What Is Hypervigilance and What Does It Feel Like?
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Published on February 6, 2023
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Hypervigilance is a state of heightened awareness and watchfulness. You may be hypervigilant if you are constantly on guard and on the lookout for danger, even when there is little to no risk of something bad happening.
Hypervigilance can be a symptom of psychological conditions such as post-traumatic stress disorder (PTSD) and anxiety.1 Sometimes hypervigilance is a sign of physical health conditions, such as hyperthyroidism or Alzheimer’s disease.23 Recreational drugs and substance use disorders can also lead to hypervigilance.
Excessive hypervigilance can have a significantly negative impact on your quality of life, leading to memory impairment, difficulty regulating emotions, trouble maintaining relationships, and struggles carrying out day-to-day tasks.
What Does Hypervigilance Feel Like?
It’s normal to experience brief periods of hypervigilance. For example, if you watch a scary movie, you may be on high-alert and get scared by sounds that would otherwise not bother you, such as a creaky floor or wind rustling in the trees outside.
Some people are hypervigilant about specific things, such as tags on a shirt rubbing against their skin or the sound of someone’s alarm clock going off repeatedly in the apartment next door. You may notice these sensations or sounds and become agitated and distracted by them, but eventually you move on.
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