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Going to Altitude with a Preexisting Psychiatric Condition
Katharina Hüfner1, Barbara Sperner-Unterweger1, Hermann Brugger2
1Department of Psychiatry, Psychotherapy and Psychosomatics, University Clinic for Psychiatry II, Innsbruck Medical University, Innsbruck, Austria.
High Altitude Medicine & Biology
|July 26, 2019
Summary
Individuals with psychiatric disorders can travel to high altitudes (HA) if their condition is stable. Careful planning is needed to differentiate altitude symptoms from psychiatric ones, ensuring safe HA exposure.
Area of Science:
- Psychiatry
- Altitude Medicine
- Environmental Health
Background:
- Psychiatric disorders affect 30% of the global population.
- Limited research exists on high altitude (HA) sojourns for individuals with psychiatric conditions.
- Increased interest in HA travel necessitates guidance for this population.
Purpose of the Study:
- To review current knowledge on high altitude exposure for individuals with psychiatric disorders.
- To provide recommendations for safe HA travel in this demographic.
- To highlight challenges in differentiating altitude-related symptoms from psychiatric conditions.
Main Methods:
- Literature review on psychiatric disorders and high altitude exposure.
- Analysis of potential risks and benefits of HA travel for mental well-being.
- Discussion of symptom overlap between altitude sickness and psychiatric conditions.
Main Results:
- Physical activity and alpine environments can positively impact mental health.
- Individuals must have stable psychiatric conditions and no recent medication changes before HA travel.
- Differentiating altitude-induced symptoms (e.g., insomnia, hyperventilation) from psychiatric episodes (e.g., depression, panic attacks) is crucial.
Conclusions:
- Pre-trip medical consultation and medication compatibility testing are essential.
- Specific psychiatric disorders require tailored considerations for HA exposure.
- Managing anxiety disorder and potential overlap with acute mountain sickness (AMS) symptoms requires careful assessment.
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