October 10, 2022 is the 31st "World Mental Health Day". The establishment of this disease day aims to mobilize the whole society to participate in mental health promotion actions, pay attention to mental health, care for patients with mental illness, and work together to build a

Anxiety is a human instinct, but being able to relieve anxiety is a skill.

October 10, 2022 is the 31st " World Mental Health Day ". The establishment of this disease day aims to mobilize the whole society to participate in mental health promotion actions, pay attention to mental health, care for patients with mental illness, and work together to build a harmonious social environment. But it cannot be ignored that depression and anxiety continue to plague modern people and become a dilemma that people urgently need to solve.

How far is "anxiety" from anxiety disorder?

▌ Do you often feel anxious? Have you ever felt anxious about these things?

• got off work, but the work at hand has not been finished yet, so anxious that I couldn't eat well, couldn't sleep, and was anxious;
• had a conflict with my friends or colleagues, and was worried that it would be difficult to get along harmoniously with each other afterwards, and was anxious;
0 made many plans, but they did not complete it a lot, and they were very suspicious of themselves and were anxious;
• The salary increase speed cannot keep up with the speed of consumption, and they are unable to make ends meet, and they are anxious...

In this way, it seems that anxiety has become the norm in our lives. Epidemiological data shows that 80%-90% of anxiety disorder patients have an age before the age of 35, and the peak age is between 10 and 25 years old. In general, it is more anxious for young people.

So what are the anxiety of contemporary young people?

"Sad culture", "Happy fat man", "Suicide single", "Air-style love", "Buddhist social", these popular words reflect young people's anxiety from some aspects. According to social surveys, the top 3 things that make young people most anxious are: life goals, material money and career. Translated: No goal, poor, and do not like work ( hit a few arrows in his knees ).

reasons for anxiety in contemporary young people

so, anxiety is an experience that almost everyone has had, but normal anxiety is based on the reality, and we ourselves can clarify the source of anxiety.

Anxiety patients have different anxiety status. This abnormal anxiety is not sufficiently reasonable, and there are often inexplicable persistent mental tension, panic, or physical discomfort.

His difference between anxiety, anxiety state, and anxiety disorder

Anxiety and depression are common psychological problems. A domestic multi-center, large-sample survey showed that the adjusted prevalence rates of comorbidities of anxiety disorder, depression disorder, anxiety and depression disorder among patients who visited general hospitals were 8.6%, 12%, and 4.1%, respectively, and the prevalence rate that could reach any of the above diagnosis was 16.5%.

Anxiety disorder may cause patients to have excessive contemplation and strong anxiety. They always think about the mistakes they have made repeatedly, thinking that they are worthless and full of frustration. Sometimes panic and helplessness will occur for no reason, accompanied by palpitations, dizziness, and stomachache.

"cannot describe", how terrible is anxiety?

Katie Crawford, graduated from the Institute of Fine Arts, Louisiana State University in 2016. As a patient who has suffered from anxiety since childhood, she said: "Trying to describe the symptoms of mental illness to a normal person is like describing colors to a blind person." She gave up using words, picked up her camera and took a selfie of this shocking series of photos, describing her symptoms to people.

Those despair and suffocation that cannot be described in words; those pale and powerlessness that surge in the heart are fully expressed in the picture.

Photography: Katie Crawford

Clinically, anxiety disorders can be divided into three forms: panic disorder , generalized anxiety and social anxiety/social fear.

Main characteristics of various anxiety disorders

First, anxiety patients often "defense never happens alone"

Studies have found that the comorbidity rate of anxiety disorders is very high, and they can coexist with one or more mental disorders at the same time.

comorbidity rate of anxiety disorder

Second, patients with anxiety disorder are prone to losing their "self" and "desocialization"

Anxiety disorder can easily lead to damage or even loss of occupational, social or interpersonal functions, affecting daily life, and appearing inexplicable physical symptoms and (or) compulsive thinking and compulsive behavior.

Common symptoms of anxiety or depression

Want to "rescue yourself", how to defeat anxiety?

If you have anxiety, you should strengthen self-psychological regulation in your daily life, prevent depression through reasonable diet, adequate sleep, proper exercise, learning to talk, broaden your horizons, enrich your spiritual life, maintain optimism, and record happy fragments in your life. If you have serious symptoms, seek medical treatment in time, etc.

1 Psychological counseling

Simple psychological communication, counseling and communication have certain effects on patients with anxiety disorders. However, this is only one aspect, and anxiety disorder cannot be solved simply by relying on psychological counseling.

2 Drug treatment

Currently, according to the different drug receptors, it is classified into anti-anxiety drugs and anti-anxiety drugs. The most commonly used anti-anxiety drugs include benzodiazepines and 5-HT1A receptor partial agonists. Drugs with anti-anxiety effects include anti-depressants with different chemical structures, etc., but it is necessary to use individually according to the clinical characteristics of the subtype of anxiety disorders.

3 Regular review

In order to prevent repeated attacks of anxiety, you must take medicine for a long time under the supervision of a doctor and review regularly. After persisting in treatment, gradually reduce the dosage of the drug or stop taking it. Don’t make your own decisions to give up halfway and not continue treatment or interrupt treatment after you find that your condition has improved in the early stage of treatment.

Anxiety is a human instinct, but it is a skill to relieve anxiety; if it cannot be relieved for a long time, please seek medical treatment in time and standardize diagnosis and treatment. Finally, I hope everyone can defeat "anxiety" because "nothing you worry about will happen."

References:

[1]. Wu Wenyuan. China Anxiety Disorder Prevention and Treatment Guidelines (Trial Version)[C]// National Anxiety Disorder Academic Conference. Chinese Medical Society, 2009.

[2]. What are the young people in this era anxious about?

[3]. Wu Wenyuan et al. Expert consensus on diagnosis and treatment of anxiety and depression in general hospitals. Chinese Journal of Medicine. 2012; 92(31): 2174-2181.

[4]. He Yanling et al. Survey on the prevalence of depression and anxiety disorder in patients with general hospitals. Chinese Journal of Internal Medicine. 2009; 48(9): 748-751.

source of this article: Medical psychiatry channel

author of this article: Medical psychiatry channel