Coping with Sudden Anxiety: When to Seek Medical Help - Family Medicine

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Sudden feelings of frustration or agitation?


I've been feeling really down lately.
Sometimes, while I'm working or doing certain tasks, I suddenly experience anxiety or frustration, and there are times when I feel like crying.
What should I do about this? When I'm with someone, I don't have this issue, but once they're gone, it keeps coming back, and I'm increasingly afraid of being alone.
Should I seek medical help, and which department should I consult?

Xiansheng, 20~29 year old female. Ask Date: 2009/12/16

Dr. Cai Mengru reply Family Medicine


Hello, sir: Regarding your concerns, the likelihood of depression is significant.
I recommend that you seek consultation from a psychiatrist or a psychosomatic medicine clinic.
Alternatively, you can also visit a family medicine department.
In any case, it is best to intervene early to avoid wasting a precious life! Wishing you peace and health.
Sincerely, Dr.
Tsai Meng-Ju, Attending Physician, Family Medicine Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2009/12/16

More Info


Coping with sudden anxiety can be a challenging experience, especially when it begins to interfere with your daily life and emotional well-being. From your description, it seems that you are experiencing episodes of anxiety that arise unexpectedly, particularly when you are alone. This is not uncommon, and many individuals face similar challenges. It’s important to recognize that you are not alone in this, and there are effective ways to manage these feelings.

Firstly, it’s essential to understand that anxiety can manifest in various forms, including generalized anxiety disorder, panic disorder, or situational anxiety. The feelings of sudden anxiety, restlessness, and the urge to cry can be symptoms of these conditions. The fact that you feel better when you are with someone suggests that your anxiety may be linked to feelings of isolation or fear of being alone. This is a common experience for many people, especially those who may have underlying anxiety issues.

When considering whether to seek medical help, it’s crucial to evaluate the impact of these feelings on your daily life. If your anxiety is causing significant distress, affecting your ability to work, socialize, or enjoy activities you once found pleasurable, it may be time to consult a healthcare professional. There is no specific timeline for when to seek help; if you feel overwhelmed or unable to cope, it’s advisable to reach out sooner rather than later.

In terms of which medical specialty to consult, a mental health professional, such as a psychiatrist or psychologist, would be the most appropriate choice. Psychiatrists can evaluate your symptoms, provide a diagnosis, and discuss treatment options, which may include therapy, medication, or a combination of both. Psychologists can offer therapeutic support through various modalities, such as cognitive-behavioral therapy (CBT), which is effective for anxiety management.

In addition to seeking professional help, there are several self-help strategies you can implement to manage your anxiety. Here are a few suggestions:
1. Mindfulness and Relaxation Techniques: Practicing mindfulness meditation, deep breathing exercises, or progressive muscle relaxation can help ground you in the present moment and reduce feelings of anxiety. These techniques can be particularly useful when you start to feel overwhelmed.

2. Journaling: Writing down your thoughts and feelings can provide an outlet for your emotions and help you identify triggers for your anxiety. This practice can also help you process your feelings and gain insight into your experiences.

3. Physical Activity: Regular exercise is known to reduce anxiety and improve mood. Engaging in physical activities, whether it’s walking, yoga, or any form of exercise you enjoy, can be beneficial.

4. Social Support: While you mentioned feeling better when around others, it’s important to cultivate a support network. Reach out to friends, family, or support groups where you can share your experiences and feelings.

5. Limit Stimulants: Reducing caffeine and sugar intake can help minimize anxiety symptoms, as these substances can exacerbate feelings of nervousness and restlessness.

6. Establish a Routine: Creating a daily routine can provide structure and predictability, which can be comforting when dealing with anxiety.

7. Professional Therapy: If you haven’t already, consider seeking therapy. A therapist can help you develop coping strategies tailored to your specific needs and circumstances.

In conclusion, it’s important to take your feelings seriously and seek help if your anxiety is affecting your quality of life. Consulting with a mental health professional can provide you with the support and tools you need to manage your anxiety effectively. Remember, reaching out for help is a sign of strength, and taking the first step towards understanding and managing your anxiety can lead to significant improvements in your overall well-being.

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