Somatic Symptom and Related Disorders

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How Anxiety Consumes Your Body

Anxiety can often look different from what you might expect. Though many people may associate anxiety with worry or restlessness, many symptoms can show up in ways that at first seem unrelated.

For example, you may struggle with persistent physical discomfort or with making decisions that seem simple to others. You might find yourself irritable without fully understanding why. These experiences can make it hard to recognize what’s happening. When anxiety doesn’t show up as racing thoughts or panic, it can masquerade as something else. This can leave people confused about why daily life may feel so exhausting.

Physical Symptoms That Seem Unrelated

Your body often signals anxiety before your mind fully registers it.

Chronic muscle tension: particularly in your jaw, neck, or shoulders.

Frequent migraines or headaches: these may seem to appear without clear triggers.

Digestive issues: such as nausea, stomach pain, or changes in appetite.

Persistent fatigue: that sleep doesn’t necessarily resolve; or difficulty falling asleep even when you're tired.

Unexplained aches and pains: that move through different parts of your body.

These physical experiences can feel disconnected from anxiety because they don’t involve obvious worry or fear. People sometimes seek out a medical explanation, only to find that tests come back normal. Physical symptoms can often show up with anxiety because your nervous system stays heightened -- even if your thoughts may be calm.

The Perfectionism Connection

Anxiety often drives a need for control that can appear as perfectionism. You might spend excessive time on tasks because nothing you do feels sufficient. The fear of doing something wrong or disappointing others can shape your choices in ways that constrain your life.

This perfectionism can often stem from underlying anxiety about being judged or failing. High-functioning anxiety traits like perfectionism can also make your struggle invisible to others. You may appear competent and together on the outside while simultaneously internally experiencing significant distress.

Decision-Making Becomes Exhausting

Decisions, even minor ones, can cause intense discomfort. You might spend hours researching simple purchases or change your mind repeatedly about plans, or bigger things like relationships, where to live, or career. The fear of making the wrong decision can create paralysis. It may feel difficult to commit to anything without attempting to find full certainty of the outcome of the decision first.

This pattern can reflect underlying fears in commitment and difficulty in accepting the unfamiliar. When you finally make a decision, you may continue second-guessing yourself long afterward due to the anxiety being carried.

Irritability and Low Frustration Tolerance

Anxiety can also include irritability that seems disproportionate to the situation. Small inconveniences may trigger amplified reactions. You may find yourself lashing out or being short or cold with people you care about, or feel overwhelmed by disruptions to your routine.

This irritability can stem from the internal tension that anxiety often creates. When you're anxious, your nervous system tends to be operating on high alert, leaving little capacity to tolerate additional stress. What others seem to be absorbing easily can feel intolerable when you’re already managing so much internal chaos.

Constant Mental Noise

When you're mentally anxious, your mind may feel perpetually busy without focusing on anything specific. It may feel like a simmering unease: it may not feel the same as intense worry, but it's also noticeable internally that you're not feeling at peace.

This mental noise can interfere with concentration and even compromise your memory. You may notice yourself forgetting conversations or missing details because your attention is divided across multiple internal concerns.

Avoidance Justified As Preference

High-functioning anxiety can also include avoidance that is disguised as making personal decisions. For example, you may decline social invitations and say you prefer staying home. It may feel easier to dismiss situations that are anxiety-inducing rather than to face the unwanted feelings. This subtle avoidance has a way of gradually narrowing people's lives until their world feels very small. It may be hard to realize just how much anxiety influences these decisions since they are disguised as voluntary, rather than the result of fear and anxiety.

Along with anxiety and other areas, one of my specialties is working with people who have a fear a flying. It can be very easy for people who struggle with flying anxiety to find reasons not to take trips, feeling that they're exercising personal preference, while deeper down these decisions are being guided by fear and anxiety. This can play out similarly with daily activities like avoiding socializing, avoiding conversations and feelings, certain experiences, and more. What seems like is choosing personal preference in these moments is really the avoidance of anxiety.

While some people may not see this as an issue -- why is it bad to avoid if avoiding makes your anxiety go away -- the answer is that it often keeps people more isolated, not doing the things they want to be able to do, shrinking their world, and living in fear. Eventually, your world diminishes without you realizing it. Avoidance can leave you feeling alone, disconnected and unfulfilled, depressed, and actually usually increases overall anxiety (even if it may relieve it momentarily), sometimes even setting the stage for panic attacks.

Moving Forward From Anxiety

When the internal experience of anxiety doesn’t match your expectations of what anxiety should look like, it can persist unrecognized for years, allowing it strengthen and start to take over in various ways. If you've noticed it becoming harder to feel comfortable in your own body, it may be a good time to start exploring further.

#Anxiety #MentalHealth #SomaticSymptomandRelatedDisorders #Headache #Migraine #phobias

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Does this sound like SSD?

Hello everyone. My entire life I've been going to doctors for health issues, never finding much wrong besides a few chronic issues along the ways. Lately I'm even moreso trying to find answers for issues that lately have gotten worse. I was again told to consider the possibility of a functional disorder or psychiatric disorder, which I'm willing to take into account and have talked to my therapist, which I've seen for about 3 years now, and have been going to therapy for about a decade or so. She completely disagrees that this is the case, I do I, but I don't want to overlook any possibility of it even if it's mild.

I will share my symptoms and their severity and I would like your input on if it sounds like Somatic Symptom Disorder.

Chronic fatigue that varies from great days where I can basically do normal adult stuff and feel fine (less common) to terrible days where I'm absolutely and utterly exhausted, sometimes to the point where I just have to lay in bed unable to move, even breathing feels laboring, or I sleep for 4-10 hours, waking up slightly less tired (a bit more common) Muscle weakness/Fatigue/heaviness. I'm not sure what to call this one, but basically, my muscles and body overall feels very heavy. Every part of me feels like its gained a bunch more weight, and it makes moving harder in various ways. happens more with fatigue. I trip a lot probably due to this -Pain, mainly muscle pain and nerve pain. Greatly in my back, and has been an ongoing constant symptom since I was about 11. Also occurs in my arms, legs, and neck. The pain in my back is often accompanied by large tough knots. -Muscle spasms & twitches. Spasms in my back and sometimes legs. twitches are throughout my body but happen in the same exact muscles and are rhythmic. really are just annoying and not disabling. -Hoarseness. This tends to really only happen when I am having a bad day with my fatigue. I'm not sure how apparent it is to others but I can hear it and feel it when its happening. Brainfog. You know what I'm talking about. Can't think right, can't comprehend words, forget words, can't focus even more than normal. My speech really gets slurred with it too. I have a history of Generalized Anxiety Disorder and ADHD. I'm also hypermobile and have gastroparesis and growth hormone deficiency. I used to have PNES due to anxiety over real symptoms before getting my HSD dx, as well as functional migraines which are gone. The only thing I can relate to at all with SSD is that I look stuff up a lot regarding health, but I'm really just trying to help drs figure stuff out and take everything with a grain of salt. I did used to follow typical SSD patterns though a couple years ago when my mental health was awful and I was basically bedbound.

I hope I could get some insight, thank you! sorry for the long read #SomaticSymptomDisorder #SomaticSymptomandRelatedDisorders #GeneralizedAnxietyDisorder

(edited)
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Am I crazy for wanting to stop the psychiatric drugs I’ve been on since I was 12 after a POTs diagnosis?

I’ve been drugged into oblivion for many years now. I’d always really felt like crap physically and I have no doubt that that has made me depressed, I don’t deny that. When I was able to express what was wrong with me my mother schleped me to doctors all over creation to figure out what was wrong.

I endured more tests than I can count with no detected abnormalities. Was I really this crazy? Were my symptoms a manifestation of my wild imagination? A psychiatrist seemed to think so. Over the years I accumulated several diagnoses. ADD for my foggy brain and concentration issues, anxiety because of my stomach aches, cyclothymia (baby bipolar) for my adrenaline spikes that gave me bursts of energy, and depression.

After that my pill holder continued to expand and I was put on a lot of drugs. No doctor would take any of my symptoms seriously and were considered ‘somatic’ and the result of ‘anxiety’. It was the most depressing and isolating time of my life. Five years later I read a blog post on POTs and I knew that I had an answer. I was soooo relieved when I received a diagnosis that confirmed I wasn’t insane.

The question was, what now? Do I stick with the drugs? After all those years I will never stop doubting my mental health, but do I really need all the pills? I don’t even know who I am without them and that is utterly terrifying.

One of the things that maybe hurts the most is that the therapist I saw has POTs. She knew how I felt. She helped put me on all those pills and advocated for the somatic manifestation theory. Sometimes it legit infuriates me. Why did she help do this to me?

I want to stop atleast some of my pills. I don’t have anxiety, I never had anxiety. The others are more up for debate, but even with the POTs diagnosis I will never get a doctor that will say they were wrong. That I don’t need the pills. I’m really not sure what I should do. I don’t want to be drugged into oblivion anymore but throwing them away seems rash. Anyone have any suggestions?

#POTS #LivingWithPOTS #Dysautonomia #SomaticSymptomandRelatedDisorders #MentalHealth

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Am I crazy for wanting to stop the psychiatric drugs I’ve been on since I was 12 after a POTs diagnosis?

I’ve been drugged into oblivion for many years now. I’d always really felt like crap physically and I have no doubt that that has made me depressed, I don’t deny that. When I was able to express what was wrong with me my mother schleped me to doctors all over creation to figure out what was wrong.

I endured more tests than I can count with no detected abnormalities. Was I really this crazy? Were my symptoms a manifestation of my wild imagination? A psychiatrist seemed to think so. Over the years I accumulated several diagnoses. ADD for my foggy brain and concentration issues, anxiety because of my stomach aches, cyclothymia (baby bipolar) for my adrenaline spikes that gave me bursts of energy, and depression.

After that my pill holder continued to expand and I was put on a lot of drugs. No doctor would take any of my symptoms seriously and were considered ‘somatic’ and the result of ‘anxiety’. It was the most depressing and isolating time of my life. Five years later I read a blog post on POTs and I knew that I had an answer. I was soooo relieved when I received a diagnosis that confirmed I wasn’t insane.

The question was, what now? Do I stick with the drugs? After all those years I will never stop doubting my mental health, but do I really need all the pills? I don’t even know who I am without them and that is utterly terrifying.

One of the things that maybe hurts the most is that the therapist I saw has POTs. She knew how I felt. She helped put me on all those pills and advocated for the somatic manifestation theory. Sometimes it legit infuriates me. Why did she help do this to me?

I want to stop atleast some of my pills. I don’t have anxiety, I never had anxiety. The others are more up for debate, but even with the POTs diagnosis I will never get a doctor that will say they were wrong. That I don’t need the pills. I’m really not sure what I should do. I don’t want to be drugged into oblivion anymore but throwing them away seems rash. Anyone have any suggestions?

#POTS #LivingWithPOTS #Dysautonomia #SomaticSymptomandRelatedDisorders #MentalHealth

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Where My Mind Is (18)

This is a post I saw the other day which reasonated with me. It made me emotional. For me, when I have a time period where I’m doing okay and things really aren’t that bad and I somehow end up going back to a negative mindset, I feel like it is its own form of relapse almost. By no means am I trying to down play relapse for others but for myself I feel like this emotional experience is sort of like relapsing...like doing pretty okay, got a fairly decent streak going and something happens that makes me start over. I feel that it’s hard to get back to being okay when falling back into a destructive mindset occurs. This has happened to me a lot in the past 6 months or so. Different things cause it each time. I’ll soon be sharing another personal post talking about one of my experiences.

In the meantime, I want you all to know that it is okay when this happens. I don’t think this determines anything about who we are as a person nor our abilities or our futures. I know it’s a very devastating feeling when it happens, but I truly believe in people’s abilities to come back from it and try again. The progress is never linear, which is frustrating but a part of life. I don’t think there is anything easy about healing. But there is always some growth each time. It can seem or feel minuscule but it is there and that definitely counts for something.

Give yourself credit for what you have been able to do. It has worth and it is meaningful. You are mighty and you got this. I got this. We got this.

Feel free to share a time when this has happened to you. I always want to hear others experiences.

Sending all my supportive and positive vibes your way.

#MentalHealth #Disability #ChronicPain #ChronicIllness #RareDisease #Parenting #CheckInWithMe #MightyTogether #ADHD #Autism #Anxiety #GeneralizedAnxietyDisorder #BipolarDisorder #Bipolar2Disorder #Bipolar1Disorder #BipolarDepression #BorderlinePersonalityDisorder #Depression #MajorDepressiveDisorder #DepressiveDisorders #EatingDisorders #NeurodevelopmentalDisorders #ObsessiveCompulsiveandRelatedDisorders #PersonalityDisorders #PTSD #Schizophrenia #SchizophreniaSpectrumPsychoticDisorders #SomaticSymptomandRelatedDisorders #Suicide #SuicidalThoughts #IntrusiveThoughts #Trauma #growth #resilience #Positivity #Reflection #WhereMyMindIs

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Be kind to you

Be kind to you, okay?

I went to counseling this morning. I go often. It’s hard work, especially when you’re doing the courageous work of
F E E L I N G
for
H E A L I N G.

But here’s what I sometimes do...sometimes I’ll rush straight into my task list for the day after my counseling appointment.

Even though sometimes I feel like I just want to curl up into a ball and sleep instead.

But I’m learning not to push myself. My counselor said, “A person wouldn’t rush from surgery to go run a board meeting. And that’s what’s going on here. You’ve been vulnerable and opened up. Don’t try to conquer everything today.”

So I won’t. Because my healing? That’s a big thing to work on conquering on its own. And I know this work will be the work that truly matters in the end...for me, for my family, for my friends, for my purpose.

You, my friend, are worth taking care of. Be kind to you, okay? 🤍

#CPTSD #PTSD #ComplexPosttraumaticStressDisorder #Depression #SomaticSymptomandRelatedDisorders #Anxiety #ChronicFatigue #ChronicPain #Childhoodabuseandneglect #narcissisticabusesurvivor

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Please Remember...

For those of you who are hurting, feel like you have no more fight in you, think it is time to give up and want to end it all - I hope that you hold on. It may feel like the pain will never end. One day it will. There will be days where you have a genuine smile on your face, a real laugh comes from you, someone gives you the warmest affection, you will feel content with what it is you have. There are better days to come. I can’t apologize enough for the pain you’ve endured. I can’t imagine how hard things have been for you. I can’t truly understand everything that is happening to you. I can’t magically make it all better. Even though we don’t know each other, I can tell you that I believe in your ability to fight and persevere though the battles you are fighting right now. It is not easy. It never is. But you have the strength to keep going. You guys are Mighty warriors and you are some of the strongest individuals out there.

If you or someone you love needs help, please refer to The Mighty's suicide prevention page at themighty.com/suicide-prevention-resources
You can call the National Suicide Prevention Lifeline 24/7 at 1-800-273-8255. If you’re uncomfortable speaking on the phone, you can reach the Crisis Text Line 24/7 by texting “START” to 741-741. These numbers are here for a reason.

I hope that you talk, share what is on your mind with someone so you are not keeping those thoughts to yourself. Whether that someone is a loved one or someone on this app, I ask that you connect with another person who will listen and care. You matter. You are not a waste of space. You are not a mistake or accident. You have a purpose. You are cared for. You are loved. You are worth it. You are enough.

I am sending all my love and positivity to each and every one of you.

Take care of yourselves.

#MentalHealth #Disability #ChronicPain #ChronicIllness #RareDisease #Parenting #MightyTogether #CheckInWithMe #ADHD #Autism #Anxiety #GeneralizedAnxietyDisorder #BipolarDepression #BipolarDisorder #Bipolar1Disorder #Bipolar2Disorder #Depression #MajorDepressiveDisorder #DepressiveDisorders #EatingDisorders #IntrusiveThoughts #NeurodevelopmentalDisorders #ObsessiveCompulsiveandRelatedDisorders #ObsessiveCompulsiveDisorder #PersonalityDisorders #BorderlinePersonalityDisorder #PTSD #SchizophreniaSpectrumPsychoticDisorders #Schizophrenia #SchizoaffectiveDisorder #SomaticSymptomandRelatedDisorders #Selfharm #SuicidalThoughts #Suicide #SuicidalIdeation #Trauma #WhereMyMindIs #MentalHealthResources #Hope

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Where My Mind Is (14)

For those of you who have those dark, negative, anxiety provoking thoughts - that seep into your mind, sometimes when you’re laughing while talking to a friend, trying to fall asleep at night, or even when you’re focused on a task, know that those bad thoughts aren’t facts.

Our thoughts are very powerful. I personally feel like it is so easy to believe and buy into the hateful, pessimistic thoughts that come into my mind. The thoughts can be so intrusive sometimes and it can feel overwhelming, and it’s to the point where you really can’t hear anything else. At times it scares me, that my mind manages to come with such thoughts.

All of our experiences with bad thoughts are different. I don’t have the answer on how to make it stop, but I wanted to post this as a reminder. The mean, negative thoughts that insult you and try to tear you down - they are not facts. I know a lot of us have battles going on in our minds and are constantly fighting; some of us never get a break from it.

In case you weren’t recently told, I’m proud of you for making it another day. Especially those of you who are fighting with their thoughts 24/7. I see you. Keep moving forward. You are doing great.

#MentalHealth #Disability #ChronicIllness #ChronicPain #RareDisease #Parenting #ADHD #Autism #Anxiety #GeneralizedAnxietyDisorder #BipolarDepression #BipolarDisorder #Bipolar1Disorder #Bipolar2Disorder #BorderlinePersonalityDisorder #Depression #MajorDepressiveDisorder #DepressiveDisorders #EatingDisorders #NeurodevelopmentalDisorders #ObsessiveCompulsiveandRelatedDisorders #PersonalityDisorders #PTSD #SchizophreniaSpectrumPsychoticDisorders #Schizophrenia #SomaticSymptomandRelatedDisorders #SuicidalThoughts #Suicide #Selfharm #Trauma #IntrusiveThoughts #WhereMyMindIs

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