Autism and Anxiety: Seeking Help for Mental Health Crisis - Psychiatry

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Autism, anxiety disorder


I believe I have autism and anxiety disorder, and I have reached a point where I constantly think about leaving this world.
I have had thoughts of self-harm twice.
What should I do?

Xiao Ai, 20~29 year old female. Ask Date: 2000/11/02

Dr. Tang Xinbei reply Psychiatry


Dear Hsiao Ai,
I apologize for the delay in responding to your concerns due to a malfunction of the hospital's email server.
It sounds like you are feeling quite low and depressed, feeling as though there is no one to help you and that life lacks hope, which has led you to isolate yourself and even have thoughts of self-harm.
I sincerely recommend that you seek the care of a psychiatrist as soon as possible.

Wishing you peace and joy,
Tang Xin Bei

Reply Date: 2000/11/02

More Info


It sounds like you are going through an incredibly difficult time, and I want to emphasize that reaching out for help is a crucial first step. The feelings of despair and anxiety you are experiencing can be overwhelming, especially when compounded by the challenges associated with autism. It’s important to know that you are not alone, and there are resources and support systems available to help you navigate through this crisis.

First and foremost, I urge you to seek immediate professional help. If you are having thoughts of self-harm or suicide, please contact a mental health professional, a crisis hotline, or go to the nearest emergency room. In the United States, the National Suicide Prevention Lifeline (1-800-273-TALK) is available 24/7 to provide support and assistance. They can connect you with trained counselors who understand what you are going through and can help you find the right resources.

Understanding autism and anxiety is essential in addressing your mental health crisis. Autism Spectrum Disorder (ASD) can often co-occur with anxiety disorders, leading to heightened feelings of distress. Individuals with autism may struggle with social interactions, sensory sensitivities, and changes in routine, which can exacerbate anxiety. It’s important to recognize that these feelings are valid and that there are effective treatments available.

Cognitive Behavioral Therapy (CBT) is one of the most effective therapeutic approaches for both anxiety and autism. CBT helps individuals identify and challenge negative thought patterns and develop coping strategies. Additionally, mindfulness practices and relaxation techniques can be beneficial in managing anxiety symptoms. Engaging in activities that promote relaxation, such as yoga or meditation, can also provide relief.

Medication may also be an option to consider. Antidepressants and anti-anxiety medications can help alleviate symptoms, but this should be discussed with a psychiatrist who can evaluate your specific situation and needs. It’s important to have a comprehensive treatment plan that addresses both your autism and anxiety.

In addition to professional help, building a support network is crucial. Reach out to trusted friends or family members who can provide emotional support. Joining support groups for individuals with autism or anxiety can also be beneficial, as it allows you to connect with others who understand your experiences. Online forums and communities can provide a sense of belonging and reduce feelings of isolation.

Nutrition and physical health also play a significant role in mental well-being. Eating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can positively impact your mood and energy levels. Regular physical activity is also known to reduce anxiety and improve overall mental health. Aim for at least 30 minutes of moderate exercise most days of the week.

Lastly, it’s important to practice self-compassion. Acknowledge that it’s okay to feel overwhelmed and that seeking help is a sign of strength. Take small steps each day towards improving your mental health, and celebrate your progress, no matter how small it may seem.

In summary, please prioritize your safety and well-being by seeking immediate help. Understand that autism and anxiety are challenges that can be managed with the right support and treatment. You are deserving of care and support, and there is hope for a brighter future. Remember, you are not alone in this journey, and there are people and resources ready to help you.

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