Anxiety and Fatigue: A Journey Through Neurological Concerns - Neurosurgery

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Hello, doctor.
Since my freshman year, I have been playing on the computer for an average of about 15 hours a day, and I often stay up late, sometimes going two or three days without sleep.
I also binge on late-night snacks, and my weight has increased from 67 kg to 80 kg.
This lifestyle continued until my sophomore year.
One day, I tried to go to bed at a normal time (10 PM), but I found it impossible to sleep, and I kept dreaming to the point where I couldn't fall asleep.
Later, I consulted a neurologist who diagnosed me with autonomic nervous system dysfunction.
At that time, I only knew that my shoulders, neck, eyes, and head were extremely uncomfortable.
I took his medication for about a month (from December last year to around February).
I felt there was no improvement, which made me worry about what illness I might have.
I was constantly anxious about my condition and why it wasn't improving.
I suspected that I might still be using the computer too much, but I couldn't understand why it was taking so long to get better.
Eventually, I stopped taking the medication and tried to rely on myself.
However, since then, any slight discomfort in my body triggers anxiety, and I feel that the initial sense of discomfort is returning.
I think about whether I have improved every day and start worrying about various things.
I hesitate to eat certain foods, and if I indulge in activities or forget to exercise, I blame myself for not being consistent.
I have been living like this until summer break.
In the meantime, I visited Chang Gung Memorial Hospital in Linkou, where they told me I do not have autonomic nervous system dysfunction but rather that I had been overly fatigued, and now I am experiencing a rebound effect.
They mentioned that I have chronic tension in my nerves and muscles, and recovery requires a lot of patience.
However, the improvement has been minimal, which makes me very anxious.
I am also afraid that my constant worrying will lead to depression.
I don't know how to face this uncertainty about when I will feel better.
Although I no longer feel as uncomfortable as before, I sense that my thoughts are strange, and I feel very sleepy every day.
There is also a peculiar pressure in my head that is hard to explain.
I have seen many family doctors, neurologists, and psychiatrists, and they all say I am overthinking and that I am just overly fatigued.
But I have already rested for a month, so why do I feel no signs of improvement? Although my neck and shoulders are not as painful anymore, my head feels heavy, and my mood remains low.
I hope the doctor can provide some guidance.
I am really afraid that these minor issues will escalate into a mental illness...
I am starting to fear myself...
Am I really overthinking?

Mini Zhu, 20~29 year old female. Ask Date: 2006/07/24

Dr. Qiu Yushu reply Neurosurgery


Hello: Based on what you have mentioned, I think it would be beneficial for you to consult with a psychiatrist for a thorough discussion.
Best wishes, Dr.
Yu-Shu Chiu.

Reply Date: 2006/07/24

More Info


Your experience reflects a complex interplay between anxiety, fatigue, and the physical symptoms that can arise from prolonged stress and unhealthy lifestyle choices. It seems that your journey began with significant lifestyle changes, including excessive screen time, irregular sleep patterns, and poor dietary habits, which can all contribute to physical and mental health issues.
The symptoms you describe, such as difficulty sleeping, persistent fatigue, and a sense of pressure in your head, are not uncommon among individuals who experience high levels of anxiety and stress. The fact that you have been diagnosed with autonomic nervous system dysregulation indicates that your body is reacting to stress in a way that affects its normal functioning. This can lead to a variety of symptoms, including muscle tension, headaches, and gastrointestinal issues.

It is important to understand that anxiety can manifest physically, and the worry about your health can create a cycle of stress that exacerbates your symptoms. This is often referred to as health anxiety or illness anxiety disorder, where individuals become preoccupied with the fear of having a serious illness, despite medical evaluations indicating otherwise. Your concerns about developing depression are valid, especially given the prolonged nature of your symptoms and the impact they have on your daily life.

Here are some strategies that may help you manage your anxiety and fatigue:
1. Establish a Routine: Try to create a daily schedule that includes regular sleep, meals, and physical activity. Consistency can help regulate your body's internal clock and improve your overall well-being.

2. Limit Screen Time: Given your history of excessive computer use, consider setting boundaries around your screen time, especially before bed. This can help improve your sleep quality and reduce overstimulation.

3. Practice Relaxation Techniques: Incorporate mindfulness, meditation, or deep-breathing exercises into your daily routine. These practices can help reduce anxiety and promote relaxation.

4. Physical Activity: Engage in regular physical exercise, which can help alleviate symptoms of anxiety and improve mood. Aim for at least 30 minutes of moderate exercise most days of the week.

5. Nutrition: Focus on a balanced diet rich in whole foods, including fruits, vegetables, lean proteins, and whole grains. Avoid excessive caffeine and sugar, which can exacerbate anxiety symptoms.

6. Seek Professional Help: If your symptoms persist or worsen, consider reaching out to a mental health professional. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety and can help you develop coping strategies.

7. Limit Self-Diagnosis: While it’s natural to be concerned about your health, try to avoid excessive research or self-diagnosis, as this can lead to increased anxiety. Trust your healthcare providers and their assessments.

8. Social Support: Engage with friends or family members who can provide emotional support. Sharing your feelings can help alleviate some of the burdens of anxiety.

9. Gradual Exposure: If certain activities or situations trigger anxiety, consider gradually exposing yourself to them in a controlled manner, allowing yourself to build confidence over time.

10. Patience and Self-Compassion: Recovery takes time, and it’s important to be patient with yourself. Acknowledge your efforts and progress, no matter how small.

In conclusion, it’s clear that your symptoms are interconnected with your lifestyle and mental health. By addressing these areas holistically, you can work towards improving your overall well-being. Remember, it’s okay to seek help and take the necessary steps to prioritize your mental health.

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