Psychiatrist Questions Psychiatrist

I get nauseous after meeting a guy I like?

I have a problem. Every time I hang out or go on a date with a guy, everything goes well, but afterward, I just get so nauseous. It has happened various times in my life with different people and at first, I thought it was because of a stomach bug, or because I had smoked/ drunk something during the night. But after months I have realized it is a recurring thing! I also suspected it to be anxiety, in fact, I went on a date with this guy and I was slightly nauseous before as well. BUT: we have gone on several dates now, of course, I like him and I get a little bit nervous, but I wouldn’t say I am anxious anymore, I feel relaxed and comfortable...but after the date, I still feel nauseous. The worst thing is that it goes on for days- I hung out with him two days ago and still feel so sick. I thought it could be because of his cologne since some members of my family are very sensitive to perfumes...but it wouldn’t be normal for me to feel sick after days of not seeing him! I don’t know what to do anymore- I thought it was anxiety and I had calmed myself enough, but if this keeps happening I won’t be able to go out with him anymore because I feel so so sick. What should I do?

Female | 18 years old

5 Answers

I would advise you first to rule out any possible underlying medical conditions. If there are no real obvious medical concerns (you've done blood work up, checked cardiopulmonary functions, urinalysis and stool sampling, reproductive system), then I would seek a referral for a mental health assessment.
First you should be congratulated for having insight into this situation and realizing that the issues are psychological. You should do well in psychotherapy in dealing with this issue and other conflicts in your life
My recommendation would be for you to have a full psychological evaluation and possible counseling to uncover the cause of the symptoms you describe.
See this link...
I don't know if you have other symptoms, maybe less severe like feeling dizzy or shortness of breath that are needed to meet the criteria for the Panic disorder (situation dependent). You have not avoided going on dates, but it does cause distress and therefore it justifies the label of Panic Disorder with agoraphobia to be considered. The treatment options include medications, hypnosis, Cognitive Behavior therapy, guided imagery relaxation techniques and other psychotherapies (psychoanalysis). To start the process, you should make an appointment for a complete medical/psychological evaluation.