Psychological Stress and Its Physical Manifestations - Psychiatry

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I have been feeling a lot of stress lately and really want to cry?


Hello, doctor.
For the past month, I have hardly left the house as I am taking care of my child who has scabies.
I held the child for about an hour and a half without any protection.
Although I have been on prophylactic medication for three weeks, I still feel like I have scabies every day, and I think I have a rash (it doesn't itch much, just a little scratching is enough).
My mother and sister keep telling me that I don't have it and that I'm just overthinking due to stress, but no matter what they say, I can't help but think about it.
I feel like I could cry at any moment, and I'm very scared...
I feel mentally suffocated...
but I have no outlet for my feelings.
Even after a month of treatment, seeing my child's rash come and go makes me feel like there are still bugs on him.
If I keep believing that I have scabies, can this psychological belief manifest as physical symptoms?

Niming, 20~29 year old female. Ask Date: 2015/09/30

Dr. Qiu Junda reply Psychiatry


Hello: It is understandable that scabies can be distressing, and your concerns about it are valid.
However, modern medical treatments are quite effective.
If a physician has confirmed that there is no infection or that it has been treated, you should feel reassured.
If you still experience anxiety or negative emotions, I recommend looking online for stress relief techniques to try, as they may help improve your situation.
If necessary, consider seeking care from a mental health professional.
Thank you!

Reply Date: 2015/09/30

More Info


Understanding psychological stress and its physical manifestations is crucial, especially in the context of your current situation. It appears that you are experiencing significant anxiety and stress related to the fear of contracting scabies after caring for your child. This is a common response when individuals are faced with health concerns, particularly when they are in close contact with someone who has a contagious condition.

Psychological stress can lead to a variety of physical symptoms, often referred to as psychosomatic symptoms. These symptoms arise not from a direct physical cause but rather from the mind's interpretation of stress and anxiety. In your case, the fear of having scabies, despite preventive measures and reassurances from your family, is likely contributing to your ongoing anxiety and the physical sensations you are experiencing.

When the body perceives stress, it activates the "fight or flight" response, which involves the release of stress hormones such as cortisol and adrenaline. This response can lead to various physiological changes, including increased heart rate, muscle tension, and heightened sensitivity to physical sensations. As a result, you may become more aware of normal bodily sensations, interpreting them as symptoms of a condition you fear, such as scabies.

Your experience of feeling like you have a rash or other symptoms, despite not having any visible signs, can be attributed to this heightened state of anxiety. The mind can create a feedback loop where the fear of being unwell leads to increased anxiety, which in turn amplifies physical sensations, creating a cycle that can be difficult to break.

It's important to recognize that your feelings are valid and that you are not alone in experiencing such anxiety. Many individuals face similar challenges, especially when caring for loved ones with health issues. Here are some strategies to help manage your psychological stress and its physical manifestations:
1. Cognitive Behavioral Therapy (CBT): This form of therapy can help you identify and challenge irrational thoughts related to your fears. A therapist can guide you in reframing your thoughts and reducing anxiety.

2. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help calm your mind and body. These techniques encourage you to focus on the present moment rather than worrying about potential health issues.

3. Physical Activity: Engaging in regular physical activity can help reduce stress and improve your mood. Even light exercise, such as walking, can be beneficial.

4. Open Communication: Talk to your family about your feelings. Expressing your concerns can provide emotional relief and may help them understand your perspective better.

5. Limit Exposure to Triggers: If possible, try to limit your exposure to information or situations that heighten your anxiety about health issues. This might include reducing time spent researching scabies or discussing it excessively.

6. Seek Professional Help: If your anxiety persists or worsens, consider consulting a mental health professional. They can provide tailored support and may recommend therapy or medication if necessary.

7. Focus on Self-Care: Ensure you are taking care of your physical health by maintaining a balanced diet, getting enough sleep, and engaging in activities that bring you joy.

In conclusion, while it is possible for psychological stress to manifest as physical symptoms, it is essential to address the underlying anxiety. By employing coping strategies and seeking support, you can work towards alleviating your fears and improving your overall well-being. Remember, it is okay to seek help, and taking proactive steps can lead to a healthier mindset and a more balanced life.

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