and Managing Respiratory Compulsions After Vaccination

Treatment for Respiratory Compulsion Disorder

After receiving my third vaccine dose, I became concerned about potential side effects, which led me to continuously monitor my blood pressure, heart rate, blood oxygen levels, and other vital signs.
After some time, I noticed symptoms resembling obsessive-compulsive disorder related to breathing.
During this period, I experienced a few instances where I felt like I couldn't catch my breath and was on the verge of losing control.
Although removing myself from the situation helped calm my emotions temporarily, I later visited two mental health clinics and was diagnosed with mild anxiety rather than any information related to breathing-related obsessive-compulsive disorder.
Additionally, after taking medication prescribed by the first clinic before bed, I woke up feeling extremely dizzy the next day, which persisted until the following day before gradually easing.
This experience made me hesitant to take medication again.
I researched online and found that medication primarily alleviates physical and mental discomfort rather than treating the underlying condition itself, which left me uncertain about whether I should take medication and how to effectively treat my symptoms.
I hope to find a clear direction.

Huili, 20~29 year old female. Ask Date: 2022/04/15

Dr. Zhang Gengjia reply Psychiatry

Dear Sir/Madam,
From your letter, it is evident that you are experiencing discomfort and distress due to concerns about side effects and the pressure of obsessive-compulsive disorder (OCD).

1.
Anxiety disorders are common in modern society, especially when facing an uncertain future.
This is a chronic condition that requires long-term treatment for recovery.

2.
Anxiety disorders are characterized by episodes of exacerbation, remission, recovery, and relapse.
More than half of patients may experience a recurrence of symptoms even after they have subsided.
Due to individual differences in physiology, it may take time to identify the most suitable medication, so please be patient and cooperate with your physician.
3.
Regarding pharmacological treatment, each primary medication typically requires 4 to 6 weeks to assess its efficacy.
If you experience any adverse symptoms, I recommend keeping a record of their duration and frequency.
4.
In addition to medication and psychotherapy, repetitive transcranial magnetic stimulation (rTMS) is a non-invasive, anesthetic-free, highly safe treatment option that does not require hospitalization and can improve anxiety and depressive symptoms.
Please discuss any psychosomatic issues with your physician during your follow-up visit, as some symptoms may stem from the original condition, while others could be side effects of the medication.
Our clinic is open for consultations from Monday to Friday, both in the morning and afternoon.
I encourage you to consider visiting the clinic for a personal assessment of your symptoms, so we can collaboratively determine the best course of action for you.
Wishing you mental and physical well-being.
Sincerely,
Dr.
Chang Geng-Jia
Department of Psychiatry

Reply Date: 2022/04/15

More Info

After receiving your third dose of the COVID-19 vaccine, it’s understandable to experience heightened anxiety and physical symptoms, especially if you are concerned about potential side effects. Your situation seems to involve a combination of anxiety and possibly some psychosomatic responses, which can manifest as physical symptoms like difficulty breathing or a sensation of not getting enough air. This phenomenon is not uncommon, particularly in individuals who may have pre-existing anxiety disorders or who are particularly sensitive to bodily sensations.

Understanding Your Symptoms
1. Anxiety and Respiratory Symptoms: Anxiety can lead to hyperventilation, which is a condition where you breathe faster than normal. This can create a feeling of breathlessness or air hunger, which might explain your experiences of feeling like you can’t get enough air. This is often exacerbated by focusing on bodily sensations, which can create a cycle of anxiety and physical symptoms.

2. Compulsions to Monitor Vital Signs: The urge to constantly check your blood pressure, heart rate, and oxygen levels can be a manifestation of anxiety. While it’s important to monitor your health, excessive checking can lead to increased anxiety and may reinforce the feeling that something is wrong, even when it is not.

3. Medication Side Effects: The dizziness you experienced after taking medication could be a side effect of the medication itself or a result of anxiety. Some medications can cause sedation or dizziness, especially if you are not used to them. It’s crucial to communicate any adverse effects to your healthcare provider, as they can help adjust your treatment plan.

Managing Your Symptoms
1. Therapeutic Approaches: Cognitive Behavioral Therapy (CBT) is a highly effective treatment for anxiety. It helps individuals identify and challenge negative thought patterns and develop coping strategies. If you haven’t already, consider seeking a therapist who specializes in anxiety disorders.

2. Mindfulness and Relaxation Techniques: Practices such as deep breathing exercises, progressive muscle relaxation, and mindfulness meditation can help reduce anxiety and improve your overall sense of well-being. These techniques can also help you regain control over your breathing and reduce the sensation of breathlessness.

3. Gradual Exposure: If you find that certain situations trigger your anxiety (like being in a medical setting), gradual exposure to these situations in a controlled manner can help desensitize you to the anxiety-provoking stimuli.

4. Medication Considerations: If you are hesitant to take medication due to side effects, discuss this with your healthcare provider. They may be able to prescribe a different medication or adjust the dosage to minimize side effects. Remember that medication can be a helpful tool in managing anxiety, but it should be part of a comprehensive treatment plan that includes therapy and lifestyle changes.

5. Lifestyle Modifications: Regular physical activity, a balanced diet, adequate sleep, and social support can significantly impact your mental health. Engaging in activities you enjoy can also help distract you from anxious thoughts.

Conclusion
It’s important to recognize that your symptoms are valid and that you are not alone in experiencing anxiety, especially in the context of health concerns following vaccination. Seeking professional help is a crucial step in managing your symptoms effectively. Open communication with your healthcare providers about your experiences and concerns will help them tailor a treatment plan that best suits your needs. Remember, managing anxiety is a process, and it’s okay to seek support along the way.

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