Am I Experiencing Anxiety? Symptoms and Seeking Help - Psychiatry

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Does this qualify as an anxiety disorder?


Hello doctor, a few months ago, for unknown reasons, my relationship with my classmates deteriorated.
When I faced them with my teacher in a confrontation, they always claimed they had no issues with me, but in reality, they openly mocked me, which made me afraid to speak in class.
Once, I tried to vent my emotions on a private account, but someone in that account took screenshots and sent them to the person involved (who was not on the follower list).
The involved person's friend called my family, demanding that I apologize, which made me feel betrayed that day (as I considered the people in that account to be really good friends).
The day after this incident, I experienced insomnia, nausea, impulsively hitting the wall, and biting my hands.
On my day off, even though I had prepared to study, I sat in my chair thinking about how my classmates would perceive me the following week, and I spent a full hour doing so, during which I would involuntarily hit the table.
The following week, due to a midterm exam, I went to school, and during self-study class, I felt inexplicably anxious.
I kept picking at my skin with my fingernails and shaking my legs, unable to concentrate.
Even though it was a self-study period, I couldn't focus on my studies and almost cried but managed to hold it back.
Now, during the winter break, I was inexplicably suspected of being a snitch along with another classmate.
At that time, I was on the subway and had thoughts of wanting to escape the train car, and then I unconsciously started picking at my hands.
When I switched to the bus, I felt like I couldn't breathe, and I experienced insomnia when I got home at night...
Ultimately, I would like to ask the doctor, does this count as an anxiety disorder? Is it necessary for me to seek medical attention? I have considered whether to seek medical help but am afraid to tell my family.
Thank you, doctor, for reading my story and responding.

YC, 10~19 year old female. Ask Date: 2022/03/04

Dr. Lin Mianzhang reply Psychiatry


Hello, classmate: Your situation requires an in-person evaluation by a physician to make a clear diagnosis! It could be just an adjustment disorder, or it might be anxiety disorder, depression, or other conditions.
I recommend that you seek medical attention in person to receive the most comprehensive assessment.
Wishing you peace and health.

Reply Date: 2022/03/04

More Info


It sounds like you are going through a very challenging time, and I want to acknowledge the distress and anxiety you are experiencing. Based on what you've described, it does seem that you are exhibiting symptoms consistent with anxiety. Anxiety can manifest in various ways, including physical symptoms (like nausea and insomnia), emotional responses (such as feeling overwhelmed or fearful), and behavioral changes (like compulsive actions or difficulty concentrating).
The situation you faced with your classmates, where you felt betrayed and mocked, can understandably lead to feelings of anxiety. Social interactions, especially in a school environment, can significantly impact our mental health. The feelings of betrayal and the subsequent reactions you had—such as wanting to lash out, feeling nauseous, and experiencing insomnia—are common responses to high-stress situations.
Your description of physical symptoms, such as biting your hands and feeling the need to hit walls, indicates that your anxiety may be manifesting physically. This is not uncommon; many people with anxiety experience physical symptoms that can be distressing and disruptive to daily life. The fact that you find it hard to concentrate on studying and feel overwhelmed by thoughts about how others perceive you further supports the idea that you may be dealing with anxiety.

It's important to recognize that seeking help is a sign of strength, not weakness. If you are feeling overwhelmed and your symptoms are affecting your daily life, it would be beneficial to speak with a mental health professional. They can provide you with a safe space to express your feelings and help you develop coping strategies. You mentioned being afraid to talk to your family about your feelings; this is a common concern. However, mental health professionals are trained to maintain confidentiality and can provide you with the support you need without involving your family unless you choose to do so.

In terms of treatment, there are various options available, including therapy and, in some cases, medication. Cognitive Behavioral Therapy (CBT) is particularly effective for anxiety disorders, as it helps individuals identify and change negative thought patterns and behaviors. Additionally, practicing mindfulness and relaxation techniques can help manage anxiety symptoms.

If you are still unsure about seeking help, consider starting with a school counselor or a trusted adult who can guide you through the process. They can help you understand your feelings better and provide support in a way that feels safe for you.

In summary, based on your symptoms and experiences, it does seem that you are experiencing anxiety. Seeking professional help can provide you with the tools and support you need to navigate this difficult time. Remember, you are not alone in this, and there are people who want to help you.

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