Q: Could symptoms of anxiety signal an underlying medical condition – not a mental health issue? A: Absolutely. If your blood sugar drops too low, it can cause you to sweat and feel shaky, which may be confused with anxiety. If your thyroid gland is overactive, you can sweat excessively and feel restless and nervous.
An anxiety disorder can be caused by multiple factors, such as genetics, environmental stressors and medical conditions. New research also indicates that chronic anxiety symptoms that will not go away can be due to an autoimmune response, triggered by common infections.
Systemic Lupus Erythematosus (SLE) is another autoimmune disease known to have neuropsychiatric symptoms such as anxiety, depression, cognitive dysfunction, and psychosis with a prevalence of 21–95% of patients.
Usually, a pheochromocytoma develops in only one adrenal gland. But tumors can develop in both. If you have a pheochromocytoma, the tumor releases hormones that may cause high blood pressure, headache, sweating and symptoms of a panic attack.
Social Anxiety is frequently misdiagnosed
manic-depressive disorder (bipolar disorder) panic disorder. schizophrenia, all types. schizoid personality disorder.
If your anxiety, or the anxiety of a loved one, starts to cause problems in everyday life—such as at school, at work, or with friends and family—it's time to seek professional help. Talk to a health care provider about your mental health.
Health issues that may seem like anxiety can be cardiac, endocrine, GI-related, inflammatory, metabolic, neurological, and respiratory. Within those groups, conditions that might first present like anxiety include irritable bowel syndrome, cardiac arrhythmias, hypoglycemia, and rheumatoid arthritis.
Anxiety is also seen with chronic or progressive neurological conditions, such as Alzheimer's, myasthenia gravis and Guillain-Barre.
Many neurological conditions, including strokes, epilepsy, multiple sclerosis, traumatic brain injuries, and dementia, can directly cause anxiety and depression. Some of the symptoms associated with depression and anxiety, like fatigue, nausea, dizziness, and headaches, may signal a serious nerve disorder.
“High-functioning anxiety tends to become problematic when it bleeds into depression,” says Dr. Hamdani. “That's when most patients will start to seek help—when they're having trouble getting out of bed, difficulty sleeping, losing interest in doing things they enjoyed doing or thoughts of life not being worthwhile.”
Anxiety can be caused by a variety of things: stress, genetics, brain chemistry, traumatic events, or environmental factors. Symptoms can be reduced with anti-anxiety medication. But even with medication, people may still experience some anxiety or even panic attacks.
Anxiety disorders are surprisingly common and often go undiagnosed. Their ability to mimic numerous medical conditions adds to the challenge. Anxiety disorders make up the most common category of psychiatric conditions, affecting about 17 million to 19 million American adults every year.
Panic disorder
Panic attacks are intense, overwhelming and often uncontrollable feelings of anxiety. Physical symptoms can include trouble breathing, chest pain, dizziness and sweating.
Some of the sneaky signs of high-functioning anxiety include: Being a “people pleaser,” never wanting to let others down, even at your own expense. Overthinking everything. Procrastination followed by periods of “crunch-time” work.
Anxiety feels like you're dying.
Especially during intense anxiety or panic attacks, many people feel, quite literally, like they're dying. They may mistake the chest pain that anxiety causes for a heart attack or might feel like they can't breathe, and they will suffocate to death.
The term "nervous breakdown" is sometimes used by people to describe a stressful situation in which they're temporarily unable to function normally in day-to-day life. It's commonly understood to occur when life's demands become physically and emotionally overwhelming.
MRIs show common structural abnormalities among patients with depression and anxiety. Magnetic resonance images have shown a common pattern of structural abnormalities in the brains of people with major depression disorder (MDD) and social anxiety disorder (SAD), according to a study to be presented at RSNA 2017.
But researchers don't know exactly what causes anxiety disorders. They suspect a combination of factors plays a role: Chemical imbalance: Severe or long-lasting stress can change the chemical balance that controls your mood. Experiencing a lot of stress over a long period can lead to an anxiety disorder.
Medications and Therapy
Your doctor may prescribe antidepressants and anti-anxiety medications to treat your depression and anxiety. A combination of antidepressants and psychotherapy counseling may also be helpful in treating depression.
You may have feelings of impending doom, shortness of breath, chest pain, or a rapid, fluttering or pounding heart (heart palpitations). These panic attacks may lead to worrying about them happening again or avoiding situations in which they've occurred.