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.
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, which led me to worry and doubt if my anxiety is still present.
Do you think I need to return for a follow-up appointment for a doctor's assessment, or should I not worry about this since I believe I have already recovered? (I just really want a doctor's reassurance, perhaps 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, and consulting with a toxicology specialist, I have come to understand that there is nothing to worry about, so my fear has diminished.
I have been free from 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 finances, suggesting that no matter how much I earn, I will always feel it is insufficient (in reality, I worry about not having enough money, but I do not feel anxious about it; I just tend to overthink this matter).
This prompted me to ask the doctor yesterday whether my concern, which lacks emotional turmoil, could still be considered anxiety.
Today, I recalled that I had previously been diagnosed with anxiety by a psychiatrist.
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 today about whether my anxiety has truly improved, especially since I lack a doctor's validation.
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: 2022/02/14

Dr. Wu Enliang reply Psychiatry


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

Reply Date: 2022/02/14

More Info


It's understandable to feel anxious about your mental health, especially after experiencing anxiety symptoms in the past. The journey to mental wellness can often be filled with uncertainty, and it's common to seek reassurance from healthcare professionals. Based on your description, it seems that you have made significant progress in managing your anxiety over the past two to three years, which is commendable.

First and foremost, it's important to recognize that mental health is not a linear path. There can be periods of stability followed by moments of doubt or anxiety, especially when triggered by external factors or internal thoughts. Your concern about needing a follow-up appointment to confirm that your anxiety has resolved is a valid one, but it’s also essential to understand that self-doubt is a common experience for many individuals who have dealt with anxiety disorders.

In your case, since you have not experienced anxiety symptoms for a considerable time and have taken proactive steps to address your fears—such as consulting with a toxicology specialist regarding heavy metal exposure—it indicates that you are actively managing your mental health. The fact that you are reflecting on your feelings and seeking clarity shows a level of self-awareness that is crucial for maintaining mental wellness.

Regarding your question about whether you need a follow-up appointment, it ultimately depends on how you feel. If you find that your thoughts about your anxiety are becoming overwhelming or if they interfere with your daily life, it may be beneficial to schedule a visit with a mental health professional. They can provide you with a thorough assessment and help you understand whether your current feelings are part of a normal adjustment process or if they indicate a need for further support.

It's also worth noting that the anxiety you are experiencing about your financial situation and the comments from the fortune-teller may not necessarily indicate a return of your anxiety disorder. Instead, they could be reflective of normal concerns about financial stability, which many people experience, especially in uncertain economic times. It’s essential to differentiate between situational anxiety—triggered by specific stressors—and generalized anxiety that persists without clear cause.

If you do decide to see a mental health professional, you can discuss your concerns openly. They can help you explore whether your current feelings are rooted in anxiety or if they are simply a natural response to life's uncertainties. Additionally, they can provide you with coping strategies to manage any residual anxiety and reinforce your self-confidence.

In summary, while it’s not strictly necessary to have a follow-up appointment if you feel stable, it can be beneficial for peace of mind. Mental health is complex, and seeking reassurance from a professional can help clarify your feelings and provide you with tools to manage any lingering anxiety. Remember, it’s okay to seek help, and doing so can be a proactive step in maintaining your mental well-being.

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

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