Perceptual Disorders: When to Seek Medical Advice - Neurology

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Regarding issues related to sensory integration disorder?


Hello, doctor.
Sometimes I suddenly experience a strange sensation where it feels like the surroundings are speeding up, and sounds suddenly become amplified.
The speed and volume can be so overwhelming that it makes me feel anxious, even though I am fully aware that my actions are normal and unchanged.
This occurred more frequently when I was younger, but it happens less often now.
Several times, it has happened when I was physically or mentally unwell, but it has also occurred while showering or riding a bike, during which I felt no physical discomfort.
I used to think it was just my imagination and didn't know how to express my feelings, so I didn't pay much attention to it.
Additionally, occasionally when talking to someone and focusing on them, their head appears to fluctuate in size.
Although the frequency of these occurrences has decreased, I find it quite strange.
Recently, I came across the term "sensory integration disorder" and wonder if this might be related to my experiences.
It hasn't significantly impacted my life, but it does cause discomfort and anxiety when it happens.
I would like to ask if I should see a doctor about this.
Thank you, doctor.

Gina, 20~29 year old female. Ask Date: 2022/02/25

Dr. Cai Zongzhang reply Neurology


Hello Gina: It is recommended to visit the neurology outpatient clinic for an examination.

Reply Date: 2022/02/25

More Info


Hello,
Thank you for reaching out with your concerns regarding your perceptual experiences. It’s important to understand that perceptual disorders can manifest in various ways, and your description of feeling as though your surroundings are speeding up or that sounds are amplified can indeed be unsettling. These experiences, especially if they occur during times of physical or psychological discomfort, warrant further exploration.

From what you've described, it seems you may be experiencing episodes of altered perception, which can sometimes be associated with anxiety, stress, or even certain neurological conditions. The fact that these sensations have decreased in frequency over time is a positive sign, but it’s still crucial to address them, especially since they cause you discomfort and anxiety.


When to Seek Medical Advice
1. Frequency and Intensity: If these episodes become more frequent or intense, or if they start to interfere with your daily life, it would be advisable to seek medical advice. Even if they do not currently disrupt your life significantly, a professional evaluation can provide you with peace of mind.

2. Associated Symptoms: Pay attention to any additional symptoms that may accompany these episodes. For instance, if you experience dizziness, headaches, or changes in mood, these could be important indicators that should be discussed with a healthcare provider.

3. Duration of Symptoms: If these perceptual disturbances last longer than a few minutes or if they evolve into something more concerning, such as hallucinations or severe anxiety, it is essential to consult a medical professional.

4. Impact on Mental Health: If you find that these experiences are leading to increased anxiety or affecting your mental health, it’s crucial to seek help. Mental health professionals can provide strategies to manage anxiety and help you understand your experiences better.


Potential Causes
The sensations you describe could be related to a variety of factors, including:
- Anxiety Disorders: Many individuals with anxiety report heightened sensory perceptions during panic attacks or anxiety episodes.

- Neurological Conditions: Certain neurological conditions can lead to altered perceptions. While it’s less common, it’s worth discussing with a neurologist if symptoms persist.

- Vestibular Disorders: Issues with the inner ear can lead to feelings of dizziness or altered perception of movement and sound.


Next Steps
1. Consult a Healthcare Provider: It would be beneficial to schedule an appointment with a healthcare provider, such as a neurologist or a psychiatrist, who can conduct a thorough evaluation. They may ask about your medical history, the nature of your symptoms, and any potential triggers.

2. Keep a Journal: Documenting your experiences can help you identify patterns or triggers. Note when these episodes occur, their duration, and any accompanying feelings or physical sensations.

3. Explore Stress Management Techniques: Since you mentioned that these experiences sometimes occur during times of discomfort, exploring stress management techniques such as mindfulness, meditation, or cognitive behavioral therapy (CBT) could be beneficial.

4. Educate Yourself: Understanding more about perceptual disorders can empower you and reduce anxiety about your experiences. Knowledge can be a powerful tool in managing symptoms.

In conclusion, while your experiences may not currently disrupt your daily life, it is always wise to consult with a healthcare professional when it comes to unusual perceptual phenomena. They can provide a comprehensive assessment and help you navigate your feelings and experiences effectively. Remember, seeking help is a sign of strength, and you deserve to feel comfortable and secure in your own perceptions.
Take care, and I hope you find the answers and support you need.

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