Anxiety disorder-related issues?
Hello, doctor.
I am a university student.
During high school and college, I have sought help from a mental health specialist due to issues with insomnia, anxiety, palpitations, and self-harm.
I have been taking medications such as Abilify, Sertraline, and Xanax.
About six months ago, I felt better and, due to the side effects impacting my daily life, I gradually reduced my dosage and eventually stopped taking the medications.
Recently, I have been feeling an increase in anxiety.
In addition to my previous symptoms of anxiety (such as anxiety, palpitations, occasional nausea, and hyperventilation), I now also experience irritability and anger, often without any apparent reason.
Even during enjoyable activities (when I should be happy), I feel extremely annoyed, which has led my family to think I am acting strangely.
These symptoms have not appeared before; could they also be related to anxiety?
Furthermore, I find myself blaming myself excessively for my unstable emotions.
I cannot forgive myself for letting my emotions affect others, and I feel stuck in my thoughts, even though others say they understand and empathize with me.
I still harbor a lot of resentment towards myself, which is making me feel increasingly depressed.
I constantly think about the negative emotions I have directed at others and feel like a failure, believing my existence is a burden to others.
Occasionally, I have thoughts of wanting to die, but I do not have thoughts of self-harm.
I feel that my memory and concentration have been rapidly declining over the past month, and with the start of the new semester, my anxiety about these symptoms has increased.
I completed a depression self-assessment and scored a high 40.
Although I want to manage these symptoms on my own and improve, given the worsening situation, should I seek medical help as soon as possible?
Dai, 10~19 year old female. Ask Date: 2023/02/28
Dr. Wu Enliang reply Psychiatry
Netizens, could it be that anxiety and depression have recurred? It is indeed advisable to seek medical attention.
Dr.
Wu Enliang.
Reply Date: 2023/02/28
More Info
It sounds like you are going through a very challenging time, and I commend you for reaching out for help and seeking clarity about your emotional state. Based on your description, it seems that you are experiencing a resurgence of anxiety symptoms, along with new feelings of irritability and self-blame, which can be quite distressing.
Firstly, it’s important to recognize that the symptoms you are experiencing—such as anxiety, heart palpitations, nausea, and heightened irritability—can indeed be manifestations of anxiety disorders. The fact that you have a history of anxiety and have previously sought treatment indicates that you are aware of your mental health needs. The addition of feelings of anger and irritability, especially when they seem to arise without clear triggers, can sometimes be linked to anxiety or even depression. It’s not uncommon for individuals with anxiety to experience mood swings or irritability, particularly when they are feeling overwhelmed or stressed.
Your feelings of guilt and self-blame for affecting others with your emotions are also significant. This kind of negative self-talk can exacerbate feelings of anxiety and depression, leading to a vicious cycle where you feel worse about yourself, which in turn heightens your anxiety. It’s crucial to understand that emotions are a natural part of being human, and everyone experiences fluctuations in their emotional state. The key is how we manage and respond to these emotions.
Given that you have recently noticed a decline in your memory and concentration, along with a high score on a depression self-assessment, it would be wise to consult a mental health professional as soon as possible. While you may feel a desire to manage these symptoms on your own, the fact that they are intensifying and affecting your daily life—especially as you return to school—suggests that professional support could be beneficial. A mental health professional can provide a safe space for you to explore these feelings and may suggest therapeutic options that could help you cope more effectively.
In terms of medication, since you have previously been on medications like Anxiolytics and SSRIs, it might be worth discussing with your doctor the possibility of reintroducing medication, especially if you are finding it difficult to manage your symptoms through self-help strategies alone. Sometimes, a combination of therapy and medication can be the most effective approach.
Additionally, consider implementing some self-care strategies in your daily routine. Practices such as mindfulness, meditation, regular physical activity, and maintaining a healthy sleep schedule can significantly impact your emotional well-being. Journaling your thoughts and feelings can also be a helpful way to process your emotions and reduce the intensity of your feelings.
Lastly, remember that you are not alone in this journey. Many people experience similar struggles, and seeking help is a sign of strength, not weakness. Surround yourself with supportive friends and family who can provide understanding and encouragement as you navigate this challenging time.
In summary, given the escalation of your symptoms and the impact they are having on your life, I strongly encourage you to seek professional help. A mental health professional can provide you with the tools and support you need to manage your anxiety and improve your overall emotional health. You deserve to feel better, and taking that step can be the first move towards healing.
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