Why You Get Nervous Easily: A Family Medicine Perspective - Family Medicine

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Easily anxious?


Why am I so easily anxious? Whether it's a big or small matter, or when I meet someone...
my hands and feet get cold, and my smile feels very unnatural.
This is very troubling for me.
I often try to reassure myself mentally, but it doesn't seem to help at all.
I really dislike feeling this way.

karen, 20~29 year old female. Ask Date: 2001/03/13

Dr. Lin Mingxing reply Family Medicine


Hello, feeling anxious is a common issue that many people face, and I believe it brings you a lot of distress.
From normal performance anxiety when speaking in public to test anxiety, and even feeling nervous around strangers or in various situations, it can become severe enough to affect your social life and daily functioning.
The causes and circumstances can vary widely.
Given the limited information from your letter, it is difficult to determine why you may be prone to anxiety.
I suggest seeking further understanding from trusted friends or professionals, such as a psychiatrist, as this will likely be helpful.
Sincerely, Dr.
Hong-Cun Yeh, Psychiatrist.

Reply Date: 2001/03/13

More Info


Feeling nervous easily, especially in social situations or during various activities, can be a challenging experience that affects your daily life and overall well-being. From a family medicine perspective, it’s essential to understand that anxiety can stem from a variety of factors, including biological, psychological, and environmental influences.

Biological Factors: One of the primary reasons you might be experiencing heightened nervousness is due to your body's natural response to stress. When faced with a perceived threat or challenge, your body activates the "fight or flight" response, releasing hormones like adrenaline and cortisol. This response can lead to physical symptoms such as cold hands and feet, increased heart rate, and sweating. If you have a family history of anxiety disorders, you may be genetically predisposed to experiencing anxiety more intensely.

Psychological Factors: Your thoughts and beliefs play a significant role in how you perceive and react to situations. Cognitive distortions, such as catastrophizing (expecting the worst outcome) or overgeneralizing (believing that one negative experience will always happen), can exacerbate feelings of anxiety. It’s also possible that past experiences, particularly negative ones, have conditioned you to respond with nervousness in similar situations. This learned behavior can create a cycle where the anticipation of anxiety leads to more anxiety, making it difficult to break free from the pattern.

Environmental Factors: The environment in which you were raised and your current surroundings can also contribute to feelings of nervousness. If you grew up in a high-stress environment or experienced significant life changes, such as moving to a new place or changing schools, these factors can influence your anxiety levels. Additionally, social pressures and expectations can create a sense of inadequacy, leading to increased nervousness in social situations.

Coping Strategies: While it can be frustrating to feel this way despite your efforts at self-reassurance, there are several strategies you can employ to manage your anxiety more effectively:
1. Mindfulness and Relaxation Techniques: Practicing mindfulness meditation, deep breathing exercises, or progressive muscle relaxation can help calm your nervous system and reduce anxiety. These techniques encourage you to focus on the present moment and can help you manage physical symptoms of anxiety.

2. Cognitive Behavioral Therapy (CBT): Engaging in therapy, particularly CBT, can be highly beneficial. CBT helps you identify and challenge negative thought patterns and replace them with more constructive ones. A therapist can work with you to develop coping strategies tailored to your specific triggers.

3. Gradual Exposure: Gradually exposing yourself to anxiety-provoking situations in a controlled manner can help desensitize you to those triggers. Start with less intimidating scenarios and work your way up to more challenging ones, allowing yourself to build confidence along the way.

4. Lifestyle Modifications: Regular physical activity, a balanced diet, and adequate sleep can significantly impact your overall mental health. Exercise, in particular, is known to release endorphins, which can improve mood and reduce anxiety.

5. Social Support: Connecting with friends, family, or support groups can provide a sense of belonging and understanding. Sharing your experiences with others who may have similar feelings can help alleviate the burden of anxiety.

6. Professional Help: If your anxiety continues to interfere with your daily life, consider seeking help from a mental health professional. They can provide a comprehensive assessment and recommend appropriate treatment options, which may include therapy or medication.

In conclusion, feeling nervous easily is a common experience that can be influenced by various factors. Understanding the underlying causes of your anxiety can empower you to take proactive steps toward managing it. Remember, it’s okay to seek help, and you don’t have to navigate this journey alone. With the right support and strategies, you can learn to manage your anxiety and improve your quality of life.

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