People with vestibular disorders often have dizziness- and balance-related anxiety. This anxiety sometimes leads to depression. Research suggests that about half of adults with vestibular disorders may develop anxiety, panic disorders, or depression.

The symptoms of some vestibular disorders can be distressing and upsetting. They may include nausea, vomiting, sweating, panic sensations, and ‘situation avoidance’ behaviours (such as avoiding crowds). The symptoms are real and legitimate. They do not represent psychiatric disease.

Getting anxiety under control

If your imbalance and dizziness is making you anxious, check in with a family doctor before these feelings get out of hand. Your dizziness and imbalance symptoms may improve as you get anxiety under control. At the very least, you will be better able to cope with dizziness and imbalance.

Anxiety management strategies for dizziness and imbalance include:

• Using relaxation techniques such as controlled breathing, mindfulness meditation, progressive muscle relation, and traditional Eastern practices such as yoga, tai chi, and qigong
• Doing cognitive behavioural therapy (CBT)
• Learning to better manage your time
• Getting regular exercise
• Improving your sleep
• Eating well
• Taking medication

Know the signs of depression

A general rule of thumb for recognizing depression is experiencing at least 5 of the following symptoms continually for more than 2 weeks:

• depressed mood
• feelings of guilt, worthlessness, helplessness, or hopelessness
• loss of interest or pleasure in usually-enjoyed activities
• change in weight or appetite
• sleep disturbances
• decreased energy or fatigue (without significant physical exertion)
• thoughts of death
• poor concentration or difficulty making decisions

If you or someone you know is having recurring thoughts of suicide, it is very important that they get medical help right away. For immediate help contact the Canada Suicide Prevention Service. Call 1-833-456-4566 for help 24 hours a day, 7 days a week. For residents of Quebec, call 1-866-277-3553.