Anxiety and Cognitive Disturbances After Illness

Concern about mental health issues?

Hello Doctor,
In April of this year, I experienced autonomic nervous system dysregulation, which led to severe anxiety, fear, and health anxiety, to the point where I became extremely afraid of anything bloody.
However, after daily exercise, practicing meditation, and taking traditional Chinese medicine, I have gradually started to feel better.

At the end of September, I suspected I had contracted dengue fever.
Initially, I suffered from severe headaches and dizziness, vomiting nearly ten times in one night.
Since I did not have a fever, the doctor diagnosed it as inner ear imbalance.
About a week later, I developed a rash on my body, and since then, I have been experiencing headaches almost every day for nearly two months.
I feel like my cognitive processing speed has slowed down; sometimes I struggle to recall tasks I am usually familiar with at work.

Additionally, I have been experiencing strange sensations.
Familiar objects at home and my family members sometimes appear unfamiliar, leading to a bizarre feeling that I cannot quite describe, although it usually passes quickly.
There are also moments when I suddenly feel a wave of irritability, wanting to explode or shout, and I worry about losing control.

A few days ago, while I was in bed with a headache, I was fully aware and not yet asleep, thinking about chatting with a colleague.
When I realized I was shaking my head in response to my thoughts, I was startled.
Am I losing the ability to distinguish between my thoughts and reality? I am very concerned that I might be losing my mind and losing control.
Thank you, Doctor, for patiently reading my message.

tsa, 30~39 year old female. Ask Date: 2015/11/20

Dr. Ding Shuyan reply Psychiatry

Hello, based on your inquiry, it seems that your emotional symptoms are more pronounced, specifically anxiety and restlessness.
You did not mention any specific manifestations of psychotic symptoms, making it difficult to determine definitively.
Generally speaking, those who are considered "crazy" or unable to distinguish between reality and the imaginary world are often firmly convinced of their beliefs and are unlikely to question whether they have a problem, as you do.
Therefore, I think it is unlikely that you will lose control or go "crazy." As for some unusual behaviors, I have seen many individuals with anxiety and depression who become so immersed in their worries that their attention to external matters diminishes, leading to a subjective feeling of being separated from the surrounding world, or even a sense of unreality.
Once your emotional state improves and your attention returns to daily life, things should get better! Wishing you all the best.
Dr.
Ding Shuo-Yan

Reply Date: 2015/11/20

More Info

It sounds like you are experiencing a complex interplay of anxiety, cognitive disturbances, and physical symptoms following a significant health event. Your description indicates that you have been dealing with severe anxiety and fear, particularly after your autonomic nervous system disorder and a suspected dengue fever infection. These experiences can indeed lead to a range of psychological and cognitive challenges.

Firstly, it’s important to understand that anxiety can manifest in various ways, including physical symptoms such as headaches, dizziness, and even gastrointestinal issues. The fact that you experienced severe headaches and dizziness after your illness suggests that your body may still be recovering from the stress of that experience. The autonomic nervous system plays a crucial role in regulating bodily functions, and disturbances in this system can lead to heightened anxiety and physical symptoms.

Your feelings of confusion and the sensation of not recognizing familiar objects can be alarming. This phenomenon, often referred to as derealization or depersonalization, can occur during periods of intense anxiety or stress. It can make you feel detached from your surroundings or yourself, leading to a sense of unreality. This is not uncommon in individuals who have experienced significant stress or trauma, and it can be exacerbated by anxiety.

The cognitive disturbances you describe, such as difficulty concentrating and feeling as though your thoughts are slowing down, are also associated with anxiety. When the brain is under stress, it can struggle to process information efficiently, leading to feelings of confusion or forgetfulness. This can be particularly distressing when you are trying to perform tasks that you would normally find easy.

Your concerns about losing control or "going crazy" are common among individuals experiencing severe anxiety. It’s important to recognize that these thoughts, while distressing, do not indicate that you are losing your grip on reality. The fact that you are aware of these thoughts and are questioning them is a positive sign of your mental health awareness.

To address these issues, it is crucial to seek professional help. A mental health professional can provide a thorough assessment and help you develop coping strategies tailored to your specific situation. Cognitive-behavioral therapy (CBT) is often effective for anxiety and can help you reframe negative thoughts and reduce anxiety symptoms. Additionally, mindfulness practices, such as meditation and deep breathing exercises, can help ground you in the present moment and reduce feelings of anxiety.

In terms of medication, if you are currently taking any, it’s essential to discuss any side effects or concerns with your prescribing physician. Sometimes, medications can contribute to cognitive disturbances, and your doctor may need to adjust your treatment plan.

Lastly, maintaining a healthy lifestyle can also support your recovery. Regular physical activity, a balanced diet, and adequate sleep are all vital components of mental health. Engaging in activities that you enjoy and that promote relaxation can also be beneficial.

In summary, your experiences are valid and understandable given the context of your health challenges. Seeking help from a mental health professional is a critical step in addressing your anxiety and cognitive disturbances. With the right support and strategies, it is possible to regain a sense of control and improve your overall well-being.

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