Visual Disturbances: Managing Symptoms Beyond Neurology - Neurology

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Feeling disoriented?


I feel that my visual perception of the surrounding environment appears chaotic, but it is not actually disordered.
I have undergone neck ultrasound, head MRI, and CT scans, all of which showed no abnormalities.
My confirmed diagnoses are schizophrenia and allergic rhinitis.
I would like to know how I can further address my issues, as the doctor did not definitively say it was a psychiatric problem and only prescribed some medication for headache relief.
What should I do now?

bu, 40~49 year old female. Ask Date: 2021/03/31

Dr. Jiang Junyi reply Neurology


Hello: Your symptoms are related to your vision.
Neck ultrasound, head MRI, and CT scans have not explained the issues with your optic nerve, as well as functional problems such as migraines.
If your symptoms improve after taking migraine medication, it may be worth considering that vascular headaches are causing the visual symptoms.
If the symptoms persist or worsen, I recommend that you visit a neurology outpatient clinic for further evaluation.
It is easier to apply for advanced examinations through health insurance if you continue to see the same hospital.
Wishing you good health and peace.
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Hospital, cares about you.

Reply Date: 2021/03/31

More Info


Understanding visual disturbances, especially in the context of underlying neurological or psychiatric conditions, can be quite complex. Your experience of perceiving a "chaotic" visual environment, despite no apparent external disorder, may indeed relate to your diagnosis of schizophrenia (思覺失調症) and possibly other factors such as anxiety or sensory processing issues.


Visual Disturbances and Their Origins
Visual disturbances can arise from various sources, including neurological, psychological, and even environmental factors. In your case, the absence of abnormalities in imaging studies like CT scans and EEGs suggests that there may not be a direct neurological cause for your symptoms. However, the brain's processing of visual information can be influenced by mental health conditions, including schizophrenia. Individuals with schizophrenia may experience visual hallucinations or distortions, which can manifest as altered perceptions of the surrounding environment.


The Role of Mental Health
Schizophrenia can affect cognitive functions, including perception, attention, and interpretation of sensory information. This means that even if your visual system is functioning normally, the way your brain interprets visual signals can be altered. This could explain why you perceive your surroundings as chaotic or disordered. Additionally, anxiety and stress can exacerbate these symptoms, leading to heightened sensitivity to visual stimuli.


Management Strategies
1. Consultation with a Psychiatrist: Since your symptoms may be linked to your mental health condition, it would be beneficial to consult with a psychiatrist who specializes in schizophrenia. They can evaluate your current treatment plan and consider adjustments, such as medication changes or additional therapies.

2. Cognitive Behavioral Therapy (CBT): Engaging in CBT can help you develop coping strategies for managing your perceptions and any associated anxiety. This therapy focuses on changing negative thought patterns and improving emotional regulation, which may help you better manage your visual disturbances.

3. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, yoga, or deep-breathing exercises can help reduce anxiety and improve your overall mental well-being. These techniques may also help you become more aware of your perceptions and reduce the impact of distressing visual experiences.

4. Occupational Therapy: An occupational therapist can work with you to develop strategies for coping with visual disturbances in daily life. They can provide practical advice on how to manage sensory overload and improve your overall functioning.

5. Regular Follow-ups: Keep regular appointments with your healthcare providers to monitor your symptoms and treatment progress. Open communication about your experiences can help your doctors make informed decisions about your care.

6. Lifestyle Modifications: Ensure you maintain a healthy lifestyle, including regular exercise, a balanced diet, and adequate sleep. These factors can significantly impact your mental health and overall well-being.


Conclusion
While your visual disturbances may not be directly linked to a neurological issue, they are likely influenced by your mental health condition. By taking a holistic approach that includes psychiatric care, therapy, and lifestyle changes, you can work towards managing your symptoms more effectively. It's essential to remain proactive in seeking help and exploring various treatment options that can improve your quality of life.

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