Headache due to emotional distress?
Hello doctor, I have depression and I feel that when I'm in a bad mood, my head hurts "very much" and I feel "very dizzy." I also "hear a lot of voices," and I don't know what those voices are saying.
Could this possibly be a brain tumor? Because I have headaches and dizziness, and I've started experiencing auditory hallucinations.
People around me are telling me that I might have something growing in my head, and I'm a bit scared.
Could it be something serious, or is it just the effects of depression? Thank you, doctor.
Ms. Chen, 20~29 year old female. Ask Date: 2019/12/05
Dr. Chen Sirong reply Oncology
Ms.
Chen / 20 years old / Female
1.
You should prioritize consulting your psychiatrist.
2.
Most likely, it is the effect of depression.
Thank you for your letter, and I wish you mental and physical well-being.
Taoyuan Hospital
Dr.
Chen Si-Rong
Reply Date: 2019/12/05
More Info
Headaches and hallucinations can be concerning symptoms, and it's understandable to worry about the possibility of a brain tumor, especially when experiencing them alongside a history of depression. However, it's essential to approach this situation with a clear understanding of the potential causes and the relationship between these symptoms.
Firstly, headaches are a common complaint and can arise from various factors, including tension, migraines, sinus issues, and even psychological conditions like anxiety and depression. In your case, the headaches you describe as "very painful" and accompanied by dizziness may be related to tension or migraine headaches, which can be exacerbated by emotional distress. It's important to note that while brain tumors can cause headaches, they typically present with other specific symptoms, such as persistent nausea, vomiting, changes in vision, or neurological deficits, depending on the tumor's location and size.
Hallucinations, particularly auditory ones, can also be linked to several conditions, including severe depression, anxiety disorders, or other psychiatric conditions. In individuals with depression, especially when it becomes severe, psychotic features such as hallucinations can occur. This does not necessarily indicate the presence of a brain tumor but rather suggests that your mental health may need further evaluation and treatment.
The concern about having a brain tumor is valid, especially when experiencing new or unusual symptoms. However, the likelihood of a brain tumor being the cause of your symptoms is relatively low, particularly if you have not experienced other classic symptoms associated with brain tumors. The symptoms of a brain tumor often include persistent headaches that worsen over time, seizures, significant changes in personality or cognitive function, and other neurological signs.
Given your history of depression and the symptoms you're experiencing, it would be prudent to consult with a healthcare professional who can conduct a thorough evaluation. This may include a neurological examination and possibly imaging studies, such as an MRI or CT scan, to rule out any structural abnormalities in the brain. These tests can help provide peace of mind and clarify the underlying causes of your symptoms.
In the meantime, addressing your mental health is crucial. If you are not already receiving treatment for your depression, consider reaching out to a mental health professional. Therapy, medication, or a combination of both can significantly improve your symptoms and overall quality of life. Additionally, practicing stress-reduction techniques, such as mindfulness, meditation, or gentle physical activity, may help alleviate some of the tension and anxiety contributing to your headaches.
In summary, while your symptoms warrant attention, they are more likely related to your mental health condition rather than a brain tumor. Seeking professional help for both your headaches and your mental health will provide you with the best path forward. Remember, it's essential to communicate openly with your healthcare provider about all your symptoms, as this will aid in accurate diagnosis and effective treatment.
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