Throat and Heart Issues: Should You See a Psychologist? - Psychiatry

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It sounds like you are experiencing a complex interplay of physical and emotional symptoms that can be quite distressing. Given that you have undergone various medical examinations, including nasal endoscopy, gastroscopy, and thyroid ultrasound, all of which have returned normal results, it is understandable that you might feel frustrated and confused about your ongoing symptoms, such as the sensation of a foreign body in your throat, chest tightness, chest pain, and palpitations.

From a medical perspective, when physical examinations and tests do not reveal any underlying pathology, it is essential to consider the possibility of psychosomatic disorders. These are conditions where psychological factors manifest as physical symptoms. Anxiety, stress, and emotional distress can lead to a range of physical symptoms, including those affecting the throat and heart. For example, anxiety can cause muscle tension in the throat, leading to a sensation of tightness or a lump in the throat (often referred to as "globus sensation"). Similarly, anxiety can also lead to increased heart rate, palpitations, and chest discomfort.

Given your symptoms and the absence of any identifiable medical issues, it would be advisable to consult a psychologist or a psychiatrist. Mental health professionals can help you explore the emotional and psychological factors that may be contributing to your physical symptoms. They can provide you with coping strategies, therapeutic interventions, and, if necessary, medication to help manage anxiety or other underlying mental health conditions.

In addition to seeking psychological help, it may also be beneficial to consider lifestyle changes that can improve your overall well-being. Regular physical activity, a balanced diet, adequate sleep, and mindfulness practices such as meditation or yoga can significantly reduce anxiety and improve your emotional state. Engaging in activities that you enjoy and that promote relaxation can also be helpful.

It is important to remember that seeking help from a mental health professional does not mean that your symptoms are "all in your head." Rather, it acknowledges the intricate connection between the mind and body. Many individuals experience physical symptoms that are rooted in emotional distress, and addressing these psychological aspects can lead to significant improvements in physical health.

In summary, based on your description, it would be prudent to seek an evaluation from a psychologist or psychiatrist. They can help you understand the relationship between your emotional state and your physical symptoms, and work with you to develop a comprehensive treatment plan. Additionally, consider incorporating lifestyle changes that promote mental and physical well-being. Taking this step can be a vital part of your journey toward feeling better.