Overcoming Excessive Worry: Strategies for Managing Anxiety During COVID-19 - Psychiatry

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Often excessively worried?


Hello, doctor.
Recently, during the pandemic, I've been constantly worried that I might overthink certain behaviors or small things.
Even though I know theoretically that I'm just overreacting or thinking too much, I often find myself worrying excessively.
For example, I question whether I've washed my hands thoroughly or if I've touched something potentially contaminated, which leads me to wash my hands multiple times or wonder if my belongings are clean.
I'm mainly looking for methods to help me stop these recurring thoughts about getting sick.
Honestly, even though I understand psychologically that I'm overthinking, I can't help but dwell on it.
Over time, this has become really exhausting, so I wanted to consult you, doctor.
Thank you for your help.

Xiao Ke, 20~29 year old female. Ask Date: 2022/03/15

Dr. Wang Yaoting reply Psychiatry


Hello: Based on your description, if you find yourself excessively worried, fearful, and anxious about certain matters, and if these symptoms occur suddenly, it may be clinically suspected as Obsessive-Compulsive Disorder (OCD) or anxiety disorders caused by other physical conditions.
It is recommended to first visit a hospital for a general physical examination.
If most results are normal or only show mild abnormalities that cannot explain the clinical symptoms, then consider seeking evaluation at a nearby psychosomatic or psychiatric outpatient clinic.
OCD typically shows significant improvement with medications that increase serotonin levels.
I hope this answers your question :)

Reply Date: 2022/03/15

More Info


Overcoming excessive worry and anxiety, especially during challenging times like the COVID-19 pandemic, is a common concern for many individuals. Your experience of feeling overwhelmed by thoughts about cleanliness, potential contamination, and health risks is not uncommon, particularly given the heightened awareness surrounding hygiene and illness during this period. Here are some strategies that may help you manage these feelings and regain a sense of balance in your life.


1. Understanding Your Anxiety
First, it's important to recognize that anxiety is a natural response to uncertainty and perceived threats. The pandemic has amplified these feelings for many people. Understanding that your worries stem from a place of concern for your health and the health of your loved ones can help you approach your anxiety with compassion rather than judgment.


2. Establishing a Routine
Creating a daily routine can provide structure and predictability, which can be comforting. Incorporate activities that you enjoy and that promote relaxation, such as exercise, reading, or hobbies. Regular physical activity is particularly beneficial for reducing anxiety, as it releases endorphins that improve mood.


3. Mindfulness and Relaxation Techniques
Practicing mindfulness can help you stay grounded in the present moment and reduce the tendency to ruminate on worries. Techniques such as deep breathing, meditation, or progressive muscle relaxation can be effective. For instance, try the following deep breathing exercise:
- Inhale deeply through your nose for a count of four.

- Hold your breath for a count of four.

- Exhale slowly through your mouth for a count of four.

- Repeat this cycle several times.


4. Cognitive Behavioral Strategies
Cognitive Behavioral Therapy (CBT) techniques can help you challenge and reframe negative thoughts. When you notice yourself spiraling into worry, ask yourself:
- What evidence do I have that this worry is valid?
- What would I tell a friend who had this worry?
- Is there a more balanced way to view this situation?
Keeping a thought journal can also be helpful. Write down your worries and then counter them with rational responses. This practice can help you gain perspective and reduce the intensity of your fears.


5. Limit Exposure to Triggers
While it’s important to stay informed, excessive exposure to news and social media can heighten anxiety. Set boundaries for how much time you spend consuming news related to COVID-19. Consider designating specific times to check updates rather than constantly monitoring.


6. Seek Support
Talking about your feelings with trusted friends or family members can provide relief. Sometimes, just expressing your worries can lessen their burden. If your anxiety continues to interfere with your daily life, consider seeking professional help. A mental health professional can provide tailored strategies and support, including therapy or medication if necessary.


7. Practice Self-Compassion
Be gentle with yourself. Acknowledge that it’s okay to feel anxious and that you are not alone in this experience. Practicing self-compassion can help you treat yourself with kindness rather than criticism when you find yourself worrying excessively.


8. Gradual Exposure
If certain situations trigger your anxiety, consider gradually exposing yourself to these situations in a controlled manner. For example, if you are worried about touching surfaces, start by touching a doorknob and then practicing a calming technique afterward. Gradually increase your exposure as you become more comfortable.


Conclusion
Managing anxiety, especially during a pandemic, is a process that takes time and patience. By implementing these strategies, you can work towards reducing your excessive worries and finding a healthier balance in your life. Remember, it’s okay to seek help if you need it, and taking proactive steps to address your anxiety is a sign of strength.

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