What's wrong with daydreaming, fear, and terror every day

Daily daydreaming, fear, and anxiety may be related to genetic factors, long-term stress, anxiety disorders, depression, thyroid dysfunction, and other reasons. They can be improved through psychological counseling, medication treatment, regular sleep, moderate exercise, and dietary regulation.

1. Genetic factors

The presence of a history of mental illness in a family may increase an individual's genetic susceptibility to fear. This type of situation usually manifests as persistent worry and excessive alertness, which may be accompanied by insomnia or palpitations. It is recommended to assess the risk through genetic testing. Mindfulness meditation can help stabilize emotions in daily life, and if necessary, anti anxiety drugs such as paroxetine tablets and sertraline hydrochloride tablets should be used under the guidance of a psychiatrist.

2. Long term stress

Chronic stress such as high work intensity or tense interpersonal relationships can lead to sustained increases in cortisol levels, triggering repeated negative thinking and somatic symptoms such as headaches and gastrointestinal discomfort. It is recommended to use time management methods to break down task stress, and engage in 20-30 minutes of aerobic exercise every day to promote endorphin secretion. This can be combined with the use of glutamate tablets to regulate autonomic nervous system function.

3. Anxiety disorder

Patients with generalized anxiety disorder often experience uncontrollable catastrophic thinking, accompanied by autonomic symptoms such as restlessness and sweating, which may be related to overactivation of the amygdala. Diagnosis requires assessment through the Hamilton Anxiety Scale, and treatment should be combined with cognitive-behavioral therapy and medications such as escitalopram oxalate, while limiting caffeine intake.

4. Depression

The phenomenon of rumination during depressive episodes can reinforce negative cognition, accompanied by decreased interest and energy, and is associated with dysfunction of the serotonin system. It is recommended to increase the intake of foods rich in omega-3 fatty acids, such as salmon, in addition to antidepressants such as fluoxetine hydrochloride capsules, through PHQ-9 screening.

5. Thyroid dysfunction

hyperthyroidism patients are prone to panic attacks due to excessive thyroid hormones, while hypothyroidism may lead to delayed thinking accompanied by inexplicable fear, which needs to be diagnosed through FT3, FT4, and TSH testing. Subclinical hyperthyroidism can be first tried with selenium yeast tablets for regulation. If there are obvious functional abnormalities, standardized treatment with methimazole tablets or levothyroxine sodium tablets is needed.

It is recommended to maintain a fixed sleep schedule, avoid using electronic devices one hour before bedtime, and control the bedroom temperature at 20-24 ℃. Daily intake of 200-300mg magnesium can help alleviate nerve excitability, which can be supplemented with nuts and dark green vegetables. Engage in aerobic exercise such as swimming or brisk walking for at least 30 minutes three times a week, maintaining a heart rate in the range of (220 age) x 60% -70% during exercise. Keeping an emotional diary helps identify triggering factors. If symptoms worsen or social function is impaired for more than 2 weeks, it is necessary to seek timely medical attention at a psychiatric and psychological department.