Inability to think and concentrate?
Hello Dr.
Sun, I know that I have an anxious personality, lack self-confidence, and tend to rely on rote memorization when studying.
I remember that during exam periods, I suddenly found it very difficult to think; whenever I tried to use my brain, I would get headaches.
When I needed to understand something, I could feel a sharp pain in my left brain, making it hard to concentrate.
I couldn't focus on listening to others or even watching TV.
Eventually, I just got through those days, and after the exams, I felt a little better.
However, my comprehension and concentration abilities feel permanently damaged, as I often struggle to understand what others are trying to express.
Recently, after a breakup (it happened three months ago), I realized that I have developed a severe aversion to absorbing information, such as reading web pages or engaging in conversations; I completely don't understand what others are saying, and things I used to understand now make no sense to me.
I suddenly feel lost and unable to control my brain, and even interactions with people have become anxiety-inducing.
I constantly worry that others will notice something is wrong with me.
I don't know where to start in seeking medical help (which specialty should I see? Neurology for headaches, or should I go to a psychosomatic or psychiatric clinic? Is there a difference, or should I see a family medicine doctor?).
I feel like there must be something wrong with my body, as I can't seem to use my brain effectively.
Every day, I think about ways to improve my focus, but it still feels just as bad.
I would like to consult you, doctor, about this inability to concentrate and think.
I am currently suffering from anxiety over my lack of focus… Thank you!
Hsu, 20~29 year old female. Ask Date: 2016/11/18
Dr. Liang Sunyuan reply Psychiatry
Hello: These symptoms are likely related to stress and emotions.
It is recommended to consult a psychosomatic medicine or psychiatry specialist.
Psychosomatic medicine and psychiatry refer to the same field, but may have different names in various hospitals.
Wishing you all the best.
Reply Date: 2016/11/18
More Info
Dear patient,
Thank you for sharing your experiences and concerns regarding anxiety and difficulties with focus and thought. It sounds like you are going through a challenging time, especially after your recent breakup, which can often exacerbate feelings of anxiety and self-doubt. Your symptoms, including headaches when trying to think, difficulty concentrating, and feeling overwhelmed by information, are indeed concerning and warrant further exploration.
Firstly, it’s important to understand that anxiety can significantly impact cognitive functions, including attention, memory, and the ability to process information. When you are anxious, your brain is often in a heightened state of alertness, which can lead to physical symptoms such as headaches and a sense of mental fog. This can create a vicious cycle: the more anxious you feel about your ability to concentrate, the more difficult it becomes to focus, leading to increased anxiety.
Given your description, it would be advisable to seek help from a mental health professional, specifically a psychiatrist or a psychologist. They can provide a comprehensive evaluation to determine if you are experiencing an anxiety disorder, which is common and can be effectively treated. A mental health professional can also help differentiate between anxiety-related cognitive issues and any potential neurological concerns.
You mentioned the possibility of seeing a neurologist due to your headaches. While it’s always good to rule out any physical causes for your symptoms, it sounds like your primary concerns are related to anxiety and cognitive function. A psychiatrist can prescribe medications if necessary, such as selective serotonin reuptake inhibitors (SSRIs), which are often effective in treating anxiety disorders. Additionally, cognitive-behavioral therapy (CBT) is a highly effective therapeutic approach for anxiety, helping you to reframe negative thought patterns and develop coping strategies.
In terms of managing your symptoms in the meantime, consider incorporating mindfulness practices into your daily routine. Mindfulness meditation can help you become more aware of your thoughts and feelings without judgment, allowing you to create some distance from your anxious thoughts. This practice can improve your focus and reduce anxiety over time.
Another helpful strategy is to break tasks into smaller, manageable steps. When faced with overwhelming information or tasks, it can be beneficial to focus on one small aspect at a time rather than trying to tackle everything at once. This can help reduce feelings of being overwhelmed and improve your ability to concentrate.
Lastly, ensure you are taking care of your physical health as well. Regular exercise, a balanced diet, and adequate sleep are crucial for mental well-being. Physical activity, in particular, has been shown to reduce anxiety and improve cognitive function.
In summary, I recommend seeking help from a mental health professional who can provide a thorough assessment and appropriate treatment options. Anxiety can significantly impact your cognitive abilities, but with the right support and strategies, you can work towards regaining your focus and confidence. Remember, you are not alone in this, and help is available.
Wishing you all the best on your journey to better mental health.
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