Counselor/Therapist | Mental Health Questions Councelor/Therapist

Where do I go from this point?

I have experienced anxiety attacks for almost ten years now. When they first began, it was because I had emetophobia, and I would begin to panic if I felt sick to my stomach, or otherwise thought I would throw up. They usually would happen at night (I assume because right before they started happening, I awoke in the middle of the night needing to throw up.)

However, this phobia has gotten more under control, but I still have the attacks at night. It's not all the time, in fact, it seems to come at random moments. I cannot figure out what is causing them at this point. It has nothing to do with emotional stressors early in the day, diet, etc.

Now, it feels as though I am having the episodes without any of the mental anxiety, just physical. I no longer know how to talk myself out of the negative thinking because there was no negative thinking prior to it happening.

Is it possible I am experiencing something other than anxiety at this point? Either way, what do I do to combat something that seemingly has no source?

Female | 22 years old
Complaint duration: 10 years
Medications: Lexapro
Conditions: Anxiety, Depression, Aspergers

4 Answers

Good afternoon.
How long have you been taking Lexapro?
In adults, common side effects of Lexapro include nausea sleepiness weakness dizziness anxiety trouble sleeping. Emetophobia often has a childhood onset following traumatic experiences of vomiting or seeing others vomit and follows a chronic course that worsens with age in the absence of treatment. How did you overcome emetophobia?
Identify your triggers. ...
Avoid triggers. ...
Anxiety can surely affect your mental state and physical state. I suggest you talk to your primary care doctor about these issues and seek a referral for further evaluations.
See these links:
Hi, thank you for your question. If you are experiencing physical issues without mental anxiety, I would recommend you seek support from a medical doctor. I hope this has been helpful!
Hello, that sounds very frustrating, I’m sorry that you are having to endure this.  Anxiety and physical symptoms often go hand in hand, with one affecting the other.  These physical symptoms are very often stomach and digestive problems.  It is very common for panic attacks to be triggered by physical symptoms, and often with time they may come “out of the blue” and seem unrelated to any trigger at all.  Many people turn to cognitive behavioral therapy (CBT) as a first line treatment for this, and it can be quite effective.  If you have already tried this, or if therapy is not an option for you, panic attacks often respond quite well to psychiatric medications.  A board certified psychiatrist should be able to help you get these panic attacks to be less intrusive to your life.