Anxiety: Is Overthinking a Sign of Mental Health Issues? - Psychiatry

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Excuse me, doctor. I apologize for asking so many times?


Doctor, I'm sorry...
I've asked three times already...
This is the last question.
I'm really sorry for forgetting to ask.
What I want to know is, for someone like me who tends to overthink and worry about various things, but at the same time, I look forward to what I'm going to do in a few days and have things I want to do, and my mood isn't particularly low, nor do I feel like crying or anything like that—I'm quite lively.
I worry about things like having mild floaters in my vision and whether they might lead to something worse, or if I've done something wrong today and if that's not good, haha...
For example, if someone scolds me, I worry if there might be a curse involved.
But overall, I live normally, running and jumping around.
This shouldn't be related to depression or anxiety, right? Or is it just that I have a more delicate mindset or perhaps I'm just too idle and overthink things?

Nín hǎo, 10~19 year old female. Ask Date: 2010/06/17

Dr. Ding Shuyan reply Psychiatry


Discussing the diagnosis or exclusion of diseases for individuals whom one has not met in person online is actually inappropriate.
There are many reasons for this.
Many physicians believe that such practices violate medical ethics and even laws.
Therefore, even if you explain your situation clearly and I feel confident in my understanding, it is still not suitable to provide answers online.
I think it is acceptable to share and discuss general medical information on the internet, but traditionally, psychiatric diagnoses such as depression or anxiety disorders must be conducted through face-to-face consultations.
If you are not experiencing significant psychological distress and your social and academic life is relatively okay, that is great! Individuals with anxiety or depression typically know when they need to see a doctor.
Sincerely, Dr.
Ding Shuo-Yan.

Reply Date: 2010/06/17

More Info


It's completely understandable to have concerns about your mental health, especially when you find yourself overthinking or worrying about various aspects of life. From what you've described, it seems like you experience a mix of normal human emotions and thoughts, along with some tendencies toward anxiety. Let's break this down further.

Overthinking and excessive worrying are indeed common signs of anxiety. However, it's important to differentiate between normal levels of concern and those that may indicate a more significant mental health issue. In your case, you mention that while you do worry about things like your health (e.g., the mild floaters in your vision) or how others perceive you, you also express excitement about upcoming events and maintain a generally positive demeanor. This suggests that your anxiety may not be severe enough to be classified as an anxiety disorder.

Anxiety can manifest in various ways, including excessive worrying, restlessness, and physical symptoms like a racing heart or stomach discomfort. It's also common for individuals to experience a range of emotions, from excitement to worry, throughout their day-to-day lives. The key factor to consider is whether these feelings interfere with your daily functioning or quality of life. If your worries are manageable and you can still enjoy activities and social interactions, it may simply be a part of your personality or a response to stressors in your life.

It's also worth noting that many people have a tendency to overthink, especially in a world filled with information and social pressures. This can lead to what is sometimes referred to as "analysis paralysis," where you become so caught up in your thoughts that it becomes difficult to make decisions or enjoy the moment. This is not uncommon and can be addressed through various coping strategies.

Here are a few suggestions to help manage overthinking and anxiety:
1. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you stay grounded in the present moment. Techniques such as deep breathing, meditation, or yoga can reduce anxiety and help you focus on the here and now rather than getting lost in worries.

2. Limit Information Intake: If you find that certain topics or news stories trigger your anxiety, consider limiting your exposure to them. This can help reduce the amount of information you feel compelled to analyze.

3. Journaling: Writing down your thoughts can be a helpful way to process your feelings. It allows you to express your worries without letting them consume your mind.

4. Talk It Out: Sometimes, sharing your thoughts with a trusted friend or family member can provide relief. They can offer a different perspective and help you see things more clearly.

5. Professional Help: If you find that your worries become overwhelming or start to interfere with your daily life, it may be beneficial to speak with a mental health professional. They can provide tailored strategies and support to help you manage anxiety more effectively.

In summary, while overthinking and worrying are common experiences, they don't necessarily indicate a mental health disorder, especially if you can still engage in life positively. However, if these feelings become more intense or persistent, seeking professional guidance can be a proactive step toward maintaining your mental well-being. Remember, it's okay to seek help and prioritize your mental health just as you would your physical health.

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