Do I Need to See a Psychiatrist for My Anxiety and Urgency Issues? - Psychiatry

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Do I need to see a psychiatrist?


Hello, doctor.
Recently, I have been feeling inexplicably anxious and tense, and whenever I get nervous, I feel an overwhelming urge to use the restroom that I can hardly control.
This situation has been bothering me for several years, but it has become increasingly severe lately.
I'm not sure if there is an issue with my urinary system, but I don't experience this problem at home.
My need to use the restroom is not due to a physiological requirement but rather a psychological one.
I find myself needing to go to the restroom almost every time after class, even if I haven't had anything to drink.
Because of this, I am hesitant to participate in activities, fearing that I will constantly feel the urge to go.
Do I need to see a psychiatrist? Please let me know.
Thank you.

claire, 10~19 year old female. Ask Date: 2004/03/06

Dr. Chen Wenyu reply Psychiatry


Hello Claire: Your issue is clearly an anxiety disorder, and the situation appears to be somewhat severe, as you are experiencing what is known as "phobia." You have started to avoid certain situations or environments.
This condition requires a combination of medication treatment and cognitive behavioral therapy, so you need to seek assistance from a mental health care team.
Thank you for your message!

Reply Date: 2004/03/06

More Info


It sounds like you are experiencing significant anxiety that manifests in physical symptoms, particularly the urgent need to use the restroom. This situation can be quite distressing and can impact your daily life and activities. Based on your description, it would be advisable to seek help from a psychiatrist or a mental health professional.

Anxiety disorders can often lead to physical symptoms, including the frequent urge to urinate. This phenomenon is sometimes referred to as "nervous bladder" or "anxiety-induced urinary urgency." When you feel anxious, your body goes into a fight-or-flight response, which can affect various bodily functions, including those of the urinary system. In your case, it seems that the anxiety is not linked to a physical need but rather a psychological response to stressors, particularly in social situations or environments where you feel pressure, such as during classes.

It's important to understand that you are not alone in this experience. Many individuals face similar challenges, where anxiety leads to compulsive behaviors or physical symptoms that can feel overwhelming. The fact that you notice this behavior primarily in certain situations, such as after classes or during activities, suggests that it may be tied to situational anxiety rather than a purely physiological issue.

Seeking help from a psychiatrist can provide you with a safe space to discuss your feelings and experiences. A mental health professional can help you explore the underlying causes of your anxiety and develop coping strategies to manage it effectively. They may suggest various treatment options, including cognitive-behavioral therapy (CBT), which is particularly effective for anxiety disorders. CBT focuses on identifying and changing negative thought patterns and behaviors that contribute to anxiety.

In addition to therapy, medication may also be an option. Antidepressants or anti-anxiety medications can help regulate the brain's chemistry and reduce symptoms of anxiety. However, this should be discussed thoroughly with a psychiatrist, who can assess your specific situation and recommend the best course of action.

It's also beneficial to incorporate self-care strategies into your routine. Techniques such as mindfulness meditation, deep breathing exercises, and regular physical activity can help reduce anxiety levels. Engaging in activities that you enjoy and that help you relax can also be beneficial.

Lastly, consider reaching out to trusted friends or family members about your experiences. Having a support system can make a significant difference in managing anxiety. They can provide encouragement and understanding as you navigate this challenging time.

In summary, given the persistent nature of your anxiety and its impact on your daily life, seeking help from a psychiatrist is a wise decision. They can provide you with the tools and support necessary to address your anxiety and improve your overall well-being. Remember, reaching out for help is a sign of strength, and taking this step can lead to positive changes in your life.

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