Peripheral vertigo of psychological origin - anxiety

Very low urgency
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Symptoms of vertigo with a psychogenic origin are associated with patients with psychological and/or psychiatric disorders. Symptoms manifest with insecurity, feeling faint, dullness, confusion, or feeling as if you are on a boat or something is spinning in your head. Real vertigo is rarely presented. The accompanying somatic symptoms are usually cervical pressure, abdominal discomfort, palpitations, increase in the frequency and desire to urinate, feeling of generalized weakness and fatigue. They usually begin after some crisis or stress. It is diagnosed by a detailed medical history and complete physical examination. Medical treatment is based on the use of certain antidepressants, low-strength neuroleptics or some anxiolytics for a short time. Psychotherapy (psychoeducation with cognitive behavioral therapy) is also necessary to correct or eradicate this disease.
Bibliographic references
  1. Joseph M Furman. Pathophysiology, etiology, and differential diagnosis of vertigo. UpToDate. Jun 03, 2015.
  2. Joseph M Furman, Jason JS Barton. Evaluation of the patient with vertigo. UpToDate. Jun 10, 2015.
  3. Joseph M Furman, Jason JS Barton. Treatment of vertigo. UpToDate. May 26, 2015.
  4. Mark F. Walker, Robert B. Daroff. Mareo y vértigo.Harrison. Principios de Medicina Interna. Volumen 1. 19º Edición. 148:151.
  5. Javier Chacón Martínez , Jorge Alberto Jiménez Antolín, José Antonio Garrido Robres. Mareos y vértigos en urgencias. Manual de protocolos y actuación en urgencias. Hospital Virgen de la Salud, Complejo Hospitalario de Toledo. Tercera edición. 2010. 545:552.
Author
Dr. Elvira Moreno
Copyright
© TeckelMedical 2026

Symptoms

    Spinning sensation


    Involuntary, repeated eye movement


    Dizziness


    State of anxiety


    Excessive sweating

Symptoms to watch out for

Fever (temperature higher than 100.4 ºF)
Vomiting that persists for more than 3 days.
Accompanied by falls, blows to the head or fractures

Self-care

Reduce or avoid caffeine and/or alcohol consumption.
Often take part in activities that help reduce anxiety levels (yoga, tai chi, meditation).
Relative rest, rest until symptoms subside.
Consult your primary care physician for anxiolytic treatment.
Use antiemetics if vomiting occurs.