Headaches and Dizziness: When to Seek Psychiatric Help - Psychiatry

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Suspected issues in the brain?


Hello doctor, I have been experiencing frequent headaches and dizziness lately.
Sometimes I feel nauseous and want to vomit.
The pain from the headaches doesn't seem to improve even after taking painkillers, and at times it feels even worse.
I also feel like my vision has slightly decreased.
The dizziness doesn't last long, but it can be quite intense.
The headaches can last all day, but when I wake up, I usually don't feel pain for the first hour; after that, it's easy for the headache to return.
Nausea and vomiting occur less frequently than the headaches and dizziness, but when they do happen, they are very uncomfortable.
I have a habit of staying up late regularly.

Ms. Huang, 10~19 year old female. Ask Date: 2016/08/24

Dr. Liang Sunyuan reply Psychiatry


Hello Ms.
Huang: Staying up late and insufficient sleep can indeed be one of the causes of dizziness and headaches.
It is recommended to stop staying up late for a few days and ensure adequate sleep to see if the symptoms improve.
If there is still no improvement, it is advisable to seek medical assistance.

Reply Date: 2016/08/24

More Info


When it comes to understanding the relationship between headaches, dizziness, and the potential need for psychiatric help, it's essential to consider both the physiological and psychological aspects of these symptoms. Your description indicates a complex interplay of physical discomfort and possibly underlying anxiety or stress, which is not uncommon in individuals who experience chronic headaches and dizziness.

Headaches can arise from various causes, including tension-type headaches, migraines, and even secondary headaches due to other medical conditions. Tension-type headaches are often associated with stress, anxiety, and poor posture, while migraines can be triggered by a range of factors, including hormonal changes, certain foods, and environmental stimuli. The fact that your headaches seem to improve shortly after waking up but worsen after an hour suggests that they may be related to your daily activities or stress levels.

Dizziness, on the other hand, can stem from several sources, including vestibular disorders, dehydration, or even anxiety. The sensation of dizziness can be exacerbated by stress and anxiety, leading to a cycle where the fear of dizziness itself can increase anxiety levels, further worsening the symptoms. It's also worth noting that nausea can accompany both headaches and dizziness, particularly in the case of migraines.

Given your long-standing habit of staying up late, it's important to consider the impact of sleep deprivation on your overall health. Chronic lack of sleep can lead to increased stress levels, impaired cognitive function, and heightened sensitivity to pain, which may explain why you experience headaches and dizziness more frequently. Sleep is crucial for the body to recover and maintain optimal functioning, and insufficient sleep can exacerbate both physical and mental health issues.

In your case, it would be prudent to seek a comprehensive evaluation from a healthcare professional. A neurologist can assess your headaches and dizziness to rule out any serious underlying conditions, such as migraines or other neurological disorders. Additionally, a psychiatrist or psychologist can help address any anxiety or stress-related issues that may be contributing to your symptoms. Cognitive-behavioral therapy (CBT) has been shown to be effective in managing anxiety and can provide you with tools to cope with stress, which may, in turn, alleviate some of your physical symptoms.

Moreover, lifestyle modifications can play a significant role in managing your symptoms. Establishing a regular sleep schedule, practicing relaxation techniques such as mindfulness or meditation, and engaging in regular physical activity can help reduce stress and improve your overall well-being. Staying hydrated and maintaining a balanced diet can also contribute to better health and potentially lessen the frequency and severity of headaches.

In summary, while your symptoms may have a psychological component, it is crucial to approach them holistically. Seeking help from both medical and mental health professionals can provide you with a clearer understanding of your condition and guide you toward effective treatment options. Remember, addressing both the physical and psychological aspects of your health is key to achieving lasting relief from your symptoms.

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