Panic and Dizziness: Is It Multiple Sclerosis? - Psychiatry

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Panic-induced dizziness and multiple sclerosis?


Hello, doctor.
I'm sorry to bother you again.
For the past few days, I've been feeling a bit drowsy and lightheaded in the afternoons and evenings, and I found that these symptoms could possibly relate to multiple sclerosis (MS).
I'm extremely anxious because I remember experiencing similar feelings a few days when I had pain in my limbs, although it wasn't very pronounced.
The more I think about it, the more I feel like I might be experiencing a relapse of MS (previously had limb pain → improved → had issues again recently, now feeling better).
I also recalled an incident not too long ago when my eyes twitched a few times while trying to look at something, but I'm not sure if that memory is accurate.
My limbs have not been hurting lately, but with the symptoms I've described, I've already scheduled an appointment with a psychiatrist for Monday.
I really don't want to have such a serious illness.
What should I do? I didn't even ask yesterday and ended up crying in my room, knowing that if I find out I have this condition, I might end up disabled and suffer, which I really can't bear.

Dàxuéshēng, 20~29 year old female. Ask Date: 2020/09/26

Dr. Huang Xiaoxian reply Psychiatry


Hello, thank you for your hard work.
On Monday, we should be able to proceed further after the evaluation by the psychosomatic medicine department.
The involuntary anxiety and the distress from repetitive checking, as mentioned previously and in this instance, are more indicative of symptoms related to anxiety disorders.

Reply Date: 2020/09/26

More Info


It's understandable to feel anxious when experiencing symptoms like dizziness and fatigue, especially when considering conditions such as Multiple Sclerosis (MS). However, it's crucial to approach this situation with a clear mind and a structured plan for evaluation and management.

First, let's clarify what Multiple Sclerosis is. MS is a chronic disease that affects the central nervous system, leading to a variety of symptoms, including fatigue, dizziness, numbness, and motor difficulties. However, these symptoms can also be indicative of many other conditions, ranging from anxiety and panic disorders to vestibular disorders or even vitamin deficiencies.

Your symptoms of feeling drowsy and dizzy, particularly in the afternoons and evenings, could be related to several factors. For instance, fatigue can stem from inadequate sleep, stress, or even dietary issues. Dizziness can be caused by a range of issues, including inner ear problems, low blood pressure, dehydration, or anxiety. The fact that you mentioned experiencing hand and foot pain in the past, which has since resolved, adds another layer of complexity. While MS can cause transient symptoms, many other conditions can present similarly.

It's commendable that you've already scheduled an appointment with a psychiatrist. Mental health can significantly impact physical health, and anxiety can manifest in physical symptoms such as dizziness and fatigue. A mental health professional can help you explore these feelings and symptoms further, providing coping strategies and possibly recommending therapy or medication if necessary.

In addition to consulting with a psychiatrist, it might be beneficial to see a neurologist for a comprehensive evaluation. They can perform specific tests, including MRI scans or lumbar punctures, to rule out MS or other neurological conditions. It's essential to have a thorough examination to understand the root cause of your symptoms better.

While waiting for your appointments, consider keeping a symptom diary. Note when your symptoms occur, their duration, and any potential triggers (like stress, diet, or sleep patterns). This information can be invaluable for your healthcare providers in diagnosing your condition.

Lastly, it's important to practice self-care during this time. Engage in activities that promote relaxation, such as mindfulness, yoga, or gentle exercise. Ensure you're maintaining a balanced diet and staying hydrated. These practices can help alleviate some symptoms and improve your overall well-being.

In summary, while it's natural to worry about serious conditions like MS, many other factors could be contributing to your symptoms. Consulting with both a psychiatrist and a neurologist will provide a comprehensive approach to your health. Remember, you're not alone in this, and seeking help is a significant first step towards understanding and managing your symptoms.

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