Anxiety: Differentiating Between Everyday Worry and Anxiety Disorders - Psychiatry

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Anxiety disorder issues


Hello, doctor.
Previously, I was afraid of heavy metal poisoning (because I read online that it can cause involuntary anxiety symptoms), so I was very scared of batteries.
I had seen a psychiatrist once and was diagnosed with anxiety disorder.
After continuously educating myself and consulting with a toxicologist after blood tests, I understood that there was nothing to worry about, so I no longer felt afraid.
My body did not exhibit anxiety symptoms for two to 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, that no matter how much I earn, it will never feel enough (in reality, I am just worried about not having enough money).
I don’t actually feel anxious about it; I just tend to overthink the situation.
After hearing this, I asked the doctor yesterday whether my concern, which doesn’t cause any emotional turmoil, could still be considered anxiety.
Today, I recalled that I had been diagnosed with anxiety disorder by a psychiatrist in the past.
Since my anxiety issues have improved, I haven’t returned for follow-up visits.
However, I never received a formal diagnosis stating that my anxiety disorder had 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 okay.” I have this thought that since I was diagnosed with anxiety disorder, I must be anxious.
It seems that I can only be considered fine when a doctor says 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 shouldn’t waste time going to a mental health clinic for validation.
I just want some proof.
(I have this idea that if a doctor tells me I have a certain condition, I will take it seriously, even if I know I don’t exhibit those psychological symptoms.
I will only feel okay when the doctor says I am fine, so please don’t label me with any conditions, as it makes me worry.) Additionally, is the anxiety we commonly refer to in daily life the same as an anxiety disorder? (For example, being afraid of failing an exam, so I study hard, or being afraid of running out of money, so I work diligently.) I am confused about the difference between anxiety and anxiety disorder.

Qiu Xiansheng, 30~39 year old female. Ask Date: 2022/02/09

Dr. Wu Enliang reply Psychiatry


Hello everyone: The main difference between anxiety and an anxiety disorder lies in whether it causes significant distress and impairment in daily functioning.
Dr.
Wu En-Liang

Reply Date: 2022/02/09

More Info


Understanding anxiety and differentiating between everyday worry and anxiety disorders can be quite challenging, especially when personal experiences and fears intertwine. Your concerns reflect a common struggle many individuals face when trying to navigate their mental health, particularly in relation to anxiety.

Firstly, it’s essential to recognize that anxiety exists on a spectrum. Everyday worry, such as feeling anxious about an upcoming exam or financial stability, is a normal part of life. These feelings can motivate us to prepare and take action, like studying harder or budgeting more effectively. This type of anxiety is often situational and temporary, resolving once the stressor is removed or addressed.

On the other hand, anxiety disorders, such as Generalized Anxiety Disorder (GAD), Panic Disorder, or Social Anxiety Disorder, involve more persistent and excessive worry that can significantly impair daily functioning. Individuals with anxiety disorders often experience overwhelming feelings of fear or dread that are disproportionate to the actual situation. Symptoms can include physical manifestations like increased heart rate, sweating, trembling, or gastrointestinal issues, as well as cognitive symptoms like racing thoughts, difficulty concentrating, and a pervasive sense of impending doom.

From your description, it seems you have experienced both everyday worry and anxiety symptoms in the past. The fear of heavy metal poisoning and the subsequent anxiety you felt were understandable reactions to a perceived threat. However, it’s commendable that you sought medical advice and underwent testing to alleviate those fears. The fact that you have not experienced significant anxiety symptoms for the past couple of years suggests that you may have made substantial progress in managing your anxiety.

Your recent concerns about whether you still have an anxiety disorder seem to stem from a fear of returning to a previous state of distress. This is a common fear among individuals who have experienced anxiety disorders, often referred to as "anxiety about anxiety." It’s important to note that recovery from anxiety does not always require a formal diagnosis or ongoing treatment. Many individuals find that they can manage their anxiety through self-awareness, coping strategies, and lifestyle changes.

The notion that you need a doctor's confirmation to validate your mental health status can create a cycle of worry. It’s crucial to understand that mental health is not always black and white; it can fluctuate based on various factors, including stress levels, life changes, and personal circumstances. If you feel that your anxiety is manageable and does not interfere with your daily life, it may indicate that you are in a healthier state than before.

Regarding your question about the difference between everyday anxiety and anxiety disorders, it’s essential to recognize that while both involve worry, the intensity, duration, and impact on daily life are what distinguish them. Everyday anxiety is typically manageable and can even be beneficial, while anxiety disorders often require intervention and can lead to significant distress and impairment.

If you find that your worries about your mental health are becoming overwhelming or if you notice a resurgence of anxiety symptoms, it may be beneficial to consult with a mental health professional. They can provide a safe space to explore your feelings and help you develop coping strategies. Remember, seeking help is a sign of strength, and it can provide clarity and reassurance as you navigate your mental health journey.

In conclusion, understanding the nuances of anxiety and recognizing the difference between everyday worry and anxiety disorders is crucial for your mental well-being. It’s commendable that you are reflecting on your experiences and seeking to understand them better. Trust in your progress, and remember that it’s okay to seek support when needed. Your mental health journey is unique, and it’s essential to approach it with compassion and patience towards yourself.

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