Is It a Neurological Issue? Mental Health Symptoms - Psychiatry

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Is it a neurological issue?


In the past month, I have frequently experienced dizziness and a feeling of fullness in my head, along with chest tightness and shortness of breath.
Occasionally, I feel a sense of pressure, and sometimes I suffer from constipation, while at other times I have diarrhea.
My stomach feels bloated, and I sense that my muscles are tense and uncomfortable throughout my body.
The tips of my fingers occasionally feel tingling and numb.
Additionally, I experience various pains in different areas of my body but cannot pinpoint the exact location.
At night, I feel depressed, insecure, and anxious, as if the people around me might suddenly distance themselves from me or I might suddenly leave them.
I don't understand why I constantly feel like I'm on the verge of dying.
I wake up feeling lethargic and unmotivated to attend classes.
A few weeks ago, I visited a doctor, but due to my young age, I could only see a pediatrician.
I had an X-ray done, which showed no issues with my bones or chest cavity.
The doctor pressed on my upper abdomen, which was extremely uncomfortable, and I felt a sense of pressure and fullness.
They prescribed me medication for my stomach, but even after finishing it, I still feel the same.
Could this be a physiological issue caused by psychological factors? Which specialist should I consult?

Yi Wei, 10~19 year old female. Ask Date: 2015/05/27

Dr. Huang Weiqin reply Psychiatry


Dear Inquirer: Hello, the physiological (physical) and psychological aspects can mutually influence each other.
If you are experiencing anxiety, depression, or other emotional stress, it often disrupts bodily functions.
However, this impact is mostly functional dysregulation rather than actual harm.
I recommend that you visit a nearby psychiatric clinic for an evaluation and treatment by a psychiatrist.
I hope this response is helpful.
Thank you for your inquiry.

Reply Date: 2015/05/27

More Info


It sounds like you are experiencing a complex array of symptoms that could be related to both physical and mental health issues. The symptoms you describe—dizziness, chest tightness, gastrointestinal disturbances, muscle tension, and feelings of anxiety—can indeed be indicative of underlying mental health conditions, particularly anxiety disorders or somatic symptom disorders.
Firstly, it's important to understand that mental health and physical health are deeply interconnected. Stress and anxiety can manifest in physical symptoms, such as the ones you are experiencing. For instance, anxiety can lead to muscle tension, gastrointestinal issues (like constipation or diarrhea), and even sensations of dizziness or lightheadedness. The feeling of tightness in the chest and the sensation of not being able to breathe properly can also be associated with anxiety or panic attacks.
The feelings of existential dread—such as thinking you might die or feeling a sense of impending doom—are also common in anxiety disorders. These feelings can be exacerbated by physical symptoms, creating a vicious cycle where physical discomfort leads to increased anxiety, which in turn leads to more physical symptoms.
Given that you have already consulted a pediatrician and had some tests done, it might be beneficial to seek further evaluation from a mental health professional, such as a psychologist or psychiatrist. They can help you explore whether your symptoms are primarily psychological, physical, or a combination of both. A mental health professional can also provide you with coping strategies and therapeutic interventions that can help alleviate your symptoms.

In terms of what to expect from a mental health evaluation, the clinician will likely ask you about your symptoms, their duration, and how they affect your daily life. They may also inquire about your family history of mental health issues, any significant stressors in your life, and your coping mechanisms. Based on this assessment, they may recommend therapy, medication, or a combination of both.

Cognitive Behavioral Therapy (CBT) is one effective treatment for anxiety disorders. It helps individuals identify and challenge negative thought patterns and develop healthier coping strategies. Additionally, mindfulness and relaxation techniques can be beneficial in managing anxiety and physical symptoms.
If you are experiencing significant distress or if your symptoms worsen, it is crucial to seek help promptly. Mental health is just as important as physical health, and addressing these issues early can lead to better outcomes.
In summary, while your symptoms may have a physical component, they could also be significantly influenced by psychological factors. Seeking help from a mental health professional can provide clarity and support as you navigate these challenges. Remember, you are not alone in this, and there are effective treatments available to help you feel better.

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