I have observed a few different relationships between vertigo and PTSD (Post Traumatic Stress Disorder).
Vertigo can Cause PTSD
First of all, some people have such severe episodes of dizziness and vertigo that they actually get PTSD from the vertigo. They might experience flashbacks of the vertigo episode or have panic attacks worrying about a future vertigo episode.
They are very tense and highly stressed out throughout my whole exam and treatment because they have been so deeply affected emotionally by what they went through before.
Even if my exam doesn’t provoke severe symptoms, their emotional response is often exaggerated because they are traumatized from what they went through before.
For example, they might yell out, curse aloud or grab onto me during a vertigo presentation that another patient might describe as mild or moderate. I have seen this PTSD-type response to vertigo in even the strongest, toughest individuals and it is certainly not a reflection of character, but reflects the tremendous emotional impact of having severe vertigo on that individual.
PTSD can Cause Vertigo
If someone has PTSD, then panic attacks, nightmares or flashbacks they experience can cause them to hold their breath or cause shallow, rapid breathing called hyperventilation.
Both can be Caused by a Single Traumatic Event
One example of this is the military veterans that are coming back home from war zones.
If they have been exposed to a roadside bomb, for example, that is a very traumatic experience, especially if the people they were with got killed or wounded in any way. That blast from the roadside bomb can cause the crystals in the inner ear to break loose, causing them to have true vertigo in their inner ear called BPPV and then also PTSD from the emotional experience, all from one incident or series of incidents that they went through in a war zone.
In that example, the military veteran may also experience a post-concussion brain injury affecting their mental function and/ or ringing in the ears, called tinnitus.
All of the new symptoms that appeared after the traumatic event need to be addressed for the best recovery.
This blog is provided for informational purposes only. The content and any comments by Dr. Kim Bell, DPT are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. The details of any case mentioned in this post represent a typical patient that Dr. Bell might see and do not describe the circumstances of a specific individual.