Q When BPPV hits, I get so scared that my heart pounds and I can't breathe, like a panic attack. Are anxiety and BPPV connected?
A Yes. The intense dizziness of BPPV can stimulate the autonomic nervous system and cause panic-like reactions such as increased heart rate, sweating, and difficulty breathing. After repeated experiences, a fear of the dizziness itself can develop, which in turn tenses the autonomic nervous system, creating a vicious cycle.
Detailed Answer
Strong spinning vertigo is perceived by the brain as an extremely threatening situation, excessively activating the autonomic (sympathetic) nervous system. Because of this, panic-like symptoms such as increased heart rate, cold sweats, hyperventilation, and numbness in the hands and feet often accompany it. After repeatedly experiencing BPPV, anticipatory anxiety about the dizziness can develop, so that a pounding heart and anxious state may persist even when no dizziness is present.
Korean Medicine Clinic Perspective
At Dongjedang, we view cases where BPPV overlaps with anxiety and panic reactions as a state in which upward-surging heat (Liver yang ascending, 肝陽上亢; Heart fire) and depletion of qi and blood have destabilized the heart-mind (simsin, 心神). We compose herbal formulas in a direction that addresses not only the ear dizziness but also autonomic nervous system tension and emotional instability, aiming for the fear of dizziness to settle as well as the palpitations and anxiety subside.
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