Anxiety Symptoms: Is Your Mind Racing a Sign? - Psychiatry

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Anxiety symptoms


Hello, doctor.
When I'm alone or driving, my mind keeps racing with thoughts.
Whenever I'm not occupied, I find myself thinking about anything and everything.
Recently, I've been experiencing a rapid heartbeat and palpitations.
I have undergone a 24-hour Holter monitor and an echocardiogram, both of which came back normal.
I would like to ask if this could be a form of anxiety.
Thank you, doctor.

Ami Guo, 30~39 year old female. Ask Date: 2020/10/17

Dr. Lin Mianzhang reply Psychiatry


Hello, Ami: A rapid heartbeat is one of the symptoms of anxiety; however, anxiety usually accompanies other symptoms such as feelings of tension, muscle tightness, restless sleep, difficulty concentrating, or easy fatigue.
If you only experience a fast heartbeat without any of the other symptoms mentioned, it may not be purely anxiety-related.
However, if you do have other symptoms, the likelihood of anxiety increases.
Regardless, if you feel that your condition is causing you distress, it is advisable to seek evaluation from a mental health professional who can assess your situation.
Wishing you a speedy recovery!

Reply Date: 2020/10/17

More Info


Hello! Thank you for reaching out with your concerns. Based on your description, it sounds like you are experiencing symptoms that are commonly associated with anxiety. Racing thoughts, especially during quiet moments or while driving, can indeed be a sign of anxiety. This phenomenon often occurs when the mind is not occupied with tasks, leading to an influx of thoughts that can feel overwhelming.

Anxiety can manifest in various ways, and the symptoms you mentioned—such as a racing mind and heart palpitations—are quite typical. It's important to note that anxiety can trigger physical symptoms, including increased heart rate and feelings of palpitations, even when heart tests like a 24-hour ECG or echocardiogram come back normal. This is because anxiety can activate the body's "fight or flight" response, leading to physiological changes that can mimic heart issues.

When your mind races, it may be due to a variety of factors, including stress, unresolved worries, or even underlying anxiety disorders. Many individuals with anxiety find that their thoughts can spiral, leading to a cycle of worry that can be difficult to break. This can be particularly pronounced in situations where you feel you have time to think, such as when you are alone or driving.

It's also worth mentioning that anxiety can coexist with other mental health conditions, such as depression. If you find that your racing thoughts are accompanied by feelings of sadness, hopelessness, or a lack of interest in activities you once enjoyed, it may be beneficial to explore these feelings further with a mental health professional.

Given that your heart evaluations have returned normal, it would be wise to consider addressing the psychological aspects of your symptoms. Seeking help from a mental health professional, such as a psychologist or psychiatrist, can provide you with the tools and strategies to manage your anxiety effectively. Cognitive-behavioral therapy (CBT) is one of the most effective treatments for anxiety, helping individuals identify and challenge negative thought patterns and develop coping mechanisms.

In addition to therapy, lifestyle changes can also play a significant role in managing anxiety. Regular physical activity, a balanced diet, adequate sleep, and mindfulness practices such as meditation or yoga can help reduce anxiety symptoms. Engaging in activities that promote relaxation and social interaction can also be beneficial.

If you feel comfortable, consider discussing your symptoms with a trusted friend or family member. Sometimes, sharing your experiences can alleviate some of the burdens of anxiety and help you feel less isolated. Remember, you are not alone in this, and there are effective treatments available.

In summary, the racing thoughts and heart palpitations you are experiencing are likely related to anxiety. It is advisable to seek professional help to explore these symptoms further and develop a tailored treatment plan. With the right support and strategies, it is possible to manage anxiety and improve your overall well-being. Take care, and I wish you the best on your journey to feeling better!

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