Anxiety and Health Fears After Vaccination: A Personal Journey - Psychiatry

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Worried about developing a serious illness?


A month ago, I experienced discomfort after receiving a vaccine and went to see a cardiologist.
I had blood tests and an electrocardiogram (ECG), and after the examinations, I was told everything was fine and went home.
The next day, I felt chest tightness and shortness of breath while walking, so I went to the hospital again.
I had more blood tests and another ECG, but again, everything appeared normal.
The doctor, concerned about my anxiety, suggested I stay in the hospital.
I stayed for about three days, during which I had four blood tests and two or three ECGs.
Aside from being diagnosed with mitral valve prolapse, everything else was normal.
When the doctor said I could be discharged, I felt sad because I didn't think I was fully recovered and couldn't understand why the tests didn't reveal anything.
That night and the following night after discharge, I couldn't help but cry, to the point where my family found it bothersome.
The doctor instructed me to return in three days to pick up my medications, which included medication for palpitations, stomach issues, and pain relief.
I needed the pain medication.
During the first two weeks of this month, I felt emotionally low, lost interest in everything, and was told I walked slowly.
I also had a poor appetite and lost nearly two kilograms.
Although I felt a bit better after seeing a counselor twice, I still find myself constantly searching for possible causes whenever I feel slightly unwell.
My internet search history is filled with various illnesses.
I struggle to focus on tasks, and before doing anything, I must check for any illnesses related to my current symptoms.
Every day, I fear that I might be suffering from a serious illness and worry about what would happen if something occurred while I was home alone or if my family was asleep, making it impossible for me to seek help and potentially missing the chance for timely assistance.
In the past month, I visited the hospital six times: three visits were related to my heart (including picking up medication and two days of discomfort), two were for a cold (with phlegm, mostly colorless), and after finishing the first round of cold medication, I went back for a second visit.
I also visited a gynecologist last week because I was concerned that my menstrual cycle might be affecting my mood.
However, the doctor assured me it was not premenstrual syndrome, and after an ultrasound of my uterus, everything appeared normal, leaving me unsure of what to do next.

During my afternoon naps, I almost always dream, and at night, I wake up several times.
While I can fall back asleep quickly, the likelihood of dreaming again is high, and upon waking, I often can't remember what I dreamed about.
Sometimes I feel a bit fatigued and think my memory isn't very good, though it has always been like this.
It seems like I am constantly in a state of anxiety.

Miss Zhan, 10~19 year old female. Ask Date: 2022/02/02

Dr. Wu Enliang reply Psychiatry


Hello, netizens: It is very likely that psychosomatic symptoms (stress, anxiety, depression) are causing discomfort in various parts of the body.
It is recommended to seek medical attention from a psychiatrist.
Dr.
Wu Enliang.

Reply Date: 2022/02/02

More Info


Your experience following vaccination is not uncommon, especially in individuals who may have pre-existing anxiety or health concerns. The anxiety and health fears you are experiencing can be quite overwhelming, but understanding the psychological and physiological aspects of your situation can help you navigate this challenging time.

Firstly, it's important to recognize that the symptoms you are experiencing—such as chest tightness, shortness of breath, and emotional distress—can be exacerbated by anxiety. After receiving a vaccine, many individuals report various physical sensations that can be alarming, especially if they are already predisposed to anxiety. The mind and body are closely connected, and anxiety can manifest in physical symptoms, creating a cycle of fear and discomfort. This is often referred to as somatic symptom disorder, where psychological distress leads to physical symptoms.

Your visits to the hospital and the thorough examinations you underwent, including blood tests and echocardiograms, are reassuring. The fact that your heart was deemed healthy, aside from the mitral valve prolapse, is a positive sign. Mitral valve prolapse is a common condition and often does not lead to serious complications. However, it can sometimes be associated with palpitations and anxiety, which may explain some of your symptoms.

The emotional response you described—crying and feeling low—can also be attributed to the stress of your health concerns and the experience of being hospitalized. It's completely normal to feel vulnerable after such experiences, and seeking help from a counselor or therapist, as you have done, is a constructive step. Therapy can provide you with coping strategies to manage your anxiety and help you process your feelings.

To address your ongoing anxiety, consider implementing some of the following strategies:
1. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, and progressive muscle relaxation can help calm your mind and reduce anxiety. These techniques can help you focus on the present moment rather than worrying about potential health issues.

2. Limit Information Overload: While it's natural to seek information about your symptoms, excessive internet searching can heighten anxiety. Try to limit your online research and instead, focus on trusted medical sources or consult with your healthcare provider for clarity.

3. Physical Activity: Regular exercise can significantly reduce anxiety levels. It releases endorphins, which are natural mood lifters. Even a daily walk can make a difference in how you feel.

4. Establish a Routine: Creating a daily routine can provide structure and a sense of normalcy. Include time for self-care, relaxation, and activities that you enjoy.

5. Sleep Hygiene: Since you mentioned difficulties with sleep, establishing good sleep hygiene is crucial. This includes maintaining a consistent sleep schedule, creating a restful environment, and avoiding screens before bedtime.

6. Professional Support: If your anxiety continues to interfere with your daily life, consider seeking help from a mental health professional. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety and can provide you with tools to manage your fears.

7. Communicate with Loved Ones: Sharing your feelings with family or friends can alleviate some of the burdens you carry. They may offer support and understanding that can help you feel less isolated in your experience.

In conclusion, while your fears and anxiety are valid, it's essential to recognize that they can be managed. You have already taken significant steps by seeking medical attention and counseling. Continue to prioritize your mental health, and don't hesitate to reach out for further support if needed. Remember, you are not alone in this journey, and there are resources available to help you navigate your feelings and regain a sense of control over your health and well-being.

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