Overcoming Anxiety: A Journey Through Mental Health Challenges

Worry and anxiety?

During middle school, I was aware that nothing serious would happen, yet I was very afraid to go to school.
At 19, I worked part-time at a convenience store, but I had to quit because I couldn't control myself when faced with the morning rush of customers; everything in front of me turned white.
After graduating from college at 26, I failed my first job interview at a recruitment agency and ended up lying in bed for 22 hours without even going to the bathroom.
After that, a thought came to my mind, as natural as breathing or drinking water, urging me to walk out of the window of my high-rise apartment.
It took me over ten minutes to suppress that urge before it finally disappeared.
I didn't look for work afterward.
I later tried learning plumbing and electrical work, but after standing for ten minutes, my once-clear thoughts became increasingly chaotic, making it difficult to think clearly about what to do, which led to my slow actions and ultimately failing the certification exam.

A few years later, through a friend of my mother's, I found a job as a warehouse manager.
However, I still felt anxious after work, which prevented me from resting, and I remained tense even on weekends.
After a week, we agreed to change my schedule to three hours a day, but after a month, I still couldn't handle it and resigned.
Now, approaching 40, I still rely on my family for support.
I've seen mental health specialists for many years and have tried almost every medication available, yet I still don't know what my condition is or how I will earn an income to take care of myself in the future.
I often contemplate that it might be better to just end my life.

Huang, 30~39 year old female. Ask Date: 2022/10/24

Dr. Qiu Junda reply Psychiatry

Hello.
Since you have been seeing a psychiatrist for many years, you can ask your doctor during your appointment about what the specific issues are.
The doctor should be able to clarify your concerns.
Based on the text, it seems to fall under the category of anxiety symptoms.
There are both pharmacological and non-pharmacological treatments available.
It is recommended that you continue to follow up with your doctor to discuss an appropriate treatment plan to help improve your condition.

Reply Date: 2022/10/24

More Info

Overcoming anxiety and mental health challenges is a complex journey that many individuals face, often feeling isolated in their struggles. Your experiences resonate with a significant number of people who grapple with anxiety, fear, and the overwhelming nature of mental health issues. It’s crucial to understand that you are not alone in this journey, and there are pathways to recovery and management.

Firstly, it’s important to acknowledge the impact of anxiety on your daily life. Anxiety can manifest in various ways, including physical symptoms like rapid heartbeat, difficulty breathing, and a sense of impending doom. These symptoms can be debilitating, as you've experienced during your school years and job interviews. The fear of social situations, such as going to school or working in a crowded environment, is a common symptom of social anxiety disorder. It can lead to avoidance behaviors, which may provide temporary relief but ultimately reinforce the cycle of anxiety.

Your experience of feeling overwhelmed to the point of considering self-harm is a serious concern. It’s vital to seek immediate help if you ever feel that way. Reach out to a mental health professional, a trusted friend, or a family member. There are crisis hotlines available that can provide support in moments of distress. Remember, asking for help is a sign of strength, not weakness.

In terms of managing anxiety, several strategies can be beneficial:
1. Cognitive Behavioral Therapy (CBT): This therapeutic approach helps individuals identify and challenge negative thought patterns and behaviors. It can be particularly effective for anxiety disorders. Working with a therapist trained in CBT can provide you with tools to manage your anxiety more effectively.

2. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety symptoms. These techniques encourage you to focus on the present moment, which can alleviate the overwhelming feelings associated with anxiety.

3. Physical Activity: Regular exercise is known to have a positive impact on mental health. It can help reduce anxiety and improve mood by releasing endorphins, the body's natural stress relievers. Even a short daily walk can make a difference.

4. Healthy Lifestyle Choices: Maintaining a balanced diet, getting enough sleep, and avoiding excessive caffeine and alcohol can significantly impact your mental health. These lifestyle changes can help stabilize your mood and reduce anxiety levels.

5. Support Networks: Connecting with others who understand what you’re going through can be incredibly beneficial. Consider joining a support group for individuals with anxiety or mental health challenges. Sharing your experiences and hearing from others can provide comfort and insight.

6. Medication: While you mentioned trying various medications without finding relief, it’s essential to continue discussing your options with a psychiatrist. Sometimes, it takes time to find the right medication or combination of medications that work for you. Don’t hesitate to express your concerns about side effects or lack of effectiveness to your doctor.

7. Setting Realistic Goals: Start with small, achievable goals. Whether it’s applying for a job, attending a social event, or simply getting out of bed, celebrate your successes, no matter how small. This can help build confidence and reduce feelings of helplessness.

8. Journaling: Writing down your thoughts and feelings can be a therapeutic outlet. It allows you to process your emotions and may help you identify triggers for your anxiety.

9. Professional Guidance: Since you’ve been seeing mental health professionals, consider discussing your experiences with them openly. They can help tailor a treatment plan that addresses your specific needs and concerns.

In conclusion, overcoming anxiety and mental health challenges is a journey that requires patience, support, and self-compassion. It’s essential to recognize that recovery is not linear; there will be ups and downs along the way. By employing various strategies and seeking professional help, you can work towards a healthier, more fulfilling life. Remember, it’s okay to ask for help, and taking that step is a significant part of the healing process.

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