什么是高功能性焦虑?

2020-10-14 07:34

If You Feel Mentally and Physically Exhausted 24/7, You May Have High-Functioning Anxiety rln世界播

如果你全天候感到身心疲惫,你可能患有高功能焦虑症。rln世界播


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Experiencing anxiety every now and then is normal, and it's common to feel anxious before a speaking engagement, a job interview, or when you have to discuss something serious with someone you care about. But for those with an anxiety disorder, the anxiety experienced doesn't dissipate and can become worse over time, interfering with daily activities, such as completing assignments for school and work or socializing with friends and family. Some types of anxiety, such as generalized anxiety, may inhibit people from completing daily tasks and functioning in social settings, but high-functioning anxiety affects people in the opposite way. rln世界播

时不时地感到焦虑是正常的,在预约演讲、工作面试或不得不与你关心的人讨论一些严肃的事情时,感到焦虑是很常见的。但对于那些患有焦虑症的人来说,经历的焦虑并不会消散,而且可能会随着时间的推移而恶化,干扰日常活动,比如完成学校和工作的作业,或者与朋友和家人交往。一些类型的焦虑,如广泛性焦虑,可能会抑制人们完成日常任务和在社交环境中发挥作用,但高功能焦虑会以相反的方式影响人们。rln世界播


High-functioning anxiety is "a phrase that's going to describe somebody who is functioning at a high level with anxiety, to the point where it doesn't impede their abilities to carry out daily tasks, interact with their families, and complete tasks at work," Nina Westbrook, MA, LMFT, told POPSUGAR. "It's pretty much the symptoms of what anxiety disorder is but what is internal," Monique Castro, LMFT, founder and CEO of Indigenous Circle of Wellness, who is Diné and Xicana, told POPSUGAR. Although numerous people live with high-functioning anxiety, it is not an official diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) because it doesn't impair how someone functions. rln世界播

LMFT硕士尼娜·威斯布鲁克在接受POPSUGAR采访时表示,高功能焦虑是“一个词,描述的是一个人在焦虑中处于高水平,达到不妨碍他们执行日常任务、与家人互动和完成工作任务的能力的程度。”土著健康圈创始人兼首席执行官莫妮克·卡斯特罗(Monique Castro)在接受POPSUGAR采访时表示:“这在很大程度上是焦虑症的症状,但却是内在的。”莫妮克·卡斯特罗是土著健康圈的创始人兼首席执行官,迪内和西卡纳。尽管许多人生活在高功能焦虑症中,但在“精神疾病诊断和统计手册”(DSM-5)中,它并不是官方诊断,因为它不会损害一个人的功能。rln世界播


According to Westbrook, "High-functioning anxiety has a tendency to propel you forward," and it can give you a boost of energy rather than be debilitating, such as generalized anxiety. Instead of being frozen by fear or unable to carry out tasks, "their fear almost is a source of energy as it might create lots of adrenaline the same way stress does in our bodies," Westbrook said, which then provides the energy needed to complete tasks and get through the day. rln世界播

根据威斯布鲁克的说法,“高功能焦虑有一种推动你前进的趋势”,它可以给你带来能量的提升,而不是像广泛性焦虑那样使你虚弱。威斯布鲁克说,“他们的恐惧几乎是一种能量的来源,因为它可能会产生大量的肾上腺素,就像我们身体中的压力一样,”然后提供完成任务和度过一天所需的能量,而不是被恐惧冻结或无法执行任务。rln世界播


Castro agreed and further explained, "Some folks might feel fatigued or even energized, some overly energized," in addition to excessive worry and fear. The main difference between many anxiety disorders and high-functioning anxiety is that the latter is often unseen, both Castro and Westbrook said. "They're experiencing the anxiety symptoms but it's usually not visible," Castro said. Or, because you're doing so "well" externally, it can go dismissed although you may be struggling internally. rln世界播

卡斯特罗对此表示同意,并进一步解释说,除了过度的担忧和恐惧之外,“一些人可能会感到疲惫,甚至精力充沛,有些人可能精力充沛”。卡斯特罗和威斯布鲁克都说,许多焦虑症和高功能焦虑之间的主要区别是,后者往往是看不见的。“他们正在经历焦虑症状,但通常是看不见的,”卡斯特罗说。或者,因为你在外部做得很“好”,所以它可能会被驳回,尽管你内部可能会有困难。rln世界播


Because people with high-functioning anxiety aren't impaired by it, "most people won't know this person has anxiety," Westbrook said. "They might just come off as someone who's a Type A personality." And although someone with high-functioning anxiety is able to get through their day-to-day tasks, internally, they more than likely feel depleted and exhausted, Westbrook explained. They may be trying to uphold a perfect perception, "and because outside perception is so important to them, they do everything that they can to uphold the outside image." This can be ongoing and they end up never taking a break and resting, she said. rln世界播

威斯布鲁克说,因为患有高功能焦虑症的人不会因此而受损,“大多数人不会知道这个人有焦虑症。”“他们可能只会给人留下A型性格的印象。”威斯布鲁克解释说,尽管患有高功能性焦虑的人能够完成他们的日常任务,但在内部,他们更有可能感到精疲力竭和精疲力竭。他们可能是在努力维护一个完美的感知,“因为外部感知对他们来说是如此重要,他们会尽其所能维护外部形象。”这可能是持续的,他们最终从来没有休息过,她说。rln世界播


Because there are no clear guidelines or diagnosis for high-functioning anxiety, the symptoms may vary from person to person. Some symptoms people with high-functioning may experience are: overtalking, overthinking, insomnia, irritability, racing thoughts, emotional and physical fatigue, constant worry, drugs and/or alcohol use, fearfulness that lingers, the inability to create boundaries and say no, and the inability to be present and enjoy experiences, Westbrook and Castro said. Physical symptoms can include nausea, heart palpitations, migraines, stomach issues, and high blood pressure, Castro added. rln世界播

由于高功能焦虑症没有明确的指南或诊断,因此症状可能因人而异。威斯布鲁克和卡斯特罗说,高功能人士可能会经历的一些症状包括:夸夸其谈、过度思考、失眠、易怒、快速思维、情绪和身体疲劳、持续担忧、吸毒和/或酗酒、挥之不去的恐惧、无法设定界限和说不,以及无法在场和享受体验。卡斯特罗补充说,身体症状可能包括恶心、心悸、偏头痛、胃问题和高血压。rln世界播


Additionally, it is possible for high-functioning anxiety and anxiety disorders to be present with cooccuring disorders and complications, such as depression, eating disorders, and substance abuse, according to Castro. "This may or may not happen, but it's important for folks to understand that it's possible," she said. rln世界播

此外,根据卡斯特罗的说法,高功能焦虑症和焦虑症可能会与抑郁症、进食障碍和药物滥用等并存的障碍和并发症并存。她说:“这可能会发生,也可能不会发生,但让人们明白这是可能的,这一点很重要。”rln世界播


High-functioning anxiety may not be an official diagnosis in the DSM-5, but it's still possible to manage it. First, Westbrook said that you have to be able to recognize and identify it within yourself in order to know there's something that needs to be addressed. Second, Westbrook advised against waiting until you've reached a breaking point to seek professional help if that's the direction you're interested in taking. Instead, she strongly urges seeking help if you begin to notice a shift in your behavior and you're becoming less social and OK in social environments, and any physical or mental fatigue you're feeling is to the point where you cannot carry out your normal tasks and lifestyle. rln世界播

高功能焦虑症可能不是DSM-5的官方诊断,但仍有可能对其进行管理。首先,威斯布鲁克说,你必须能够识别和识别自己的内心,才能知道有些事情需要解决。其次,威斯布鲁克建议不要等到你达到临界点才寻求专业帮助,如果这是你感兴趣的方向。相反,她强烈建议,如果你开始注意到你的行为发生了变化,你在社交环境中变得不那么社交化和正常,你感到的任何身体或精神疲劳都会导致你无法执行正常的任务和生活方式,那么你就会寻求帮助。rln世界播


If you're constantly feeling exhausted and tired, like you're being pulled in a lot of directions, and you can't recover, Westbrook said things like adult coloring books, journaling, and exercise can help. In her opinion, exercise is one of the best ways someone with any type of anxiety can cope and feel better, especially those who are not open about anxiety and aren't sure if they want to work with a therapist, because "daily exercise routines can help to relieve stress and anxiety, both physical and emotional." Writing, spending time with family, meditating, and being consistent with a self-care routine are also other ways to manage your anxiety. rln世界播

威斯布鲁克说,如果你经常感到疲惫和疲惫,就像你被拉向很多方向,而且无法恢复,成人涂色书、日记和锻炼等活动都会有所帮助。在她看来,锻炼是患有任何类型焦虑的人都能应对和感觉更好的最佳方式之一,特别是那些对焦虑不公开、不确定是否想要与治疗师合作的人,因为“日常锻炼可以帮助缓解压力和焦虑,无论是身体上的还是情感上的。”写作、与家人共度时光、冥想、坚持自我护理也是控制焦虑的其他方法。rln世界播


"I think a lot of things that you can do on your own are going to be things that someone who's dealing with high-functioning anxiety might lean toward to help, because they're used to presenting themselves in a certain way. They're used to dealing with everything themselves, not really reaching out for help or support from others," Westbrook said. rln世界播

威斯布鲁克说:“我认为,你可以自己做的很多事情都是那些正在应对高功能焦虑的人可能会倾向于帮助的事情,因为他们习惯了以某种方式展示自己。他们习惯于自己处理一切,而不是真正向他人寻求帮助或支持。”rln世界播


In Castro's opinion, "the best way to support anxiety, in general, and definitely with high-functioning anxiety is to always remain in some type of balance." She believes in a holistic approach and explained that our emotional well-being, mental well-being, spiritual well-being, and physical well-being all need to be in balance to avoid various challenges. rln世界播

在卡斯特罗看来,“一般说来,支持焦虑的最好方式,当然是高功能焦虑,就是始终保持某种类型的平衡。”她相信一种整体的方法,并解释说,我们的情感健康、精神健康、精神健康和身体健康都需要平衡,以避免各种挑战。rln世界播


Castro also recommended therapy, as it can help you set boundaries with both yourself and others, and it can teach you how to implement and understand the wellness practices that will be the best for your sustainability. Working with a life coach and having community support from friends and family can also be helpful, encourage us, and hold us accountable when trying to find and maintain balance, she said. rln世界播

卡斯特罗还推荐了治疗,因为它可以帮助你与自己和他人设定界限,还可以教你如何实施和理解对你的可持续性最有利的健康实践。她说,与生活教练一起工作,以及从朋友和家人那里获得社区支持也可以帮助我们,鼓励我们,并让我们在努力寻找和保持平衡时负起责任。rln世界播


High-functioning anxiety doesn't manifest in one particular way nor is there one perfect way to manage it. If you are in need of more guidance and support when it comes to your mental health, we recommend sharing what you're feeling with people you trust and, if possible, working with a licensed professional. rln世界播

高功能焦虑并不是以一种特定的方式表现出来的,也没有一种完美的方式来管理它。如果你在精神健康方面需要更多的指导和支持,我们建议你与你信任的人分享你的感受,如果可能的话,与有执照的专业人士一起工作。rln世界播

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