How Emotional Stress Affects Physical Health: Coping After a Breakup - Psychiatry

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Does psychological stress affect physiological conditions?


I recently broke up with my boyfriend, and he didn't give me a chance to communicate or explain.
He just said he wanted to separate and take a break, but within a day or two, he was already with someone else.
However, I still have to have contact with him in daily life, and when I see him, I feel a strong sense of nausea, to the point that I actually vomited once.
Is there a solution to this? Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2022/12/13

Dr. Wu Enliang reply Psychiatry


Hello: This situation or person must be making you very uncomfortable.
Ideally, it would be best to avoid contact, or talk to someone about your psychological discomfort.
Learning to relax is important, and if that doesn't help, you may need to seek medical attention from a psychiatrist (or mental health professional) for short-term medication assistance.

Reply Date: 2022/12/13

More Info


Emotional stress, particularly following a breakup, can significantly impact physical health. The experience of a breakup can trigger a range of emotional responses, including sadness, anger, anxiety, and even physical symptoms. In your case, the feelings of nausea and vomiting when encountering your ex-boyfriend are not uncommon reactions to intense emotional distress. This phenomenon can be understood through the lens of the mind-body connection, where emotional turmoil manifests as physical symptoms.

When we experience emotional stress, our body responds in various ways. The brain perceives emotional pain similarly to physical pain, activating the same neural pathways. This can lead to the release of stress hormones such as cortisol and adrenaline, which prepare the body for a "fight or flight" response. While this response can be beneficial in short bursts, prolonged exposure to stress can lead to negative health outcomes, including gastrointestinal issues, headaches, and muscle tension.

In your situation, the nausea you experience when seeing your ex-boyfriend may be a psychosomatic response. This means that your emotional state is causing physical symptoms. The brain's response to emotional stress can lead to increased stomach acid production and changes in gut motility, resulting in feelings of nausea or even vomiting. This is particularly likely if you associate your ex with negative emotions or unresolved feelings.

To cope with the emotional stress following a breakup, consider the following strategies:
1. Acknowledge Your Feelings: It's important to allow yourself to feel the emotions associated with the breakup. Suppressing feelings can lead to increased stress and physical symptoms. Journaling or talking to a trusted friend can help process these emotions.

2. Practice Relaxation Techniques: Engaging in relaxation techniques such as deep breathing, meditation, or yoga can help reduce stress levels. These practices can calm the nervous system and alleviate physical symptoms of stress.

3. Maintain a Healthy Lifestyle: Regular exercise, a balanced diet, and adequate sleep are crucial for managing stress. Physical activity can boost endorphins, which are natural mood lifters, and help mitigate feelings of anxiety and depression.

4. Limit Contact: If possible, try to limit your interactions with your ex-boyfriend, especially if seeing him triggers negative emotions. Establishing boundaries can help you heal and regain emotional stability.

5. Seek Professional Help: If your symptoms persist or worsen, consider seeking support from a mental health professional. Therapy can provide a safe space to explore your feelings and develop coping strategies tailored to your situation.

6. Engage in Positive Activities: Distracting yourself with hobbies, social activities, or new interests can help shift your focus away from the breakup and reduce feelings of sadness or anxiety.

7. Mindfulness and Grounding Techniques: When you feel overwhelmed, grounding techniques can help bring you back to the present moment. This can include focusing on your breath, noticing your surroundings, or engaging your senses.

8. Consider Support Groups: Sometimes, sharing experiences with others who have gone through similar situations can provide comfort and understanding. Look for local or online support groups for individuals coping with breakups.

In conclusion, emotional stress from a breakup can indeed affect your physical health, leading to symptoms like nausea. By acknowledging your feelings, practicing relaxation techniques, maintaining a healthy lifestyle, and seeking professional help if needed, you can effectively cope with the emotional aftermath of a breakup. Remember, healing takes time, and it's essential to be patient with yourself as you navigate this challenging period.

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