Neurosis
Doctor, I went to the hospital and was diagnosed with panic disorder and anxiety, but I don't want to take medication because it makes things worse and I can't even sleep.
I really want to overcome my psychological barriers on my own! However, it seems like my body is not cooperating; I experience dizziness, fatigue, and shortness of breath throughout the day without warning, which is very uncomfortable.
I would like to ask for your help because I really don't want to take medication! I have already visited many departments in the hospital for examinations (I am unsure whether there is a physical issue or if it is truly a mental health problem).
Tiānkōng, 20~29 year old female. Ask Date: 2008/09/13
Dr. Chen Wenyu reply Psychiatry
Hello, Sky: In response to the two letters regarding autonomic nervous system disorders and neuroses, it is important to note that these conditions often involve some degree of depression or anxiety, and therefore, these terms are no longer commonly used in psychiatry.
What makes us "human" is not only our tangible physical body (physiology) but also our intangible "soul" (psychology), which is equally essential.
For a long time, people have focused solely on physical manifestations, concerned only with whether the body is ill, often neglecting the state of the mind.
Physiology and psychology are interrelated and influence each other.
For example, in cases of panic disorder, if a patient exhibits panic symptoms, I would first recommend checking for mitral valve prolapse, as this can cause panic-like symptoms.
However, if the examination is normal, then a closer psychiatric evaluation should be pursued.
In other words, physical abnormalities can lead to psychological symptoms.
However, many individuals are reluctant to confront psychological issues; after all, admitting to a physical illness is often easier than acknowledging a mental one.
That said, if one is unwilling to face their problems, how can they expect to resolve them? Since you have undergone multiple tests and they have all returned normal, shouldn't you take the time to reflect on whether your mind is at peace?
Conditions such as panic, anxiety, and depression are quite common in psychiatry.
In recent years, there have been significant advancements in psychiatric medicine, with improved efficacy of medications and a substantial reduction in side effects, leading to better treatment outcomes for these disorders.
However, these benefits are primarily seen in patients who are willing to confront their issues.
Instead of constantly worrying about physical ailments, insomnia, or work-related stress, why not seek medical assistance? With just a couple of small pills that have minimal side effects, you can achieve significant rest for both your body and mind.
During the treatment period, you can build confidence and, while you are still young, address these issues effectively.
Thank you for your letter!
Reply Date: 2008/09/13
More Info
Overcoming panic and anxiety without medication is a challenging yet commendable journey that many individuals embark on. Your desire to manage these symptoms through self-help strategies rather than relying on medication is a valid approach, and it’s important to recognize that you are not alone in this struggle. Many people experience similar feelings of panic and anxiety, and there are various techniques and strategies that can help you regain control over your emotions and physical sensations.
First, it’s essential to understand that panic and anxiety are often rooted in the body’s natural response to stress. When faced with perceived threats, the body activates its fight-or-flight response, leading to symptoms such as dizziness, fatigue, and shortness of breath. These physical sensations can be distressing, especially when they occur unexpectedly. However, recognizing that these symptoms are a result of anxiety can be the first step in managing them.
One effective strategy for overcoming panic and anxiety is through mindfulness and relaxation techniques. Mindfulness involves focusing on the present moment and accepting it without judgment. This can be achieved through practices such as meditation, deep breathing exercises, or yoga. For instance, when you feel a panic attack coming on, try to find a quiet space where you can sit comfortably. Close your eyes and take deep, slow breaths, focusing on the sensation of the air entering and leaving your body. This practice can help ground you and reduce the intensity of your symptoms.
Another helpful technique is cognitive-behavioral therapy (CBT), which focuses on identifying and challenging negative thought patterns that contribute to anxiety. You can practice CBT on your own by keeping a journal of your thoughts and feelings. When you notice a negative thought, write it down and then challenge it by asking yourself if it is based on facts or assumptions. This process can help you reframe your thoughts and reduce anxiety.
Physical activity is also a powerful tool in managing anxiety. Regular exercise can help release endorphins, which are natural mood lifters. Even a simple daily walk can make a significant difference in how you feel. Aim for at least 30 minutes of moderate exercise most days of the week. This not only helps with anxiety but also improves overall physical health, which can alleviate some of the fatigue and dizziness you may be experiencing.
Additionally, consider exploring support groups or therapy options that focus on anxiety management. While you may be hesitant to take medication, talking to a professional can provide you with valuable insights and coping strategies. Many therapists specialize in non-medication approaches to anxiety and can guide you through your journey.
Lastly, it’s crucial to maintain a healthy lifestyle. Ensure you are eating a balanced diet, staying hydrated, and getting enough sleep. Poor nutrition and lack of sleep can exacerbate anxiety symptoms, making it harder for you to cope. Establishing a regular sleep routine can also help improve your overall mental health.
In summary, overcoming panic and anxiety without medication is possible through a combination of mindfulness practices, cognitive-behavioral techniques, physical activity, and support. While the journey may be challenging, it is essential to be patient with yourself and recognize that progress takes time. If you ever feel overwhelmed, don’t hesitate to reach out for professional help. You deserve support as you navigate this path toward healing and self-discovery.
Similar Q&A
Overcoming Anxiety: A Journey Through Mental Health Challenges
During middle school, I was aware that nothing serious would happen, yet I was very afraid to go to school. At 19, I worked part-time at a convenience store, but I had to quit because I couldn't control myself when faced with the morning rush of customers; everything in fron...
Dr. Qiu Junda reply Psychiatry
Hello. Since you have been seeing a psychiatrist for many years, you can ask your doctor during your appointment about what the specific issues are. The doctor should be able to clarify your concerns. Based on the text, it seems to fall under the category of anxiety symptoms. The...[Read More] Overcoming Anxiety: A Journey Through Mental Health Challenges
Understanding Panic Disorder: Overcoming Fear and Anxiety
Two years ago, something frightening happened to me. "After that incident, I was afraid to work and go out." I spent several months at home, even waiting for my boyfriend to bring food when I was hungry. I knew that if I continued like this, I would definitely get sick....
Dr. Zhang Gengjia reply Psychiatry
These symptoms can significantly impact your daily life. In recent years, the prevalence of anxiety disorders has been on the rise, leading to an increasing number of patients seeking professional medical or pharmacological treatment. There is no need for you to worry. In fact, a...[Read More] Understanding Panic Disorder: Overcoming Fear and Anxiety
Can Panic and Anxiety Disorders Improve Without Medication?
Hello, doctor: I would like to ask, if a patient experiences symptoms of panic and anxiety, can they recover on their own without medication, or is medication treatment "absolutely" necessary?
Dr. Wang Chongren reply Psychiatry
Dear Sir/Madam, Greetings from the Department of Psychiatry at Tainan Hospital, Ministry of Health and Welfare. Transient feelings of anxiety and panic can be normal emotional responses or temporary maladaptive reactions. Some individuals may find relief through stress managem...[Read More] Can Panic and Anxiety Disorders Improve Without Medication?
Understanding Anxiety and Stress: A Journey Through Mental Health Challenges
Hello, doctor. During high school, I always felt the urge to go to the bathroom whenever there was an assembly. At that time, the strict environment at school made me feel like I was just there to avoid punishment. In college, I reached a breaking point and sought help from a psy...
Dr. Ding Shuyan reply Psychiatry
Hello, based on your concerns, I cannot conclude whether your discomfort is due to excessive stress. Since you are still young, theoretically, there shouldn't be any major issues with your health, and you have already consulted a psychiatrist. My response may be that autonom...[Read More] Understanding Anxiety and Stress: A Journey Through Mental Health Challenges
Related FAQ
(Psychiatry)
Anxiety(Psychiatry)
Social Anxiety Disorder(Psychiatry)
Ptsd(Psychiatry)
Anti-Anxiety Medication(Psychiatry)
Breathing(Psychiatry)
Cbt(Psychiatry)
Hypochondria(Psychiatry)
Self-Injury(Psychiatry)
Emotions(Psychiatry)