Is a follow-up appointment necessary to confirm whether the anxiety disorder has improved?
Hello, Doctor.
I truly appreciate your tireless efforts in addressing my concerns as mentioned earlier.
For the past 2 to 3 years, I have been living without symptoms of anxiety and everything has been normal.
However, I suddenly realized that I haven't had a doctor confirm whether my anxiety has truly resolved.
This led me to worry and doubt whether my anxiety is still present.
Do I need to return for a follow-up appointment for a doctor's assessment, or should I not be concerned about this since I believe I have recovered? (I really just want a doctor's reassurance, possibly due to my lack of confidence.)
Previously, I was afraid of heavy metal poisoning (because I read online that it could cause involuntary anxiety symptoms), which made me fearful of batteries.
I had seen a psychiatrist once and was diagnosed with anxiety.
Through continuous learning and after blood tests and consultations with a toxicologist, I have come to understand that there is no issue, so I am no longer afraid.
My body has been free of anxiety for the past 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 and that no matter how much I earn, I will always feel it is not enough (in reality, I worry about having enough money to use, but I do not feel anxious about it; I just think about it a lot).
This prompted me to ask the doctor yesterday whether my concerns (which I do not feel emotionally stirred by) could still be considered anxiety.
Today, I recalled that I had been diagnosed with anxiety by a psychiatrist in the past.
Since my anxiety issues have improved, I have not returned for follow-up visits.
However, I have not received a doctor's confirmation that my anxiety has resolved.
This has led me to start worrying today, asking myself, "Is my anxiety really gone? Without a doctor's confirmation, how can I be sure?" I have this thought that since I was diagnosed with anxiety, I must continue to feel anxious until a doctor tells me that I am no longer anxious.
This sudden realization today stems from my fear of returning to the painful state of anxiety I experienced before.
Therefore, I would like to ask the doctor if I am worrying too much.
Qiu Xiansheng, 30~39 year old female. Ask Date: 2022/02/10
Dr. Wu Enliang reply Psychiatry
Hello everyone: I don't think there's a need to worry about this matter.
If you feel that having a certificate would provide more peace of mind, then please ask your physician to issue one.
Dr.
Wu En-Liang
Reply Date: 2022/02/10
More Info
It's understandable to feel anxious about your mental health, especially after experiencing anxiety symptoms in the past. Your concerns about whether you need a follow-up appointment to confirm that your anxiety has resolved are valid, and it's common for individuals who have faced anxiety disorders to seek reassurance from healthcare professionals.
Firstly, it's important to recognize that anxiety can often create a cycle of worry and self-doubt. You mentioned that you have been symptom-free for 2-3 years, which is a significant period of stability. This is a positive sign that you have likely developed coping mechanisms and strategies to manage your anxiety effectively. However, the fear of returning to a state of anxiety can trigger feelings of doubt, leading you to question whether you are truly "better."
In general, if you feel that your anxiety symptoms have significantly diminished and you are able to engage in daily activities without excessive worry, it may not be necessary to seek a follow-up appointment solely for reassurance. However, if you find that your thoughts about your anxiety are becoming intrusive or are affecting your quality of life, it could be beneficial to consult with a mental health professional. They can provide you with a thorough assessment and help you understand your current mental state.
It's also worth noting that the fear of returning to anxiety can sometimes manifest as a form of anxiety itself. This is often referred to as "anticipatory anxiety," where the individual becomes anxious about the possibility of experiencing anxiety again. This can create a paradox where the very act of worrying about anxiety can lead to increased feelings of anxiety. Understanding this cycle is crucial in breaking free from it.
You mentioned that you have sought reassurance from various sources, including a fortune teller, which can sometimes lead to increased anxiety rather than alleviating it. It's essential to rely on evidence-based practices and professional guidance rather than external opinions that may not be grounded in your reality.
In terms of your financial concerns, it's natural to worry about money, especially in today's economic climate. However, if these worries are not accompanied by the physical symptoms of anxiety (such as racing heart, sweating, or panic attacks), they may not indicate a return of your anxiety disorder. Instead, they could simply be normal stressors that everyone experiences.
If you feel that your thoughts about your anxiety are becoming overwhelming or if you find yourself frequently questioning your mental health status, it may be helpful to engage in cognitive-behavioral therapy (CBT). CBT is an effective treatment for anxiety that focuses on identifying and challenging negative thought patterns. A therapist can help you develop strategies to manage your thoughts and feelings more effectively.
In conclusion, while it's not strictly necessary to have a follow-up appointment if you feel stable, seeking reassurance from a mental health professional can provide clarity and peace of mind. Remember that it's okay to seek help when you need it, and doing so can empower you to maintain your mental well-being. Trust in the progress you've made, and be gentle with yourself as you navigate these feelings. Your mental health journey is unique, and it's important to honor your experiences while continuing to prioritize your well-being.
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