Generalized Anxiety Disorder: Seeking Help and Support - Psychiatry

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Is it generalized anxiety disorder?


Recently, I have been feeling anxious.
I have experienced this before, but I managed to overcome it with the support of my friends and other focal points in my life.
Now, due to unemployment and isolation at home, I feel lonely.
Although I don't have financial pressure, I still experience a sense of anxiety, feeling that I can't continue like this.
This anxiety may also stem from various social issues, making me restless and worried about what would happen if such situations occurred to me.
I have started to experience insomnia.
I know that I am overly worrying and that I have many emotional instability issues, which I am fully aware of, yet I cannot control my thoughts and emotions.
I know I need to be strong, and I know that there is still a lot of love and concern around me.
Besides writing articles to vent my feelings, I don't know what else to do.
This piece is something I wrote recently; finishing it always brings me a brief moment of calm, but I don't like to keep writing about these topics because it worries others, and I feel like I'm trapping myself in a loop.
I don't genuinely want to die; I just feel that death isn't as frightening as it seems.
This thought scares me.
Can you help me, doctor?
When emotions find no outlet, one may perceive death as the best form of relief.
People often fail to understand why those who contemplate suicide are no longer afraid of death, yet they choose to give up on themselves over emotions that could be resolved by seeking support.
After experiencing these emotions multiple times, I have begun to find answers.
Many people lack true empathy for those with mental illnesses; no amount of love can withstand the long-term mental torment they endure.
They feel helpless, truly.
Besides advising or forcibly taking the sick person to see a doctor, there seems to be little else one can do because everyone has their own struggles, and when they can't overcome their challenges, they end up venting their emotions to those who love them.
Illness is uncontrollable; no one wishes to be sick.
In those brief moments of clarity, I often regret the trouble I cause others, leading me into a second phase of withdrawal, whether it be crying or laughing, unable to manage myself.
Even a single piece of social news can make me extremely anxious, and my mind just keeps spinning without stopping.
When there is no one to listen, I can't find answers, which leads to insomnia.
I can't stop; I want to grasp something, yet I can't articulate what I want.
The anxiety continues to build, and I oscillate between thoughts of death and the need to be strong.
After much internal struggle, I finally began to seek help again.
This stage is crucial; I believe that facing the right direction is essential to truly finding an exit.
I have walked this path before and now find myself lost again.
I know I need help; I cannot afford to lose this battle.
Please help me because I am scared.
I am scared of the thought of smiling at the idea of death.
I beg you not to find me bothersome.
I know you still love me; I truly know.

chin, 20~29 year old female. Ask Date: 2006/10/19

Dr. Duan Yongzhang reply Psychiatry


Hello! I can sense that you are currently struggling with feelings of anxiety.
You have experienced similar lows in the past, and I believe you can overcome this one as well.
Your condition may not necessarily be "generalized anxiety disorder"; it could also be symptoms arising from depression or significant life stress.
When a person feels down or depressed, they can also experience anxiety, which often accompanies physical discomforts such as insomnia, trembling, and palpitations.
Your writing is excellent, and once your mood stabilizes, I am sure you will be able to produce some remarkable articles.
I look forward to that.
It is commendable that you are willing to seek help; many people lack that courage.
The saying "people do not understand why those who commit suicide are not afraid of death" is not accurate.
Who says that those who commit suicide are not afraid of death? Most of them act on impulse, and those who have had such impulses often reflect back with fear and regret.
Thank you for bravely expressing your feelings.
I hope you can talk to a professional (such as a counselor or psychiatrist), as I believe it will be very beneficial for you.

Reply Date: 2006/10/19

More Info


It sounds like you are experiencing a challenging time with anxiety, especially given the recent changes in your life, such as unemployment and feelings of isolation. It’s important to acknowledge that what you’re feeling is valid, and many people go through similar experiences. Generalized Anxiety Disorder (GAD) can manifest in various ways, including excessive worry, restlessness, fatigue, difficulty concentrating, and sleep disturbances, which you seem to be experiencing.
First and foremost, seeking help is a crucial step in managing anxiety. While you mentioned that you have supportive friends and loved ones, it might be beneficial to reach out to a mental health professional. A therapist or counselor can provide you with coping strategies tailored to your specific situation. They can help you explore the underlying causes of your anxiety and work with you to develop healthier thought patterns. Cognitive Behavioral Therapy (CBT) is particularly effective for GAD, as it focuses on changing negative thought patterns and behaviors.

In addition to professional help, consider incorporating self-care practices into your daily routine. Regular physical activity, even something as simple as a daily walk, can significantly reduce anxiety levels. Exercise releases endorphins, which are natural mood lifters. Mindfulness and relaxation techniques, such as meditation, deep breathing exercises, or yoga, can also help calm your mind and reduce feelings of anxiety.
Establishing a routine can provide a sense of structure and normalcy, which is especially important when you’re feeling lost. Set small, achievable goals for each day, whether it’s writing, reading, or engaging in a hobby you enjoy. This can help redirect your focus and give you a sense of accomplishment.
You mentioned that writing helps you express your feelings, which is a great outlet. Consider journaling not just about your worries, but also about positive experiences and things you’re grateful for. This practice can shift your focus from negative thoughts to more positive ones, helping to alleviate some anxiety.

It’s also important to connect with others. While you may feel isolated, reaching out to friends or family members for support can make a significant difference. Share your feelings with them; you might be surprised at how understanding and supportive they can be. If you feel comfortable, consider joining a support group, either in-person or online, where you can connect with others who are experiencing similar challenges.

Lastly, be gentle with yourself. It’s okay to feel overwhelmed, and it’s important to recognize that recovery is a process. Celebrate small victories, and don’t hesitate to seek help when you need it. Remember, you are not alone in this journey, and there are people and resources available to support you.

In summary, seeking professional help, incorporating self-care practices, establishing a routine, connecting with others, and being kind to yourself are all important steps in managing anxiety. You have already taken a significant step by recognizing your feelings and reaching out for help. Keep moving forward, and remember that it’s okay to ask for support along the way.

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