Emotional Distress: Tinnitus, Chest Tightness, and Irritability - Psychiatry

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Tinnitus, chest tightness, irritability?


Recently, I've been experiencing emotional instability.
Noises like construction or children screaming irritate me to the point of yelling and crying.
In crowded places, such as during peak hours on the subway or bus, I feel chest tightness and annoyance, but since there are too many people, I can't express my feelings by crying or shouting.
Instead, I unconsciously scratch my arms, and I usually only notice the injuries when they hurt while showering.
I've had a chest X-ray that showed no abnormalities.
Occasionally, I take out my frustration on those around me.
Recently, someone suggested that I see a mental health professional, but I feel they are overreacting.
These issues have been ongoing for more than half a month.
I've also been experiencing frequent dizziness and tinnitus (since last year, I've had inner ear membrane imbalance and have been visiting an ENT specialist regularly).
Areas on my body where I previously had herpes have also flared up (which used to happen under stress).
However, I feel quite relaxed lately and have little to worry about.
I find myself needing to cry to the point of exhaustion before I can sleep, and I often have unexplained injuries.
I genuinely don't understand why I cry and can't stop.
Do I really have a problem, or is it just discomfort in my body causing this?

Miss Ye, 20~29 year old female. Ask Date: 2016/01/16

Dr. Liang Sunyuan reply Psychiatry


Hello Ms.
Yeh, based on your description, you may be experiencing symptoms of depression.
The onset of depression is not always due to stress or poor adjustment; sometimes it can be caused by neurotransmitter imbalances that lead to emotional symptoms.
Currently, most treatments for depression can lead to improvement.
If your condition persists without improvement, it is advisable to seek medical evaluation.
Wishing you the best.

Reply Date: 2016/01/16

More Info


It sounds like you are experiencing a complex interplay of emotional distress and physical symptoms that can be quite overwhelming. Based on your description, it seems you are dealing with heightened emotional sensitivity, physical manifestations of stress, and possibly some underlying mental health concerns. Let's break down your symptoms and explore what they might indicate.

Firstly, your irritability and emotional instability, particularly in response to noise and crowded places, suggest that you may be experiencing heightened anxiety or stress. This is not uncommon, especially in individuals who are under significant pressure or facing emotional turmoil. The fact that you find yourself feeling overwhelmed in crowded environments, leading to physical symptoms like chest tightness, indicates that your body is reacting to stress in a very tangible way. This can be a sign of anxiety, where the body's fight-or-flight response is triggered, causing physical symptoms such as tightness in the chest, increased heart rate, and even feelings of panic.

The self-harming behavior you mentioned, such as scratching your arms, is concerning. This can be a coping mechanism for emotional pain, a way to externalize feelings that are difficult to manage. It’s important to recognize that while you may feel that others are overreacting, your feelings and experiences are valid and deserve attention. Self-harm is often a signal that someone is struggling to cope with their emotions, and it’s crucial to seek help from a mental health professional who can provide support and guidance.

Your mention of tinnitus and dizziness could also be linked to stress and anxiety. Chronic stress can lead to various physical symptoms, including tension headaches, dizziness, and even ear-related issues like tinnitus. The body’s response to stress can exacerbate existing conditions or create new ones, making it essential to address both the emotional and physical aspects of your health.

The recurrence of shingles in areas previously affected can also be related to stress. The varicella-zoster virus, which causes shingles, can reactivate during periods of significant stress or a weakened immune system. This connection highlights the importance of managing stress effectively to maintain overall health.

Given that you have been experiencing these symptoms for over a month, it would be wise to consult with a mental health professional. They can help you explore the underlying causes of your emotional distress and physical symptoms. Therapy can provide you with coping strategies to manage your emotions and stress more effectively. Additionally, if necessary, a psychiatrist can evaluate whether medication might be beneficial in alleviating some of your symptoms.

In summary, while it may feel like your symptoms are simply physical discomforts, they are likely interconnected with your emotional state. Addressing both aspects is crucial for your overall well-being. Seeking help is a sign of strength, and it’s important to prioritize your mental health just as you would your physical health. Remember, you are not alone in this, and there are professionals who can support you through these challenges.

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