Does this qualify as an anxiety disorder?
Hello, Doctor.
A few months ago, for unknown reasons, my relationship with my classmates deteriorated.
When confronted face-to-face with the teacher, they always claimed to have no issues with me, but in reality, they openly mocked me, which made me afraid to speak in class.
Once, when I wanted to vent my emotions on a private account, someone in that account took screenshots and sent them to the person involved (who was not on the follower list).
The friend's friend directly called my family, asking me to 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 though I had prepared to study on my day off, I found myself sitting in a chair, thinking about how my classmates would view me next week, and I spent a full hour doing this, during which I would involuntarily hit the table.
The following week, due to an upcoming exam, I went to school.
During self-study class, I felt inexplicably anxious, and I kept picking at my skin with my fingernails and shaking my legs.
I couldn't concentrate, and even though it was a self-study period, I was unable to focus on my studies and almost cried, but I held it back.
Now, during winter break, I and another classmate were inexplicably suspected of being informants.
At that time, I was on the MRT, and I had thoughts of wanting to escape the train car.
I unconsciously started picking at my hands, and when I switched to the bus, I felt like I couldn't breathe.
When I got home at night, I couldn't sleep...
Ultimately, I would like to ask the doctor, does this count as anxiety disorder? Is it necessary for me to seek medical attention? I have thought about whether to seek medical help, but I am afraid to tell my family.
Thank you, Doctor, for reading my story and responding.
YC, 10~19 year old female. Ask Date: 2022/02/11
Dr. Lin Mianzhang reply Psychiatry
Hi there! I can sense that you are really anxious, as you've asked the same question multiple times.
You might be experiencing symptoms of anxiety disorder.
I recommend that you seek help from a mental health professional as soon as possible, as it could help improve your anxiety.
Wishing you a speedy recovery!
Reply Date: 2022/02/11
More Info
It sounds like you are experiencing a significant amount of distress and anxiety, which is understandable given the circumstances you've described. The feelings of betrayal, fear, and overwhelming anxiety in social situations can be very challenging to cope with. Based on what you've shared, it does seem that you may be experiencing symptoms consistent with anxiety disorder.
Anxiety disorders can manifest in various ways, including persistent worry, physical symptoms (like nausea or a racing heart), and behavioral changes (such as avoiding certain situations). The symptoms you mentioned, such as insomnia, feelings of nausea, compulsive behaviors (like biting your hands), and difficulty concentrating, are all common indicators of anxiety. Additionally, the sense of wanting to escape from situations and the physical manifestations of anxiety (like shaking your legs or feeling unable to breathe) further support this possibility.
It's important to recognize that experiencing anxiety does not mean you are weak or that you are overreacting. Anxiety is a real and often debilitating condition that can affect anyone, regardless of their background or circumstances. The fact that you are aware of your feelings and are seeking to understand them is a positive step forward.
Regarding whether you should seek professional help, I would strongly encourage you to do so. Speaking with a mental health professional can provide you with the support and guidance you need to navigate these feelings. They can help you develop coping strategies, understand the root causes of your anxiety, and determine if any specific treatment, such as therapy or medication, might be beneficial for you.
It's understandable to feel hesitant about discussing your mental health with your family, but remember that seeking help is a sign of strength. You might consider reaching out to a trusted adult, such as a school counselor or a teacher, who can help you find the right resources without involving your family initially if that feels too daunting. Many schools have mental health services that are confidential and can provide immediate support.
In terms of confidentiality, mental health professionals are bound by laws to protect your privacy. They cannot disclose your information without your consent, except in certain situations where there is a risk of harm to yourself or others. This confidentiality can create a safe space for you to express your feelings and experiences without fear of judgment or repercussions.
In summary, based on your experiences and symptoms, it does seem that you are dealing with anxiety. Seeking professional help can be a crucial step in managing your feelings and improving your overall well-being. Remember, you are not alone in this, and there are people who can help you through these difficult times. Take care of yourself, and consider reaching out for the support you deserve.
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