Head Discomfort: Sleep Issues, Anxiety, and Solutions - Family Medicine

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Head discomfort?


Hello, doctor.
I would like to ask the following questions:
1.
I am experiencing insomnia and discomfort in my head during the day.
Sometimes I feel sharp pains in various areas inside my head, which makes me feel like my energy is gradually depleting.
I suspect that there might be parasites in my head that are biting my brain and draining my vitality.
Otherwise, why would I feel these sharp pains and experience a loss of energy throughout my body? Whenever I have these reactions, I am unable to do anything and feel very scared about the loss of life.
I have undergone brain wave tests and CT scans, and everything came back normal.
Does this count as a mental evaluation? I often find myself overthinking.
I wonder if the beef and lamb I consumed in the past were problematic.
I remember seeing white, long, worm-like creatures in the braised pork ribs when I was a child, and strangely, they survived even after being cooked at high temperatures.
This has been a significant burden on my mind for over thirty years.
I worry about the consequences of consuming such food.
I have heard of an herb called "Nine-Tailed Chicken" and wonder if it could be helpful.
As a child, I heard adults talk about a phenomenon called "gu," which supposedly drains a person's vitality over time, and it terrified me.
I also wonder if I might have contracted such a strange illness.
If that were the case, how long could I live?
2.
Are insomnia medications used to kill parasites in the body, or are they purely for adjusting brain function? Can they be taken long-term? What can be done to completely cure insomnia?
3.
Is the occurrence of auditory hallucinations a sign of brain dysfunction or a psychological issue? How can I effectively treat these hallucinations? I often feel like there is something whispering incomprehensible things in my ear no matter what I do.
What should I do?
4.
How can one relieve significant mental and physical stress? My stress levels are three times the normal range, and it feels overwhelming.
I have many worries, and it seems like there are no solutions to my problems.
I am troubled by work, relationships, and my future.
None of my family members can help me.
At work, I often face not only professional challenges but also unfriendly bosses, colleagues, and related personnel.
Without a job, I cannot sustain myself and have no future.
5.
With all these issues weighing on my mind, I tend to overthink and doubt everything.
Could you please explain these issues and provide guidance on what I should do?
6.
Thank you, doctor, for your kindness and explanations.
I wish you good health and peace!

TIDA, 30~39 year old female. Ask Date: 2012/10/09

Dr. Liao Yaopan reply Family Medicine


Hello, regarding your inquiry, I would first recommend that you consult a neurologist for further evaluation.
Additionally, since you mentioned issues related to auditory hallucinations and stress, it would be advisable to seek assessment and treatment from a psychiatrist or a mental health specialist.
I hope this information is helpful to you.
Thank you for reaching out.
Changhua Hospital cares about your well-being.

Reply Date: 2012/10/09

More Info


It sounds like you are experiencing a complex interplay of sleep issues, anxiety, and physical discomfort, which can be quite distressing. Let's break down your concerns and address them systematically.

1. Head Discomfort and Anxiety: The sensations you describe, such as internal stabbing pains in your head and feelings of energy depletion, can be alarming. However, it’s important to note that these symptoms are often associated with anxiety and stress rather than physical ailments like parasites. Anxiety can manifest in various physical ways, including tension headaches, migraines, and even psychosomatic symptoms where the mind influences physical sensations. Since you have already undergone brain imaging and other tests that returned normal results, it is less likely that there is a serious underlying medical condition. Instead, these sensations may be linked to your anxiety and stress levels.

2. Sleep Medications: Sleep medications are primarily designed to help regulate sleep patterns and improve sleep quality. They do not target parasites or any physical entities within the body. Common sleep aids work by affecting neurotransmitters in the brain that promote sleep, such as gamma-aminobutyric acid (GABA). While some medications can be used long-term, it is crucial to consult with a healthcare provider about the best approach for your specific situation. They can help you weigh the benefits and risks of long-term medication use and explore other options, such as cognitive-behavioral therapy for insomnia (CBT-I), which has been shown to be effective in treating chronic sleep issues.

3. Auditory Hallucinations: Experiencing sounds or voices that others do not hear can be distressing and may indicate an underlying mental health issue. These hallucinations can stem from severe anxiety, stress, or other psychiatric conditions. It is essential to discuss these experiences with a mental health professional who can provide a thorough evaluation and appropriate treatment options. Treatment may include therapy, medication, or a combination of both, depending on the underlying cause.

4. Managing Stress: High levels of stress can significantly impact both mental and physical health. To manage stress effectively, consider implementing stress-reduction techniques such as mindfulness meditation, deep breathing exercises, regular physical activity, and maintaining a balanced diet. Establishing a routine that includes time for relaxation and self-care can also be beneficial. If your stress is related to work or personal relationships, seeking support from a therapist or counselor can provide you with coping strategies and a safe space to express your feelings.

5. Cognitive Patterns: Your tendency to overthink and worry about various issues is common among individuals experiencing anxiety. Cognitive-behavioral therapy (CBT) can help you identify and challenge these negative thought patterns, leading to more constructive thinking and reduced anxiety. A mental health professional can guide you through this process and help you develop healthier coping mechanisms.

6. Seeking Help: Given the complexity of your symptoms and concerns, it is crucial to seek professional help. A mental health provider can offer a comprehensive assessment and tailor a treatment plan to your needs. This may include therapy, medication, lifestyle changes, or a combination of these approaches.

In conclusion, while your symptoms are understandably distressing, they are often treatable with the right support and interventions. It is essential to address both the physical and psychological aspects of your experience. Remember, you are not alone in this, and there are professionals who can help guide you toward a healthier, more balanced life. Please take care of yourself and consider reaching out for the support you deserve.

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