Choosing Between Neurology and Psychiatry for Anxiety Treatment: Key Insights

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Dear Dr.
Yeh,
I have a few questions to ask.

1.
Both neurology and psychiatry encompass the treatment of "anxiety disorders." In your expert opinion, which specialty should one consult to avoid misunderstanding and mistakenly visiting the wrong department, thus wasting unnecessary time and resources?
2.
Furthermore, could an excessively black-and-white view of love and hate, along with a strong sense of obligation to repay kindness and seek revenge for grievances, indicate potential psychological issues, even if the individual is very clear about their goals? Upon researching related reports, I am unsure whether this could be classified as "panic disorder," "anxiety disorder," "obsessive-compulsive disorder," "generalized anxiety disorder," or "bipolar disorder." Of course, this would require further consultation with a specialized psychologist, but I believe your expertise could provide some basic judgment and feedback.
3.
When seeking medical care, the public may mistakenly perceive doctors as "gods" who can cure all ailments.
I believe this notion is incorrect, and questioning a physician's expertise can also be uncomfortable.
I feel that the current basic understanding of medicine among people, along with differing perceptions of diseases, inevitably leads to conflicts of opinion, which is regrettable.
I trust that you would agree! Consequently, the medical profession will also be put to the test.
Finally, I want to thank you for your response and wish all healthcare professionals who are always on the front lines safety and a Happy New Year!

VV, 30~39 year old female. Ask Date: 2004/12/31

Dr. Ye Boshou reply Neurology

1.
Mild anxiety disorders can be easily managed by either neurology or psychiatry, but severe anxiety that disrupts daily life should be addressed by a psychiatrist, and psychological counseling may be necessary.
2.
Whether personality traits and psychological states evolve into mental disorders requires case-by-case assessment and should be evaluated by professionals with specialized training.
Due to the similarities in descriptions of related reports, self-assessment can lead to misunderstandings throughout one’s life.
3.
Physicians are allies standing alongside patients in the fight against illness.
The advancement of information is beneficial, but the foundation of mutual trust in the doctor-patient relationship is a crucial condition for building that relationship.
Wishing you peace and happiness.

Reply Date: 2004/12/31

More Info

When it comes to treating anxiety disorders, the choice between neurology and psychiatry can indeed be confusing for patients. Both fields address aspects of anxiety, but they do so from different perspectives. Here are some key insights to help clarify this distinction and guide your decision on which specialist to consult.

1. Understanding the Fields:
- Neurology focuses on the physical aspects of the nervous system, including the brain, spinal cord, and nerves. Neurologists typically deal with conditions that have a clear biological basis, such as seizures, migraines, and neurodegenerative diseases. While they can address anxiety symptoms that may arise from neurological conditions, they do not primarily treat anxiety disorders as a standalone issue.

- Psychiatry, on the other hand, is dedicated to the diagnosis, treatment, and prevention of mental health disorders, including anxiety disorders. Psychiatrists are trained to understand the psychological, emotional, and social factors that contribute to anxiety. They can prescribe medications, provide psychotherapy, and develop comprehensive treatment plans tailored to the individual’s needs.

Given your concerns about anxiety, it would be more appropriate to consult a psychiatrist. They can provide a thorough evaluation of your symptoms, consider any underlying psychological issues, and recommend appropriate treatments, which may include therapy and medication.

2. Personality Traits and Psychological Issues:
- Your mention of having a strong sense of justice and a tendency to hold onto grudges could indicate certain personality traits that may be linked to anxiety or other psychological conditions. While these traits alone do not necessarily mean you have a specific disorder, they can contribute to stress and anxiety if they lead to excessive rumination or conflict in relationships.

- Conditions such as obsessive-compulsive disorder (OCD) or generalized anxiety disorder (GAD) can manifest in ways that involve persistent worrying or compulsive behaviors. However, a definitive diagnosis should be made by a qualified mental health professional who can assess your symptoms in detail.

3. Expectations from Medical Professionals:
- It’s important to recognize that while doctors are highly trained professionals, they are not infallible. Patients may sometimes expect immediate solutions to complex problems, but mental health treatment often requires time, patience, and a collaborative approach. It’s normal to have questions or concerns about your treatment, and open communication with your healthcare provider is crucial.

- Understanding that mental health conditions can be multifaceted and may not have a straightforward cure can help set realistic expectations. Treatment often involves a combination of medication, therapy, lifestyle changes, and ongoing support.

In conclusion, if you are experiencing anxiety symptoms, it is advisable to seek help from a psychiatrist who can provide a comprehensive evaluation and treatment plan. They can help you navigate your feelings and develop coping strategies that align with your goals. Additionally, addressing any personality traits that may contribute to your anxiety can be an important part of your treatment. Remember, mental health is a journey, and seeking help is a courageous first step. Thank you for your thoughtful questions, and I wish you the best on your path to wellness.

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