Persistent Dizziness and Blurred Vision: A Psychiatric Perspective

Dizziness and blurred vision?

Hello Doctor: Since November of last year, I have been experiencing dizziness and a feeling of heaviness in my head.
After undergoing numerous tests, doctors have been unable to identify any underlying issues.
I started taking psychiatric medication in early January of this year, but there was no improvement.
By late February, the symptoms evolved into persistent dizziness and lightheadedness that lasts 24 hours a day, which has continued to worsen.
I experience severe disorientation and unusual fatigue throughout the day (with difficulty focusing my eyes, especially on moving objects), accompanied by sweating and numbness in my hands and feet.
Sometimes, I even feel like I have a severe cold (my temperature is slightly elevated, around 37.6°C).
Despite undergoing many tests, doctors still cannot find the problem and have advised me to continue adjusting my medication with the psychiatrist.
I would like to ask the doctor, is it possible for autonomic nervous system dysfunction to present with continuous symptoms for 24 hours? Can it worsen to such a severe degree? If so, is there a way to treat it? Thank you, Doctor.

Kid's Dad, 30~39 year old female. Ask Date: 2022/05/08

Dr. Wu Enliang reply Psychiatry

It is possible for individuals with autonomic nervous system disorders to experience symptoms that persist for 24 hours, and in some cases, the condition can worsen significantly.
What does your psychiatrist say about this? If the effectiveness of medication is limited, it is generally advisable to consider adding non-pharmacological treatments, such as psychotherapy, biofeedback training, and microcurrent stimulation therapy.
Dr.
Wu Enliang.

Reply Date: 2022/05/08

More Info

Understanding persistent dizziness and blurred vision from a psychiatric perspective can be quite complex, especially when physical examinations and tests yield no definitive results. Your symptoms, which include constant dizziness, blurred vision, feelings of disorientation, and fatigue, can be distressing and may lead to further anxiety and concern about your health.

Firstly, it’s important to recognize that dizziness and blurred vision can stem from a variety of causes, both physical and psychological. In your case, given that extensive medical evaluations have not identified a physical cause, it is plausible that your symptoms may be linked to psychological factors, such as anxiety or stress. This is not uncommon; many individuals experience physical symptoms as manifestations of psychological distress.

Autonomic Nervous System Dysfunction: You mentioned the possibility of autonomic nervous system dysfunction. This condition can indeed lead to persistent symptoms like dizziness and fatigue. The autonomic nervous system regulates involuntary bodily functions, including heart rate, blood pressure, and digestion. When it is out of balance, it can cause a range of symptoms, including those you are experiencing. Stress and anxiety can exacerbate these symptoms, creating a cycle of discomfort and worry.

Psychological Factors: Anxiety disorders, particularly generalized anxiety disorder (GAD) or panic disorder, can present with physical symptoms such as dizziness and blurred vision. When individuals are under significant stress or anxiety, they may hyperventilate or become more aware of bodily sensations, leading to feelings of dizziness or lightheadedness. Additionally, the mind can create sensations that feel very real, such as the perception of blurred vision or disorientation.

Medication and Treatment: You mentioned starting psychiatric medication without improvement. It’s essential to communicate openly with your psychiatrist about your symptoms and any side effects you may be experiencing. Sometimes, it may take time to find the right medication or dosage that works for you. Additionally, combining medication with therapy, such as cognitive-behavioral therapy (CBT), can be beneficial. CBT can help you develop coping strategies for managing anxiety and may reduce the physical symptoms associated with it.

Lifestyle Modifications: In addition to medication and therapy, consider lifestyle changes that can help manage your symptoms. Regular physical activity, a balanced diet, adequate hydration, and sufficient sleep can all contribute to overall well-being. Mindfulness practices, such as meditation or yoga, can also help reduce anxiety and improve your focus and clarity.

Further Evaluation: If your symptoms persist or worsen, it may be worthwhile to seek a second opinion or further evaluation from a specialist in neurology or psychiatry. They may conduct additional tests or assessments to rule out other potential causes of your symptoms.

In summary, while persistent dizziness and blurred vision can be distressing, they may be linked to psychological factors, particularly if medical evaluations have not revealed a physical cause. It’s crucial to work closely with your healthcare provider to explore all potential avenues for treatment, including medication, therapy, and lifestyle changes. Remember, you are not alone in this, and with the right support and treatment, improvement is possible.

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