Stress may trigger symptoms of vertigo.

Stress and Its Connection to Dizzy Spells (Vertigo)

In the complex world of human health, it's not uncommon for various conditions to intertwine. One such connection is between stress, anxiety, and vertigo - a condition characterised by a sensation of spinning or dizziness.

Studies have shown that stress can influence a wide range of health conditions, and vertigo is no exception. The 'fight or flight' hormones released when we are anxious, cortisol and adrenaline, can have a direct impact on the vestibular system, further adding to the dizzy sensation.

Vertigo, or dizziness, is primarily caused by dysfunctions of the vestibular system. This system, responsible for maintaining balance and spatial orientation, can be affected by a variety of factors, including inner ear ischemia, vestibular hypofunction, vestibular migraine, muscle tension, circulatory disorders, Menière's disease, psychosomatic factors like stress and anxiety, and other less common causes such as Ménière's disease, labyrinthitis, and stroke (in rare cases).

The symptoms of vertigo are familiar to many. Dizziness, light-headedness, feeling unbalanced, nausea and vomiting, headaches, sweating, and ringing in the ears are all common experiences for those affected. Substance use, certain medications, anxiety, and low blood sugar can also contribute to these symptoms.

Interestingly, it's possible to experience vertigo-like symptoms with stress and anxiety alone. In a 2018 Chinese study of 127 participants experiencing benign paroxysmal positional vertigo, half had symptoms of anxiety, depression, or both. Similarly, in a 2009 analysis in Germany, one-third of participants who reported experiencing dizziness also had at least one anxiety disorder.

Managing stress and anxiety can be crucial in treating vertigo symptoms. Cognitive behavioral therapy (CBT) has been shown to be an effective treatment, reducing symptoms in 75% of participants with generalized anxiety disorder and significantly reducing anxiety caused by vertigo and dizziness.

For those seeking help, resources are available. Psych Central's guide to finding mental health support can be a helpful starting point. Podcasts like "The Anxiety Coaches" can provide valuable insights into the relationship between stress and vertigo symptoms and offer tips for coping.

It's important to remember that vertigo can last seconds, hours, or days, depending on the underlying pathophysiology. If you are experiencing persistent vertigo, it's essential to consult a healthcare professional for a proper diagnosis and treatment.

For those living with chronic dizziness due to various causes, anxiety and low mood can be common side effects. In such cases, doctor-prescribed medications, such as SSRIs, SNRIs, tricyclics, benzodiazepines, buspirone, beta-blockers, and MAOIs, can be effective tools for managing anxiety causing vertigo symptoms.

In conclusion, while vertigo is a symptom, not a diagnosis, understanding the potential role of stress and anxiety in its onset and management can provide valuable insights for those affected. By recognising the connection between these conditions and seeking appropriate help, it's possible to find relief and improve quality of life.