Recent Anxiety and Emotional Struggles in Daily Life - Psychiatry

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Recently, I don't know what's going on?


I have been feeling very anxious about work and school lately, and I really don't want to go to work.
I dislike facing customers since I work as a cashier in a supermarket.
I want to graduate quickly, but my classmates who started with me have already graduated.
My mother has been sick recently and hasn't been working; she often takes her frustrations out on me, my dad, and my grandmother.
I've been having trouble sleeping; even when I go to bed late, I still wake up early easily.
My family and friends have noticed that I've been irritable lately, often forgetting things and becoming quite forgetful.
My appetite fluctuates; sometimes I don't feel like eating, while other times I'm particularly hungry.
I've been trying to exercise between 1 to 7 days a week, sometimes 1 to 5 days, to relieve my emotions, but it doesn't seem to help much.
Nevertheless, I still make an effort to exercise.

Ya Chen, 20~29 year old female. Ask Date: 2015/08/15

Dr. Liang Sunyuan reply Psychiatry


Hello: You've been working hard lately.
It seems that you have to balance your studies and work, and the family atmosphere has not been very good recently.
The accumulation of multiple pressures can lead to symptoms such as high stress, depression, irritability, or difficulty in self-control.
Additionally, since these symptoms have already affected your appetite, sleep, and memory, it must have been quite challenging for you during this time.
However, stress and depression are often temporary phases; while it is painful to be in the midst of it, symptoms usually improve after some time when the stress alleviates or external factors improve.
It's great that you are exercising regularly; please continue this practice.
Even if you lack appetite at times, it's advisable to eat something, and try to ensure adequate sleep.
If the symptoms do not improve or worsen, it is recommended to consult a physician for a face-to-face discussion.
Wishing you all the best.

Reply Date: 2015/08/15

More Info


It sounds like you are experiencing a significant amount of anxiety and emotional distress related to your work and academic pressures, as well as family dynamics. These feelings can be overwhelming, especially when compounded by external stressors such as your mother's illness and the pressure to graduate. Let's break down your situation and explore some potential strategies to help you cope.

Firstly, it's important to recognize that what you're feeling is valid. Many people experience anxiety and emotional struggles, especially during times of change or stress. Your feelings of dread about going to work, particularly in a customer-facing role, are not uncommon. Working in a high-pressure environment like a supermarket can be challenging, especially when you are dealing with personal issues at home. The fact that you are aware of your mood changes and how they affect your interactions with others is a positive sign; it shows that you are reflecting on your feelings and their impact on your life.

The symptoms you describe—difficulty sleeping, irritability, forgetfulness, and fluctuations in appetite—are often associated with anxiety and stress. Sleep disturbances can exacerbate feelings of anxiety, creating a cycle that can be hard to break. When you don’t get enough rest, it can affect your mood, cognitive function, and overall well-being. It’s crucial to prioritize sleep hygiene; try to establish a regular sleep schedule, create a calming bedtime routine, and limit screen time before bed.

Your attempts to exercise are commendable, as physical activity is a well-known stress reliever. However, if you find that it’s not providing the relief you hoped for, consider varying your routine. Sometimes, engaging in different types of physical activity, such as yoga or mindfulness exercises, can help reduce anxiety more effectively than traditional workouts. These practices can promote relaxation and improve your mental clarity.

Given the pressures you are facing, it may also be beneficial to seek professional help. A mental health professional can provide you with coping strategies tailored to your specific situation. They can help you explore the underlying causes of your anxiety and develop a plan to manage it. Therapy can be a safe space to express your feelings and work through the challenges you are facing at home and work.

Additionally, consider reaching out to your support network. Friends and family can provide emotional support, and sometimes just talking about what you’re going through can alleviate some of the burden. If you feel comfortable, share your feelings with your family, including your mother. She may not be aware of how her stress is affecting you, and open communication can foster understanding and support.

Lastly, practice self-compassion. It’s easy to be hard on yourself during tough times, but remember that it’s okay to feel overwhelmed. Acknowledge your efforts to cope with your situation, whether it’s through exercise, seeking help, or simply getting through each day. Celebrate small victories, like completing a task at work or managing to get through a difficult conversation.

In summary, your feelings of anxiety and emotional struggle are understandable given your current circumstances. Prioritize sleep, consider varying your exercise routine, seek professional help, communicate with your support network, and practice self-compassion. By taking these steps, you can work towards managing your anxiety and improving your overall emotional well-being. Remember, it’s okay to ask for help, and you don’t have to navigate this alone.

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