Intrusive thoughts and anxiety?
Hello Doctor, I am currently a high school student.
When I was in middle school, I constantly worried about having health issues and frequently visited doctors, which left me feeling fatigued every day.
However, that eventually improved.
Now that I am in high school, I find myself becoming anxious after seeing things related to ghosts and supernatural topics, leading to overthinking.
I even have nightmares that evoke feelings of fear, and sometimes I worry about my family members getting sick or dying, which affects my mood and motivation to engage in activities I enjoy.
Doctor, what can I do to improve this situation?
Mr. Yang, 10~19 year old female. Ask Date: 2022/11/22
Dr. Qiu Junda reply Psychiatry
Hello.
In addition to your studies, engaging in leisure activities can help you relax.
Chatting with friends, shopping, and exercising are all effective methods.
If you still feel anxious and uneasy, consider making an appointment with a mental health specialist to facilitate improvement.
Reply Date: 2022/11/22
More Info
It's understandable that as a teenager, you are experiencing anxiety and intrusive thoughts, especially given your past experiences and the pressures that come with high school. Anxiety can manifest in various ways, including excessive worry about health, fear of the unknown, and even nightmares that disrupt your daily life. Here are some strategies to help you manage these feelings and improve your overall mental well-being.
Understanding Anxiety and Intrusive Thoughts
Anxiety is a common experience, particularly during adolescence when many changes are occurring both physically and emotionally. Intrusive thoughts, such as fears about health or the well-being of loved ones, can be distressing and often lead to a cycle of worry that is hard to break. It's important to recognize that these thoughts do not reflect reality; they are often exaggerated fears that can be addressed through various coping strategies.
Strategies for Improvement
1. Cognitive Behavioral Therapy (CBT): This is a highly effective form of therapy for anxiety. CBT helps you identify negative thought patterns and replace them with more balanced and realistic thoughts. A therapist can guide you through this process, helping you to understand the origins of your fears and how to manage them.
2. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you stay grounded in the present moment, reducing the tendency to ruminate on negative thoughts. Techniques such as deep breathing, meditation, or yoga can be beneficial. These practices can help calm your mind and reduce anxiety levels.
3. Limit Exposure to Triggers: If certain media or topics trigger your anxiety (like horror stories or news about illness), it may be helpful to limit your exposure to them. Instead, focus on content that uplifts you or brings you joy.
4. Establish a Routine: Having a daily routine can provide structure and predictability, which can be comforting. Include time for activities you enjoy, such as hobbies, sports, or spending time with friends, which can help distract you from anxious thoughts.
5. Physical Activity: Regular exercise is a powerful tool for reducing anxiety. It releases endorphins, which are natural mood lifters. Aim for at least 30 minutes of physical activity most days of the week.
6. Talk About Your Feelings: Sharing your thoughts and feelings with someone you trust, whether it's a friend, family member, or school counselor, can provide relief. Sometimes, just verbalizing your fears can help diminish their power.
7. Sleep Hygiene: Since you mentioned having nightmares, it's crucial to establish good sleep habits. Create a calming bedtime routine, avoid screens before bed, and ensure your sleeping environment is comfortable. If nightmares persist, consider discussing them with a mental health professional.
8. Professional Help: If your anxiety continues to interfere with your daily life, seeking help from a mental health professional is a wise step. They can provide tailored strategies and, if necessary, discuss medication options that can help manage your symptoms.
Conclusion
Remember, it's okay to seek help, and you're not alone in feeling this way. Many teenagers experience similar feelings, and with the right strategies and support, you can learn to manage your anxiety and intrusive thoughts effectively. It's a journey, and taking the first step by acknowledging your feelings is a significant part of the process. Be patient with yourself as you work through these challenges, and know that improvement is possible.
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