Are you worried too much or overthinking? Is it just high sensitivity?
Hello, recently I experienced a lot of academic pressure which led to an emotional outburst.
It affected my physical condition, and since it was my first time encountering such a situation, I became easily worried and panicked.
Therefore, I visited a mental health clinic, where the doctor diagnosed me with adjustment disorder with anxiety and depression.
During that time, I experienced panic, palpitations, and difficulty sleeping due to anxiety, so the doctor prescribed me a beta-blocker (a small pink pill).
In the following weeks, with the support of friends and family, as well as counseling, my emotions stabilized somewhat.
However, I have always had a tendency toward negative thinking, so I have been trying to adjust my thought patterns, which is often mentally exhausting.
I frequently feel tired after a whole day of thinking without accomplishing much, and I experience significant mental pressure, making it hard to remain calm while doing tasks.
Whenever I feel overwhelmed and my mind starts racing, I reach out to friends and family to alleviate my anxiety and panic.
Usually, I feel much calmer after talking, but it doesn’t take long before the anxiety and tension return.
I often exert a lot of effort and time to manage my emotional state, and by the end of the day, my mind feels truly fatigued.
Each time I talk to friends and family, they try to help me regain a realistic perspective and encourage me to have confidence and not overthink.
I know they are saying the same things, and I am aware of this myself, but whenever I start to relax, I still feel something is off and I can’t fully let go of my worries.
My family says I overthink and am highly sensitive.
I try to remind myself that it’s not as serious as I imagine, but I tend to be easily startled and panicked.
I often find it hard to distinguish whether my anxiety is due to my overreactions or if there is something genuinely concerning that I need to pay attention to.
Initially, when I felt anxious, I started researching various mental illnesses and self-help articles online, and I’ve nearly exhausted all the resources available.
Overall, I feel like I've become a bit neurotic during this time.
It has been almost a month since my emotional outburst, and I’m not sure if I am genuinely overthinking or if there is a real issue at hand.
Am I truly improving? I always find it hard to relax, so I came here for consultation.
Thank you for your patience, doctor.
🙏
Abby, 10~19 year old female. Ask Date: 2023/12/17
Dr. Lin Mianzhang reply Psychiatry
Hello Abby: It seems that you have a tendency to be more anxious, which can make it difficult for you to relax, lead to fatigue, and create a sense of mental instability.
To improve these conditions, a symptomatic approach would be to prescribe anxiolytics or medications that lower heart rate to help you relax.
A more fundamental approach involves engaging in psychotherapy to help you understand the reasons behind your anxiety and learn coping strategies.
Additionally, if the effects of psychotherapy are slow or do not fully alleviate your symptoms, it may be necessary to combine it with a low dose of antidepressants to help stabilize your autonomic nervous system.
Antidepressants can help you feel more at ease and less concerned about minor issues, and they are non-addictive, making them a viable long-term treatment option.
I recommend discussing appropriate treatment options further with your physician!
Reply Date: 2023/12/17
More Info
It sounds like you are experiencing a challenging time with your emotions and mental health, particularly in relation to anxiety and sensitivity. From what you've described, it seems that you are caught in a cycle of overthinking and heightened sensitivity, which can be exhausting and overwhelming. Let's break down some of the key aspects of your situation and explore ways to better understand and manage your feelings.
Firstly, it's important to recognize that high sensitivity is a personality trait that affects how individuals perceive and react to their environment. Highly sensitive people (HSPs) often process sensory information more deeply and can become easily overwhelmed by stimuli, including emotional situations. This trait can lead to heightened emotional responses, making it difficult to cope with stressors, such as academic pressure or interpersonal conflicts.
Your experience of feeling anxious and panicked, especially when faced with stress, is not uncommon among individuals who are highly sensitive. The physiological symptoms you mentioned, such as heart palpitations and sleep disturbances, are typical manifestations of anxiety. It's good to hear that you sought help from a mental health professional and received a diagnosis of adjustment disorder with anxiety and depression. This diagnosis indicates that your emotional responses are linked to specific stressors in your life, which is a crucial step in understanding your situation.
The medication prescribed to you, a calming agent, can help alleviate some of the immediate symptoms of anxiety. However, it is essential to combine medication with therapeutic approaches, such as cognitive-behavioral therapy (CBT) or mindfulness practices. These therapies can help you identify negative thought patterns and develop healthier coping strategies. For instance, CBT can assist you in recognizing when you are overthinking and provide tools to challenge those thoughts, allowing you to reframe your perspective.
You mentioned that you often feel mentally exhausted from trying to maintain a positive mindset. This effort can be draining, especially if it feels forced or unnatural. It's important to allow yourself to experience a range of emotions without judgment. Instead of striving for constant positivity, consider practicing self-compassion. Acknowledge that it's okay to feel anxious or overwhelmed at times, and give yourself permission to take breaks when needed.
Additionally, reaching out to friends and family for support is a positive step. However, it might be beneficial to explore structured support, such as therapy or support groups, where you can express your feelings in a safe environment. Sometimes, discussing your experiences with others who understand can provide relief and validation.
You also mentioned that you often find yourself searching online for information about mental health issues. While educating yourself can be helpful, it can also lead to increased anxiety if you find yourself fixating on worst-case scenarios. Instead of searching for answers online, consider focusing on evidence-based resources or consulting with a mental health professional who can provide accurate information tailored to your situation.
In summary, it seems that you are navigating a complex interplay of high sensitivity and anxiety. Recognizing your sensitivity as a trait rather than a flaw can be empowering. By combining medication with therapeutic approaches, practicing self-compassion, and seeking structured support, you can work towards managing your anxiety more effectively. Remember, progress takes time, and it's okay to seek help along the way. You are not alone in this journey, and there are resources available to support you.
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