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  • Writer's pictureNeralie Cain

Understanding Postural Orthostatic Tachycardia Syndrome (POTS): How Psychologists Can Help




In the realm of medical mysteries, there exist conditions that are not always immediately visible but can drastically impact one's quality of life. Postural Orthostatic Tachycardia Syndrome (POTS) is one such condition. While its name might sound complex, understanding POTS and its effects is crucial, especially for those who may be living with it or supporting someone who is. Moreover, the role of psychologists in managing POTS is often overlooked but can be incredibly beneficial in addressing the mental health challenges associated with this condition.


What is POTS?

Postural Orthostatic Tachycardia Syndrome (POTS) is a disorder characterized by an abnormal increase in heart rate that occurs after sitting up or standing. Typically, the heart rate increases by 30 beats per minute or more within ten minutes of assuming an upright position. This rapid heartbeat can lead to symptoms such as dizziness, lightheadedness, fainting, fatigue, sweating, headache, and palpitations. While the exact cause of POTS is not fully understood, it is believed to involve dysfunction in the autonomic nervous system, which regulates involuntary bodily functions such as heart rate, blood pressure, and digestion.


Living with POTS

Living with POTS can be challenging as it often disrupts daily activities and impacts various aspects of life. Simple tasks like standing up, showering, or even socializing can trigger symptoms, leading to frustration and isolation. Additionally, the unpredictable nature of POTS symptoms can exacerbate anxiety and depression, further affecting one's well-being.


The psychological impact of living with POTS should not be underestimated. Chronic illness, especially one as debilitating as POTS, can take a toll on mental health. Individuals may experience feelings of grief, frustration, anger, and helplessness as they navigate the challenges posed by their condition. Moreover, the uncertainty surrounding POTS and its management can fuel anxiety and exacerbate existing psychological concerns.


Interestingly, individuals with POTS are also more likely than those in the general population to be diagnosed with autism and/or ADHD, which are also associated with additional psychological difficulties.





How Psychologists Can Help

While POTS primarily affects the autonomic nervous system, its impact extends beyond the physical realm. This is where psychologists play a crucial role in supporting individuals with POTS. Here are some ways psychologists can help:

  1. Coping Strategies: Psychologists can teach coping strategies to help individuals manage the emotional distress associated with POTS. This may include relaxation techniques, mindfulness practices, and cognitive-behavioral strategies to challenge negative thought patterns.

  2. Adjustment Support: Adjusting to life with a chronic illness like POTS often requires significant lifestyle changes. Psychologists can provide support and guidance as individuals navigate these adjustments, helping them find a sense of control and purpose despite their limitations.

  3. Mental Health Management: Psychologists can assist in managing co-existing mental health conditions such as anxiety and depression, which are common among individuals with POTS. Therapy sessions can provide a safe space to explore and address these concerns, promoting emotional well-being.

  4. Psychoeducation: Understanding POTS and its implications is essential for both individuals and their loved ones. Psychologists can offer psychoeducation about POTS, helping individuals gain insight into their condition and empowering them to make informed decisions about their health and lifestyle.

  5. Supportive Therapy: Sometimes, simply having someone to talk to who understands the challenges of living with POTS can be immensely beneficial. Psychologists offer a compassionate and non-judgmental space where individuals can express their thoughts and feelings openly, fostering a sense of validation and connection.


Postural Orthostatic Tachycardia Syndrome (POTS) presents unique challenges that extend beyond its physical symptoms. The psychological impact of living with POTS can be significant, affecting one's emotional well-being and quality of life. Psychologists play a vital role in supporting individuals with POTS, offering coping strategies, adjustment support, mental health management, psychoeducation, and supportive therapy. By addressing the psychological aspects of POTS, psychologists help individuals navigate the complexities of their condition and enhance their overall well-being.


If you or someone you know is struggling with POTS, consider reaching out to one of our psychologists for support. You don't have to face this journey alone.

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