Am I Experiencing Anxiety, Depression, or Panic Disorder?

Am I suffering from anxiety disorder or depression?

Sometimes at home, I feel an inexplicable sense of unease, fear, helplessness, and fatigue.
It seems like nothing I do feels right, and I have a hollow feeling in my body, which is very uncomfortable (these are symptoms of anxiety, right?).
This state often lasts for a long time, ranging from 1 to 3 hours, and these symptoms can occur consecutively, lasting about 2 to 3 weeks or even longer.
During these 2 to 3 weeks, after the feeling of unease passes, I start to worry about what is wrong with me, and I fall into a cycle of overthinking.
I can't stop worrying, and the more I think, the more anxious I become, leading to increased feelings of unease and fear, which in turn makes me worry even more.
It's a vicious cycle.

The content of my worries includes: Will my thoughts continue to spiral? Will these symptoms recur in the future? What should I do if they do? Am I experiencing anxiety or depression? Is this related to panic disorder? Could it be that I am experiencing anxiety, panic, and depression all at once? Does overthinking exacerbate my symptoms? Is this anxiety or depression? (I am certain I have panic disorder.)
PS: I have experienced panic symptoms since the 9th grade, and recently a doctor at Guandu Hospital confirmed that I have panic disorder.
I have had many episodes of panic disorder, and after the most severe symptoms subside (10-20 minutes), I easily experience the symptoms described above (for 2-3 weeks or even longer).
(The symptoms described above do not necessarily only occur after a panic attack.)
PS2: The likelihood of all the above symptoms occurring is significantly higher when I am under stress.
I kindly ask the doctor to read this patiently; I am truly worried and scared.
Thank you very much for your help!

Yichun, 10~19 year old female. Ask Date: 2011/05/31

Dr. Wang Chongren reply Psychiatry

Dear Dr.
Wang Chong-Jen, Department of Psychiatry, Tainan Hospital, Ministry of Health and Welfare:
Hello,
From your letter, it is evident that you are experiencing significant anxiety, primarily concerning whether your symptoms will persist.
It seems you have many uncertainties regarding your mental health status, including your diagnosis.
Despite having sought medical attention and being aware that you have panic disorder, you still have numerous questions.
I believe the most important step for you right now is to actively seek medical care, proactively ask questions, and communicate with your doctor to alleviate your concerns.
Your issues will gradually improve as you engage in this process.
You should first discuss with your doctor to find the appropriate medication to alleviate your panic symptoms.
Additionally, it is essential to address psychosocial issues, including stressors that may exacerbate your anxiety and personal life management challenges.
In summary, by facing your situation actively, seeking help, communicating patiently, and enhancing your coping skills, you will gradually find improvement.
Wishing you good health and peace of mind.
Best regards,
Department of Psychiatry, Tainan Hospital, Ministry of Health and Welfare

Reply Date: 2011/05/31

More Info

Based on your description, it appears that you are experiencing a complex interplay of anxiety, panic disorder, and possibly depressive symptoms. Your feelings of unease, fear, helplessness, and fatigue, along with the sensation of being "empty" and uncomfortable, are indeed indicative of anxiety disorders. The cyclical nature of your thoughts—where you become anxious about being anxious—can exacerbate these feelings, leading to a vicious cycle that is difficult to break.

Anxiety disorders, including generalized anxiety disorder (GAD) and panic disorder, often manifest through physical symptoms such as increased heart rate, sweating, and feelings of impending doom. The fact that you have been diagnosed with panic disorder suggests that you have experienced episodes of intense fear that can occur unexpectedly, leading to a range of physical and emotional symptoms. These panic attacks can leave you feeling drained and can contribute to ongoing anxiety about when the next attack might occur.

Your concern about whether you are experiencing anxiety, depression, or panic disorder is valid. It is not uncommon for individuals with anxiety disorders to also experience depressive symptoms, especially when they feel overwhelmed by their anxiety. Symptoms of depression can include persistent sadness, loss of interest in activities, fatigue, and feelings of worthlessness. The feelings of being trapped in a cycle of worry and fear can lead to a sense of hopelessness, which is characteristic of depression.

It's important to recognize that these conditions can coexist. Many individuals experience both anxiety and depression simultaneously, which can complicate the clinical picture. The worry about your symptoms recurring and the fear of being unable to cope can further intensify your anxiety, leading to a state of hyper-vigilance where you are constantly on edge.

To address your concerns, it is crucial to seek professional help. A mental health professional can provide a comprehensive assessment to determine the specific nature of your symptoms and develop a tailored treatment plan. Treatment options may include cognitive-behavioral therapy (CBT), which is effective for both anxiety and depression, as it helps individuals identify and challenge negative thought patterns and develop healthier coping strategies. Medication may also be considered, particularly if your symptoms are significantly impacting your daily life.

In addition to professional treatment, there are self-help strategies that can be beneficial. Practicing mindfulness and relaxation techniques, such as deep breathing exercises or meditation, can help reduce anxiety levels. Engaging in regular physical activity can also improve mood and reduce anxiety. Establishing a routine that includes time for self-care and activities you enjoy can provide a sense of normalcy and control.

It's essential to communicate openly with your healthcare provider about your symptoms and concerns. They can help you navigate the complexities of your mental health and provide the support you need. Remember, you are not alone in this journey, and seeking help is a courageous step toward healing and recovery.

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