Can psychosis cause dizziness?

Nov 15, 2025 Source: Cainiu Health
Dr. Zhang Baohua
Introduction
In general, mental illness itself may not directly cause dizziness, and judgment should be made according to specific circumstances. Some patients may experience dizziness due to physical symptoms associated with their condition or treatment side effects, but dizziness is less common when only core psychiatric symptoms are present. In daily care, it is important to closely monitor the patient's condition and differentiate whether dizziness is caused by emotional factors, medication, or other reasons.

Generally speaking, mental illness itself may not directly cause dizziness; judgment should be made based on specific circumstances. Some patients may experience dizziness due to physical reactions associated with their condition or side effects of treatment, but dizziness is less common when only core psychiatric symptoms are present. A detailed analysis is as follows:

If a patient exhibits only core symptoms such as hallucinations, delusions, or disorganized thinking, without involvement of bodily functions or use of medication, dizziness typically does not occur. These symptoms primarily affect mental processes, while bodily perception generally remains relatively normal, and dizziness is not a typical manifestation in daily activities.

Dizziness may occur when patients experience intense emotions such as anxiety or tension due to their illness, or when they take certain antipsychotic medications. Emotional fluctuations can lead to neuroendocrine disturbances, affecting blood pressure and cerebral perfusion; some medications may also have side effects that interfere with vestibular function or blood pressure regulation, leading to symptoms such as dizziness or unsteadiness.

In daily care, it is important to closely monitor the patient's condition and distinguish whether dizziness is caused by emotional factors, medication, or other underlying reasons. Maintain a quiet and comfortable environment, avoid sudden changes in body position, and encourage regular sleep patterns and balanced nutrition.

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