Anxiety and Social Withdrawal: Seeking Help for Mental Health - Psychiatry

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Unsure if there is an illness?


Hello, Doctor.
I would like to ask you something.
During my school years, I was very sociable, but after graduating and moving to northern Taiwan to work in Taipei without any friends or family, I experienced emotional setbacks and job changes.
Gradually, I noticed that my personality has become irritable and impatient, and I am constantly in a state of anxiety.
I have also developed a fear of social interactions, worried that others might laugh at me for my job struggles or think I am a terrible person.
I often find myself unable to sleep at night, with thoughts constantly swirling in my mind, including things others have said or small actions they have taken that I can't seem to forget.
I have very low self-confidence and cannot handle the scrutiny from my new employer during the probation period, which leads to insomnia, stomach pain, and significant weight loss due to excessive anxiety.
The last time I changed jobs, I couldn't handle the pressure and left after just a month.
I'm uncertain if I am ill, and I am also afraid that seeking help from a mental health professional might escalate my situation.
I hope you can provide me with some advice.
Thank you!

Haa, 20~29 year old female. Ask Date: 2022/04/05

Dr. Wang Yaoting reply Psychiatry


Hello: You don't need to worry about making a big deal out of your situation when scheduling an appointment with a mental health specialist.
If you feel the need, go for a consultation, just like you would for a cold.
Poor mental and physical health may be caused by hormonal imbalances in the brain or autonomic nervous system dysregulation.
Your symptoms are somewhat atypical, so it's advisable to seek professional evaluation as soon as possible.
I hope this answers your question! :)

Reply Date: 2022/04/05

More Info


It's understandable to feel overwhelmed when facing anxiety and social withdrawal, especially after experiencing significant life changes such as moving to a new city, dealing with relationship setbacks, and facing job-related stress. Your situation is not uncommon, and many people go through similar challenges, particularly during transitional phases in life.

Firstly, it's important to recognize that the feelings you are experiencing—irritability, anxiety, insomnia, and a lack of self-confidence—can be symptoms of anxiety disorders or even depression. These conditions can manifest in various ways, including physical symptoms like stomach pain and weight loss, as you've described. The constant replaying of past interactions and worries about how others perceive you can create a cycle of negative thinking that exacerbates your anxiety.

Here are some steps you can take to help manage your anxiety and improve your mental health:
1. Seek Professional Help: While it may feel daunting, consulting a mental health professional can provide you with the support you need. A therapist can help you explore your feelings, develop coping strategies, and work through your anxiety in a safe environment. Cognitive Behavioral Therapy (CBT) is particularly effective for anxiety, as it helps you identify and challenge negative thought patterns.

2. Practice Self-Care: Incorporating self-care routines into your daily life can significantly impact your mental well-being. This includes regular exercise, a balanced diet, and sufficient sleep. Physical activity, even a simple walk, can help reduce anxiety levels and improve your mood. Mindfulness practices, such as meditation or yoga, can also be beneficial in calming your mind and reducing stress.

3. Build a Support Network: Although you may feel isolated in a new city, try to reach out and connect with others. This could be through joining clubs, attending community events, or even online groups related to your interests. Building a support network can help alleviate feelings of loneliness and provide you with a sense of belonging.

4. Set Realistic Goals: When facing job-related anxiety, it can be helpful to set small, achievable goals for yourself. This could be as simple as completing a task at work or engaging in a brief conversation with a colleague. Celebrate your successes, no matter how small, to build your confidence over time.

5. Limit Exposure to Triggers: If certain situations or people increase your anxiety, try to limit your exposure to them when possible. This might mean taking breaks from social media or avoiding environments that make you feel uncomfortable until you feel more equipped to handle them.

6. Educate Yourself: Understanding anxiety and its effects can empower you to manage your symptoms better. There are many resources available, including books, podcasts, and online courses, that can provide valuable insights into anxiety management.

7. Consider Medication: If your anxiety is significantly impacting your daily life, medication may be an option to discuss with a healthcare provider. Antidepressants or anti-anxiety medications can help alleviate symptoms and make it easier for you to engage in therapy and self-care practices.

It's crucial to remember that seeking help is a sign of strength, not weakness. Many people experience anxiety, and there is no shame in reaching out for support. You are not alone in this journey, and with the right strategies and support, it is possible to regain control over your life and improve your mental health.
Lastly, be patient with yourself. Recovery and improvement take time, and it's essential to acknowledge your progress along the way. You deserve to feel better and to live a fulfilling life, free from the constraints of anxiety.

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