Stories of a young patient with anxiety
html In early March, an anxiety patient came to the outpatient clinic. He expressed his troubles in pain. How to say it, it was the kind of pain that others felt depressed when they heard it.
"I always feel very tired and spend a lot of time thinking and worrying. I keep thinking about every mistake I have made, and this situation always defeats me. This worry and fear linger in my mind."
"When I first date, I always feel like I was saying the wrong thing."
"On the road, I am always afraid of traffic accidents. I always think about the worst. I am addicted to everything in my mind and can't extricate myself."
"Particism makes me feel that no one around me likes me very much. My friends look at me with a strange look. I doubt if I offended him somewhere. In the eyes of others, this is stupid, but to me, this is real fear. Fear. "
" I always hold my phone and try to get recognition from others. I want other people's likes and messages, so I act as positive and optimistic as possible on the Internet. Although others never care about knowing what's really going on with me."
" I always see my peers in my circle of friends, find a job I like, and prepare to get married. After giving birth to a child and buying a beautiful house, others are very happy in their lives. "
"I am always anxious. Why can others have such a beautiful life, but I accomplish nothing? I am really useless."
After listening to his description, I felt his sense of despair through words, and the repression was passed into my mind through words.
Many people with anxiety disorders are always like a wanderer curled up in the corner. Live carefully in this world nervously and fearfully. Even if the outside world is not as bad as they describe it.
There are many people who don’t understand it. Why are anxious people always afraid and worried? What are they afraid of?
In fact, things that make anxiety disorders and fears all kinds of things, and even everything around him.
Fear of if, afraid of possibility, afraid of what to do in the future
Patients can feel that they are in a state of nervousness, and nothing has happened, but they are afraid of things that they cannot control.
The sense of loss of control is the most obvious psychological characteristic of patients with anxiety disorders. For example, if unexpected things are unwilling to appear, there is no future in the future. This kind of out-of-control, unknown, is actually an uncertainty. This uncertainty deepens the fear of anxiety patients.
Fear of getting sick
Patients with anxiety disorder are afraid of the diversity of diseases, such as:
1) The heart is uncomfortable, and they are afraid that they have a heart disease. However, the more they worry, the more they feel uncomfortable in their hearts.
2) In social activities such as diet and eating with others, they are afraid of being infected with infectious diseases and even more afraid of getting cancer.
3) As long as you have a headache, you are worried that you have a brain tumor. When your blood pressure is high, you are worried that you have hypertension .
Some patients with anxiety have no problems with their physical examination, but they are very afraid of getting sick and often doubt whether they have been infected with the disease, so they feel anxious. Repeat and check whether you are sick.
feeling the most normal things in life
1) For example, fear of breathing, fear of uneven breathing;
2) fear of wanting to go to the toilet when you are riding, or in any occasions when you shouldn't go to the toilet;
3) fear of taking a bus without a bathroom, be nervous, heartbeat abnormally, stiff all over, cold sweat, fear of urinary poisoning, fear of losing control, force the driver to stop, or attack others.
4) I am afraid that I cannot write in public and my hands are shaking severely, and I am afraid that I will make a fool of myself.
is afraid to make a fool of yourself when speaking in public, to others look at yourself with strange eyes, to not get recognition from others, to mess up things, and to be afraid that what happens is beyond your expectations. In short, it is normal in the eyes of others, but it will become particularly scary in the eyes of people with anxiety disorders.
Afraid that something bad will come to me
Last week, a high school student came to see the doctor. She lives in the lower bunk on campus and often can't sleep. She often worried that the hanger on the upper bunk would fall and hit her. I was also worried that the wardrobe hanging on the wall would fall off and hurt people. I am afraid of an elevator accident when taking the elevator, and I am afraid of a car accident when taking the bus. She even read the news that someone was bitten by a mosquito while sleeping, and she was worried that mosquitoes would bite their eyes when she went to bed, and then, like the news, an eye infection caused blindness.
Because of this, this patient often cannot sleep well and is terrified when going out, and his study and life have been greatly affected.
Some patients with anxiety disorders may have experienced some blows in the past, and the psychological trauma has not recovered, so they often have a worry and fear. At the same time, there are some cognitive deviations, so negative and extreme views are prone to seeing problems.
Fear that you can't control everything around you
Sense of control is what patients with anxiety are most concerned about. They really want everything to be under their control. Once this balance is broken, panic extends from the depths of the heart. And this kind of involuntary association usually involves bad things.
Summary:
Just catch an anxiety patient and ask, maybe he will tell you that he is constantly panicking, but he cannot answer accurately, what is the root cause of his fear and fear. But there are always reasons why every anxiety patient is afraid and afraid.
The source of fear comes from deviation cognition.
We know that our views on things and the generation of emotions are the result of thinking processing, that is, the patient's personality and cognition.
Some patients are prone to pessimism due to their personality traits. They always focus too much on adverse events and high-risk matters, and are not very likely to focus on the positive side. People like
will think about things to the worst. In order to fight these thoughts, they have to be on full alert. In addition, cognitive bias also makes them overly alert.
Some patients have formed an inherent cognition after a setback, and they always hold on to the wrong cognition of "I am just unlucky", so the wrong cognition has put them in the abyss of excessive alertness.
Because cognition is an important factor that leads to excessive alertness, we must prescribe the right medicine for the fear of anxiety patients and correct the cognitive bias of patients.
On the one hand, what we need to do is to challenge an unreasonable cognitive model: takes out a problem that troubles you, and then lists various opinions on solving the problem, with the purpose of letting us understand for ourselves that everything is not just one result.
On the other hand, the fact-proof method can be used: If you are worried about the death of a flight, you might as well find data on the safety of the aircraft for the patient and show your own statement. If you have been on the plane many times and are not alive, it will greatly reduce the patient's anxiety.
