Anxiety and Trauma: Seeking Help for Mental Health Issues

Q: Anxiety and Trauma: Seeking Help for Mental Health Issues

Hello： The physical discomfort you are experiencing is a type of stress response, which can also be referred to as "autonomic nervous system dysregulation," caused by excessive activation of the sympathetic nervous system. <br>Anxiety or depression commonly exhibit these response

It has been bothering me for a long time?

I often experience sudden heart palpitations, hyperventilation, a sensation of heat in my skin, and overall discomfort.
Sometimes, my hands shake, and these episodes usually occur after I think about unhappy events from my past, leading to insomnia.
I'm unsure if this is due to excitement or anxiety, and it makes me feel really distressed.
I used to think it was just a simple discomfort, but my current boyfriend, who has a history of depression, suggested that I might have autonomic nervous system dysregulation, which he also experiences.
Occasionally, when he hasn't slept well, he exhibits similar symptoms.
In high school, I had some issues interacting with classmates and saw a psychiatrist, who diagnosed me with mild anxiety and depression.
I took medication once but didn't return for follow-up.
Now, I'm considering seeking help again, but I'm afraid it will be like my previous experience.
I don't know how to express all my unhappiness to a doctor.
I struggle to talk about my problems even with friends or my boyfriend, so I'm unsure how to have a face-to-face conversation with a stranger.
Although I want to share, I find it hard to articulate my feelings.
Additionally, my boyfriend has mentioned that my sexual desire seems excessive and not quite normal.
I'm uncertain if this is related to past trauma from being molested by a cousin or my previous involvement in certain industries.
I don't know how to bring these topics up with anyone.
Whenever I think about these experiences, I feel a strong urge to harm those who have wronged me, and imagining such scenarios gives me a fleeting sense of relief.
However, after a while, the symptoms return.
I often convince myself that a good night's sleep will make everything better, but the reality seems to contradict that.
If I do decide to see a doctor, will they ridicule or look down on me for my issues? Please help me; I have been troubled for a long time and don't know who to talk to.

Qianqian, 20~29 year old female. Ask Date: 2008/02/14

Dr. Xie Dicheng reply Psychiatry

Hello: The physical discomfort you are experiencing is a type of stress response, which can also be referred to as "autonomic nervous system dysregulation," caused by excessive activation of the sympathetic nervous system.
Anxiety or depression commonly exhibit these responses, but other conditions may also be involved.
However, it seems that you have some personal issues that you may not want to disclose, which could be related to these physical discomforts.
It is still advisable for you to seek medical attention.
At the very least, medication and certain psychotherapies focused on managing anxiety responses can alleviate the discomfort you are experiencing.
As for how much of your past you wish to discuss, it ultimately depends on what you feel comfortable sharing.
I believe that every physician or therapist has an obligation to maintain confidentiality.

Reply Date: 2008/02/14

More Info

It sounds like you are experiencing a significant amount of distress related to anxiety, trauma, and possibly unresolved issues from your past. Your symptoms, such as rapid heartbeat, hyperventilation, skin warmth, and tremors, especially when triggered by memories of unhappy experiences, suggest that you may be dealing with anxiety or panic attacks. Additionally, your history of feeling anxious and depressed during high school, along with your previous visit to a mental health professional, indicates that these feelings have been persistent and may require further attention.

First and foremost, it is important to acknowledge that seeking help for mental health issues is a sign of strength, not weakness. Many people experience similar feelings, and mental health professionals are trained to help individuals navigate these challenges without judgment. Your concerns about how you will be perceived by a doctor are common, but it is crucial to remember that mental health professionals are there to provide support and understanding. They have likely heard a wide range of experiences and emotions, and their goal is to help you find relief and healing.

Regarding your symptoms, they may be indicative of an anxiety disorder, which can manifest in various ways, including panic attacks, generalized anxiety, or trauma-related symptoms. The fact that you have experienced these symptoms in connection with past trauma, such as the inappropriate behavior you mentioned, suggests that unresolved feelings may be contributing to your current state. Trauma can have lasting effects on mental health, and it is not uncommon for individuals to experience heightened anxiety or distress when reminded of past events.

It's also worth noting that your boyfriend's observation about your autonomic nervous system may be relevant. The autonomic nervous system regulates bodily functions, and when it is out of balance, it can lead to symptoms like those you described. This imbalance can be exacerbated by stress, anxiety, and trauma.

If you decide to seek help from a mental health professional, here are some tips on how to approach the conversation:
1. Be Honest and Open: It can be helpful to write down your symptoms and feelings before your appointment. This way, you can refer to your notes if you find it difficult to express yourself verbally.

2. Start with the Basics: You might begin by explaining your physical symptoms, such as the rapid heartbeat and hyperventilation, and how they relate to your thoughts about past experiences.

3. Discuss Your History: Share your previous experiences with anxiety and depression, including your past visit to a mental health professional. This context can help the doctor understand your situation better.

4. Talk About Your Trauma: If you feel comfortable, mention the traumatic experiences that you believe may be contributing to your current feelings. You do not have to go into detail if you are not ready, but acknowledging that these experiences affect you is important.

5. Express Your Concerns: Let the doctor know about your fears regarding being judged or misunderstood. A good therapist will reassure you that your feelings are valid and that they are there to help.

6. Ask Questions: If you have concerns about treatment options, including medication or therapy, do not hesitate to ask. Understanding the process can help alleviate some of your anxiety.

In terms of treatment, there are various approaches available. Cognitive Behavioral Therapy (CBT) is a common and effective method for treating anxiety and trauma-related disorders. It focuses on identifying and changing negative thought patterns and behaviors. Additionally, mindfulness and relaxation techniques can help manage anxiety symptoms in the moment.

Medication may also be an option, but it is important to discuss this with your doctor to find the best approach for your specific situation. Many people find that a combination of therapy and medication works best for them.

Lastly, remember that healing takes time, and it is okay to seek help. You deserve support and understanding as you navigate these challenges. The journey to mental wellness can be difficult, but with the right resources and support, it is possible to find relief and regain control over your life.

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