Overcoming Fear and Anxiety: Emotional Challenges in Mental Health - Psychiatry

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Fear? Poor stress resilience? ... Emotional issues?


Since I can remember, I have had an instinctive fear of certain things: 1.
The images of invasive procedures (injections, blood draws, surgeries, injuries) evoke a subconscious fear, whether I am experiencing them myself, watching others undergo them, or seeing them in television or books.
If these images are constantly in front of me, I instinctively tear up or cry.
2.
Insects (like cockroaches) seem to trigger an increasing reaction as I age.
I dislike hearing the word, and if I see one on the street or elsewhere, I quickly run away.
If I see one at home, I must ask someone to deal with it; if it’s not resolved, I will avoid that area for a long time.
The thought of having to confront or resolve the situation makes it difficult to control my emotions, causing significant disruptions in my daily life and continuously bothering those around me.
I have considered addressing these issues, but when I actually see one, my emotions easily spiral out of control.
(These two issues cause me a lot of inconvenience in life.) The reason I suddenly found this website is that today was my first day accompanying a patient in the emergency room.
I don’t know if it was the unfamiliar environment or the rows of IV drips and patients, but I couldn’t help but feel like crying.
I realized how troublesome I am; I am a perfectly fine person, yet I feel more distressed than the patients.
We are all human, so why can healthcare professionals handle those needles and tubes, while I struggle just to be present? Am I really that weak under pressure, or too neurotic? I want to overcome these issues, but I feel lost on how to start and feel utterly useless.

Yan An, 20~29 year old female. Ask Date: 2022/11/21

Dr. Lin Mianzhang reply Psychiatry


Hello, Salt: The fear you feel towards certain specific objects or situations is known as a phobia, which is quite common.
Approximately 10% of the general population experiences this condition at some point in their lives.
If you find that this fear is causing you significant distress, it is advisable to seek help from a mental health professional.
Psychological treatment can help improve this situation! The most commonly used therapeutic approaches are "systematic desensitization" or "flooding." Since this requires professional assistance, it is recommended that you seek an evaluation from a healthcare provider.
Wishing you a speedy recovery!

Reply Date: 2022/11/21

More Info


Overcoming fear and anxiety, particularly in relation to specific triggers such as medical procedures or insects, can be a significant challenge for many individuals. Your experiences reflect a common struggle with anxiety disorders, which can manifest in various forms, including specific phobias and generalized anxiety. Understanding the nature of these fears and developing coping strategies is essential for managing them effectively.

Firstly, it’s important to recognize that fear and anxiety are natural human responses. They serve as protective mechanisms, alerting us to potential dangers. However, when these feelings become overwhelming or irrational, they can interfere with daily life and lead to significant distress. In your case, the fear of medical procedures and insects appears to be deeply ingrained, possibly stemming from past experiences or learned behaviors.

1. Understanding Phobias: Specific phobias, such as fear of needles (trypanophobia) or insects (entomophobia), often develop due to a combination of genetic predisposition, environmental factors, and personal experiences. For instance, if you had a negative experience related to needles or insects in the past, it could have heightened your sensitivity to these stimuli. The emotional response you described—crying or feeling overwhelmed—can be a manifestation of the body’s fight-or-flight response, which is triggered in the presence of perceived threats.

2. Cognitive Behavioral Therapy (CBT): One of the most effective treatments for phobias and anxiety is Cognitive Behavioral Therapy. CBT helps individuals identify and challenge negative thought patterns and beliefs associated with their fears. Through gradual exposure to the feared object or situation in a controlled manner, individuals can learn to manage their anxiety and reduce their fear response over time. For example, if you fear needles, a therapist might guide you through a series of steps, starting with looking at pictures of needles, then progressing to watching videos, and eventually being in a room where needles are present without undergoing a procedure.

3. Mindfulness and Relaxation Techniques: Incorporating mindfulness practices, such as deep breathing exercises, meditation, or progressive muscle relaxation, can help reduce anxiety symptoms. These techniques promote relaxation and can help ground you in the present moment, making it easier to cope with anxiety-provoking situations. For instance, when you find yourself in a medical setting, practicing deep breathing can help calm your nervous system and reduce the urge to cry.

4. Gradual Exposure: As you mentioned wanting to confront your fears, a gradual exposure approach can be beneficial. This involves slowly and systematically exposing yourself to the feared situation in a safe and controlled manner. Start with less anxiety-provoking scenarios and gradually work your way up to more challenging situations. For example, if you fear being in a hospital, you might start by visiting a hospital café or waiting area without any medical procedures involved.

5. Seeking Professional Help: If your anxiety continues to interfere with your daily life, it may be beneficial to seek help from a mental health professional. A psychologist or psychiatrist can provide tailored strategies and support, including therapy and, if necessary, medication to help manage your symptoms.

6. Support Systems: Engaging with supportive friends or family members can also be helpful. Sharing your fears with someone you trust can alleviate feelings of isolation and provide emotional support. They can accompany you during exposure exercises or simply be there to listen when you need to talk about your experiences.

7. Self-Compassion: Lastly, it’s crucial to practice self-compassion. Acknowledge that it’s okay to feel anxious and that many people experience similar fears. Being kind to yourself during this process can foster resilience and encourage you to take steps toward overcoming your fears.

In conclusion, while the journey to overcoming fear and anxiety can be challenging, it is entirely possible with the right strategies and support. By understanding your fears, utilizing therapeutic techniques, and seeking professional help when needed, you can regain control over your emotional responses and improve your overall quality of life. Remember, you are not alone in this struggle, and there are resources available to help you navigate these challenges.

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