Autonomic Nervous System Disorders and Their Impact on Anxiety

Q: Autonomic Nervous System Disorders and Their Impact on Anxiety

Hello Chiao： It seems that you have undergone many physical examinations with no significant abnormalities. <br>Based on the symptoms of discomfort you are experiencing, it is very likely that you are dealing with autonomic nervous system dysfunction. <br>The autonomic nervous sy

Autonomic nervous system

Hello, doctor.
I have anxiety and panic issues, as well as health anxiety.
My body has been in a constant state of tension, and I have been experiencing persistent symptoms such as chest tightness and dizziness.
These symptoms started appearing at the end of last year; initially, they were infrequent, but recently they have become more frequent and more pronounced.
I had a physical examination in June of last year, and there were no issues found with my chest, heart, blood, or thyroid.
I also underwent an endoscopy, which revealed only mild gastroesophageal reflux.
The doctor initially suspected that my symptoms were due to autonomic nervous system dysfunction, but I have not undergone any specific tests for this condition, so I am not sure if I actually have it.

Can autonomic nervous system dysfunction really cause physical discomfort? Over the past year, I have been trying to relax and maintain a positive mood, and I have been exercising regularly, but my body still experiences recurring discomfort (currently, even exercising makes me feel unwell).
Whenever I feel unwell, my mood tends to drop.
Recently, my symptoms have become more pronounced, and I find it increasingly difficult to feel happy.
I truly don't know if my psychological state is affecting my physical health or if there is an actual physical illness.
I feel stuck in this cycle.
Do you have any recommendations, doctor?

Chiao, 20~29 year old female. Ask Date: 2023/01/07

Dr. Lin Mianzhang reply Psychiatry

Hello Chiao: It seems that you have undergone many physical examinations with no significant abnormalities.
Based on the symptoms of discomfort you are experiencing, it is very likely that you are dealing with autonomic nervous system dysfunction.
The autonomic nervous system refers to a network of nerves in our body that automatically controls the activities of many organs without requiring conscious control.
For example, functions such as breathing, heart rate, blood vessel constriction and dilation, gastrointestinal motility and secretion of digestive juices, salivary gland secretion of saliva, sweat gland secretion of sweat, pupil dilation and constriction, tear production, urination, and temperature regulation are all controlled by the autonomic nervous system.
Therefore, when there is a dysfunction in the autonomic nervous system, a wide range of physical discomfort symptoms may arise.
Possible symptoms include dizziness, headaches, dry eyes, tinnitus, dry mouth, a sensation of a lump in the throat, chest tightness, difficulty breathing, palpitations, bloating, diarrhea, constipation, excessive sweating, chills and fever, trembling, insomnia, anxiety, and difficulty concentrating.
There are many causes of autonomic nervous system dysfunction, with emotions and stress often triggering symptoms.
These uncomfortable symptoms can, in turn, exacerbate emotional distress, illustrating the interplay between psychological and physiological factors.
To improve autonomic nervous system dysfunction, it is essential to address the underlying causes.
In your case, anxiety, panic, inability to relax, and psychological stress are likely contributing factors.
These conditions can usually be significantly improved through relaxation training, psychological therapy, or medication assistance.
Therefore, it is recommended that you seek medical attention from a psychiatrist for a comprehensive evaluation to choose the most suitable treatment approach for you.
Wishing you peace and health.

Reply Date: 2023/01/07

More Info

Understanding the relationship between autonomic nervous system (ANS) disorders and anxiety is crucial for managing symptoms and improving overall well-being. The autonomic nervous system is responsible for regulating involuntary bodily functions, including heart rate, digestion, and respiratory rate. It consists of two main branches: the sympathetic nervous system, which prepares the body for 'fight or flight' responses, and the parasympathetic nervous system, which promotes 'rest and digest' functions. When there is an imbalance in this system, it can lead to various physical and psychological symptoms.

From your description, it appears that you are experiencing a range of distressing symptoms, including chest tightness, dizziness, and a general sense of physical discomfort. These symptoms can indeed be associated with autonomic nervous system dysregulation, which is often exacerbated by anxiety and panic disorders. The mind-body connection is powerful; psychological stress can manifest as physical symptoms, and conversely, physical discomfort can lead to increased anxiety and panic.

Your history of anxiety and panic attacks, combined with the physical symptoms you've described, suggests that your body may be in a heightened state of arousal due to the sympathetic nervous system being overly activated. This can lead to sensations such as tightness in the chest, dizziness, and a feeling of being unwell, which can create a vicious cycle of anxiety and physical discomfort. It’s important to note that while your medical evaluations have ruled out significant physical health issues, the symptoms you are experiencing are very real and can significantly impact your quality of life.

Here are some strategies that may help you manage your symptoms:
1. Cognitive Behavioral Therapy (CBT): This form of therapy is effective for anxiety and panic disorders. It helps you identify and change negative thought patterns and behaviors that contribute to your anxiety. Working with a therapist can provide you with tools to manage your anxiety more effectively.

2. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help activate the parasympathetic nervous system, promoting a state of calm and reducing physical symptoms of anxiety.

3. Regular Physical Activity: While you mentioned that exercise has become uncomfortable, gentle forms of movement, such as walking, yoga, or tai chi, can be beneficial. These activities can help reduce tension and anxiety while promoting overall well-being.

4. Healthy Lifestyle Choices: Ensure you are eating a balanced diet, staying hydrated, and getting adequate sleep. These factors can significantly influence your physical and mental health.

5. Medication: If your symptoms continue to be debilitating, discussing medication options with your healthcare provider may be appropriate. Medications such as selective serotonin reuptake inhibitors (SSRIs) or benzodiazepines can help manage anxiety symptoms, but they should be used under the guidance of a physician.

6. Support Groups: Connecting with others who are experiencing similar challenges can provide emotional support and practical advice. Consider joining a support group for individuals with anxiety or panic disorders.

7. Regular Follow-up: Since your symptoms have been increasing in frequency and severity, it’s important to maintain regular follow-ups with your healthcare provider. They can help monitor your condition and adjust your treatment plan as necessary.

In conclusion, autonomic nervous system disorders can indeed lead to physical discomfort, particularly in the context of anxiety and panic disorders. It’s essential to address both the psychological and physical aspects of your symptoms. By employing a combination of therapeutic strategies, lifestyle changes, and possibly medication, you can work towards breaking the cycle of anxiety and physical discomfort. Remember that seeking help is a sign of strength, and you don’t have to navigate this journey alone.

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