I have been having a cloudy feeling and dizziness for the past 2 months. Last month, after consulting an ENT, they diagnosed me with vestibular migraine. I am taking Vertin and other medication. But I somehow feel depressed when alone, with an unreal and detached feeling. She asked me to consult a neuro psychiatrist. I am not sure if it's part of that vestibular migraine. I feel no excitement for life when I'm alone. Happy when I'm busy and doing some work
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Vestibular migraine can sometimes be associated with anxiety, derealization (unreal feeling), emotional exhaustion, and low mood, especially when symptoms persist for long periods. Feeling better while engaged in activities and worse when alone may suggest underlying anxiety or depressive symptoms alongside the migraine condition. A neuropsychiatric consultation can help assess this properly. Treatment may include psychotherapy, stress management, lifestyle regulation, and sometimes medications targeting both migraine and mood symptoms for better overall recovery.
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Vestibular migraine can sometimes be associated with symptoms like anxiety, low mood, derealization/unreal feeling, and emotional distress, especially when dizziness persists for long periods. However, the feelings of detachment, loss of interest, and low mood you are describing should still be evaluated properly rather than assuming they are only due to migraine. Consulting a psychiatrist/neuropsychiatrist would be a good idea, as treatment of associated anxiety or depression can often improve overall functioning and even help patients cope better with vestibular symptoms.
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What you’re describing can happen in vestibular migraine, especially the cloudy feeling, dizziness, and sense of unreality or detachment. When the nervous system stays overstimulated for a long time, people can start feeling emotionally numb, disconnected, low, or anxious — particularly when alone and focusing inward. The fact that you feel better while busy and engaged is actually an important sign that your mind responds positively to activity and distraction.
A neuropsychiatric consultation can still be helpful, not because you are “going crazy,” but to understand whether anxiety, stress, or low mood are getting attached to the physical symptoms. Try not to constantly monitor how you feel, as that can intensify the detached sensation. Maintain routine, sleep properly, stay hydrated, reduce screen strain, and keep yourself mentally engaged even in small ways. With proper treatment and nervous system regulation, these symptoms often improve gradually.
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What happens is when you are with people your brain is occupied and distracted. At that time you don't feel much and think much. But when you are alone all the thoughts and unaddressed emotions resurface. At that time you start feeling sad, uninterested in previously pleasurable activities, lonely and restless. This is called as high functioning depression in modern words. Treatment at this stage is the best choice as if you delay it further you will face exhaustion and burnout even in the work you are doing. Please seek early treatment. I provide online consultation and therapy support. You can consult me directly on practo.
Hii ..
I can understand what you are going through.
The symptoms which you explained may be related to depression. This can occur with vestibular migraine but not a core symptom of it.
They are often triggered by stress, dizziness, and increased self-focus when alone.
Next Steps
Continue treatment for vestibular migraine as advised
Consult a psychiatrist/psychologist for evaluation of anxiety/depressive symptoms
Consider CBT; medications may be added if symptoms persist or worsen
Health Tips
Stay engaged in activities (your symptoms improve when busy—this is a good sign)
Practice grounding techniques (focus on surroundings, 5-4-3-2-1 method)
Maintain regular sleep, meals, and hydration
Avoid excessive monitoring of symptoms
Light exercise and relaxation practices can help
This can be a part of migraine or an independent symptom. A detailed evaluation is needed to understand what is going on. Hence, you may need to consult a psychiatrist for that
Disclaimer : The content is 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 your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is 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 your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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