Neurological Symptoms: Seeking Help for Stress-Induced Issues - Neurology

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I would like to consult with a physician?


I have a history of epilepsy...
In the past few months, I don't know if it's due to excessive stress causing "autonomic nervous system dysfunction" or something else...
I become very easily anxious due to minor incidents (like almost falling) or small sounds (like sudden honking or barking).
This can lead to sudden episodes where my mind goes blank, and when people talk to me, I can't respond quickly; I often feel like I'm lagging behind, and sometimes I zone out to the point where I don't even know what I'm doing.
At times, this also triggers a general sense of discomfort throughout my body, but I can't pinpoint where it hurts; I just know that I feel very unwell.
I can't sit or lie down comfortably; nothing seems to help...
Can you please tell me what is happening to me? I consulted a psychiatrist, and they referred me to a neurologist.
However, the neurologist said this isn't a neurological issue, but I am tormented by this situation every day...
I'm really close to breaking down...
Please help me, doctor...

xun, 20~29 year old female. Ask Date: 2018/10/20

Dr. Cai Zongzhang reply Neurology


Hello, it is recommended that you maintain a regular schedule.
For your concerns, it is advisable to consult with a neurologist at a major hospital, and a referral to a psychiatrist may also be considered.

Reply Date: 2018/10/20

More Info


It sounds like you are experiencing a complex interplay of stress, anxiety, and neurological symptoms, particularly given your history of epilepsy. The symptoms you describe—such as heightened sensitivity to stimuli, difficulty concentrating, and feelings of discomfort without a clear physical cause—can indeed be linked to stress and anxiety, especially in individuals with a pre-existing neurological condition.

Firstly, it's important to recognize that stress can significantly impact both mental and physical health. When under stress, the body can enter a state of heightened alertness, often referred to as the "fight or flight" response. This response is mediated by the autonomic nervous system, which controls involuntary bodily functions. In your case, it seems that stress may be triggering an overactive response in your autonomic nervous system, leading to symptoms such as feeling overwhelmed, difficulty processing information, and physical discomfort.

The fact that you have a history of epilepsy adds another layer of complexity. Stress is known to be a common trigger for seizures in individuals with epilepsy. Therefore, it is crucial to manage your stress levels effectively. The symptoms you describe, such as feeling blank or dazed, could be manifestations of anxiety or even a form of dissociation, which can occur when the body is overwhelmed by stress.

Given that both the mental health and neurological specialists you consulted have not provided a definitive answer, it may be beneficial to seek a comprehensive evaluation from a multidisciplinary team. This team could include a neurologist, a psychiatrist, and a psychologist who specializes in stress-related disorders. They can work together to assess your symptoms holistically and develop a tailored treatment plan.

In the meantime, there are several strategies you can employ to help manage your symptoms:
1. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety and improve your overall sense of well-being. These techniques can help ground you in the present moment and reduce the intensity of your reactions to stressors.

2. Cognitive Behavioral Therapy (CBT): This form of therapy is effective for managing anxiety and stress. A trained therapist can help you identify negative thought patterns and develop coping strategies to manage your reactions to stress.

3. Physical Activity: Regular exercise can be a powerful tool for managing stress and anxiety. It helps release endorphins, which can improve your mood and reduce feelings of discomfort.

4. Sleep Hygiene: Ensure you are practicing good sleep hygiene, as poor sleep can exacerbate stress and anxiety. This includes maintaining a regular sleep schedule, creating a restful environment, and avoiding stimulants before bedtime.

5. Social Support: Reach out to friends or family members who can provide emotional support. Sharing your experiences can help alleviate feelings of isolation and provide you with a sense of connection.

6. Medication: If your symptoms are significantly impacting your daily life, discussing medication options with your psychiatrist may be beneficial. Medications such as SSRIs or anxiolytics can help manage anxiety symptoms.

7. Avoiding Triggers: If certain stimuli (like loud noises) are particularly distressing, try to identify and minimize exposure to these triggers when possible.

Finally, it's essential to advocate for yourself in the healthcare system. If you feel that your concerns are not being adequately addressed, do not hesitate to seek a second opinion or ask for a referral to a specialist who has experience with stress-related neurological symptoms. Your well-being is paramount, and finding the right support is crucial in navigating these challenges.

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