Stress is ever-present?
Hello, doctor: I am currently serving in the military and have been for over two months.
The pressure in the military comes in waves; I worry about not performing well or not learning things properly, and so on.
Every time I have a day off, I feel a sense of relief and can relax.
However, as the end of my leave approaches, I feel increasingly anxious, pressured, and helpless.
Do you think I need to seek medical attention for this? Thank you.
A-Zai, 20~29 year old female. Ask Date: 2011/09/20
Dr. Lin Junyuan reply Psychiatry
Hello, based on your letter, your situation appears to be related to environmental adaptation issues.
Your ability to describe your emotional fluctuations accurately indicates that you are caring for yourself and engaging in introspection, which is a positive sign! Generally, adjustment disorders do not necessarily require clinical intervention unless they are accompanied by severe insomnia or significant negative thoughts of hopelessness.
I recommend that you try to establish supportive interactions with your peers, focusing on one task at a time without worrying too much about what needs to be done tomorrow or the day after, as this can help reduce your anticipatory anxiety!
Reply Date: 2011/09/20
More Info
Managing stress during military service is a significant concern for many individuals, and it's essential to recognize when seeking professional help is necessary. Based on your description, it seems you are experiencing symptoms of stress and anxiety related to your military duties, which is quite common among service members. The feelings of pressure, worry about performance, and relief during breaks are indicative of the stress that can accompany military life.
Firstly, it's important to understand that experiencing stress in a high-pressure environment like the military is normal. However, when these feelings become overwhelming or persistent, it may be time to consider seeking professional help. Here are some signs that indicate you might benefit from consulting a mental health professional:
1. Persistent Anxiety or Worry: If your feelings of anxiety are constant and interfere with your daily life, such as affecting your ability to concentrate or perform your duties, it may be a sign that you need support.
2. Physical Symptoms: Stress can manifest physically, leading to symptoms like headaches, stomach issues, or fatigue. If you notice these symptoms persisting, it’s worth discussing with a healthcare provider.
3. Sleep Disturbances: Difficulty sleeping, whether it’s trouble falling asleep, staying asleep, or experiencing nightmares, can be a significant indicator of stress and anxiety that warrants professional attention.
4. Social Withdrawal: If you find yourself withdrawing from friends, family, or social activities that you once enjoyed, this could be a sign of deeper emotional distress.
5. Negative Thoughts: If you’re experiencing persistent negative thoughts or feelings of hopelessness, it’s crucial to seek help. Thoughts of self-harm or suicide should be taken very seriously, and immediate assistance should be sought.
6. Impact on Daily Functioning: If your stress is affecting your ability to carry out daily tasks, fulfill responsibilities, or maintain relationships, it’s a clear sign that you should reach out for help.
In your case, since you mentioned feeling a sense of relief during breaks but increasing anxiety as they end, this cyclical pattern can be indicative of an adjustment disorder. This condition is characterized by difficulty adjusting to a significant life change, which, in your case, is military service. While not everyone with adjustment issues requires therapy, those who find their symptoms are affecting their quality of life or functioning should consider seeking help.
What to Do Next:
- Talk to Someone: Consider discussing your feelings with a trusted friend, family member, or fellow service member. Sometimes, just talking about your experiences can provide relief.
- Utilize Available Resources: Many military organizations offer mental health resources, including counseling services. Don’t hesitate to reach out to these services, as they are designed to support service members like yourself.
- Practice Self-Care: Engage in activities that promote relaxation and well-being, such as exercise, meditation, or hobbies that you enjoy. These can help mitigate stress levels.
- Seek Professional Help: If your symptoms persist or worsen, it’s advisable to consult a mental health professional. They can provide you with coping strategies and, if necessary, discuss treatment options such as therapy or medication.
In conclusion, while it’s normal to experience stress during military service, it’s crucial to monitor your mental health and seek help if your symptoms become overwhelming. Remember, reaching out for help is a sign of strength, and there are resources available to support you through this challenging time. Your mental health is just as important as your physical health, and taking proactive steps can lead to a healthier, more fulfilling military experience.
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