Left-Sided Impulses: When to Seek Psychiatric Help - Psychiatry

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My left side feels strange?


Recently, due to being overwhelmed with work, I have been feeling physically and mentally exhausted.
One night, I suddenly found myself unable to sleep.
In addition to an inexplicable sense of panic, I experienced intermittent "urges" on the left side of my body.
This urge made me feel like I needed to exert myself, which ultimately led to very poor sleep quality.
I'm not sure if "urge" is the right term to describe it, but I can definitely say that I am in a state of anxiety.
I would like to ask the doctor if I can seek help from a psychiatrist in this situation.

Edd, 20~29 year old female. Ask Date: 2022/12/12

Dr. Lin Mianzhang reply Psychiatry


Hello Edd: It seems that you are feeling fatigued due to work-related issues.
I wonder if you are getting enough sleep? If possible, try to ensure you have sufficient sleep, as this may help alleviate your discomfort.
However, if feelings of anxiety, palpitations, and impulsivity persist and are causing you distress, I recommend seeking an evaluation from a psychiatrist to discuss the most appropriate treatment options.
Wishing you peace and good health!

Reply Date: 2022/12/12

More Info


Experiencing sudden impulses, particularly on one side of the body, accompanied by anxiety and disrupted sleep, can be concerning and warrants careful consideration. Your description suggests that you may be dealing with a heightened state of anxiety, which can manifest in various physical and psychological symptoms. It’s important to understand that the left-sided impulses you are experiencing could be related to anxiety or stress, but they could also indicate other underlying issues that should be evaluated by a healthcare professional.

When we talk about "impulses," it’s essential to clarify what you mean. If these impulses are physical sensations or urges that compel you to act in a certain way, they may be linked to anxiety or panic attacks. Anxiety can often lead to physical symptoms, including restlessness, tension, and a sense of urgency that can feel overwhelming. This is particularly true if you are under significant stress from work or personal life, as you mentioned.

The fact that you are experiencing these symptoms at night, particularly when trying to sleep, is also significant. Sleep disturbances are a common symptom of anxiety disorders and can exacerbate feelings of restlessness and discomfort. Poor sleep quality can lead to a cycle of increased anxiety, making it even harder to relax and find peace.

In terms of seeking psychiatric help, it is advisable to consult with a mental health professional if you find that these symptoms are persistent, worsening, or significantly impacting your daily life. A psychiatrist or psychologist can provide a thorough assessment to determine the underlying causes of your symptoms. They may explore various aspects of your mental health, including your stress levels, coping mechanisms, and any potential anxiety disorders.

During your consultation, it would be beneficial to discuss all of your symptoms in detail, including the nature of the impulses, any triggers you have identified, and how these feelings affect your daily functioning. This information will help the clinician understand your situation better and guide them in recommending appropriate treatment options.

Treatment for anxiety-related symptoms can vary widely and may include psychotherapy, medication, lifestyle changes, or a combination of these approaches. Cognitive-behavioral therapy (CBT) is a common and effective treatment for anxiety disorders, helping individuals develop coping strategies and challenge negative thought patterns. In some cases, medication such as antidepressants or anti-anxiety medications may be prescribed to help manage symptoms.

Additionally, incorporating stress-reduction techniques into your daily routine can be beneficial. Practices such as mindfulness meditation, yoga, regular physical activity, and maintaining a healthy sleep hygiene can help alleviate anxiety and improve overall well-being.

In summary, your experience of left-sided impulses and anxiety is significant and should not be overlooked. Seeking help from a mental health professional is a proactive step toward understanding and managing your symptoms. Remember, you are not alone in this, and there are effective treatments available that can help you regain control over your mental health and improve your quality of life.

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