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I did many tests like B 12 , Vitamin d
I did many tests but all through the day I feel lethargy and sleepiness strange part is physically I can walk run or go to gym but mentally I keep feeling sleepy even while working out . When I go.into lifts or flights I feel anxiety what is it and how to treat ... I have tried yoga and Ayurvedic medicines but do not help properly.
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What you’re describing here, the mental fatigue, constant sleepiness despite being physically capable, and anxiety in enclosed spaces, points more towards psychological burnout or chronic anxiety than a purely physical issue.
It’s like your body’s running, but your mind hasn’t caught up. Yoga and Ayurveda can help with surface-level calm, but when the exhaustion is coming from deep mental loops or unprocessed stress, the real shift often happens with therapy.
Talking to a psychologist can help you dig into the “why” behind this exhaustion and give your mind the reset it needs and not just to get through the day, but to feel actually awake in it.
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Consult online
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You may be feeling mentally foggy, stuck, and tired of being tired. Itâs especially frustrating when youâre doing âall the right thingsââexercising, trying yoga, even taking Ayurvedic supportâand yet the fatigue remains. The contrast between physical energy and mental drowsiness could feel disorienting, almost like youâre dragging your mind through the day even if your body is moving.
This, combined with anxiety in lifts or flights, suggests your nervous system may be staying in a constant low-grade alert mode, silently draining your mental energy.
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Consult a psychiatrist to evaluate for possible underlying causes like: Atypical depression or high-functioning anxiety Chronic fatigue-related conditions Sleep disorders (even mild ones like sleep fragmentation or circadian rhythm issues) Get a sleep study or neuro evaluation if not done alreadyâpoor sleep architecture can cause persistent daytime drowsiness even if you sleep 7â8 hours. Track your mood-energy cycles with a simple journal (or app like Daylio). Are there specific triggers or dips? Rule out nutritional deficiencies again (Vitamin B12, Vitamin D3, Iron) even if youâve tested beforeâthey can fluctuate.
Health Tips
Try scheduled "mind breaks" every 90 minutesâstep away from screens, walk, or lie down for 10 minutes in silence. Use cold water splashes, peppermint oil, or light stretching to temporarily alert your brain. Avoid sugar-heavy meals or caffeine later in the day, as they can spike and crash your energy further. Explore CBT-based therapy or mind-body-based somatic practices if yoga didnât feel effectiveâsometimes we need more targeted emotional work.
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All the above symptoms correspond to anxiety and phobia.
It needs to be treated asap otherwise it may get complicated.
It can be well treated with counseling sessions and homeopathic medicine effectively if required.
It needs to be treated in a holistic approach for complete recovery.
You need an expert psychologist who is a good homeopathic physician.
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I have been working as a Homeopathic Psychiatrist and Counseling psychologist for the last 17 years. You can contact me through an online appointment for further assistance
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Hi
Your body has energy, but your mind feels sleepy—this could be due to high-functioning depression, poor sleep quality, or anxiety-related dissociation. Feeling anxious in lifts or flights points toward environmental anxiety triggers too.
Rule out medical causes (Thyroid, Vitamin B12/D, iron).
Use CBT for fatigue—focus on alertness training, not just relaxation.
Psychiatric review might help—sometimes mild meds can reboot mental clarity.
Take therapy, and you can connect with me on nine two six six seven two six zero six five.
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Ms. Manali Nagesh Saple
Counselling Psychologist
7 yrs exp
Mumbai
1) Lack of purpose or feeling hopeless can cause lethargy.
It is essential to identify your emotional condition to get to the cause of fatigue.
2) Identify your ikigai and that will fix your lethargy.
3) Meaningful Purpose in life create passion for the purpose which creates positive emotion and help you build up the energy and motion for the purpose
4)Any kind of emotional trauma could also lead to fatigue and will need active investigation by a psychologist
Next Steps
1) Make a list of activities that you dislike
2) Make a list of activities or task that you like
3) either replace the task that you dislike with the one you enjoy or else club them both with the one that you enjoy, to be done immediately after competing an important task that you dislike.
In this way, you will get a motivation to complete your daily disliking chores as the enjoyable task becomes a rewards for your mind. Thus training yourself to actively do all chores.
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Work on finding your ikigai
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Ms. Rizwana Parvin T M
Counselling Psychologist
7 yrs exp
Coimbatore
Going into a closed space is causing you anxiety could be claustrophobia - fear of closed spaces...
I believe your lethargic behaviour could be apathy - lack of interest in anything you do.
Take some time out for self reflection and healing to happen...
The root cause has to be figured....so kindly connect with a counsellor
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Ms. Pooja Gupta
Psychologist
9 yrs exp
Delhi
Hi,
It sounds like you may be experiencing a combination of physical and mental health issues that could include underlying anxiety, depression, or other neurological or hormonal imbalances. Feeling persistent lethargy and sleepiness despite being physically active suggests that the root cause might not solely be physical fatigue but could involve mental health factors such as anxiety or stress, which can also manifest as physical symptoms. The anxiety you experience in confined spaces like lifts or flights may be a sign of claustrophobia or panic disorder. Since yoga and Ayurvedic medicines havenât provided complete relief, itâs important to consult a healthcare professional, such as a psychiatrist or a neurologist, for a comprehensive evaluation. They may recommend further investigations like blood tests, mental health assessments, or imaging studies to identify underlying conditions. Proper diagnosis is crucial for tailored treatment, which may include therapy, medication, or lifestyle modifications. Managing stress through techniques like cognitive-behavioral therapy (CBT), mindfulness, and possibly medical intervention can significantly improve your quality of life.
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consult
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seek help
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Mr. Hifzul Rahman Kottangodan, PhD, CHLC, CPI
Counselling Psychologist
2 yrs exp
Bangalore
Hi,
Healing the soul, reframing the mind in such a way that all negative emotional loads are cleared, and reclaiming life's hope and happiness is the permanent solution. It's a bit longer but a possible and permanent solution. Thanks
Next Steps
book a consultation online, I have been in spiritual healing, guidance and counseling for many years. A life coach qualified from US. Working as a spiritual counselor, life coach etc.
Health Tips
healing and cure is from the soul, mental reframing helps. life coaching is the way to reclaim your hope Nd happiness. thanks
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Ms. Hema Sampath
Counselling Psychologist
18 yrs exp
Bangalore
For once consult a psychological Counselor to understand yourself better and to overcome this issue..
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