Anxiety: Distinguishing Between Normal Worry and Anxiety Disorders - Psychiatry

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Anxiety disorder issues?


Hello, doctor.
Previously, I was very afraid of heavy metal poisoning (because I read online that it could cause involuntary anxiety symptoms), which made me fearful of batteries.
I once visited a psychiatrist and was diagnosed with anxiety disorder.
After continuous research and blood tests, and consulting with a toxicologist, I understood that there was no issue, so I no longer felt afraid.
My body has been free of anxiety for the past two or three years.
However, recently, during a fortune-telling session, I asked some questions about wanting to earn more money.
The fortune teller said I tend to feel anxious about money, believing that no matter how much I earn, it will never be enough (in reality, I worry about not having enough money to use, but I don't feel anxious about it; I just think about it a lot).
After hearing this, I asked the doctor yesterday whether my concern without any emotional turmoil counts as anxiety.
Today, I recalled that I had been diagnosed with anxiety disorder by a psychiatrist.
Since my anxiety issues have improved, I haven't returned for follow-up visits.
However, I haven't received a doctor's confirmation that my anxiety disorder has resolved.
So today, I started to worry, asking myself, "Is my anxiety disorder really gone? I don't have a doctor's confirmation that I'm better." I have this thought that since I was diagnosed with anxiety disorder, I must be anxious.
It seems that I will only feel okay once a doctor tells me that my anxiety disorder is resolved.
This sudden thought arose today because I am very afraid of returning to that painful state of anxiety.
Therefore, I would like to ask the doctor if I am worrying too much.
In fact, my anxiety disorder has already improved, and I don't need to waste time at a mental health clinic for confirmation.
I just want some validation.
(I have a thought that if I see a doctor and they say I have some condition, I will take it seriously, even though I know I don't have those psychological symptoms.
I will only feel okay once the doctor says I'm better, so please don't tell me I have any condition; I will worry.) Additionally, is the anxiety we commonly refer to the same as anxiety disorder? (For example, being afraid of failing an exam, so I study hard; being afraid of running out of money, so I work hard.) I can't distinguish the difference between anxiety and anxiety disorder.

Qiu Xiansheng, 30~39 year old female. Ask Date: 2022/02/08

Dr. Wu Enliang reply Psychiatry


Hello, everyone: The main difference between anxiety and an anxiety disorder lies in whether it causes distress and affects daily functioning.
Dr.
Wu Enliang.

Reply Date: 2022/02/08

More Info


Understanding anxiety and distinguishing between normal worry and anxiety disorders is crucial for effective management and treatment. Anxiety is a natural response to stress, and it can manifest in various ways, including feelings of worry, fear, and apprehension. However, when these feelings become excessive, persistent, and interfere with daily functioning, they may indicate an anxiety disorder.

From your description, it seems you have experienced anxiety in the past, particularly related to fears of heavy metal poisoning and financial concerns. It’s important to recognize that anxiety can often be triggered by specific situations or fears, and it can sometimes lead to a cycle of worry that feels overwhelming. The distinction between normal worry and an anxiety disorder lies in the intensity, duration, and impact of these feelings on your life.

Normal worry is typically proportional to the situation at hand. For example, feeling anxious about an upcoming exam or financial obligations is common and can even motivate you to prepare and perform better. This type of anxiety is usually temporary and resolves once the stressor is removed or addressed. In contrast, anxiety disorders involve excessive worry that is disproportionate to the actual threat or situation. This can lead to physical symptoms such as increased heart rate, sweating, and difficulty concentrating, as well as emotional symptoms like persistent fear or dread.

Your concern about whether your anxiety has truly resolved is understandable, especially given your past diagnosis. It’s common for individuals with a history of anxiety disorders to worry about the possibility of relapse. However, it’s essential to recognize that recovery from anxiety is often a gradual process. Many people find that their anxiety diminishes over time, especially with the right coping strategies and support. If you feel that your anxiety symptoms have significantly improved and are no longer impacting your daily life, it may indicate that you have made progress.

The idea that you need a formal diagnosis from a doctor to validate your recovery is a common thought among those who have experienced anxiety disorders. While professional validation can be reassuring, it’s also important to trust your own experiences and feelings. If you find that your anxiety is manageable and does not interfere with your daily activities, it may not be necessary to seek further evaluation. However, if you continue to feel uncertain or anxious about your mental health, consulting with a mental health professional can provide clarity and reassurance.

Regarding your question about the difference between everyday anxiety and anxiety disorders, it’s essential to understand that while everyone experiences anxiety, the severity and impact of that anxiety can vary significantly. Everyday anxiety is often situational and can motivate positive action, while anxiety disorders involve chronic and excessive worry that can lead to significant distress and impairment in functioning.

In summary, it sounds like you have made significant strides in managing your anxiety, and it’s important to acknowledge that progress. If you find yourself spiraling into worry about your mental health, consider practicing mindfulness or cognitive-behavioral techniques to help ground yourself in the present moment. Remember that seeking support from a mental health professional can be beneficial if you feel overwhelmed or uncertain about your anxiety. Ultimately, understanding the nature of your feelings and trusting your progress is key to navigating your mental health journey.

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