Nervousness and irritability
Last reviewed: 07.06.2024
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Nervousness is a state of increased anxiety and agitation that can be accompanied by physical and emotional manifestations. It is often the body's response to stress or tension. Nervousness can manifest with a variety of symptoms including:
- Tension and Anxiety: A feeling of unpleasant tension and anxiety.
- Shiveringand trembling: Muscle tremors, especially in the hands.
- Cardiac symptoms: Increased heart rate, throbbing and palpitations.
- Loss of appetite or excessive eating: Uncontrolled increase or decrease in appetite.
- Insomnia: Difficulty falling asleep or waking up at night.
- Weight changes: Nervousness can affect appetite and lead to weight changes.
- Changes in energy level: Feeling tired and weak or, on the contrary, more active.
- Irritability: Increased sensitivity to stimuli and rapid outbursts.
- Concentration Problems: Difficulty focusing attention and concentrating.
- Physical symptoms: Headache, abdominal pain, irregular breathing and other physical manifestations.
Causes of nervousness may include:
- Stress: Most cases of nervousness are stress-related, whether it's personal problems, work or other factors.
- Social Anxiety: Fear of social situations and interaction with others.
- Generalized anxiety disorder: This is a chronic condition in which nervousness and anxiety accompany a person for a long period of time.
- Panic attacks: Acute manifestations of intense anxiety and physical symptoms.
- Trauma and Shocks: Traumatic events can cause nervousness.
- Sleep disorders: Lack of sleep or restless dreams can exacerbate nervousness.
- Physical illnesses: Some physical conditions can cause symptoms of nervousness.
- Psychological causes: Internal conflicts, fears and worries.
How to fight nervousness:
- Stress Management: Learn effective stress management techniques such as meditation, deep breathing and relaxation.
- Physical activity: Regular exercise can help reduce anxiety.
- Healthy Eating: Eating right can have a positive impact on your mental state.
- Sleep: Ensure you get enough sleep and a good night's sleep.
- Support and counseling: Seek support from a professional if nervousness is interfering with your daily life.
Nervousness is a normal reaction to stress, but if it becomes excessive or interferes with your life, it is important to find ways to control it and seek help if necessary.
Causes of the nervousness
Nervousness can have many causes, and it is often the result of a variety of factors. Here are some of the most common causes of nervousness:
- Stress: Stress can be one of the main causes of nervousness. Events such as work, school, relationships, financial difficulties or other personal problems can cause feelings of anxiety and nervousness.
- Lackof sleep: Lack of sleep can make you more irritable and nervous. Constant lack of sleep can worsen your mental and physical health.
- Psychological conditions: Various psychological conditions such as depression, anxiety disorders, panic attacks, or post-traumatic stress disorder (PTSD) can cause nervousness.
- Physical illnesses: Some physical conditions such as hyperthyroidism (increased thyroid function), heart disease, aches and pains and illnesses may also be associated with nervousness.
- Constant use of caffeine or other stimulants: Consuming large amounts of caffeine, energy drinks, or other stimulants can cause nervousness and anxiety.
- Harmful habits: Alcohol use, smoking or drug use can increase anxiety levels.
- Genetic factors: Heredity may play a role in the perception of stress and the tendency to be nervous.
- Environment: Difficulties in communication, conflicts with others and unfavorable living conditions can affect your emotional state.
- Chemical imbalances: Nervousness can also be linked to an imbalance of neurotransmitters in the brain, such as serotonin and norepinephrine.
- Events from the past: Traumatic events or negative experiences from the past can leave marks and contribute to nervousness.
Pathogenesis
The pathogenesis of nervousness is a complex and multifaceted process that involves many factors and mechanisms. Nervousness, like other psychological conditions, can have different causes and manifest in different ways in different people. Here are some of the major factors and mechanisms that may be associated with the development of nervousness:
- Neurochemical imbalance: Changes in the levels of neurotransmitters (chemicals that transmit signals in the brain) can affect mood and cause nervousness. For example, decreased levels of serotonin, norepinephrine, or gamma-aminobutyric acid (GABA) may be associated with anxiety.
- Genetic factors: Some people may have a genetic predisposition to anxiety. This means that the risk of developing nervousness may be increased if a person has close relatives with similar problems.
- Stress and trauma: Psychological trauma, including childhood trauma or past events, can leave traces and lead to nervousness. Stressors such as the death of a loved one, financial difficulties, divorce and other negative events can also be contributing factors to nervousness.
- Psychological and emotional factors: Personal characteristics such as high anxiety, perfectionism or low self-esteem may increase the risk of developing nervousness. Emotional reactions to events and the ability to regulate them can also influence the level of nervousness.
- Physiologic factors: Some physiologic conditions such as thyroid disease (hyperthyroidism), alcohol or drug poisoning can cause symptoms of nervousness.
- Psychosocial factors: S ociocultural factors such as social pressures, traditions and stereotypes can also influence the development of nervousness.
The pathogenesis of nervousness is usually multifaceted, and it is often a combination of different factors. However, it is important to note that nervousness is often a reaction to stress and difficulties in life, and coping with these factors can help reduce the symptoms of nervousness. In cases of prolonged and severe nervousness, as well as physical symptoms, it is recommended to see a mental health professional for assessment and support.
Symptoms of the nervousness
Nervousness can manifest itself through a variety of symptoms, both physical and emotional. The symptoms of nervousness can vary depending on each person's personality and the severity of the stress experienced. Here are some of the typical symptoms of nervousness:
- Anxious thoughts: Persistent anxious and negative thoughts, feelings of danger or threat.
- Tension and Anxiety: A constant state of tension, worry and anxiety.
- Shiveringand trembling: Shaking of the arms, legs, or other parts of the body.
- Cardiac symptoms: Palpitations, palpitations, or a feeling of throbbing.
- Respiratory symptoms: Shallow or rapid respiratory activity, sensation of labored breathing.
- Insomnia: Difficulty falling asleep or waking up at night, restless dreams.
- Weight changes: Increased or decreased appetite, which may lead to changes in weight.
- Changes in energy levels: Feeling tired and weak, and sometimes feeling more active and nervous.
- Irritability: Rapid irritation and inability to tolerate minor annoyances.
- Changes in eating habits: Uncontrolled increase or decrease in food intake.
- Changes in sexual activity: Deterioration or increase in interest in sexual relationships.
- Concentration Problems: Difficulty focusing attention and concentrating.
- Physical symptoms: Headache, abdominal pain, fever or chills, rapid urination, and other physical symptoms.
- Psychosomatic symptoms: Symptoms that are related to physical pain or discomfort but are caused by psychological factors.
- Decreased self-esteem: Feeling unappreciated and insecure.
Symptoms of nervousness can manifest in a variety of ways and can affect different aspects of life. If nervousness becomes prolonged or severely interferes with your daily life, it is important to seek help from a professional, such as a psychotherapist or psychiatrist, to find appropriate management and treatment methods.
Nervousness can occur in people of different ages and genders, and the causes can be varied. Let's look at some of the characteristics of nervousness in men, women and children.
Nervousness in men:
- Work stress: Men may feel nervous due to high workload at work, conflicts with coworkers or management.
- Family responsibilities: Balancing work and family life can be a challenge, which can lead to nervousness.
- Suppression of emotions: Some men are used to suppressing their emotions, which can be a source of nervousness.
- Health problems: Physical illness and health problems can also cause nervousness.
Nervousness in women:
- Hormonal changes: Hormonal fluctuations associated with the menstrual cycle, pregnancy, menopause and other physiological conditions can affect women's emotional well-being.
- Family responsibilities: Balancing work, family responsibilities and childcare can be a source of stress and nervousness.
- Society and expectations: Some women may experience additional stress due to sociocultural expectations and stereotypes about women's role in society.
- Child Anxiety: Caring for children and their well-being can cause nervousness in mothers.
Nervousness in children:
- School problems: Children may feel nervous about school workloads, exams, and conflicts with classmates.
- Family changes: Parents' divorce, moves, and other family changes can cause anxiety in children.
- Social Anxiety: Some children may be more prone to social anxiety, which manifests as a fear of socializing with other children or in social situations.
- Tendency to worry: Some children are more sensitive and prone to worry, which can lead to nervousness.
It is important to remember that nervousness is a normal reaction to stress and unpleasant events, and it can be temporary. However, if nervousness becomes prolonged or severely interferes with daily life, it is important to seek help from a professional who can assess and, if necessary, offer treatment or support.
Diagnostics of the nervousness
Diagnosis of nervousness is usually carried out by medical specialists in psychiatry and psychology. Various methods and tools can be used to assess the level of nervousness and identify its causes. Here are some of them:
- Clinical conversation (history): The clinician interviews the patient to identify the main symptoms of nervousness, the duration and frequency of their occurrence, and factors that may trigger nervousness.
- Questionnaires and Questionnaires: The patient may be given special questionnaires and self-assessment questionnaires to help assess levels of anxiety and depression. Examples include the Hamilton Anxiety Scale and the Generalized Anxiety and Depression Scale (HADS).
- Physical Exam: In some cases, nervousness may be related to physical problems, such as thyroid or cardiovascular disease. Your doctor may perform a physical exam to rule out these conditions.
- Psychologicalevaluation: Psychological tests and evaluation may be conducted by a psychologist or psychiatrist to identify psychological factors that may contribute to nervousness.
- Interviews with loved ones: Sometimes important information can be obtained from the patient's close relatives or friends, as they can observe the patient's behavior.
- Laboratory tests: In some cases, your doctor may recommend laboratory tests, such as blood and urine tests, to rule out organic causes of nervousness.
- Electroencephalogram (EEG) and otherneurophysiologic studies: These studies can be used to assess brain activity and detect abnormalities in brain function.
Diagnosis of nervousness includes not only determining the presence of this condition, but also identifying its causes and severity. After diagnosis, the specialist can recommend appropriate treatment, including psychotherapy, drug therapy or other methods depending on the specific situation.
Who to contact?
Treatment of the nervousness
Treatment for nervousness depends on its cause and severity. Below are some general strategies and techniques that can help you cope with nervousness:
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Relaxation and meditation:
- Deep breathing, progressive muscle relaxation and meditation can help reduce stress and tension levels. Practicing these techniques regularly can improve your emotional well-being.
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Physical Activity:
- Regular physical activity promotes the production of endorphins, natural antidepressants, and can improve mood and reduce nervousness.
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Healthy Eating:
- Eating a healthy diet rich in fruits, vegetables, protein and healthy fats can have a positive impact on your physical and emotional health.
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Avoidance of stimulants:
- Limit your intake of caffeine, alcohol and nicotine as they can exacerbate nervousness and anxiety.
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Sleep:
- Proper sleep patterns and quality sleep play an important role in managing nervousness. Try to ensure that you get enough rest.
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Psychotherapy:
- Cognitive behavioral therapy (CBT), psychoanalysis, and other types of psychotherapy can help you sort through your feelings and learn how to manage negative emotions.
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Medications:
- In some cases, a doctor may recommend the use of prescriptive medications, such as anxiolytics or antidepressants, to manage nervousness. However, it is important to consult your doctor and use medications only as recommended by your doctor.
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Stress Management:
- Learning stress management strategies such as time management, prioritizing, and saying "no" can help reduce sources of nervousness.
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Support from those around you:
- Talking with close friends and family or participating in group therapy can provide emotional support and understanding.
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Professional help:
- If the nervousness becomes overwhelming and is interfering with your normal life, be sure to see a psychiatrist or psychologist for more specialized help.
What to do when nervous?
If you are experiencing nervousness, there are several steps you can take to manage this condition:
- Deep breathing and relaxation: Try deep breathing and relaxation. Deep breaths alternate with slow exhalations. This will help reduce physiologic activation and improve well-being.
- Physical activity: Regular physical activity can help relieve stress and anxiety. Walking outdoors, yoga, or other forms of physical activity may be helpful.
- Healthy eating: Eating a balanced diet can have a positive effect on your emotional well-being. Try to avoid excessive consumption of caffeine and sugar, as they can increase nervousness.
- Sleep: Ensure you get enough and quality sleep. Lack of sleep can exacerbate nervousness.
- Avoid Stressors: If possible, try to avoid situations or factors that cause you stress. This may include managing your schedule and responsibilities.
- Relaxation Techniques: Try different relaxation techniques such as meditation, biofeedback, progressive muscle relaxation and other methods.
- Support: Ask close friends or family for support. Sometimes talking to someone you trust can relieve nervousness.
- Psychotherapy: If nervousness is becoming chronic or interfering with your daily life, consider seeing a therapist. Psychotherapy can help you understand the sources of your nervousness and help you learn to manage it.
- Anxiolytics: In some cases of severe and prolonged nervousness, your doctor may prescribe anxiolytics (anti-anxiety drugs). However, they should only be taken when prescribed and supervised by a doctor.
- Self-care: Remember the importance of taking time for yourself and taking care of your physical and mental health.
Drug treatment for nervousness and irritability
Treatment for nervousness can involve a variety of methods, including medication and psychological intervention. It is important to note that the choice of method depends on the severity of the symptoms, and only a doctor can determine which method will be most effective in a particular situation. Here are some of the medications that can be used for treatment:
- Anxiolytics (anti-anxiety medications): These medications help reduce anxiety and worry. Examples of anxiolytics are diazepam (Valium), alprazolam (Xanax), and lorazepam (Ativan). Use and dosage should be prescribed by a doctor.
- Antidepressants: Some antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) and ternary receptor antagonists (such as mirtazapine), can be used to treat nervousness, especially if nervousness is accompanied by depression.
- Beta-blockers: These drugs, such as propranolol (Inderal), can help reduce physical symptoms of nervousness, such as rapid heartbeat and tremors. They are often used to control anxiety in social situations.
- Antispasmodics: Drugs in this group can help relieve the muscle tension that often accompanies nervousness. Examples are meperidine and cyclobenzaprine.
- Natural remedies: Some people prefer to use natural remedies to manage nervousness, such as herbal teas with melissa or motherwort. However, a doctor should be consulted before using any natural remedies.
- Sleep medications: If nervousness is interfering with normal sleep, your doctor may prescribe sleep medications for a short period of time.
It is important to emphasize that self-medication can be dangerous and medication should only be taken under the supervision of a doctor. The doctor will determine the appropriate medication, dosage and duration of administration depending on the individual needs of the patient. In addition, medication is usually combined with psychological therapy (psychotherapy), which helps to address the roots of nervousness and develop strategies to manage it.
Vitamins and minerals for nervousness
Vitamins and minerals can help to improve your nervous state and reduce stress and nervousness. However, it is important to remember that they are not a panacea and should be considered as part of an overall approach to managing nervousness. Here are some vitamins and minerals that may be helpful:
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Vitamin B-complex:
- B vitamins such as B1 (thiamine), B3 (niacin), B6 (pyridoxine), B9 (folic acid) and B12 (cobalamin) play an important role in the functioning of the nervous system. They help reduce stress, improve mood, and support normal brain function.
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Vitamin C (ascorbic acid):
- Vitamin C is a powerful antioxidant that can help reduce stress and strengthen the immune system. It also helps reduce levels of cortisol, a stress hormone.
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Vitamin D:
- Vitamin D may have positive effects on the nervous system and mood. Vitamin D deficiency has been associated with an increased risk of depression and anxiety.
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Magnesium:
- Magnesium is involved in regulating the nervous system and can help reduce nervousness and anxiety. It also helps relax muscles and improve sleep quality.
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Zinc:
- Zinc plays an important role in brain function and can help with stress and anxiety management.
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Omega-3 fatty acids:
- Omega-3 fatty acids found in fish oil and other foods can have a positive effect on brain function and reduce symptoms of anxiety.
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Inositol:
- Inositol, also known as vitamin B8, can help reduce stress and anxiety levels.
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Gamma-aminobutyric acid (GABA):
- GABA is an amino acid that can help improve sleep and reduce anxiety.
Before you start taking any vitamins or minerals to manage nervousness, it is important to consult your doctor. He or she can recommend appropriate dosages and uses based on your condition and needs. In addition, effective management of nervousness may include psychotherapy, regular exercise, healthy eating, and other strategies.