Managing Anxiety: Tips for Overcoming Negative Thoughts and Stress - Psychiatry

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What should I do?


Hello, doctor.
I am an anxiety patient.
Before I became ill, I was a lively person, but now that I am sick, I don't know how to stop overthinking (I am on medication).
I understand that if this continues, my condition will not improve.
I have tried exercising, hoping that it would help my condition, but after exercising, I feel even more anxious, with my body tense.
I have also tried going out with classmates to shop and chat (I don't have issues with interpersonal relationships), but during these outings, I still feel anxious, my body is tense, and my mind is racing with thoughts.
I would like to ask the doctor if this situation is normal.
Should I continue to push myself to exercise? Should I keep going out and interacting with others? I really want to improve my condition, but I don't know what to do.

Xiao Gou, 20~29 year old female. Ask Date: 2022/07/22

Dr. Wu Enliang reply Psychiatry


If stress is increasing, it is advisable not to push yourself to exercise at the moment.
Instead, consider continuing to go out and interact with others, and follow up with your physician to adjust your medication.
Dr.
Wu Enliang.

Reply Date: 2022/07/22

More Info


Managing anxiety can be a challenging journey, especially when it feels like your mind is constantly racing with negative thoughts. It’s commendable that you’re seeking ways to cope and improve your situation. Based on your description, it seems you are experiencing a combination of anxiety symptoms that can be overwhelming, even when you are engaging in activities that are typically considered positive, such as exercise and socializing.

Firstly, it’s important to understand that anxiety can manifest in various ways, and it’s not uncommon for individuals to feel more anxious after exercising, especially if they are already in a heightened state of anxiety. Exercise is generally beneficial for mental health, as it releases endorphins and can help alleviate symptoms of anxiety and depression. However, if you find that your anxiety increases after physical activity, it may be worth considering the type of exercise you are doing. High-intensity workouts can sometimes exacerbate feelings of anxiety, while gentler forms of exercise, such as yoga, tai chi, or even walking, may be more beneficial for you. These activities not only promote physical health but also encourage relaxation and mindfulness, which can help calm your racing thoughts.

Regarding social interactions, it’s great that you are trying to connect with friends, but if you find that these interactions are causing you more anxiety, it might be helpful to take a step back and assess the situation. It’s okay to limit social engagements if they are overwhelming. Instead, consider spending time with friends in low-pressure environments or engaging in activities that you find enjoyable and relaxing. Sometimes, just being in the presence of others without the pressure to engage deeply can provide comfort.

In terms of managing your thoughts, cognitive-behavioral strategies can be particularly effective. This involves recognizing negative thought patterns and actively challenging them. For instance, if you find yourself thinking, "I can't handle this," try reframing it to, "I am doing my best, and it's okay to feel anxious." Journaling can also be a helpful tool to process your thoughts and feelings. Writing down your worries can sometimes help to externalize them, making them feel less overwhelming.

Mindfulness and relaxation techniques can also be beneficial. Practices such as deep breathing, meditation, or progressive muscle relaxation can help reduce physical tension and anxiety. These techniques encourage you to focus on the present moment rather than getting caught up in negative thoughts about the past or future.

Lastly, it’s crucial to maintain open communication with your healthcare provider about your symptoms and any changes you experience. If you feel that your current medication isn’t helping or if your anxiety worsens, discussing this with your doctor can lead to adjustments in your treatment plan. They may suggest therapy options, such as cognitive-behavioral therapy (CBT), which has been shown to be effective for anxiety disorders.

In summary, managing anxiety is a multifaceted process that often requires a combination of strategies. It’s essential to be patient with yourself and recognize that progress may take time. Continue to explore different coping mechanisms, and don’t hesitate to reach out for professional support when needed. Remember, you are not alone in this journey, and with the right tools and support, you can work towards feeling better.

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