HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Anxiety Leading To Nervousness At Work Place?

default
Posted on Fri, 20 May 2016
Question: So I have been doing more consideration of your response on my issues with work and I agree that stress has affected the quality of my work. I agree that I am capable of doing my line of work. Could I have tied or linked my stress and my work failures so that I expect to continue creating mistakes? Someway I think that I will and they will only go away when I leave here and head home. If so I hope something comes along quick. I was reprimanded once. One more and then it's out the door on the third

Funny thing is it's making me ill or feeling nauseated more each day as I think of going in to my office
doctor
Answered by Dr. Alexander H. Sheppe (37 minutes later)
Brief Answer:
Private Consultation

Detailed Answer:
Your insight is continuing to grow! I agree with your idea that you have linked your stress to your problems at work, such that you worry about stress negatively impacting your work, creating a spiral of anxiety resulting in you being nervous just thinking about working because you are catastrophizing what might happen (such as getting fired).

It may well be that you will be less anxious once you return home. Home is more familiar and comfortable to you, and that decreases some of the element of fear of the unknown. However, I think it is still useful to focus on attacking the problem with anxiety at work now, because in my experience sometimes this will follow you wherever you go, and having tools to combat it will serve you well everywhere.

Do you go to work Monday morning? If so, I want you to keep a journal during work about how you're feeling throughout the day. Jot down every hour or so how the last hour went -- were you anxious? Were you engaged? Were you hungry? Sometimes writing down how we're feeling during the day can help us quantify things, and that helps us analyze how you're doing. I think this will help us figure out how best to help your thinking during the day.

Dr. Sheppe
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Alexander H. Sheppe (2 days later)
I thought I better respond before the thread closes. To redirect my thinking when breathing sends a signal to the brain, I must understand what is triggering it. We have concluded that I have no lung disease, but I have asthma. I have GAD and I fret over little things that others ignore. I must conclude that the quick bits of SOB shortness of breath are any or a combo of, Lack of exercise,poor fitness, lingering anxiety, and aging of the respiratory system. I have a hard time agreeing with the last one, The actual numbers on majority of the test parts are the same as they were when I was 41

Dang, Practice was outstanding on Sunday. we worked a number of old r & B classics with some blues added in. We had a rousing rendition of Crossroads by Cream from 1968, a few otis Redding hits. A totally new version to me of the beatles Come Together. some XXXXXXX XXXXXXX Shepard, Stormy Monday Blues by Alman Brothers and more. It was so good that my index finger on my right hand blistered, popped, and caloused while I was there.

More for next weekend.
doctor
Answered by Dr. Alexander H. Sheppe (15 hours later)
Brief Answer:
Private Followup

Detailed Answer:
Hi...
Welcome back.

You're showing excellent insight on your situation. I think you've come a long way in a short time. When you can employ your rational mind when anxiety hits, this will help it subside.

I'm glad to hear practice went so well! I think this is an example of how focusing on something you enjoy that occupies your mind can really help keep anxiety at bay.

How have things been going so far this week? Any panic attacks? Have you been thinking much about work, or your return to SD? What plans do you have for the weekend?

Dr. Sheppe
Above answer was peer-reviewed by : Dr. Deepak
doctor
default
Follow up: Dr. Alexander H. Sheppe (1 hour later)
I have had some issues lately that wake me and keep me from returning to sleep. They are work related, it is trying to come up with answers to the resolution to the issues I am trying to repair. Is is panic or just anxiety I do not know.

I also have a few issues that i think back on with when I would get SOB from doing certain things. Ill refrain from listing them but I am using what you call rational thinking to understand the cause, since we have ruled COPD out.

I am anxious to get back to SF SD but I must have a job before I leave, I do not want to live off my retirement funds at this time. So it gets a bit stressful waiting for any responses.
doctor
Answered by Dr. Alexander H. Sheppe (14 hours later)
Brief Answer:
Private Followup

Detailed Answer:
I know that aside from your job, one of the looming things in SD is addressing the relationship between you and your wife. What are your thoughts about this? How do you plan on moving forward? Do you see this as contributing to anxiety?

Dr. Sheppe
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Alexander H. Sheppe (21 hours later)
Moving forward will be carefully handled. Once a job is secured I will give notice to current job. Then sit and explain reasons.

I sent you cover to pft. Dr office called today to tell me full report with findings and conclusions is in mail. Mentioned that the dr indicates clearly. Mild asthma. I guess I should get a good understanding of correct treatment procedures.
doctor
Answered by Dr. Alexander H. Sheppe (4 hours later)
Brief Answer:
Private Followup

Detailed Answer:
I've taken a look at your results. It appears true that you have very, very mild asthma. I say very, very mild because the FEV1/FVC % required for the diagnosis of asthma is 70 or below. Yours is 68, which barely meets criteria for diagnosis. The % predicted improves to >90% with treatment which means this is definitely asthma and NOT COPD. In short, you have a very, very mild type of asthma that responds to bronchodilators like albuterol.

What does this mean for us? This confirms, for perhaps the 8th time, that you do not have COPD. This also means that during a panic attack if you are feeling short of breath, using an albuterol inhaler may help, in addition to the cognitive techniques you are learning to use. However, be careful, because I have seen people with panic disorder abuse albuterol, using it more than they need to, which can lead to a high heart rate and worsen anxiety symptoms. So you need to discern if you are having an actual asthma attack, rather than simply having an anxiety attack.

We can discuss this more in our next thread. You can rate/close and open a new thread whenever you would like.

Dr. Sheppe

tinyurl.com/DrSheppeAnswers
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Alexander H. Sheppe

Psychiatrist

Practicing since :2014

Answered : 2236 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Anxiety Leading To Nervousness At Work Place?

Brief Answer: Private Consultation Detailed Answer: Your insight is continuing to grow! I agree with your idea that you have linked your stress to your problems at work, such that you worry about stress negatively impacting your work, creating a spiral of anxiety resulting in you being nervous just thinking about working because you are catastrophizing what might happen (such as getting fired). It may well be that you will be less anxious once you return home. Home is more familiar and comfortable to you, and that decreases some of the element of fear of the unknown. However, I think it is still useful to focus on attacking the problem with anxiety at work now, because in my experience sometimes this will follow you wherever you go, and having tools to combat it will serve you well everywhere. Do you go to work Monday morning? If so, I want you to keep a journal during work about how you're feeling throughout the day. Jot down every hour or so how the last hour went -- were you anxious? Were you engaged? Were you hungry? Sometimes writing down how we're feeling during the day can help us quantify things, and that helps us analyze how you're doing. I think this will help us figure out how best to help your thinking during the day. Dr. Sheppe