Anxiety: When Headaches and Stress Impact Your Life - Psychiatry

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Headache Long-term feeling of happiness?


Hello, doctor.
I tend to overthink everything, and headaches are quite common in my life.
At the beginning of this year, I started to notice that when I have headaches, my throat feels strange, and there’s a lump next to my Adam's apple, but it doesn't affect my swallowing.
Sometimes my hands twitch.
Initially, I consulted a doctor who suggested that it might be due to stress.
Later on, I experienced episodes where it felt like I couldn't catch my breath while sleeping, and I constantly felt overwhelmed with thoughts.
Even when I see news about child abuse, I spend the whole day thinking about what I would do if my daughter faced such a situation.
Whenever I have any physical issues, I frantically search for information online, worrying that I might have a serious illness.
When I have headaches, my shoulders and neck become tense, and I feel irritable and increasingly impatient.
In July and August, I also developed symptoms of excessive sleepiness; even though I sleep well, I often feel drowsy and can fall asleep without realizing it.
In October, both my mother and grandmother were diagnosed with cancer, which nearly shattered my mental state.
Suddenly, I felt overwhelmed with countless worries and no joy in my life.
I wake up in the morning with an upset stomach and a feeling of heat, and I can't eat; I just burp after eating.
When I saw the doctor, he mentioned that my symptoms might be due to excessive stress leading to gastroesophageal reflux.
Now, I feel that these symptoms are severely affecting my life, and I am starting to question my existence with so many health issues.
I don't know what kind of specialist to see, so I would like to ask the doctor if my situation falls under anxiety-related problems.
Thank you for your response!

Axiang, 20~29 year old female. Ask Date: 2021/11/03

Dr. Li Zhengfeng reply Psychiatry


Hello: According to your letter, you are currently experiencing symptoms of both anxiety and depression, along with physical discomfort due to mental stress.
It is recommended that you consult a specialist for combined medication and psychotherapy.
Wishing you a speedy recovery.

Reply Date: 2021/11/03

More Info


It sounds like you are experiencing a complex interplay of anxiety, stress, and physical symptoms that are significantly affecting your daily life. Based on your description, it is likely that your headaches, sleep disturbances, and gastrointestinal issues are manifestations of anxiety and stress. Anxiety can often present with physical symptoms, including tension headaches, muscle tightness, and gastrointestinal discomfort, which you have mentioned experiencing.

Anxiety disorders can lead to a heightened state of worry and fear, often causing individuals to ruminate over various stressors, which can exacerbate physical symptoms. In your case, the constant worry about your health and the well-being of your loved ones, particularly in light of your family's recent health challenges, may be contributing to your anxiety levels. This is not uncommon; many people find that stressors in their environment, such as news reports or personal experiences, can trigger a cycle of anxiety that feels overwhelming.

The symptoms you describe—such as feeling like you can't breathe while sleeping, excessive worry about health issues, and physical symptoms like tightness in your shoulders and neck—are all indicative of anxiety. Additionally, the increase in sleepiness and lack of motivation could be linked to both anxiety and potential depressive symptoms, especially given the emotional toll of your family situation.

It is crucial to address both the psychological and physical aspects of your condition. Here are some strategies that may help you manage your symptoms:
1. Seek Professional Help: Consulting with a mental health professional, such as a psychologist or psychiatrist, can provide you with the tools to manage your anxiety. Cognitive Behavioral Therapy (CBT) is particularly effective for anxiety disorders, as it helps individuals reframe negative thought patterns and develop coping strategies.

2. Medication: If your anxiety is severe, medication may be an option to consider. Antidepressants or anti-anxiety medications can help regulate mood and reduce anxiety symptoms. A psychiatrist can help determine if this is appropriate for you.

3. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety and improve your overall sense of well-being. These techniques can help ground you in the present moment and reduce the tendency to ruminate on negative thoughts.

4. Physical Activity: Regular exercise is a powerful way to combat anxiety. It releases endorphins, which can improve mood and reduce stress. Aim for at least 30 minutes of moderate exercise most days of the week.

5. Healthy Lifestyle Choices: Ensure you are eating a balanced diet, getting enough sleep, and avoiding excessive caffeine and alcohol, as these can exacerbate anxiety symptoms.

6. Limit Exposure to Stressors: If certain news stories or discussions trigger your anxiety, consider limiting your exposure to them. It’s okay to take a break from distressing news or to set boundaries with family members regarding conversations that may be too heavy for you.

7. Support System: Reach out to friends or support groups where you can share your feelings and experiences. Sometimes, just talking about what you’re going through can provide relief.

8. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process your emotions and reduce anxiety. It can also help you identify patterns in your thinking that you may want to address.

In conclusion, your symptoms appear to be closely linked to anxiety and stress, which can have profound effects on both mental and physical health. It is essential to seek help from healthcare professionals who can guide you through this challenging time. Remember, you are not alone in this, and with the right support and strategies, it is possible to regain control over your life and well-being.

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