
A few months ago, for unknown reasons, my relationship with my classmates deteriorated.
When I confronted them face-to-face with the teacher, they always claimed they had no issues with me, but in reality, they openly mocked me, which made me afraid to speak in class.
Once, I tried to vent my emotions on a private account, but someone in that account took screenshots and sent them to the person involved (who was not on the follower list).
The involved person's friend called my family and demanded that I apologize, which made me feel betrayed that day (because the people in that account were friends I thought were really close).
The day after this incident, I experienced insomnia, nausea, impulsively hitting the wall, and biting my hands.
On my day off, even though I had prepared to study, I sat in my chair for an hour, thinking about how my classmates would perceive me when I returned to school the following week, during which I would unconsciously hit the table.
The following week, due to a midterm exam, I went to school, and during self-study class, I felt inexplicably anxious.
I kept picking at my skin with my fingernails and shaking my legs, unable to concentrate.
Even though it was a self-study period, I couldn't focus on my studies and almost cried but held it back.
Now, during the winter break, I was inexplicably suspected of being a snitch along with another classmate.
At that time, I was on the subway and had thoughts of wanting to escape the train car, and I unconsciously started picking at my hands.
When I switched to the bus, I felt like I couldn't breathe, and when I got home at night, I experienced insomnia...
Ultimately, I would like to ask the doctor if this could be classified as an anxiety disorder? Is it necessary for me to seek medical attention? I have considered seeking help but am afraid to tell my family.
Thank you, doctor, for reading my story and responding.

YC, 10~19 year old female. Ask Date: 2022/01/28

Dr. Lin Mianzhang reply Psychiatry


Hi there! It seems that the changes in your relationships with classmates have affected not only your emotions but also led to physical symptoms such as insomnia and nausea.
While anxiety appears to be the primary symptom, it is important to assess whether you may also be experiencing depression, panic, or other physical discomforts in order to make a definitive diagnosis and provide the most appropriate treatment for your situation.
Therefore, if you are feeling unwell and unable to improve on your own, I recommend seeking assistance from a mental health professional.
If you're afraid to discuss this with your family, you can first consult a doctor to discuss how to handle the situation.
Wishing you peace and health.

Reply Date: 2022/01/28

More Info


It sounds like you are going through a very challenging time, and I want to acknowledge the distress and anxiety you are experiencing. Based on the symptoms you've described, it does appear that you may be experiencing anxiety, which can manifest in various ways, including physical symptoms, emotional distress, and difficulties with concentration.

Your feelings of betrayal and the subsequent reactions—such as insomnia, nausea, self-harm, and difficulty focusing—are significant indicators of anxiety. The fact that you are having intrusive thoughts about how your peers perceive you, along with physical manifestations like nail-biting and restlessness, further supports this concern. Anxiety can often lead to a cycle of negative thoughts and physical symptoms that can be overwhelming.

It's important to recognize that anxiety is a common mental health issue, and many people experience it at different points in their lives. The feelings of fear and the urge to escape situations, as you described while on the subway, are also typical of anxiety disorders. These symptoms can significantly impact your daily life, including your ability to study, socialize, and engage in activities you once enjoyed.

Given the intensity of your symptoms and the impact they are having on your life, it would be advisable to seek professional help. A mental health professional, such as a psychologist or psychiatrist, can provide a thorough assessment and help determine whether you are experiencing an anxiety disorder or if there are other underlying issues that need to be addressed. They can also offer coping strategies and therapeutic interventions that can help you manage your anxiety more effectively.

I understand that you may feel hesitant to discuss your feelings with your family, but it’s important to remember that seeking help is a sign of strength, not weakness. You don’t have to go through this alone, and there are professionals who can provide the support you need. If you are uncomfortable talking to your family about your mental health, consider reaching out to a trusted friend or a school counselor who can help guide you in seeking the appropriate care.

In terms of confidentiality, mental health professionals are bound by ethical guidelines to keep your information private. This means that you can discuss your feelings and experiences without fear of them being shared without your consent. This confidentiality can create a safe space for you to explore your thoughts and feelings openly.

In summary, it does seem that you are experiencing symptoms consistent with anxiety, and I encourage you to seek professional help. Therapy can provide you with tools to manage your anxiety, improve your coping strategies, and help you navigate the challenges you are facing. Remember, you deserve support and care, and taking this step can lead to a healthier and more fulfilling life.

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