Anxiety-Induced Nausea: When to Seek Help

Easily anxious and feeling nauseous?

I am currently a senior in college.
During high school, I often experienced anxiety and a poor appetite, but I was still able to eat.
Recently, however, when I go out with others, I find myself feeling increasingly anxious (with tense nerves and stiff muscles) and experiencing a more severe loss of appetite, to the point where I can hardly eat (severe gastric cramps), nausea, and dry heaving.
If I force myself to eat, I easily end up vomiting.
These symptoms only occur when I am out with others, and even though I know I shouldn't be anxious, my body seems to react otherwise.
After one instance of vomiting during a meal with others, these symptoms worsened.
I consulted a gastroenterologist who said I only had mild inflammation and everything else was fine.
I have taken gastrointestinal medication, but the symptoms persist.
I am constantly in a state of anxiety when going out with others, and despite trying various relaxation techniques, it remains difficult and has started to affect my daily life.
I would like to know if this could be a case of autonomic nervous system dysfunction or an anxiety disorder.
Should I seek help from a mental health specialist, and is mental health care covered by insurance?

Wu, 20~29 year old female. Ask Date: 2022/01/13

Dr. Qiu Junda reply Psychiatry

Hello.
The situation described in the text likely falls under anxiety (autonomic nervous system dysregulation and anxiety disorders are similar; it's just a different way of saying it).
I recommend searching for information on stress management techniques to learn some relaxation methods.
You may also consider consulting a psychosomatic medicine specialist (covered by health insurance).
This should help you alleviate the symptoms that are troubling you.
Thank you.

Reply Date: 2022/01/13

More Info

Understanding anxiety-induced nausea can be quite complex, especially when it manifests in physical symptoms like nausea, vomiting, and loss of appetite. Based on your description, it seems that your anxiety is significantly affecting your ability to eat and enjoy social situations, which is a common experience for many individuals dealing with anxiety disorders.

Firstly, the symptoms you are experiencing—muscle tension, inability to eat, nausea, and vomiting—are indeed indicative of anxiety. This condition is often referred to as "anxiety-induced nausea" or "psychogenic nausea." It occurs when the body's stress response triggers physical reactions, including gastrointestinal distress. The autonomic nervous system, which regulates bodily functions such as digestion, can become dysregulated during periods of heightened anxiety, leading to symptoms like those you described.

Your experience of feeling more anxious when around others, coupled with the physical symptoms, suggests that you may be dealing with social anxiety or generalized anxiety disorder. Social anxiety disorder is characterized by an intense fear of social situations where one might be judged or scrutinized, which can lead to avoidance behaviors and physical symptoms like nausea and vomiting.

Given that you have already consulted a gastroenterologist and received reassurance that your gastrointestinal system is functioning well, it may be beneficial to seek help from a mental health professional, such as a psychologist or psychiatrist. They can provide a more comprehensive evaluation of your symptoms and help determine if you are experiencing an anxiety disorder. Cognitive-behavioral therapy (CBT) is often effective for treating anxiety disorders, as it helps individuals identify and change negative thought patterns and behaviors that contribute to their anxiety.

Regarding your question about whether this is a case of autonomic nervous system dysregulation or anxiety, it is likely a combination of both. Anxiety can lead to dysregulation of the autonomic nervous system, which in turn can exacerbate physical symptoms. Therefore, addressing the underlying anxiety through therapy and possibly medication can help alleviate the physical symptoms you are experiencing.

As for your concern about health insurance coverage for mental health services, this can vary by location and insurance provider. In many places, mental health services are covered under health insurance plans, including visits to psychiatrists and psychologists. It would be advisable to check with your insurance provider to understand your coverage options for mental health care.

In summary, it is crucial to seek help if your symptoms are affecting your daily life. A mental health professional can provide the support and treatment you need to manage your anxiety and its physical manifestations effectively. Remember, you are not alone in this, and many people experience similar challenges. Seeking help is a positive step toward regaining control over your life and well-being.

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