Cognitive Distortions and Dehydration Effects on Mental Health

About 7 years?

During the Lunar New Year period in 2005, I was helping my family with their market business.
Due to the pressure of transferring to university exams and lack of sleep, I noticed one day at the market that my mental calculation ability had declined.
Specifically, the shape of the number 9 appeared different from what I used to think; in my mind, it would "twist" and "deform," yet when I wrote it down, it looked "correct" and "neat," just like before.
Although I recognized that mental calculation skills are not crucial in this era, I became fixated on this issue and kept thinking about it.
Because I couldn't take breaks while doing business, I became so preoccupied with the number nine that I forgot to drink water and eat, experiencing symptoms like "headache," "thirst," "palpitations," and "dark urine." Later, I realized these were likely signs of "dehydration." After reading a book titled "The Complete Brain Recovery Book," I learned that even mild "dehydration" can trigger stress hormones, causing long-term damage to the brain.
I was unsure if my symptoms were due to brain injury or high stress, but the appearance of the number 9 continued to worsen.
Initially, I found the answer to 29*9=261 strange, and later I felt that the number 9 looked clumsier and then became distorted.
Throughout this thinking process, I was accompanied by a "headache," and knowing that brain cells cannot regenerate made me very fearful.
I worried whether my brain was "damaged" and unable to recover, which led to a vicious cycle of continued thinking.
I kept contemplating multiplication problems, but the shape of the number 9 could not remain as "stable" and "beautiful" as before; it appeared crooked, as if there were an invisible wall blocking me (which was different from before), making me doubt my health because brain injuries cannot be reversed or regenerated.
I am very concerned that this condition may not be treatable.
After about seven years, it has severely impacted my life (I have seen more than five doctors).

1.
Is this "dehydration"?
2.
Is this "brain injury"?
3.
Does headache indicate the death of nerve cells?
4.
Can I return to my previous state?
5.
What should I do about my excessive doubts? Thank you, doctor.

saga, 20~29 year old female. Ask Date: 2012/02/01

Dr. Liang Sunyuan reply Psychiatry

Hello, it seems that you have been troubled by the thought of "9" in recent years, and this concern has caused you distress.
It is more challenging to command your brain not to worry about something, but it is usually better to redirect your attention to things that interest you when you notice excessive worrying.
Generally speaking, the human body maintains homeostasis quite well, and dehydration typically only occurs in cases of extreme fluid deficiency or malnutrition.
With adequate hydration, you should be able to recover.
There are many causes of headaches; simple fatigue and high stress can both lead to headache symptoms.
If this continues to be a concern, I recommend finding a regular physician and continuing treatment for a period of time, as this is likely to yield better results.
Wishing you health and success.

Reply Date: 2012/02/01

More Info

Your concerns about cognitive distortions and the effects of dehydration on mental health are valid and deserve careful consideration. Let's break down your questions and provide a comprehensive understanding of the issues at hand.

1. Is this dehydration?
Yes, the symptoms you describe—headaches, thirst, and changes in cognitive function—can indeed be indicative of dehydration. Dehydration occurs when the body loses more fluids than it takes in, which can lead to a range of symptoms including headaches, fatigue, and cognitive impairments. Even mild dehydration can affect your mood, concentration, and overall cognitive performance. It’s crucial to maintain adequate hydration, especially during stressful periods or when engaging in physically demanding activities.

2. Is this brain damage?
The cognitive distortions you are experiencing, such as the altered perception of the number 9, are not necessarily indicative of brain damage. They may be more related to stress, anxiety, or cognitive overload rather than physical damage to brain cells. Stress can significantly impact cognitive functions, leading to difficulties in concentration, memory, and even perception. If you are experiencing persistent cognitive distortions, it may be beneficial to consult with a mental health professional who can help you explore these symptoms further.

3. Does a headache indicate neuronal death?
Headaches do not directly indicate neuronal death. They can be caused by a variety of factors, including tension, dehydration, stress, or even migraines. While chronic headaches can be a sign of underlying neurological issues, they are not a definitive indicator of neuronal loss. It’s essential to differentiate between types of headaches and their causes. If headaches are frequent and severe, it’s advisable to seek medical attention to rule out any serious conditions.

4. Can I return to my previous state?
Recovery is possible, especially if the underlying issues—such as dehydration, stress, and cognitive distortions—are addressed. Engaging in regular hydration, maintaining a balanced diet, ensuring adequate sleep, and managing stress through techniques such as mindfulness, exercise, or therapy can significantly improve cognitive function. It’s important to be patient with yourself during this process, as recovery can take time.

5. What should I do about my doubts?
Experiencing doubts and anxiety about your cognitive abilities is common, especially when faced with stress and changes in mental function. It may be helpful to practice self-compassion and recognize that many people experience similar feelings during challenging times. Cognitive-behavioral therapy (CBT) can be particularly effective in addressing cognitive distortions and anxiety. A mental health professional can help you develop strategies to manage your thoughts and feelings, reducing the impact of these doubts on your daily life.

Additional Considerations
The interplay between stress, hydration, and cognitive function is complex. Chronic stress can lead to the release of cortisol, a hormone that, in excess, can impair cognitive function and memory. Moreover, the brain is highly sensitive to changes in hydration status. Even mild dehydration can lead to increased levels of stress hormones, which can further exacerbate cognitive difficulties.

In conclusion, it’s essential to prioritize your mental and physical health. Ensure you are drinking enough water, managing stress effectively, and seeking professional help if needed. By addressing these factors, you can work towards improving your cognitive function and overall well-being. Remember, recovery is a journey, and seeking support is a crucial step in that process.

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