Autonomic Nervous System Dysfunction in Teens: Symptoms and Treatment - Psychiatry

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Autonomic nervous system dysfunction


I currently have the following conditions: bladder hypersensitivity, frequent urination, sensation of incomplete bladder emptying, nocturia, insomnia, lack of appetite, abnormal fatigue, generalized weakness, anxiety, and low mood (I have visited a urologist, and there is no inflammation in my urine, urethra, or bladder).
I have had suicidal thoughts, and I have been staying up late for a while.
Additionally, I am particularly prone to anxiety, and I hardly drink water, mostly consuming sugary beverages.
I previously went to a clinic where I was tested for autonomic nervous system dysfunction, and the report indicated that my autonomic nervous system is aging prematurely.
I am currently 16 years old, but the report suggested that I am already at the age of 25-30.
My question is how long does it take to treat autonomic nervous system dysfunction? Thank you for your response!

Dai Dai, 10~19 year old female. Ask Date: 2016/11/21

Dr. Liang Sunyuan reply Psychiatry


Hello: Each person's situation is different, and most individuals can gradually improve.
Once stability is achieved and episodes are no longer occurring, it is generally recommended to continue treatment for at least four more months to reduce the risk of relapse.
Since individual conditions can vary, it is advisable to consult a physician for an in-person evaluation and explanation.
Wishing you all the best.

Reply Date: 2016/11/21

More Info


Autonomic Nervous System (ANS) dysfunction, particularly in teenagers, can manifest through a variety of symptoms that significantly impact daily life. Your symptoms, including bladder sensitivity, frequent urination, residual urine sensation, nocturia, insomnia, lack of appetite, abnormal fatigue, generalized weakness, anxiety, and low mood, suggest a complex interplay of physical and psychological factors. It’s crucial to address these symptoms comprehensively, as they can be interrelated and may stem from underlying issues such as stress, lifestyle choices, and possibly even hormonal changes during adolescence.

The ANS is responsible for regulating involuntary bodily functions, including heart rate, digestion, respiratory rate, and urination. When it becomes dysregulated, it can lead to symptoms like those you are experiencing. The fact that you have been diagnosed with "premature aging" of the autonomic nervous system at such a young age is concerning and indicates that your body is under significant stress. This stress could be due to various factors, including emotional distress, poor hydration, and unhealthy dietary choices, such as consuming high-sugar beverages instead of water.

Your mention of suicidal thoughts is particularly alarming and should be taken seriously. It is essential to seek immediate help from a mental health professional. Feelings of hopelessness and despair can be overwhelming, but there are effective treatments available, including therapy and medication, that can help improve your mental health and overall well-being.

In terms of treatment for ANS dysfunction, it typically involves a multi-faceted approach:
1. Lifestyle Modifications: This includes improving your diet by reducing sugar intake and increasing hydration. Drinking sufficient water is crucial for overall health and can help alleviate some of your urinary symptoms. Regular physical activity can also enhance your mood and energy levels.

2. Stress Management: Techniques such as mindfulness, meditation, yoga, or deep-breathing exercises can help manage anxiety and stress, which may be contributing to your symptoms. Engaging in hobbies or activities that you enjoy can also provide a positive outlet for stress.

3. Sleep Hygiene: Establishing a regular sleep schedule and creating a calming bedtime routine can help improve your sleep quality. Avoiding screens before bed and creating a comfortable sleep environment are also beneficial.

4. Medical Treatment: Depending on the severity of your symptoms, a healthcare provider may recommend medications to help manage anxiety, depression, or other specific symptoms. It’s essential to work closely with a healthcare professional to find the right treatment plan for you.

5. Therapy: Cognitive-behavioral therapy (CBT) or other forms of counseling can be effective in addressing anxiety, depression, and any underlying emotional issues. A therapist can help you develop coping strategies and work through your feelings.

Regarding the duration of treatment, it varies widely among individuals. Some may see improvements within a few months, while others may require longer-term management. Regular follow-ups with your healthcare provider are crucial to monitor your progress and make necessary adjustments to your treatment plan.

In conclusion, it’s vital to take your symptoms seriously and seek comprehensive care that addresses both the physical and psychological aspects of your condition. Remember, you are not alone in this, and there are professionals who can help guide you toward recovery. Please reach out to a trusted adult or mental health professional to discuss your feelings and get the support you need. Your health and well-being are paramount, and taking the first step towards treatment is a courageous and important decision.

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