Could for some POIS be psychosomatic? That means it's caused by stress, anxiety, worry or bad feelings of shame or fear.
How can we establish whether our POIS is psychosomatic or not?
Hi Zeynali,
I think the answer is not the same for every POIS sufferer. And I tend to think that the body and the mind are not separate entities, in the sense that they always have some influence on one another. But for some POIS sufferers, there may be less involvement of the mind, and more for others. POIS is not "all in your mind" as some doctors would like to say because they do not have any markers or clear clinical signs or appropriate knowledge in order to reach a POIS diagnosis, but I believe that in some case at least, like for myself, a part of it, or worsening of the POIS symptoms in severity or duration, can come from negative emotions or negative thoughts, mainly unconscious ones.
I suspect that there is in my case at least some psychosomatic component, because since early childhood , I have been prone to anxiety and to psychosomatic symptoms. I do think however that POIS has a very physical, "real", part, and if Dr Waldinger or any other researcher find some blood markers typical of POIS, like, for example, raised activity of the C-Reactive protein, it will be found in my blood when I am in POIS. But in my way of viewing things, it does not mean that emotions or negative thoughts are not included in the overall process of POIS. Simply put, anxiety and stress can worsen about any medical condition, so this is the same for POIS. In my own case, as my main symptoms are of emotional nature, there is of course a kind of reinforcing loop between my chronic tendency of being anxious and the added anxiety caused by POIS. Both are additive, and reinforce one another.
Another hint that I may have some psychosomatic involvement is that I have less severe symptoms when having a NE than when having a release in awaken state. Those who have the exact same severity of symptoms through a NE and when awake may have less psychosomatic "worsening" than I do. Only a hypothesis here, there may be a completely different reason why NE cause me less symptoms, but I have no more information on that for now.
I can also say that my psychotherapy, that has been going on for years now, is helping me indirectly for POIS. As my general level of anxiety gets lower, it helps lower the severity and duration of my POIS symptoms, which are mainly emotional. Let's call this a positive modulation, rather than a cure. This, plus my stack of supplements that I take before O, add up to a very good relief level. But my sub-type of POIS is a bit rare, I have no cognitive symptoms at all, and, granted, psychotherapy would not show the same effectiveness for cognitive symptoms, most probably. But it could only be of help with social issues, anxiety, mood instability, and the like, and most POISers have some of them as well.