Anxiety-Related Physical Symptoms in College Students - Psychiatry

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Anxiety-related physical symptoms


Hello, doctor.
Since I started university last September, I've been feeling uncomfortable with the school environment and the food.
I've also been experiencing poor sleep (often having nightmares), chest tightness and pain, difficulty breathing, and widespread body aches.
I searched online for related diseases and came across terms like "myocardial infarction" and "aortic dissection," which only increased my anxiety.
I'm constantly worried about my health.
After seeing a cardiologist for an examination, the doctor said everything was fine, but I still feel anxious.
Whenever I worry about a specific illness, I experience corresponding symptoms.
I spend my days in anxiety and worry.
I consulted a psychiatrist, but they mentioned that my symptoms don't quite align with typical panic disorder symptoms, yet they prescribed medication in that direction.
The academic pressure at school isn't that high, and I don't even know what I'm really worried about.
What should I do? I'm sorry for writing so much, and thank you for taking the time to respond.

Xiao Lin, 10~19 year old female. Ask Date: 2024/01/24

Dr. Qiu Junda reply Psychiatry


Hello.
Your issues mostly fall within the realm of anxiety (panic is also a type of anxiety).
Some may not even know the underlying cause.
However, I believe it is a reaction to stress, such as what you mentioned: (disliking the school environment and diet) is a form of stress that has already caused physical and mental distress.
I recommend gathering some educational articles on stress management to learn some techniques.
Additionally, continue to seek treatment from a mental health professional.
With proper care, you should see improvement soon.

Reply Date: 2024/01/24

More Info


It's understandable that transitioning to college can be a challenging experience, and your symptoms of anxiety are not uncommon among students. Many individuals face a variety of stressors when entering a new environment, including academic pressures, social dynamics, and lifestyle changes. Your experience of chest tightness, difficulty breathing, and various aches and pains can be manifestations of anxiety, which often presents with physical symptoms that can be alarming.

Firstly, it's important to recognize that anxiety can lead to a heightened state of awareness regarding bodily sensations. This means that when you feel a physical symptom, such as chest pain or shortness of breath, it can trigger a cycle of worry and fear about serious health issues, even if medical evaluations show no underlying problems. This is often referred to as health anxiety or hypochondria, where the fear of illness exacerbates the physical sensations, creating a feedback loop that can be difficult to break.

The fact that you have already consulted with a cardiologist and received reassurance that your heart is healthy is a positive step. However, the persistence of your anxiety suggests that you may benefit from further psychological support. It’s crucial to address the underlying anxiety rather than solely focusing on the physical symptoms. Cognitive-behavioral therapy (CBT) is an effective treatment for anxiety disorders, including panic attacks and health anxiety. CBT helps individuals identify and challenge negative thought patterns and develop coping strategies to manage anxiety more effectively.

In addition to therapy, consider incorporating relaxation techniques into your daily routine. Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety levels and improve your overall sense of well-being. Regular physical activity is also beneficial, as it can help alleviate stress and improve mood through the release of endorphins.

It's also worth exploring your lifestyle choices, including diet, sleep hygiene, and social support. A balanced diet, adequate sleep, and maintaining connections with friends and family can significantly impact your mental health. If you find that your college environment is contributing to your anxiety, consider discussing your feelings with a trusted friend, family member, or counselor. They may provide insights or support that can help you navigate this transition more smoothly.

Lastly, if you feel comfortable, consider reaching out to your school's counseling services. Many universities offer mental health resources, including counseling and workshops focused on stress management and coping strategies. Engaging with these resources can provide you with additional support and tools to manage your anxiety effectively.

In summary, while your physical symptoms are concerning, they are likely linked to anxiety rather than a serious medical condition. By addressing the anxiety itself through therapy, relaxation techniques, and lifestyle adjustments, you can work towards alleviating both the psychological and physical symptoms you are experiencing. Remember, seeking help is a sign of strength, and you don’t have to navigate this journey alone.

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