Nightmares and Anxiety: Signs of Mental Health Issues

At night, nightmares make me feel like my chest is being hammered and I want to vomit?

Hello, my wife has been experiencing frequent nightmares lately and has not been sleeping well.
Her symptoms are as follows: 1.
She feels like her chest is being hit, experiences nausea, difficulty breathing, heavy shoulders, and dizziness.
2.
She sometimes gets angry and afterwards doesn't remember having been angry.
3.
Following a friend's suggestion, she visited a temple for help and ended up feeling triggered, becoming very agitated, and now she has episodes whenever she goes to a temple.
A master at another temple later suggested that she might have bipolar disorder.
4.
My wife has a lot of work-related stress and last year she would often get angry over small things.
5.
Recently, she frequently tells me that she is very tired and is just holding on with sheer willpower, but when I asked her about it yesterday, she didn't remember.
Could you please tell me what psychological condition my wife might be suffering from?

Chen Yicheng, 40~49 year old female. Ask Date: 2016/07/18

Dr. Zhong Mingxun reply Psychiatry

Bipolar disorder does not only manifest in temples; it may also present as conversion symptoms under stress.
The recurring nightmares and frequent outbursts of anger indicate that her psychological stress is very high.
In fact, she may have reached a level of depression due to prolonged stress, which is why she tells you, "I'm so tired; I'm just holding on with willpower." I recommend that you promptly assist your wife in seeking medical attention from a mental health specialist, as her stress has become overwhelming.

Reply Date: 2016/07/18

More Info

It sounds like your wife is experiencing a range of distressing symptoms that could be indicative of underlying mental health issues. The combination of nightmares, physical symptoms like chest tightness and difficulty breathing, emotional volatility, and memory lapses after episodes of anger suggests that she may be dealing with anxiety, stress, or possibly a mood disorder such as bipolar disorder, as mentioned by the spiritual advisor.

Nightmares can often be a manifestation of anxiety or stress. They may occur due to various factors, including unresolved trauma, excessive stress, or even certain medications. In your wife's case, the nightmares seem to be accompanied by significant physical symptoms, which could indicate a panic attack or severe anxiety response. The feelings of chest tightness, difficulty breathing, and dizziness are common physical manifestations of anxiety and panic disorders.

The fact that your wife has been under considerable work stress and has experienced emotional outbursts may also point towards a mood disorder. Mood disorders, such as depression or bipolar disorder, can lead to significant changes in mood, energy levels, and behavior. The mention of her being "very agitated" after visiting a temple and the subsequent diagnosis of "躁鬱症" (bipolar disorder) by a spiritual advisor is concerning. While spiritual guidance can provide comfort, it is essential to seek a professional evaluation from a psychiatrist or psychologist for an accurate diagnosis and appropriate treatment.

It's also important to consider the impact of stress on mental health. Chronic stress can lead to a variety of mental health issues, including anxiety disorders and depression. Your wife's feelings of exhaustion and reliance on willpower to cope suggest that she may be experiencing burnout, which can exacerbate existing mental health conditions.

Given the complexity of her symptoms, it would be advisable for her to undergo a comprehensive evaluation by a mental health professional. This evaluation should include a detailed history of her symptoms, any significant life events, and her overall mental and physical health. A mental health professional can provide a proper diagnosis and recommend treatment options, which may include therapy, medication, or lifestyle changes to help manage her symptoms.

In the meantime, there are several strategies that may help alleviate some of her symptoms:
1. Establish a Routine: Encourage her to maintain a regular sleep schedule, as irregular sleep patterns can worsen anxiety and nightmares.

2. Relaxation Techniques: Practices such as mindfulness, meditation, or deep breathing exercises can help reduce anxiety and improve sleep quality.

3. Limit Stimulants: Reducing caffeine and sugar intake, especially in the hours leading up to bedtime, can help improve sleep quality.

4. Physical Activity: Regular exercise can help reduce stress and anxiety levels, improve mood, and promote better sleep.

5. Seek Support: Encourage her to talk about her feelings and experiences with trusted friends or family members. Support groups can also be beneficial.

6. Professional Help: As mentioned, seeking help from a mental health professional is crucial. They can provide a safe space for her to express her feelings and develop coping strategies.

In conclusion, your wife's symptoms warrant a thorough evaluation by a qualified mental health professional. Early intervention can lead to better outcomes and help her regain control over her mental health and well-being.

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