The Real Impact of Anxiety and Depression on Physical Health

Q: The Real Impact of Anxiety and Depression on Physical Health

Dear Inquirer： <br>Hello. <br>From the perspective of psychosomatic medicine, the physiological (physical) and psychological aspects can influence each other. <br>Therefore, emotional stress such as anxiety, depression, or ruminating thoughts can indeed have adverse effects on bo

The tangible effects of anxiety and depression on the body?

Hello Dr.
Huang,
I have recently been experiencing some symptoms of anxiety and depression due to various factors.
This morning, I became overly anxious and depressed about certain issues, which led to a sudden feeling of tightness and pain in my left chest, along with a sensation of not being able to breathe properly, requiring me to take deep breaths.
I would like to ask you, Dr.
Huang:
1.
Can excessive anxiety and depression have a tangible impact on bodily organs, or is it merely a psychological effect?
2.
Given my current symptoms of tightness and pain in the left chest, is there a possibility that my excessive anxiety and depression could cause "actual" damage to my heart?
3.
Should I seek immediate medical attention due to the physical symptoms (tightness in the left chest and breathing issues)?
4.
If I choose to observe and relax first, will the physical symptoms alleviate or disappear as a result?
Note: I am certain that the physical symptoms arose suddenly today due to my heightened anxiety and depression, rather than from any pre-existing conditions related to my heart or respiratory system.
Thank you for your time, Dr.
Huang.
I appreciate your response.
Wishing you all the best.

Niming, 30~39 year old female. Ask Date: 2015/05/13

Dr. Huang Weiqin reply Psychiatry

Dear Inquirer:
Hello.
From the perspective of psychosomatic medicine, the physiological (physical) and psychological aspects can influence each other.
Therefore, emotional stress such as anxiety, depression, or ruminating thoughts can indeed have adverse effects on bodily organs.
However, these effects are generally considered functional disorders rather than organic or substantive damage, unless you already have a history of cardiopulmonary issues.
It is generally recommended to first consult an internist or family physician for an examination to rule out any significant pathological conditions (such as X-rays or exercise electrocardiograms).
After that, you can engage in relaxation exercises or cognitive adjustments, along with adopting healthier lifestyle habits to manage your condition.
Of course, you may also visit a psychiatrist for further referrals and arrangements.
I hope this response is helpful.
Thank you for your inquiry.

Reply Date: 2015/05/13

More Info

Hello! Thank you for sharing your concerns. It’s clear that you are experiencing significant anxiety and depressive symptoms, which can indeed have a profound impact on physical health. Let’s address your questions one by one.

1. Impact of Anxiety and Depression on Physical Health: Yes, excessive anxiety and depression can lead to real physiological changes in the body. When you experience anxiety, your body enters a state of heightened alertness, often referred to as the "fight or flight" response. This can lead to increased heart rate, elevated blood pressure, and changes in breathing patterns. Chronic anxiety can contribute to various health issues, including cardiovascular problems, gastrointestinal issues, and weakened immune function. Similarly, depression can lead to fatigue, sleep disturbances, and changes in appetite, which can further exacerbate physical health problems.

2. Potential Heart Damage from Anxiety and Depression: While anxiety and depression themselves do not directly cause structural damage to the heart, they can contribute to conditions that may increase the risk of heart disease. For instance, chronic stress can lead to inflammation, which is a risk factor for heart disease. Additionally, anxiety can lead to behaviors such as poor diet, lack of exercise, and smoking, which can further impact heart health. The symptoms you describe, such as chest tightness and difficulty breathing, may be related to anxiety rather than a direct effect on the heart. However, it’s essential to rule out any underlying cardiac issues, especially if you are experiencing chest pain.

3. Need for Immediate Medical Attention: Given that you are experiencing chest pain and breathing difficulties, it is advisable to seek medical attention promptly. While these symptoms may be related to anxiety, they can also indicate a more serious condition that requires immediate evaluation. It’s better to err on the side of caution and have a healthcare professional assess your symptoms to rule out any potential cardiac or respiratory issues.

4. Observation and Relaxation Techniques: If your symptoms are indeed related to anxiety, practicing relaxation techniques such as deep breathing, mindfulness, or progressive muscle relaxation may help alleviate your symptoms. Engaging in regular physical activity, maintaining a healthy diet, and ensuring adequate sleep can also contribute to overall well-being. However, if your symptoms persist or worsen, it’s crucial to consult with a healthcare provider for further evaluation and management.

In summary, anxiety and depression can significantly affect physical health, leading to real symptoms that may feel alarming. It’s essential to address both the psychological and physical aspects of your health. Seeking support from a mental health professional can be beneficial in managing anxiety and depressive symptoms. They can provide you with coping strategies and, if necessary, discuss treatment options such as therapy or medication. Remember, taking care of your mental health is just as important as taking care of your physical health. Please take care of yourself, and don’t hesitate to reach out for help when needed.

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