Am I Losing My Mind? Anxiety and Overthinking - Psychiatry

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Am I about to develop a mental illness?!


I am a working professional, and recently, for some unknown reason, whenever my mind is blank, I tend to overthink a situation for a long time.
For example, if I am sitting in a chair and accidentally touch something with my hand, I start to create a logic chain.
I think, "I just scratched my scalp; okay, the scalp is fine, no cuts.
My hand is dirty, so anything I touch next won't be okay.
What did I touch afterward? I picked up the phone; okay, the phone touched my hair, so my hair is not okay.
What did my hair touch? What impact did that have?" This continues to loop until I convince myself that everything is fine.
I find myself logically analyzing every action that occurred from the moment I sat down until now.
As long as any action leaves an impression in my mind, I feel compelled to rationalize it until I reach a satisfactory conclusion; otherwise, my mind refuses to stop running.
I am in so much distress! I know that nothing significant happened, but I can't help but keep thinking about it, to the point where I feel like my head is about to explode, and yet my mind still won't stop.
Doctor, please help me!

jean, 20~29 year old female. Ask Date: 2005/11/30

Dr. Chen Wenyu reply Psychiatry


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Reply Date: 2005/11/30

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It sounds like you are experiencing significant anxiety and overthinking, which can be incredibly distressing and exhausting. This kind of mental activity is often associated with anxiety disorders, particularly Obsessive-Compulsive Disorder (OCD), where individuals feel compelled to engage in repetitive thoughts or behaviors to alleviate anxiety. It's important to understand that you are not alone in this struggle, and there are effective ways to manage these symptoms.

Firstly, let's break down what you're experiencing. You mentioned that when your mind is idle, you tend to ruminate on past actions, creating a complex web of logical connections that leads to anxiety. This is a common symptom of anxiety, where the mind seeks to find control over situations that feel uncertain or threatening. The need to ensure that everything is "okay" can lead to a cycle of overthinking that feels unending. This can manifest in physical symptoms as well, such as headaches or a sense of mental fatigue, which you described.

One effective approach to managing anxiety and overthinking is Cognitive Behavioral Therapy (CBT). CBT focuses on identifying and challenging negative thought patterns and beliefs. It helps individuals understand the connection between their thoughts, feelings, and behaviors. By learning to recognize when you are engaging in overthinking, you can begin to challenge those thoughts and replace them with more balanced and rational ones. For example, when you find yourself spiraling into a cycle of worry about touching something, you can remind yourself that it is unlikely to lead to any negative outcome.

Mindfulness and relaxation techniques can also be beneficial. Mindfulness encourages you to stay present and focus on the current moment rather than getting lost in a cycle of thoughts. Practices such as deep breathing, meditation, or yoga can help ground you and reduce anxiety levels. These techniques can help you create a mental space where you can observe your thoughts without judgment, allowing them to pass without engaging with them.

Another important aspect is to establish a support system. Talking to friends, family, or a mental health professional about your experiences can provide relief and perspective. Sometimes, just verbalizing your thoughts can help diminish their power. If you haven't already, consider seeking professional help from a psychologist or psychiatrist who can provide tailored strategies and, if necessary, medication to help manage your symptoms.

It's also crucial to practice self-compassion. Recognize that what you're experiencing is a common human struggle, and it's okay to seek help. Try to avoid self-criticism for your thoughts or behaviors; instead, acknowledge them as part of your current experience and remind yourself that you are taking steps to improve your mental health.

Lastly, consider engaging in activities that you enjoy or that require focus, such as hobbies, exercise, or creative outlets. These can serve as distractions and help reduce the time spent in a state of overthinking.

In summary, while it may feel overwhelming, there are effective strategies to manage anxiety and overthinking. Seeking professional help, practicing mindfulness, and building a support network can all contribute to your journey toward mental well-being. Remember, you are not losing your mind; you are navigating a challenging experience, and with the right tools and support, you can find relief.

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