Managing Anxiety: Navigating Mental Health After High School

Anxiety issues

After graduating from high school, I have been working for a year.
During this year, I felt completely lost and had to figure everything out on my own, including the intricacies of my job and workplace relationships.
If I didn't finish certain tasks, I would lie awake all night.
Whenever I struggled to handle something, my mind would keep racing, and my mood fluctuated greatly.
When I felt good, I was cheerful and lively, but during the bad times, I had thoughts of ending my life.
Fortunately, with the comfort and encouragement from my family, I was able to regain my strength and face each day ahead.
Recently, I feel like my episodes of distress have been increasing.
I have mitral valve prolapse and autonomic nervous system dysregulation.
I am currently taking beta-blockers and anti-anxiety medication.
Before, I would wake up in the middle of the night with chest pain, but since taking the medication, I have been able to sleep better.
I have been on this medication for two months now, and I am currently seeing a cardiologist.
Should I consider transferring to a psychiatrist for further evaluation? Will addressing my autonomic nervous system dysregulation resolve these issues?

Wenwen, 10~19 year old female. Ask Date: 2015/10/10

Dr. Ding Shuyan reply Psychiatry

Hello, first of all, many people experience what you are going through, so please don't feel it's very serious or think negatively.
Autonomic nervous system dysregulation and anxiety disorders are actually quite treatable, and medication can provide quicker results, making it a preferable choice in today's fast-paced society.
Your cardiologist is already doing a great job by prescribing these medications.
However, psychiatrists typically add antidepressants as well, which can be thought of as a more fundamental treatment approach, addressing the issue from multiple angles.
Once the autonomic nervous system dysregulation and anxiety disorders improve, these symptoms will significantly lessen.
However, we are still human and can experience feelings; certain situations (like when stress arises) may still trigger similar sensations temporarily.
Therefore, I suggest that the treatment goal should not be to eliminate all symptoms completely, but rather to manage them so that they can dissipate quickly when they do occur, which is a more reasonable expectation.
It's also beneficial to engage in physical exercise, and if possible, practice yoga, meditation, and other relaxation techniques, as these can greatly help stabilize the autonomic nervous system.
Wishing you all the best.
Sincerely, Dr.
Ding Shuo-Yan.

Reply Date: 2015/10/10

More Info

Navigating mental health after high school can be a challenging journey, especially when transitioning into the workforce. Your experience of feeling overwhelmed by work responsibilities, struggling with interpersonal relationships, and dealing with anxiety and depressive thoughts is not uncommon among young adults. It's important to recognize that these feelings can stem from various factors, including the pressures of a new environment, the demands of a job, and unresolved emotional issues from earlier life stages.

From your description, it seems that your anxiety is significantly impacting your daily life. The fact that you find it difficult to sleep when tasks are incomplete, and that your mood fluctuates between being lively and feeling hopeless, indicates a need for further support. The thoughts of ending your life are particularly concerning and should be taken seriously. It's commendable that you have family support, but it may also be beneficial to seek professional help.

You mentioned having mitral valve prolapse and autonomic nervous system dysfunction, which can contribute to physical symptoms like chest pain and anxiety. The medications you are taking, such as beta-blockers and anti-anxiety medications, can help manage these symptoms, but they may not address the underlying anxiety and emotional distress you are experiencing. Consulting with a psychiatrist or a mental health professional could provide you with a more comprehensive approach to your mental health. They can evaluate whether your symptoms are primarily related to anxiety, depression, or a combination of both, and help you develop coping strategies tailored to your needs.

Cognitive-behavioral therapy (CBT) is one effective treatment for anxiety that focuses on changing negative thought patterns and behaviors. It can help you learn to manage your anxiety more effectively, especially in work-related situations. Mindfulness and relaxation techniques, such as deep breathing exercises, meditation, or yoga, can also be beneficial in reducing anxiety levels and improving your overall well-being.

It's also essential to establish a support system outside of your family. Engaging with friends, joining support groups, or participating in community activities can provide you with a sense of belonging and reduce feelings of isolation. Sharing your experiences with others who understand can be incredibly validating and can help you feel less alone in your struggles.

Regarding your question about whether autonomic nervous system dysfunction will resolve with treatment, it often depends on the individual and the specific nature of the dysfunction. While some people may experience improvement with appropriate treatment, others may need ongoing management. Regular follow-ups with your healthcare provider can help monitor your symptoms and adjust your treatment plan as necessary.

In summary, navigating mental health after high school is a multifaceted process that may require professional guidance. Seeking help from a mental health professional can provide you with the tools and support needed to manage your anxiety and improve your quality of life. Remember, it's okay to ask for help, and taking that step can lead to significant positive changes in your mental health and overall well-being.

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