Anxiety and Paranoia: Seeking Help for Mental Health Issues - Psychiatry

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I don't know what type of mental illness it is?


Doctor: About a year ago, I drank a beverage from a stranger, and I remember having a sore in my mouth at the time.
I was very worried about the possibility of contracting HIV, and I was anxious all day long.
This concern has affected my daily life; I constantly worry about being infected and have become afraid to interact normally with others.
I find myself being cautious around people, fearing they might harm me.
Even when walking down the street, I avoid passing by others directly and keep my distance.
Over the past few months, this has worsened to the point where I don't trust anyone, including my close friends, fearing they might harm me.
As a result, I rarely contact my friends anymore.
Additionally, whenever I have a sore in my mouth, I hesitate to eat food from outside because I'm afraid the person cooking might harm me.
However, I don't know if it's due to stress, but I keep getting mouth sores—healing and then breaking out again.
This condition has caused me to lose ten kilograms, and I'm unsure if this is the reason.
These symptoms have persisted for over a year and are becoming increasingly severe.
I often feel anxious and frequently have difficulty breathing.
I'm afraid to see a doctor and sometimes feel like I can't concentrate.
I hope the doctor can help me and save me.
Thank you!

ricky, 20~29 year old female. Ask Date: 2003/12/04

Dr. Chen Wenke reply Psychiatry


Hello Ricky: Based on your question, my initial assessment suggests that it could possibly be schizophrenia.
Please seek treatment from a professional psychiatrist as soon as possible.
Medication treatment can be beneficial for you.
Since you are feeling very uncomfortable, it might be helpful to let go and accept the assistance of a physician.
Take care and wishing you good health.
Dr.
Chen Wen-Ke, 93.1.2

Reply Date: 2003/12/04

More Info


It sounds like you are experiencing significant anxiety and paranoia stemming from a traumatic event. This kind of anxiety can manifest in various ways, including obsessive thoughts about potential harm, avoidance behaviors, and physical symptoms such as shortness of breath or difficulty concentrating. Your concerns about contracting HIV after drinking from a stranger's cup, especially with a mouth sore, have understandably led to a heightened state of alertness and fear. This is a common response to perceived threats, but when it becomes overwhelming and affects your daily life, it can be classified as an anxiety disorder.

Anxiety disorders can lead to a cycle of negative thinking and avoidance. For example, your fear of being harmed has caused you to withdraw from social interactions, which can further exacerbate feelings of loneliness and anxiety. It's important to recognize that while your fears may feel very real, they are often based on irrational thoughts rather than actual danger. This is where cognitive-behavioral therapy (CBT) can be particularly helpful. CBT focuses on identifying and challenging these irrational thoughts, helping you to develop healthier thinking patterns and coping strategies.

In addition to therapy, it may be beneficial to explore medication options. Many individuals find that a combination of therapy and medication can be effective in managing anxiety symptoms. Medications such as selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed for anxiety disorders and can help to stabilize mood and reduce anxiety levels. However, it's crucial to consult with a healthcare professional to discuss your symptoms and determine the best course of action for you.

Physical symptoms like mouth sores can be exacerbated by stress and anxiety. The body often reacts to psychological stress with physical symptoms, which can create a feedback loop of anxiety. Managing stress through relaxation techniques, mindfulness, and regular physical activity can help alleviate some of these symptoms. Engaging in activities that promote relaxation, such as yoga or meditation, can also be beneficial.

It's understandable to feel hesitant about seeking medical help, especially if you're experiencing anxiety about being judged or misunderstood. However, mental health professionals are trained to help individuals navigate these feelings without judgment. They can provide a safe space for you to express your fears and work towards overcoming them.

In summary, your experiences are valid, and seeking help is a crucial step towards recovery. Consider reaching out to a mental health professional who can provide you with the support and tools you need to manage your anxiety and improve your quality of life. Remember, you are not alone in this, and there are effective treatments available to help you regain control over your thoughts and feelings.

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