The Impact of Anxiety and Fear on Physical Health: Your Symptoms - Psychiatry

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The psychological effects of fear and doubt on the body?


Hello Doctor, I previously underwent tests due to a loss of appetite and was diagnosed with a mild gastric ulcer.
Since then, I've been worried about many things, such as whether there were any errors in the tests or if there are other undetected health issues in my body.
The main point is that I have become very sensitive; any slight symptom makes me anxious and fearful.
Even when eating, I constantly think about whether the food is safe to eat and if it might have negative effects on my health.
Currently, my appetite is relatively okay, and I can eat a reasonable amount, which is not much different from before I got sick (the only difference is that I used to eat quickly, but now I chew slowly).
However, I always feel that my current appetite is not good enough, leading me to further suspect that there might be other undiagnosed conditions.
I would like to ask if my current symptoms are caused by excessive anxiety.
I have heard that mental and emotional states can affect physical health.
I tend to be a person who easily worries and feels afraid, and my current state feels a bit like the saying "once bitten by a snake, I am afraid of a rope for ten years."

Mr. Zhu, 20~29 year old female. Ask Date: 2022/08/30

Dr. Lin Mianzhang reply Psychiatry


Hello Mr.
Zhu: It appears that you are experiencing significant anxiety.
Sometimes excessive anxiety can lead to autonomic nervous system dysregulation, causing discomfort throughout your body.
If you continue to feel very tense or worried, I recommend seeking help from a psychiatrist.
A combination of psychotherapy, medication, and lifestyle adjustments can effectively improve symptoms of anxiety and physical discomfort.
Wishing you peace and good health.

Reply Date: 2022/08/30

More Info


Anxiety and fear can significantly impact physical health, often leading to a cycle of worry and heightened sensitivity to bodily sensations. Your experience of developing anxiety after being diagnosed with a mild gastric ulcer is not uncommon. It’s important to understand how psychological factors can manifest as physical symptoms, and how this interplay can affect your overall well-being.

When you first received the diagnosis of a gastric ulcer, it likely triggered a heightened state of awareness regarding your health. This is a natural response; however, it can lead to excessive worry about your body and its functions. The phenomenon you described, where you become overly sensitive to any bodily sensations, is often referred to as "health anxiety" or "hypochondria." This condition can cause individuals to misinterpret normal bodily sensations as signs of serious illness, leading to increased anxiety and fear.

The mind-body connection is well-documented in medical literature. Psychological stress can lead to physical symptoms, and vice versa. For instance, anxiety can cause gastrointestinal symptoms such as nausea, changes in appetite, and even exacerbate existing conditions like ulcers. When you worry about what you eat or how your body feels, it can create a feedback loop where anxiety leads to physical discomfort, which in turn increases anxiety.

Your description of feeling the need to chew slowly and being cautious about what you eat reflects a common behavior among those with anxiety. This cautiousness can stem from a fear of exacerbating your condition or causing further harm to your body. It’s essential to recognize that while being mindful of your health is important, excessive worry can lead to avoidance behaviors and a decreased quality of life.

To address your concerns, it may be beneficial to explore therapeutic options. Cognitive Behavioral Therapy (CBT) is a well-established treatment for anxiety that focuses on identifying and changing negative thought patterns. Through CBT, you can learn to challenge irrational fears about your health and develop healthier coping mechanisms. Additionally, mindfulness practices can help you stay grounded and reduce anxiety by focusing on the present moment rather than worrying about potential future health issues.

In terms of medication, if your anxiety is significantly impacting your daily life, discussing pharmacological options with a mental health professional may be appropriate. Medications such as selective serotonin reuptake inhibitors (SSRIs) or anti-anxiety medications can help manage symptoms and allow you to engage more fully in therapeutic practices.

It’s also crucial to maintain open communication with your healthcare providers. If you have concerns about your physical health, regular check-ups can help reassure you and address any new symptoms that arise. Understanding that your symptoms may be linked to anxiety rather than a serious physical condition can be a significant step toward recovery.

In summary, your current symptoms are likely influenced by your anxiety, which can manifest as physical discomfort and heightened sensitivity to bodily sensations. Engaging in therapy, practicing mindfulness, and maintaining open communication with your healthcare providers can help you manage your anxiety and improve your overall quality of life. Remember, you are not alone in this experience, and there are effective strategies to help you regain control over your health and well-being.

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