Do I Need a Follow-Up Appointment to Confirm My Anxiety is Gone? - Psychiatry

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Is a follow-up appointment necessary to confirm if the anxiety disorder has improved?


Hello, Doctor.
I truly appreciate your tireless efforts in clarifying my concerns.
As mentioned earlier, I have been living without symptoms of anxiety for the past 2 to 3 years, and everything has been normal.
However, I suddenly realized that I have not 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? I feel like I need 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.
After continuous research and blood tests, as well as 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 mentioned that 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 actually feel anxious about it; I just tend to overthink this matter).
This prompted me to ask the doctor yesterday whether my underlying worry could 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 formal confirmation from a doctor that my anxiety has resolved.
This has led me to start worrying about whether my anxiety has truly improved, especially since I lack a doctor's confirmation.
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 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.

Qiu Xiansheng, 30~39 year old female. Ask Date: 2022/02/11

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: 2022/02/11

More Info


It's understandable to feel anxious about your mental health, especially after having experienced anxiety symptoms in the past. Your concern about whether you need a follow-up appointment to confirm that your anxiety has resolved is quite common among individuals who have previously been diagnosed with anxiety disorders.
First and foremost, it's important to acknowledge that recovery from anxiety is often a gradual process. Many people find that they can manage their symptoms effectively over time, and it sounds like you've been doing well for the past two to three years. This is a significant achievement and a testament to your resilience and coping strategies. However, the lingering doubts and fears about your mental health can sometimes trigger anxiety, even when you are not experiencing the symptoms actively.

In terms of whether you need a follow-up appointment, it ultimately depends on your personal comfort level and how you feel about your mental health. If you find that your thoughts about your anxiety are causing you distress or if you feel uncertain about your mental state, it may be beneficial to consult with a mental health professional. They can provide reassurance, help you process your feelings, and offer strategies to manage any residual anxiety you may be experiencing.
It's also worth noting that the thoughts you described—such as questioning whether you are truly free from anxiety or feeling that you must be anxious because you were previously diagnosed—are common cognitive patterns associated with anxiety. These thoughts can create a cycle of worry that can be difficult to break. Cognitive-behavioral therapy (CBT) is a highly effective treatment for anxiety that focuses on identifying and challenging these negative thought patterns. A therapist can help you develop healthier thinking habits and coping mechanisms.

Regarding your concern about financial anxiety, it's important to differentiate between healthy caution and excessive worry. It's natural to think about financial stability, especially in uncertain economic times. However, if these thoughts are causing you significant distress or affecting your daily life, it might be helpful to explore them further with a professional. They can help you assess whether these thoughts are part of a broader anxiety issue or simply a normal response to financial concerns.

Lastly, remember that mental health is not a binary state of being "well" or "ill." It's a spectrum, and it's normal to have fluctuations in your feelings and thoughts. The key is to develop tools to manage these fluctuations effectively. Engaging in self-care practices, such as mindfulness, exercise, and maintaining a supportive social network, can also be beneficial in managing anxiety.

In summary, while you may not necessarily need a follow-up appointment if you feel stable and content, seeking reassurance from a mental health professional can provide peace of mind and help you navigate any lingering doubts. It's important to prioritize your mental well-being and seek support when needed. You are not alone in this journey, and there are resources available to help you maintain your mental health.

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Hello, everyone: I don't think we need to worry about this matter. Dr. Wu Enliang.

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