Anxiety: When Stress Leads to Physical Symptoms - Psychiatry

Share to:

Often feel so anxious that I want to vomit?


Recently, I visited a traditional Chinese medicine practitioner near my home for a massage due to inflammation in my lower back.
During the first session, the pain was so intense that I cried out loudly.
A few days later, I began experiencing dizziness when lying down, which persisted for several weeks.
This made me anxious every time I lay down, and my symptoms worsened.
I started to notice an unusually rapid heartbeat during the day, which made it difficult for me to concentrate on tasks, even watching TV became challenging as I felt restless.
I was worried that there might be something wrong with my heart, and I would nervously tap my foot in hopes of slowing my heartbeat.

Later, I consulted a familiar traditional Chinese medicine doctor, and my dizziness improved significantly.
However, I began waking up startled at night, which caused my heart rate to increase.
I started to fear that I might have a serious health issue, and I forced myself to rest, but I would wake up multiple times during the night.
Every time I lay down, my heart would race.
Last week, I decided to go to a hospital for a check-up and saw a cardiologist.
After an electrocardiogram, the doctor informed me that I was too anxious and that my heart rate was indeed very fast.
He recommended a 24-hour Holter monitor test, and I won't receive the results until next Wednesday, which has made me even more anxious, to the point of crying.
I can't help but wonder if I might be dealing with a psychological issue that is causing these symptoms.

Xu Acong, 20~29 year old female. Ask Date: 2016/06/25

Dr. Qiu Junda reply Psychiatry


Hello: It seems from the text that you are indeed feeling very anxious.
Is it possible that you have a naturally anxious personality, combined with a recent unpleasant experience with traditional Chinese medicine massage, which has led to your current feelings of anxiety? However, this should be a temporary phenomenon that will gradually improve.
I suggest you gather some educational materials on overcoming stress and anxiety, as they may be beneficial.

Reply Date: 2016/06/25

More Info


Understanding anxiety and its physical manifestations is crucial, especially when stress becomes overwhelming. Your experience highlights a common phenomenon where emotional distress translates into physical symptoms, a concept well-documented in the field of psychosomatic medicine.

When we encounter stress, our body responds through a complex interplay of physiological mechanisms. The autonomic nervous system, which regulates involuntary bodily functions, becomes activated. This activation can lead to symptoms such as increased heart rate, muscle tension, and even gastrointestinal disturbances. In your case, the stress from your back pain and subsequent treatments likely triggered a heightened state of anxiety, leading to the symptoms you described, such as dizziness, rapid heartbeat, and sleep disturbances.

The mind-body connection is powerful; when we are anxious, our body can react as if it is under physical threat. This response is often referred to as the "fight or flight" response, where the body prepares to either confront or flee from danger. In modern life, however, this response can be triggered by psychological stressors rather than physical threats, leading to a range of symptoms that can feel very real and distressing.

Your experience of feeling dizzy after lying down and the subsequent anxiety about your heart rate is a classic example of how anxiety can create a feedback loop. The more you worry about your symptoms, the more anxious you become, which in turn exacerbates those symptoms. This cycle can be particularly challenging to break without intervention.

It's encouraging to hear that you sought help from a familiar practitioner, and it's a positive step that your dizziness improved. However, the anxiety surrounding your health can still linger. It’s essential to address both the physical and psychological aspects of your experience. Here are some strategies that may help you manage your anxiety and its physical symptoms:
1. Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, or yoga can help calm your mind and reduce physical tension. These techniques can also help you become more aware of your body and its sensations without immediately jumping to fear or anxiety.

2. Cognitive Behavioral Therapy (CBT): This therapeutic approach helps individuals identify and challenge negative thought patterns that contribute to anxiety. A mental health professional can guide you through this process, helping you develop healthier coping mechanisms.

3. Regular Physical Activity: Engaging in regular exercise can significantly reduce anxiety levels. Physical activity releases endorphins, which are natural mood lifters, and can also help regulate your heart rate and improve sleep quality.

4. Sleep Hygiene: Establishing a calming bedtime routine can help improve your sleep quality. This might include limiting screen time before bed, creating a comfortable sleep environment, and practicing relaxation techniques to ease into sleep.

5. Professional Support: Since your symptoms have persisted and are causing significant distress, it may be beneficial to consult with a mental health professional. They can provide a comprehensive assessment and recommend appropriate treatment options, which may include therapy or medication if necessary.

6. Stay Informed but Not Overwhelmed: While it’s good to seek information about your symptoms, try to avoid excessive research that may lead to increased anxiety. Focus on what you can control and seek professional guidance for your concerns.

In conclusion, while your physical symptoms are indeed distressing, they are not uncommon in the context of anxiety and stress. By addressing both the psychological and physical aspects of your experience, you can work towards finding relief and regaining a sense of control over your health. Remember, seeking help is a sign of strength, and there are effective strategies available to support you on this journey.

Similar Q&A

Understanding Stress, Anxiety, and Tension: When to Seek Help

Hello, doctor. I would like to consult whether my following conditions are influenced by a mental health issue and whether I should seek medical help for improvement. I apologize for the lengthy content... I easily feel nervous and stressed, experiencing symptoms such as hand tre...


Dr. Zhang Gengjia reply Psychiatry
Dear Selina, From your description in your letter, I can clearly sense your discomfort and anxiety. It is difficult to determine the exact nature of your discomfort and diagnosis at this moment, but it is likely related to anxiety combined with depression or anxiety disorders. I...

[Read More] Understanding Stress, Anxiety, and Tension: When to Seek Help


Understanding Anxiety: Why Stress Makes You Easily Startled and Tense

Recently, due to family issues, I have been experiencing significant stress and have been struggling with thoughts of self-harm. I’ve noticed that I am more easily startled than before; now, even loud noises or sudden movements can easily frighten me, and the feeling of anxiety l...


Dr. Wu Enliang reply Psychiatry
It is indeed true that the individual is experiencing issues with their mental and physical health. They should seek treatment at a mental health facility as soon as possible! - Dr. Wu Enliang

[Read More] Understanding Anxiety: Why Stress Makes You Easily Startled and Tense


Managing Academic Stress: Understanding Anxiety and Its Symptoms

Hello, Doctor: I am currently a junior in college, but ever since I advanced to the third year, I have been feeling an increasing amount of pressure, especially with so much research to do every day. The thought of approaching employment makes me feel very frustrated, and I have ...


Dr. Zhong Mingxun reply Psychiatry
Stress can lead to sympathetic nervous system activation, which affects most organs in the body. Therefore, whenever there is anxiety, it can result in discomfort throughout your body. You are not experiencing a neurological disorder; rather, your personality may be causing exces...

[Read More] Managing Academic Stress: Understanding Anxiety and Its Symptoms


Coping with Anxiety and Panic Attacks: Managing Physical Symptoms

Recently, I have been experiencing difficulty breathing due to nasal congestion, and I have scheduled surgery for the end of the month. However, over the past few weeks, I have also been experiencing chest pain. I went to the hospital for an examination, and both the electrocardi...


Dr. Wu Enliang reply Psychiatry
Hello, netizen: Psychosomatic disorders can cause various physical symptoms. It is advisable to seek medical attention at a mental health facility. Dr. Wu En-Liang.

[Read More] Coping with Anxiety and Panic Attacks: Managing Physical Symptoms


Related FAQ

Stress

(Psychiatry)

Emotional Distress

(Psychiatry)

Worry

(Psychiatry)

Anxiety Panic Disorder

(Psychiatry)

Nervousness

(Psychiatry)

Psychosomatic Disorders

(Psychiatry)

Emotional Instability

(Psychiatry)

Post-Traumatic Stress Disorder

(Psychiatry)

Autonomic Nervous System

(Psychiatry)

Hyperventilation

(Psychiatry)