Managing Anxiety: Overcoming Eye Tension and Physical Symptoms - Psychiatry

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Nervousness


Since childhood, in any situation, whenever I get nervous, I tend to squint my eyes excessively, to the point where it feels unnatural and my eyelids become very tired.
I only stop squinting once the feeling of nervousness passes.
My face also twitches, and then I experience stomach pain.
How can I address this issue?

deicide, 10~19 year old female. Ask Date: 2000/11/14

Dr. Zhang Zhehong reply Psychiatry


Hello: Based on the symptoms you described, it is possible that you are experiencing tics, which are characterized by transient or chronic involuntary, rapid, repetitive, and non-rhythmic movements.
Tics are irresistible but can usually be suppressed for a short period of time.
Common examples include blinking, neck jerking, shoulder shrugging, and making faces.
However, since you mentioned that these occur only during times of stress and are accompanied by abdominal pain, it may also be a result of excessive anxiety leading to muscle tremors.
It seems that you experience heightened anxiety in certain situations, which can affect your performance.
Whether it is tics or anxiety, both can be improved with medication combined with appropriate psychological therapy.

Reply Date: 2000/11/14

More Info


Managing anxiety can be a challenging journey, especially when it manifests physically, as you've described with your eye tension and other symptoms. It's important to understand that anxiety can have a significant impact on both mental and physical health, and the symptoms you're experiencing are not uncommon among individuals dealing with anxiety disorders.

When you feel anxious, your body goes into a "fight or flight" mode, which can lead to various physical reactions. This includes muscle tension, which can affect the muscles around your eyes and face, leading to discomfort or fatigue. The act of squinting or straining your eyes when anxious can exacerbate this tension, creating a cycle of discomfort that can be hard to break. Additionally, anxiety can lead to other physical symptoms such as stomach pain, as you've mentioned, due to the body's stress response affecting the digestive system.

To address these issues, it’s crucial to adopt a multi-faceted approach that includes both physical and psychological strategies:
1. Mindfulness and Relaxation Techniques: Practicing mindfulness meditation, deep breathing exercises, or progressive muscle relaxation can help reduce overall anxiety levels. These techniques encourage you to focus on the present moment and can help alleviate the physical symptoms of anxiety, including eye tension. For instance, when you feel the urge to squint or tense your facial muscles, take a moment to breathe deeply and consciously relax those muscles.

2. Cognitive Behavioral Therapy (CBT): This form of therapy is particularly effective for anxiety disorders. CBT helps you identify and challenge negative thought patterns that contribute to your anxiety. By working with a therapist, you can develop coping strategies that can help you manage your anxiety more effectively, reducing the physical symptoms that accompany it.

3. Regular Physical Activity: Engaging in regular exercise can significantly reduce anxiety levels. Physical activity releases endorphins, which are natural mood lifters. It can also help relieve muscle tension throughout your body, including in your face and eyes. Activities like yoga or tai chi can be particularly beneficial as they combine physical movement with mindfulness.

4. Adequate Sleep and Nutrition: Ensuring that you get enough sleep and maintain a balanced diet can also play a crucial role in managing anxiety. Lack of sleep can exacerbate anxiety symptoms, while a diet rich in whole foods can support overall mental health.

5. Eye Care: If you find that your eyes are frequently strained, consider taking regular breaks when using screens or engaging in activities that require intense focus. The 20-20-20 rule is a helpful guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds. This can help reduce eye strain and tension.

6. Consultation with Professionals: If your symptoms persist, it may be beneficial to consult with a healthcare professional. An eye specialist can assess any underlying issues related to your eye discomfort, while a mental health professional can provide support for your anxiety. Sometimes, medication may be necessary to help manage anxiety symptoms effectively.

7. Support Groups: Connecting with others who experience similar issues can provide comfort and strategies for coping. Support groups, whether in-person or online, can offer a sense of community and shared understanding.

In conclusion, managing anxiety and its physical manifestations, such as eye tension, requires a comprehensive approach that includes lifestyle changes, therapeutic interventions, and professional support. By implementing these strategies, you can work towards reducing your anxiety and improving your overall well-being. Remember, it’s a journey, and seeking help is a strong and positive step forward.

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