Anxiety Disorders and Family Dynamics in Adolescents

Anxiety Disorders and Family Issues

Hello Doctor, I am currently in the first year of junior high school.
Since last summer when school started, I have been experiencing excessive anxiety and social anxiety, often worrying about illnesses (like parasites), having a fear of heights, insects, and stairs, a sensation of choking in my throat, sudden shortness of breath, tinnitus, pain, insomnia, frequent crying, forgetfulness, stuttering, and digestive issues.
I have talked to my parents several times, but they believe I am being paranoid and that there is no need for such concerns.
Initially, they responded gently and patiently, providing comfort that helped me feel a bit better, but as my anxiety symptoms frequently recur, they seem to have lost their patience and have started to scold me, downplay my feelings with their own experiences, mock me, and even resort to drinking, which has made my emotions increasingly low, affecting my studies and making me reluctant to go to school.
I cry almost every day.
I have had thoughts of wanting to end my suffering, but I really just want to feel better quickly and not be tormented anymore.
I have considered seeing a psychiatrist, but I am afraid it will anger my parents, so I only confide in my aunt.
Each time I talk to my parents, I feel a little better, but often within a few days, the symptoms return, and recently they have been recurring more easily, sometimes just a few hours apart.
I am terrified that one day the people around me will no longer want to interact with me.
I don’t understand why I have become like this; perhaps it is due to the emotional fluctuations of puberty? I would like to ask the doctor if I should request to see a psychiatrist from my parents, or if I should first communicate with my aunt before making a decision? Are there any methods to help me reduce my anxiety? Thank you, Doctor, for reading this, and I hope you can help me find answers.
😢

Zeng, 10~19 year old female. Ask Date: 2024/04/03

Dr. Li Guanying reply Psychiatry

From your letter, it is clear that you are experiencing discomfort and distress due to both anxiety and family issues.

1.
Facing an uncertain future, depression and anxiety are common disorders in modern society.
These are chronic conditions that require long-term treatment for recovery.

2.
Depression is a chronic illness characterized by episodes of exacerbation, remission, recovery, and relapse.
More than half of patients may experience a recurrence of symptoms even after they have improved.
Due to individual differences in physiology, it is necessary to confirm whether your situation requires medical attention.

3.
In terms of pharmacological treatment, each primary medication typically takes 4 to 6 weeks to assess its effectiveness.
It is advisable to keep track of the duration and frequency of any discomforting symptoms you experience.

4.
In addition to medication and psychotherapy, repetitive transcranial magnetic stimulation (rTMS) is a non-invasive, anesthesia-free treatment with a high safety profile that does not require hospitalization.
It can help improve symptoms of anxiety and depression.
Please consider consulting with a psychologist.
Our clinic has outpatient services available from Monday to Friday, both in the morning and afternoon.
We recommend that you visit the clinic for a personal evaluation of your symptoms, so we can collaboratively discuss the best course of action for you.

Wishing you mental and physical well-being.

Reply Date: 2024/04/03

More Info

It sounds like you are going through a very challenging time, and I want to acknowledge the pain and confusion you are experiencing. Anxiety disorders, especially in adolescents, can be complex and deeply intertwined with family dynamics and personal experiences. Your symptoms, including excessive anxiety, social fears, physical sensations like throat tightness and difficulty breathing, as well as emotional struggles such as crying and feelings of hopelessness, are significant and deserve attention.

First, it’s important to understand that anxiety is a normal response to stress, but when it becomes overwhelming and persistent, it can interfere with daily life, including school performance and relationships. The feelings you describe, such as fear of illness (like parasitic infections), fear of heights, and physical symptoms like ear ringing and digestive issues, are common manifestations of anxiety. These can be exacerbated by external stressors, such as family dynamics and the pressures of adolescence.

You mentioned that your parents initially responded with patience but have since become less understanding, which can be disheartening. It’s not uncommon for parents to struggle to understand the complexities of mental health issues, especially if they have not experienced similar feelings themselves. Their reactions, including dismissive comments or even ridicule, can further contribute to feelings of isolation and despair. This is why it’s crucial to seek support from someone who can provide a more empathetic understanding, such as a mental health professional.

Considering your situation, it would be beneficial to talk to a mental health professional, such as a psychologist or psychiatrist. If you feel uncomfortable discussing this directly with your parents, speaking with your aunt first could be a good step. She may be able to provide you with support and help you communicate your needs to your parents. It’s essential to express how your anxiety is affecting your life and that you believe professional help could make a difference.

In terms of coping strategies, there are several techniques you can try to manage anxiety on your own while you seek professional help:
1. Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, or yoga can help calm your mind and reduce anxiety symptoms. Apps like Headspace or Calm can guide you through these practices.

2. Physical Activity: Regular exercise can significantly reduce anxiety levels. Activities like walking, running, or dancing can help release endorphins, which improve mood.

3. Journaling: Writing down your thoughts and feelings can provide an outlet for your emotions and help you process what you’re experiencing.

4. Limit Exposure to Stressors: If certain situations or environments increase your anxiety, try to limit your exposure to them when possible. This might include taking breaks from social media or avoiding stressful situations until you feel more equipped to handle them.

5. Establish a Routine: Having a structured daily routine can provide a sense of stability and predictability, which can be comforting during times of anxiety.

6. Connect with Supportive Friends or Family: If there are friends or relatives who understand what you’re going through, reach out to them. Having someone to talk to can alleviate feelings of loneliness.

7. Educate Yourself: Understanding anxiety and its symptoms can empower you and help you feel more in control. There are many resources available, including books and reputable websites, that can provide valuable information.

Ultimately, seeking help is a sign of strength, not weakness. It’s crucial to prioritize your mental health, especially during such a formative time in your life. If you feel that your thoughts of self-harm are becoming more frequent or intense, please reach out for immediate help from a trusted adult or a mental health professional. You deserve support and care, and there are people who can help you navigate through this difficult period.

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