Autonomic Nervous System Disorders and Their Impact on Mental Health

Q: Autonomic Nervous System Disorders and Their Impact on Mental Health

Hello： It sounds like these symptoms are truly troubling you. <br>Fortunately, there are no structural abnormalities in your organs, and the focus should be on addressing their functional aspects. <br>You are currently caught in a vicious cycle where physical discomfort leads to

Autonomic nervous system

Hello, doctor...
Ten years ago, I suddenly experienced symptoms of bloating and constipation.
I have undergone examinations at major hospitals in Taipei, including a CT scan and three colonoscopies, all of which were normal.
The doctors have said it is due to autonomic nervous system dysfunction.
A few years later, I developed overactive bladder syndrome, which seems to be related to the autonomic nervous system as well.
A few years ago, I traveled from Taipei to Chiayi to see Dr.
Kuo Yu-Hsiang, who diagnosed me with severe parasympathetic nervous system imbalance.
However, taking medication did not improve my symptoms.
I tend to overthink and easily exhaust myself over trivial matters, making it hard for my mind to relax, which leads to a tiring life.
I would like to ask the doctor if seeing a psychiatrist would only result in being prescribed sedatives or relaxants, and whether there is any treatment available for my gastrointestinal symptoms that have persisted for ten years.
Thank you for your response.

Niming, 30~39 year old female. Ask Date: 2018/08/27

Dr. Huang Jiabin reply Psychiatry

Hello: It sounds like these symptoms are truly troubling you.
Fortunately, there are no structural abnormalities in your organs, and the focus should be on addressing their functional aspects.
You are currently caught in a vicious cycle where physical discomfort leads to anxiety and ruminating thoughts, which in turn heightens your sensitivity to changes in bodily functions and discomfort, perpetuating the cycle.
This has likely been your experience in recent years.
To break this cycle, in addition to pharmacological treatment, non-pharmacological therapies are absolutely essential, such as relaxation training and cognitive behavioral therapy.
I recommend discussing this with a psychiatrist to gain an understanding of non-pharmacological treatment options, allowing you to choose the methods that suit you best.
A multifaceted approach will likely yield better improvements in your current condition than relying solely on medication.

Reply Date: 2018/08/27

More Info

Understanding Autonomic Nervous System Disorders and Their Impact on Mental Health
Hello! Thank you for sharing your experiences and concerns regarding your health. It sounds like you have been dealing with a complex interplay of symptoms related to autonomic nervous system (ANS) disorders, which can significantly impact both physical and mental health.

The autonomic nervous system is responsible for regulating involuntary bodily functions, including heart rate, digestion, respiratory rate, and the functioning of the bladder. It consists of two main branches: the sympathetic nervous system, which prepares the body for 'fight or flight' responses, and the parasympathetic nervous system, which promotes 'rest and digest' activities. When there is a dysfunction in this system, it can lead to a variety of symptoms, including gastrointestinal issues like bloating and constipation, as well as urinary problems such as overactive bladder.

Your history of gastrointestinal symptoms, including bloating and constipation, alongside the diagnosis of overactive bladder, suggests that your autonomic nervous system may not be functioning optimally. This dysfunction can lead to a range of physical symptoms, which you have experienced over the past decade. The fact that multiple tests, including CT scans and colonoscopies, have returned normal results indicates that the issues may indeed be related to autonomic dysregulation rather than structural problems.

Moreover, you mentioned that you tend to overthink and find it difficult to relax, which can exacerbate feelings of fatigue and stress. This mental strain can further impact the autonomic nervous system, creating a vicious cycle where physical symptoms lead to increased anxiety and stress, which in turn aggravates the physical symptoms. This relationship between mental health and autonomic function is well-documented; stress and anxiety can trigger or worsen symptoms of autonomic dysfunction.

Regarding your concerns about seeing a psychiatrist, it is important to understand that mental health treatment is not solely about prescribing sedatives or relaxants. A comprehensive approach may include psychotherapy, cognitive-behavioral therapy (CBT), or mindfulness techniques, which can help you develop coping strategies for managing anxiety and stress. These therapies can be particularly beneficial in addressing the cognitive patterns that lead to overthinking and mental fatigue.

In terms of your gastrointestinal symptoms, while medication may provide some relief, it is crucial to adopt a holistic approach. This may include dietary modifications, regular exercise, and stress management techniques. Engaging in activities that promote relaxation, such as yoga or meditation, can also help regulate the autonomic nervous system and improve overall well-being.

It is also worth considering working with a multidisciplinary team that includes a gastroenterologist, a psychiatrist, and possibly a psychologist or therapist. This collaborative approach can help ensure that all aspects of your health are addressed, from the physical symptoms to the psychological factors contributing to your distress.

In summary, autonomic nervous system disorders can have a profound impact on both physical and mental health. Your symptoms are interconnected, and addressing them requires a comprehensive approach that includes both medical and psychological support. Seeking help from a mental health professional can provide you with valuable tools to manage anxiety and improve your quality of life, while also working with medical professionals to address your gastrointestinal issues. Remember, you are not alone in this journey, and there are effective strategies and treatments available to help you feel better.

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