Am I Experiencing Anxiety? Symptoms and Seeking Help

Does this qualify as an anxiety disorder?

Hello, Doctor.
A few months ago, for unknown reasons, my relationship with my classmates deteriorated significantly.
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, making 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, demanding that I apologize, which made me feel betrayed that day (because the people in that account were friends I considered very close).
The day after this incident, I experienced insomnia, nausea, impulsively hitting the wall, and biting my hands.
Even on my day off, when I was ready to study, I found myself sitting in a chair, thinking about how my classmates would view me next week, and I spent a whole hour doing this, during which I would unconsciously hit the table.
The following week, due to an upcoming 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 winter break, I and another classmate were inexplicably suspected of being informants.
At that time, I was on the subway and felt the urge to escape the train car, then 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 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 taking the time to read my story and respond.

YC, 10~19 year old female. Ask Date: 2022/01/31

Dr. Lin Mianzhang reply Psychiatry

Hi there! I can sense your anxiety and concern.
Although I've previously addressed your questions, if you're still feeling worried, I recommend seeking medical attention as soon as possible.
Anxiety disorder is just a diagnosis; even if you have it, it's essential to identify the underlying causes to fundamentally improve your situation.
Moreover, the physician will need additional information to assess whether you truly have an anxiety disorder and if there are any coexisting conditions.
I still suggest that you seek professional help promptly.
Wishing you a speedy recovery!

Reply Date: 2022/01/31

More Info

It sounds like you are going through a very challenging time, and I want to acknowledge the distress and confusion you're feeling. Based on your description, it does seem that you are experiencing symptoms that could be indicative of anxiety. Anxiety disorders can manifest in various ways, including excessive worry, physical symptoms (like nausea and restlessness), and difficulty concentrating, all of which you have mentioned.

Your experiences of feeling betrayed by friends, coupled with the bullying and mockery from classmates, can understandably lead to heightened anxiety. The fact that you are having trouble sleeping, feeling nauseous, and engaging in self-harming behaviors such as hitting walls and biting your hands are significant indicators that your mental health is being affected. These behaviors are often coping mechanisms for overwhelming emotions, and they can signal that you need support.

Anxiety can lead to a cycle where the more you worry about social interactions or academic performance, the more anxious you become, which in turn makes it harder to focus and engage with others. This cycle can be exhausting and can lead to feelings of isolation and helplessness. It's important to recognize that these feelings are valid and that you are not alone in experiencing them.

Seeking professional help is a crucial step in addressing these feelings. A mental health professional, such as a psychologist or psychiatrist, can provide you with a safe space to explore your feelings and experiences. They can help you understand whether what you are experiencing is indeed an anxiety disorder or if there are other underlying issues that need to be addressed. Treatment options may include therapy, medication, or a combination of both, depending on your specific needs.

It's understandable to feel apprehensive about discussing your mental health with your family, but remember that your well-being is the priority. If you feel comfortable, consider talking to a trusted adult or a school counselor who can help guide you through the process of seeking help. They can provide support and may even assist you in communicating with your family about your needs.

In the meantime, there are some strategies you can try to help manage your anxiety. Practicing mindfulness or relaxation techniques, such as deep breathing exercises or meditation, can be beneficial. Engaging in physical activity, whether it's a walk, yoga, or any form of exercise, can also help reduce anxiety levels. Additionally, try to maintain a routine that includes time for studying, relaxation, and socializing, even if it's just a little bit each day.

Remember, reaching out for help is a sign of strength, not weakness. You deserve support, and there are people who want to help you through this difficult time. Take care of yourself, and I encourage you to seek the assistance you need.

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