Dizziness and Disorientation in High School Students

Frequent episodes of distraction and dizziness?

I am a high school sophomore, and recently I have been experiencing frequent dizziness.
It's not the kind that makes me unsteady on my feet, but rather I often find myself zoning out in the middle of tasks, feeling as if everything is not quite real.
For example, a few days ago in class, I suddenly questioned whether I was really a high school student or if I belonged to this school.
I even felt like I wasn't part of this world, experiencing a sense of unreality.
I checked my health records from my freshman year, and there was no indication of anemia, but I do sometimes feel dizzy.
I'm unsure how to seek medical help, and I don't know where to go for assistance.

I wonder if my irregular sleep schedule is contributing to this issue, and I'm not certain if I might have a problem with autonomic nervous system dysregulation.
Even after researching online, I still feel uncertain.
Today, I maintained a normal routine, going to bed early and waking up early, but I still felt dizzy in the evening.
I don't know if it's because I'm not taking enough breaks; I often find myself working on assignments during my free time.
Even when I ride the school bus, I'm thinking about reading the extracurricular books I've borrowed.
I feel like I'm constantly overthinking things and planning every aspect of my life, and while I recognize that I might be overanalyzing, I don't know how to improve this situation.

Jing, 10~19 year old female. Ask Date: 2024/03/17

Dr. Jiang Junyi reply Neurology

Dear Miss Jing,
You mentioned that you often experience dizziness, but it's not the kind that makes you unsteady on your feet.
You sometimes find yourself zoning out while doing tasks, feeling as if everything is not quite real.
Today, you maintained a normal routine, going to bed early and waking up early, yet you still felt dizzy in the evening.
I suggest starting with mindfulness practice.
Mindfulness encompasses both physical and mental aspects, including dynamic and static exercises, and can be practiced almost any time you are not sleeping.
The core of mindfulness practice is "connection," and good connections are essential for building healthy relationships.

Typically, the practice begins with connecting to your breath, becoming aware of the inhalation and exhalation, and the expansion and contraction it brings to your body.
This is followed by a broader awareness of your body, including both dynamic and static states.
Next, you will move into awareness of thoughts and emotions, as well as interpersonal interactions, with the practice gradually unfolding in layers.
Thank you for your inquiry, and I welcome further discussion.
Wishing you good health, peace, and joy.
Dr.
Jiang Junyi
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2024/03/17

More Info

Dizziness and feelings of disorientation, especially in high school students, can be concerning and may stem from various factors, including stress, anxiety, lifestyle habits, and even underlying medical conditions. It’s important to approach this issue holistically, considering both physical and psychological aspects.

Firstly, the symptoms you describe—such as feeling dizzy, experiencing moments of disorientation, and questioning your reality—can be linked to anxiety and stress. High school is a time of significant change and pressure, and many students experience heightened levels of anxiety related to academic performance, social dynamics, and future uncertainties. This anxiety can manifest physically, leading to symptoms like dizziness and a sense of unreality, often referred to as depersonalization or derealization.

In your case, it seems that you are under considerable pressure to perform well academically, which may contribute to your feelings of disorientation. The constant planning and worrying about your tasks can lead to mental fatigue, which in turn may cause physical symptoms like dizziness. It’s essential to recognize that your mental state can significantly impact your physical health. When the mind is overwhelmed, the body often responds with symptoms that can be distressing.

Here are some strategies to help manage your symptoms:
1. Establish a Routine: While you mentioned that you have a routine, ensure it includes time for relaxation and self-care. Balance your academic responsibilities with activities that help you unwind, such as hobbies, exercise, or spending time with friends.

2. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, or yoga can help reduce anxiety and improve your overall sense of well-being. These techniques can ground you in the present moment and help alleviate feelings of disorientation.

3. Limit Overcommitment: It’s commendable that you want to plan and accomplish many things, but overloading yourself can lead to burnout. Try to prioritize your tasks and allow yourself to take breaks. It’s okay to step back and give yourself permission to rest.

4. Seek Professional Help: If your symptoms persist or worsen, it may be beneficial to consult a healthcare professional. A doctor can evaluate your symptoms, rule out any underlying medical conditions, and provide guidance on managing anxiety. A mental health professional, such as a counselor or psychologist, can also offer support and coping strategies tailored to your situation.

5. Stay Connected: Talk to someone you trust about how you’re feeling. Sharing your experiences can provide relief and help you feel less isolated. Whether it’s a friend, family member, or school counselor, having a support system is crucial.

6. Monitor Your Lifestyle: Ensure you are getting adequate sleep, eating a balanced diet, and staying hydrated. Poor sleep and nutrition can exacerbate feelings of dizziness and disorientation.

7. Limit Screen Time: If you find yourself spending a lot of time on screens, especially before bed, consider reducing this time. Excessive screen time can contribute to mental fatigue and disrupt sleep patterns.

In conclusion, while your symptoms may be distressing, they are not uncommon among high school students facing academic and social pressures. By implementing some of the strategies mentioned above and seeking appropriate support, you can work towards alleviating your symptoms and improving your overall well-being. Remember, it’s important to take care of both your mental and physical health during this challenging time.

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