Managing Anxiety and Heart Palpitations: A Guide for Young Adults - Psychiatry

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Managing anxiety and heart palpitations, especially in young adults, can be a challenging experience. From your description, it seems that you are dealing with a combination of physical symptoms, such as premature ventricular contractions (VPC), and psychological issues, including anxiety and panic attacks. It's important to understand that these two aspects can be interconnected, often exacerbating each other.

Firstly, it's reassuring to hear that your cardiologist has evaluated your heart and deemed it healthy, suggesting that your VPCs are not indicative of a serious underlying condition. This is a common concern among individuals experiencing palpitations, and it’s understandable to feel anxious about your heart health, especially when you are experiencing symptoms like rapid heartbeat and cold sweats during panic attacks. The fear of a serious health issue can lead to a cycle of anxiety, where the more you worry about your heart, the more pronounced your symptoms may become.

Regarding your question about whether anxiety can cause feelings of dizziness or a heavy head, the answer is yes. Anxiety can manifest in various physical symptoms, including dizziness, lightheadedness, and a sensation of heaviness in the head. These symptoms can be attributed to hyperventilation, muscle tension, or the body's fight-or-flight response, which can occur during periods of heightened anxiety or panic. When you are anxious, your body may react by increasing your heart rate and altering your breathing patterns, which can lead to feelings of dizziness or a sense of being unsteady.

As for your treatment with medications like sertraline (百憂解) and the beta-blocker (康肯), these can be effective in managing anxiety and its physical manifestations. Sertraline is a selective serotonin reuptake inhibitor (SSRI) that is commonly prescribed for anxiety and depression. It works by increasing serotonin levels in the brain, which can help improve mood and reduce anxiety symptoms. While SSRIs do not directly treat autonomic nervous system disorders, they can help alleviate anxiety, which may in turn reduce the frequency and intensity of your panic attacks and associated symptoms.

It's also important to consider psychological therapies, such as cognitive-behavioral therapy (CBT), which can be particularly effective for anxiety disorders. CBT helps individuals identify and challenge negative thought patterns and behaviors that contribute to anxiety. This type of therapy can equip you with coping strategies to manage your anxiety and reduce the fear associated with your heart symptoms.

In addition to medication and 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 regulate your body's stress response and improve overall well-being. Engaging in relaxation techniques can also help calm your nervous system and reduce the frequency of panic attacks.

If you are feeling overwhelmed, it is crucial to communicate openly with your healthcare providers about your concerns. They can help tailor a treatment plan that addresses both your physical and psychological symptoms. If you feel comfortable, discussing your feelings of anxiety and fear with your family can also provide you with additional support.

In summary, managing anxiety and heart palpitations involves a multifaceted approach that includes medical treatment, psychological support, and lifestyle modifications. It’s important to remember that you are not alone in this experience, and with the right support and strategies, you can work towards feeling better and regaining control over your life.