Overcoming Negative Thoughts and Anxiety: Mental Health Challenges - Psychiatry

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Negative thoughts and anxiety?


Thank you for taking the time to address my concerns! My background and current living environment are quite normal.
However, I have been struggling with psychological issues: 1.
Recently, I have experienced some minor physical ailments.
Since I have never had these issues before, I fear that I might have a serious illness.
I researched the symptoms of various diseases online and began to believe that I was experiencing those physical conditions.
I can't tell if I am truly ill or not, and I am constantly filled with tension and anxiety, which has affected my mental state and appetite.
Ultimately, I had to seek help from the hospital for tests to find some relief.
Today, I went to the hospital again for testing and am now in a state of anxiety waiting for the results in three days.
This is truly distressing...
2.
I only return home for four days a month (the rest of the time I stay in a dormitory).
It is very difficult for me to fall asleep at home.
I often imagine that someone is invading my home or that some danger is about to occur.
In short, negative thoughts keep recurring, and my feelings of worry and fear only dissipate when I am too exhausted to stay awake...
Could you please tell me if these two issues indicate a mental health disorder? How can I transform my negative thoughts and emotions? I am very grateful for your response!

fuwek, 20~29 year old female. Ask Date: 2004/02/02

Dr. Chen Wenyu reply Psychiatry


Hello, Fuwek:
1.
During outpatient visits, many people purchase books about mental illnesses to better understand themselves, only to find that they resonate with what is described in the texts, which deepens their feelings of unease.
In reality, even psychiatric textbooks can be difficult to comprehend without guidance from teachers or mentors.
The presentation, description, and interpretation of clinical symptoms are closely tied to the patient's diagnosis, and different physicians may have varying perspectives, leading to different diagnoses.
Even trained professionals can have differing opinions, so it is understandable that laypersons may struggle to grasp these concepts.
It is natural to feel anxious about one's health and seek medical examinations; if the results are normal, regular follow-ups are sufficient, and one should avoid seeking multiple opinions unnecessarily.
2.
Negative thoughts are often related to personality, which in turn is influenced by innate traits, developmental experiences, and social learning.
Behind every situation, there are typically two perspectives to consider: one positive and one negative.
Many individuals tend to focus on the negative aspects, ignoring the positive ones, and fixating on distressing thoughts that lead to sadness, anxiety, and low mood.
For instance, when at home, one might repeatedly tell themselves that a bad person might break in, while neglecting to acknowledge that the doors and windows are securely locked and that they are safe.
This is akin to brainwashing; by gradually cultivating positive thoughts, over time, it can become a habit that leads to improvement.
In many cases, written communication may not suffice, and it is advisable to seek assistance from a psychologist or counselor nearby for support with specific issues.
Thank you for your letter!

Reply Date: 2004/02/02

More Info


Thank you for sharing your concerns regarding your mental health challenges. It’s commendable that you are seeking help and trying to understand your feelings better. Based on your description, it seems you are experiencing significant anxiety, particularly related to health concerns and intrusive negative thoughts. Let’s break down your issues and explore some strategies that may help you manage these feelings.

1. Health Anxiety: It’s common for individuals to experience anxiety when they notice new physical symptoms, especially if they are unfamiliar. This can lead to a cycle of worry where you constantly search for information online, which often exacerbates your fears rather than alleviating them. This behavior is sometimes referred to as "cyberchondria," where the internet becomes a source of anxiety rather than reassurance.
To address this, consider the following strategies:
- Limit Online Searches: Set boundaries for how often you search for health information online. Instead, focus on consulting with healthcare professionals who can provide accurate information and reassurance.

- Mindfulness and Grounding Techniques: Engage in mindfulness practices that help you stay present and reduce anxiety. Techniques such as deep breathing, progressive muscle relaxation, or guided imagery can help calm your mind.

- Cognitive Behavioral Therapy (CBT): This therapeutic approach can help you identify and challenge negative thought patterns. A therapist can guide you in reframing your thoughts about health concerns and help you develop healthier coping mechanisms.

2. Negative Thoughts and Sleep Issues: Your difficulty sleeping at home and the presence of intrusive thoughts about danger indicate heightened anxiety levels. This can be particularly distressing and may lead to a cycle of fear that disrupts your ability to rest.

Here are some strategies to help manage these feelings:
- Establish a Relaxing Bedtime Routine: Create a calming pre-sleep routine that signals to your body it’s time to wind down. This could include activities like reading, listening to soothing music, or practicing relaxation exercises.

- Journaling: Write down your thoughts and fears before bed. This can help clear your mind and reduce the intensity of your worries. You might find it helpful to write about what you are grateful for or positive experiences from your day.

- Cognitive Restructuring: Challenge your negative thoughts by asking yourself about the evidence for and against these thoughts. For example, if you think, “Someone will break into my home,” consider the actual likelihood of this happening and what you can do to feel safer.

3. Seeking Professional Help: Given the intensity of your anxiety and its impact on your daily life, it may be beneficial to seek professional help. A mental health professional can provide a safe space for you to explore your feelings and develop coping strategies tailored to your needs. They can also assess whether your symptoms align with any specific anxiety disorders and discuss treatment options, which may include therapy or medication.

4. Building a Support System: Share your feelings with trusted friends or family members. Sometimes, just talking about what you’re experiencing can provide relief and help you feel less isolated. They may also offer support and encouragement as you work through these challenges.

In conclusion, while your experiences are undoubtedly distressing, they are also common among individuals dealing with anxiety. By implementing some of the strategies mentioned above and seeking professional guidance, you can begin to shift your negative thought patterns and reduce your anxiety. Remember, it’s okay to ask for help, and taking steps toward understanding and managing your mental health is a sign of strength. Wishing you all the best on your journey to better mental health!

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