What is Psychogenic Vertigo? Symptoms, Causes, and Treatment Approaches

Psychogenic vertigo is a chronic dizziness condition that occurs without a clear peripheral or central pathology in the vestibular system and is often associated with psychiatric processes. Individuals typically describe lightheadedness, imbalance, or a feeling of “the ground shifting” rather than a true sensation of rotation.

What is Psychogenic Vertigo?

Psychogenic vertigo is a clinical condition evaluated within the spectrum of functional neurological disorders and characterized by subjective disturbances in balance perception. Although the vestibular system is structurally normal, there is a disruption in the individual’s processes of perceiving and interpreting balance.

In clinical practice, patients often describe their symptoms not as a clear sensation of rotation, but as a more vague state of imbalance. This is a significant factor that complicates the diagnostic process.

What are the Symptoms of Psychogenic Vertigo?

The symptoms of psychogenic vertigo differ from classic vertigo:

Constant or fluctuating dizziness

Feeling of imbalance

Sensitivity to visual stimuli (visual vertigo)

Symptoms that worsen with anxiety

Difficulty concentrating

Somatic symptoms (palpitations, sweating)

These symptoms usually vary throughout the day and tend to worsen with stress.

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