Recent Anxiety in Crowded Places: A Student's Experience - Psychiatry

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Recently, I've been feeling quite uncomfortable when walking in crowded places?


Hello Doctor, I am a university student.
Until last week, I never felt uncomfortable walking into crowds, but starting last week, I began to feel quite uneasy in crowded places, experiencing slight nausea and difficulty breathing.
Based on my recent lifestyle, I have made some guesses about the cause, but I'm not sure if this is the reason: Recently, due to the Lantern Festival, there has been a lantern display near my home, attracting many visitors daily.
Because I have been attending a camp and classes, I have been going out almost every day until around evening, coinciding with peak crowd times at the lantern festival.

What confuses me is that I used to enjoy visiting night markets, which are also crowded places, and this is the first time in recent days that I have felt uncomfortable.
This discomfort seems to linger until the next morning or around noon (it feels somewhat like being on the verge of a fever without actually having one—it's stuffy, and just thinking about those crowds puts me in a bad mood).

I would like to ask for your opinion on this matter.
I am currently still observing my symptoms, as today is the last day of the lantern festival, and I suspect there might be an improvement, but I'm not certain.
Yesterday, I decided to experiment and went to the night market with friends for dinner, and indeed, I felt similar discomfort, although it wasn't as severe.

I keep thinking that these symptoms, which don't seem very serious, might be a waste of medical resources if I go see a doctor.
My family thinks I am overreacting, but I have never disliked being in crowds before, and at 20 years old, this is the first time I feel uncomfortable.
(When I returned from the night market yesterday and saw a large crowd, I felt quite nauseous; a journey that usually takes three minutes took me 30 minutes due to the crowd blocking the way, and I felt like vomiting but couldn't.)

Niming, 20~29 year old female. Ask Date: 2023/02/19

Dr. Huang Zhijia reply Psychiatry


Hello: The diagnosis of mental disorders requires a multifaceted approach and often long-term observation; it cannot be determined by a single complaint.
It is recommended to consult a psychiatrist.

Reply Date: 2023/02/19

More Info


It sounds like you are experiencing a significant shift in your emotional and physical responses to crowded places, which can be quite distressing. Your symptoms, such as feeling nauseous, having difficulty breathing, and experiencing a sense of discomfort in crowded environments, may indicate the onset of anxiety, particularly in social situations. This is not uncommon, especially among students who may face various stressors, including academic pressures, social expectations, and changes in their living environment.

From what you've described, it seems that your discomfort began during a time when you were exposed to larger crowds due to the Lantern Festival in your area. This sudden change in your response to crowded places could be attributed to several factors. First, the increased exposure to crowds might have heightened your awareness of your surroundings, leading to feelings of overwhelm. This can trigger a fight-or-flight response, where your body reacts as if it is in danger, even when there is no real threat. Symptoms like nausea and difficulty breathing can be physical manifestations of this anxiety.

It's also worth noting that your previous enjoyment of crowded places, such as night markets, contrasts sharply with your current feelings. This shift could be due to various reasons, including increased stress levels from school or personal life, changes in your mental health, or even a specific incident that may have occurred in a crowded setting that you might not consciously recall.
Your hesitation to seek medical help is understandable, especially if you feel that your symptoms are not severe. However, it’s important to recognize that anxiety can manifest in different ways and can escalate if left unaddressed. Seeking help does not mean that your symptoms are trivial; rather, it shows that you are taking your mental health seriously. Mental health professionals can provide you with coping strategies and tools to manage your anxiety effectively. They can also help you understand whether what you're experiencing is a temporary reaction to stress or something that might require more attention.

In the meantime, consider implementing some self-care strategies to help manage your anxiety. Techniques such as deep breathing exercises, mindfulness meditation, or grounding exercises can be beneficial in moments when you start to feel overwhelmed. These practices can help you regain a sense of control and calmness when faced with crowded situations.

Additionally, it might be helpful to gradually expose yourself to crowded places in a controlled manner. For example, you could start by visiting less crowded areas or going during off-peak hours. This gradual exposure can help desensitize you to the feelings of discomfort and anxiety associated with crowds.

Lastly, talking to someone you trust about your feelings can also be beneficial. Whether it's a friend, family member, or counselor, sharing your experiences can provide you with support and understanding.

In conclusion, while your symptoms may not seem severe, they are valid and deserve attention. Anxiety can be a complex issue, and addressing it early can prevent it from becoming more challenging in the future. Don't hesitate to reach out for help if you feel it would benefit you. Your mental health is important, and seeking support is a proactive step towards feeling better.

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