This content is for medical professionals only.

Causes of Secondary Hyperhidrosis: Hyperhidrosis and Psychiatric Illness, Incl Social Anxiety Disorder

Several psychiatry texts state that patients with hyperhidrosis have excessive anxiety. This characterization is apparently based on case reports of successful decrease in symptoms through psychotherapy. Several small studies of the incidence of psychopathology in hyperhidrosis gave conflicting results and used “suboptimal measures of personality.”[116] Forty-two patients scheduled for sympathectomy with primary hyperhidrosis were evaluated with two psychometric instruments, the Minnesota Multiphasic Personality Inventory (MMPI) and the State-Trait Anxiety Inventory (STAI). Scales of the MMPI measuring anxiety, depression, and conversion phenomena were within the normal range for 88% of patients, and 86% had normal scores on the STAI. The authors concluded that most patients with hyperhidrosis have no psychopathology and that symptoms of anxiety, depression, and social isolation in some of the patients were a reaction to the disorder rather than the cause.[116]

Hyperhidrosis is a common symptom in social anxiety disorder (SAD), seen as part of increased physiologic arousal along with other symptoms such as blushing and tremor.[32] A retrospective review of data from several studies of patients with social anxiety disorder determined that 25% to 32% of patients had symptoms of hyperhidrosis at baseline, depending on the assessment used. Patients with hyperhidrosis had more disability, fear, avoidance, and other arousal symptoms. Patients were treated with fluoxetine, clonazepam, gabapentin, cognitive behavior therapy, or placebo. Statistically significant reductions in hyperhidrosis were found only with fluoxetine using one assessment scale and with gabapentin using another. It was concluded that hyperhidrosis is common in patients with SAD, correlates with higher amounts of other physiologic symptoms, and has a variable response to psychopharmocologic therapy.[32] Treating hyperhidrosis associated with social anxiety by endoscopic thoracic sympathectomy (ETS) in 51 patients, Teleranta reported a significant decrease in hyperhidrosis, blushing, tachycardia, tremor, and anxiety, leading to speculation that a central effect on anxiety occurs with alleviation of peripheral symptoms, possibly by feedback inhibition.[143] A similar interruption of the cycle of anxiety-hyperhidrosis-anxiety may be obtained by using botulinum toxin A injections as adjunctive therapy in SAD patients.[32]

Express Sign-Up Here

  1. We email the latest news in hyperhidrosis and excessive sweating directly to you. Stay in the Know!
  2. Email*
    Invalid email address. Please try again.
  3. First Name*
    Please type your first name.
  4. Last Name
    Please type your last name.
  5. Year of Birth. Example 1986*
    Must be 4 digits.
  6.  
  1. Gender*
    Please indicate your gender.
  2. Tell us about you.*





    Please tell us who you are in the hyperhidrosis community.
  3.  
  1. Country*
    Please select your country where you live.
  2. Postal / Zip Code
    Invalid Input
  3.  
  1. Where do you sweat excessively?*







    Please tell us where you sweat so we can help you and others.
  2. Click 'Submit' to complete your subscription. Thanks!
      

Latest Newsletter Articles

Prev Next Page:

New Lotion is Like Botox But Without Needles!

New Lotion is Like Botox But Without Needles!

Botox-Like Lotion Being Tested: No Needles Needed Pause your summer fun for a moment and imagine rubbing-in a lotion (no, not sunscreen!) that can stop excessive sweating for months using the...

Read more

SmartWeave, Smart Move!

SmartWeave, Smart Move!

The ONLY Dress Shirt that PREVENTS SWEAT MARKS We’ve just discovered SmartWeave 100% cotton dress shirts for men and women with an innovative weave to keep you looking smart, whatever the weather or...

Read more

What is your sweat really costing you?

What is your sweat really costing you?

If you have excessive underarm sweating you already know it’s uncomfortable, embarrassing, and usually something you have to think about all the time.  But it’s easy to lose perspective on how much sweat...

Read more

Consequence of Taking Antidepressants: Excessive Sweating!

Consequence of Taking Antidepressants: Excessive Sweating!

As if stress sweat alone weren’t bad enough, there are many in our community who suffer from stress, depression, and excessive sweating. In fact, excessive sweating is a rather common...

Read more

In Search of a Good Night’s Rest: Battling Excessive Sweating…

In Search of a Good Night’s Rest: Battling Excessive Sweating at Night

Having trouble getting a good night’s sleep?  Gaining an extra hour of daylight is a fine beacon of spring, but it’s just another obstacle to getting a solid 8 hours....

Read more

Spicy or Mild? Help for Eating-Induced Hyperhidrosis

Spicy or Mild? Help for Eating-Induced Hyperhidrosis

No matter what's on the menu, do you sweat profusely when you eat? Or when you simply think about a meal? You may have a unique and distinct form of...

Read more

 

International Hyperhidrosis Society has received the GuideStar Exchange Seal a leading symbol of transparency and accountability provided by GuideStar, the premier source of nonprofit information.


 

 

International Hyperhidrosis Society is a 2013 Top-Rated Nonprofit!