Overcoming Neuroticism: Effective Treatments for Nervous System Imbalance

Q: Overcoming Neuroticism: Effective Treatments for Nervous System Imbalance

Dear friend： You have experienced significant life events and stress, which have led to some physical discomfort and emotional distress, but it seems that you are currently past that phase. <br>Since you did not specify your physical and psychological symptoms, it is difficult to

Neurasthenia

Due to a previous period of extreme stress, I am now experiencing some symptoms of neurosis.
What are some effective treatments to help restore balance between the sympathetic and parasympathetic nervous systems, allowing me to return to my previous state without becoming anxious over minor issues and feeling low in mood? I have tried visiting a family physician, but they only prescribed sedatives, which doesn't seem beneficial.
What kind of medications would a neurologist prescribe for this type of condition? Would they require long-term use? How long does recovery typically take? Is it difficult to recover?

pk, 20~29 year old female. Ask Date: 2004/06/13

Dr. Tang Xinbei reply Psychiatry

Dear friend: You have experienced significant life events and stress, which have led to some physical discomfort and emotional distress, but it seems that you are currently past that phase.
Since you did not specify your physical and psychological symptoms, it is difficult to assess your situation.
You mentioned experiencing some symptoms of nervous exhaustion; I am unsure what you are referring to.
It seems that after visiting a family medicine clinic, you were prescribed some sedatives, which do not seem to address your concerns effectively.
As for how a neurologist would view and manage your case, I cannot easily provide an answer.
From your mention of being "nervous over trivial matters and feeling down," it may be one of the symptoms of panic disorder.
I suggest that you visit the psychiatry department at a general hospital or a specialized psychiatric hospital (some hospitals may refer to it as psychosomatic medicine) for evaluation and diagnosis by a professional physician.
If it is panic disorder, it requires long-term treatment; in addition to sedative medications, some antidepressants have shown good efficacy.
Furthermore, combining this with biofeedback therapy, cognitive-behavioral therapy, and relaxation practices (such as meditation, yoga, or tai chi) can yield even better results.
With your efforts and the assistance of professionals, you can regain your health! Wishing you peace and joy!

Reply Date: 2004/06/13

More Info

Overcoming neuroticism and restoring balance in the autonomic nervous system can be a complex process, especially after experiencing prolonged periods of stress. It’s important to understand that the autonomic nervous system (ANS) consists of two main branches: the sympathetic nervous system (SNS), which is responsible for the "fight or flight" response, and the parasympathetic nervous system (PNS), which promotes "rest and digest" functions. An imbalance between these systems can lead to symptoms such as anxiety, irritability, and emotional instability.

Effective Treatments for Nervous System Imbalance
1. Psychotherapy: Cognitive Behavioral Therapy (CBT) is particularly effective for anxiety and neuroticism. It helps individuals identify and change negative thought patterns and behaviors, which can reduce anxiety and improve emotional regulation. Other therapeutic approaches, such as mindfulness-based stress reduction (MBSR) and acceptance and commitment therapy (ACT), can also be beneficial.

2. Medication: While you mentioned that your primary care physician prescribed sedatives, it’s essential to explore other medication options that target the underlying issues rather than just alleviating symptoms. Common classes of medications include:
- Selective Serotonin Reuptake Inhibitors (SSRIs): Medications like sertraline or fluoxetine can help regulate mood and anxiety levels. They typically take several weeks to show effects and are often prescribed for long-term use.

- Benzodiazepines: While effective for short-term anxiety relief, these medications can lead to dependence if used long-term. They are not typically recommended for chronic anxiety management.

- Buspirone: This is an anxiolytic that can be used for chronic anxiety without the risk of dependence associated with benzodiazepines.

- Beta-blockers: These can help manage physical symptoms of anxiety, such as rapid heartbeat, especially in situations that trigger anxiety.

3. Lifestyle Modifications: Incorporating regular physical activity, a balanced diet, and adequate sleep can significantly impact your mental health. Exercise, in particular, is known to release endorphins and improve mood. Mindfulness practices, such as yoga and meditation, can also help in managing stress and anxiety.

4. Alternative Therapies: Some individuals find relief through acupuncture, massage therapy, or herbal supplements. However, it’s crucial to consult with a healthcare provider before starting any alternative treatments to ensure they are safe and appropriate for your situation.

5. Support Systems: Engaging with support groups or talking to friends and family can provide emotional support and reduce feelings of isolation. Sharing experiences with others who understand can be incredibly therapeutic.

Duration and Expectations
Recovery from neuroticism and nervous system imbalance varies significantly among individuals. Some may notice improvements within a few weeks of starting treatment, while others may take several months. It’s essential to maintain open communication with your healthcare provider to monitor your progress and make necessary adjustments to your treatment plan.

Conclusion
While it may feel daunting, many effective treatments can help restore balance to your nervous system and improve your overall well-being. It’s crucial to adopt a comprehensive approach that includes therapy, medication (if necessary), lifestyle changes, and support systems. Remember, recovery is a journey, and it’s okay to seek help along the way. If you feel that your current treatment isn’t addressing your needs, consider seeking a second opinion from a psychiatrist or a specialist in anxiety disorders who can provide a more tailored approach to your situation.

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