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Hello! I Am Still Struggling With An Anxiety Disorder I

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Posted on Mon, 2 Dec 2019
Question: Hello! I am still struggling with an anxiety disorder I guess.... the worst symptom for me is in the morning... about 30 min after I wake up, when I start to walk around and start my day, I get dizzy... every morning... without fail. And it will last for a few hours and get worse if I go out and walk around or work. I have had an MRI this year and all the vestibular tests and they all came back normal. I have a nystagmus in my left eye. When I walk around like this, it feels like my right leg pulls away and that I often feel like I'm being pulled down or it's heavy to walk. And in general, my body feels alot more anxious in the morning... like I have to really take it easy and have no stress or I will get worse.

I know that cortisol is higher in the morning and that might make the symptoms worse in the morning. I certainly don't do anything to bring it on. In fact, I often forget about it until it happens because when I wake up, it's not there until I get up and start moving. Ands then eventually I notice it's back.

Does this all sound like anxiety? What could cause it to be so much worse in the morning? Is it just the cortisol rhythm that makes it worse when the hormone is higher?

And how do I get it better? I dont really think I need an SSRI because it goes away every day and I can typically handle the other symptoms of anxiety... it's really just this morning stuff that is debilitating.

Thanks.
doctor
Answered by Dr. Soujanya (34 minutes later)
Brief Answer:
The symptoms could be due to some neurological problem.

Detailed Answer:
Hi sir,
Welcome to ask a doctor service,

I have gone through your follow up query and can certainly understand your concern towards your symptoms.

Yes, definitely the symptoms could be due to some neurological problem.

So, you need to get thorough neurological check up to get an idea of the diagnosis.

With the background of nystagmus, dragging pain in the leg would definitely point out to neurological related.

As cortisol surge may not cause such a drastic symptom to get worsen in the morning as the surge is normal phenomenon.

Hope you can get consulted with numerologist.

And can let me know if you have any anxiety symptoms like nervousness, tremors, palpitations etc.

Hope this information would help you.
Thank you.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Soujanya (34 minutes later)
well ive had an mri and it was normal. and the symptom goes away by afternoon. what else would cause it?
doctor
Answered by Dr. Soujanya (17 hours later)
Brief Answer:
Yes, but any sensorineural problem needs to be ruled out.

Detailed Answer:
Hi,
Welcome back,

I have gone through your follow up query and can certainly understand your concern.

I wonder, have you undergone complete check up with both neurologist and ENT specialist??.

That is what I can advise even if your investigations were normal, your Symptoms needs to be ruled out any organic problem.

Hope this information would help you.
Thank you.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Soujanya

Psychiatrist

Practicing since :2008

Answered : 709 Questions

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Hello! I Am Still Struggling With An Anxiety Disorder I

Brief Answer: The symptoms could be due to some neurological problem. Detailed Answer: Hi sir, Welcome to ask a doctor service, I have gone through your follow up query and can certainly understand your concern towards your symptoms. Yes, definitely the symptoms could be due to some neurological problem. So, you need to get thorough neurological check up to get an idea of the diagnosis. With the background of nystagmus, dragging pain in the leg would definitely point out to neurological related. As cortisol surge may not cause such a drastic symptom to get worsen in the morning as the surge is normal phenomenon. Hope you can get consulted with numerologist. And can let me know if you have any anxiety symptoms like nervousness, tremors, palpitations etc. Hope this information would help you. Thank you.