Should I Return to the Doctor for My Anxiety and Sleep Issues?

excuse me?

Hello Doctor: I previously underwent treatment for panic disorder for about two months, but since there was no significant improvement, I stopped taking medication on my own for about six months.
During this time, my symptoms remained the same, but I feel somewhat better than before.
Although the feelings of panic still frequently occur, I try to act as if I don't care.
Recently, I may have been under a bit more stress, and perhaps due to the long duration of my condition, I often have negative thoughts.
I even feel a lack of responsibility towards my job and have been considering changing jobs.
I constantly feel the urge to do something, and my sleep has been poor.
I often wake up in the middle of the night with numbness in my left hand, feeling fear and discomfort throughout my body.
I can't seem to settle down and keep thinking about various things.
Should I go back to see a doctor? Please give me some advice! Thank you for your response.

A-Rong, 20~29 year old female. Ask Date: 2004/06/18

Dr. Tang Xinbei reply Psychiatry

Dear A-Rong,
It seems that you have been trying to manage your panic attacks on your own, and initially, there was some effect, but recently it appears to have worsened? Additionally, you have been feeling more down lately and sense that something is not right and uncomfortable? Panic attacks are indeed related to various factors: life events, stress, fatigue, excessive exercise, substances (such as amphetamines and ecstasy), and excessive caffeine intake.
Many patients with panic disorder experience recurrent attacks, leading to significant uncertainty in their lives, which can result in feelings of depression and worry about their recovery, consequently developing depressive symptoms.
Given your current situation, I strongly recommend that you see a physician as soon as possible (preferably a psychiatrist) for a thorough evaluation and diagnosis, and to continue receiving the necessary treatment and support.
If you wish to discontinue treatment, it is best to discuss this with your physician.
Wishing you peace and joy!

Reply Date: 2004/06/18

More Info

It sounds like you are experiencing a challenging time with your anxiety and sleep issues, and I commend you for reaching out for guidance. Based on your description, it seems that your symptoms have persisted and may even be worsening, which is a significant indicator that it might be time to return to your healthcare provider.

Firstly, it's important to recognize that anxiety disorders, including panic disorder, can be complex and often require ongoing management. While you mentioned that you felt some improvement after stopping medication, the return of negative thoughts, feelings of fear, and sleep disturbances suggest that your anxiety may not be fully under control. The fact that you are experiencing physical symptoms, such as your left hand going numb and feelings of discomfort, can also be linked to anxiety and should not be overlooked.

Here are several reasons why returning to the doctor could be beneficial for you:
1. Comprehensive Assessment: Your doctor can conduct a thorough evaluation of your current symptoms and how they have evolved since your last visit. This assessment is crucial in determining the best course of action moving forward.

2. Medication Management: If you previously found relief from medication, it may be worth discussing the possibility of reintroducing it or adjusting your current treatment plan. There are various medications available for anxiety, and your doctor can help find one that suits you best.

3. Therapeutic Options: In addition to medication, therapy can be a powerful tool in managing anxiety. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety disorders and can help you develop coping strategies to deal with negative thoughts and feelings.

4. Sleep Hygiene: Your sleep issues are a significant concern, as poor sleep can exacerbate anxiety symptoms. Your doctor can provide guidance on sleep hygiene practices and may recommend further evaluation if your sleep disturbances continue.

5. Support and Resources: Returning to your doctor can also provide you with additional resources and support. They may refer you to support groups or other mental health professionals who can help you navigate your feelings and experiences.

6. Addressing Underlying Issues: Your feelings of wanting to change jobs and lack of responsibility may be linked to your anxiety. A healthcare professional can help you explore these feelings further and develop a plan to address them.

In conclusion, given the persistence of your symptoms and the impact they are having on your daily life, I strongly encourage you to return to your doctor. Open communication about your experiences, including the physical symptoms and emotional distress you are facing, is essential for effective treatment. Remember, seeking help is a sign of strength, and taking this step can lead you toward a path of healing and improved well-being. Don't hesitate to reach out for the support you need; you deserve to feel better.

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