Anxiety: When Worry Becomes a Daily Struggle - Psychiatry

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Psychological issues


Hello, doctor.
I have two questions to ask.

1.
I have a personality that is easily worried and fearful, but in the past few months, I have noticed that my anxiety is starting to affect my life.
For example, I am very afraid to go out (it's easier for me to go to work, but I find it more difficult to meet others).
I worry about encountering danger when I go out, and if there are related news stories, I become even more fearful.
As a result, I often agree to invitations and then back out.
I would like to know if this is simply anxiety or if it has developed into a disorder.
2.
My second question is that I have long struggled to act according to my own thoughts.
Often, I want to do something, but there is a voice in my head telling me not to do it, suggesting that something bad will happen if I do.
Is this a normal situation?

Xiao Wei, 20~29 year old female. Ask Date: 2024/01/04

Dr. Tang Jiahong reply Psychiatry


Hello: 1.
Whenever psychological conditions impact daily life, we may suspect that they have reached a symptomatic level, necessitating adjustment or seeking help.
It is not necessarily classified as a disorder, as a comprehensive evaluation of other symptoms is required to determine if it constitutes a medical condition.
2.
Everyone experiences indecisiveness at times.
The degree and its impact on functioning matter; if this indecisiveness leads to careful consideration and the selection of appropriate plans for execution, it can have a positive effect.
However, if it results in an inability to engage in most activities, it indicates a less favorable situation.
Tang Chia-Hung

Reply Date: 2024/01/04

More Info


Hello! It sounds like you are experiencing significant anxiety that is impacting your daily life. Let's break down your concerns and explore them further.

1. Understanding Your Anxiety: From what you've described, it seems that your anxiety has escalated to a point where it is affecting your ability to engage in normal activities, such as going out or accepting social invitations. This type of anxiety can manifest as a fear of potential dangers or negative outcomes, often leading to avoidance behaviors. It's important to recognize that while some level of anxiety is a normal part of life, when it begins to interfere with your daily functioning, it may indicate a more serious issue, such as an anxiety disorder.

Anxiety disorders can take many forms, including Generalized Anxiety Disorder (GAD), Social Anxiety Disorder, or even specific phobias. The fear of leaving your home or engaging in social situations, especially when triggered by news or external events, can be a sign of an anxiety disorder. It is crucial to consult with a mental health professional who can provide a proper diagnosis and recommend appropriate treatment options. Treatment may include therapy, medication, or a combination of both, depending on the severity of your symptoms.

2. The Inner Voice of Doubt: The second part of your question touches on a common experience among individuals with anxiety. The internal voice that discourages you from pursuing certain actions or that predicts negative outcomes is often a manifestation of anxiety. This voice can create a cycle of fear and avoidance, making it difficult to act on your desires or intentions. This phenomenon is not uncommon and can be linked to cognitive distortions, where negative thinking patterns lead to heightened anxiety and avoidance behaviors.

It is essential to challenge these thoughts and recognize that they do not always reflect reality. Cognitive Behavioral Therapy (CBT) is an effective treatment for anxiety that focuses on identifying and changing these negative thought patterns. Through CBT, you can learn strategies to manage your anxiety, confront your fears, and gradually expose yourself to situations that cause discomfort, ultimately reducing the power of that inner voice.


Additional Recommendations:
- Seek Professional Help: Given the impact of your anxiety on your life, it would be beneficial to seek help from a mental health professional. They can provide a safe space to explore your feelings and develop coping strategies tailored to your needs.

- Practice Mindfulness and Relaxation Techniques: Techniques such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety symptoms. These practices encourage you to focus on the present moment and can help alleviate the worry about potential dangers.

- Gradual Exposure: If you find yourself avoiding situations due to fear, consider gradually exposing yourself to those situations in a controlled manner. Start with small steps that feel manageable and gradually increase the difficulty as you become more comfortable.

- Build a Support Network: Surround yourself with supportive friends and family who understand your struggles. Sharing your experiences with trusted individuals can help alleviate feelings of isolation and provide encouragement.

- Educate Yourself: Understanding anxiety and its effects can empower you to take control of your situation. Reading about anxiety disorders and coping strategies can provide insight and help you feel less alone in your experiences.

In conclusion, while your experiences of anxiety are valid and concerning, they are also manageable with the right support and strategies. Don't hesitate to reach out for help, as taking that first step can lead to significant improvements in your quality of life. Remember, you are not alone in this journey, and there are resources available to help you navigate through your anxiety.

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