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Do you feel scared or withdrawn all of a sudden? Neurologist has a warning

Sudden fear, withdrawal from daily life, or unexpected changes in personality are often brushed aside as stress or emotional strain. But in some cases, these shifts may come from deep within the brain.

November 20, 2025 / 10:07 IST
Sudden changes in behaviour should never be dismissed as stress (Picture Credit: Pexels)

If someone you love suddenly becomes frightened, withdrawn, or unsure of themselves, the first thought is usually emotional stress. You tell yourself it’s work pressure, age, or simply a difficult patch. But sometimes, these changes can be a warning sign about your brain health.

In neurological practice, it’s not unusual to meet people whose behaviour has altered dramatically, with no explanation from life events. Dr Sheetal Goyal, Consultant Neurologist, Wockhardt Hospitals, Mumbai Central, says, “These shifts may look psychological, but occasionally, the brain is sending a medical warning.” Rare neurological and immune-related conditions, says the doctor, can disturb areas of the brain that govern personality, judgement, and social interaction, making the symptoms look more emotional than physical.

Sudden changes in behaviour should never be dismissed as stress. Sometimes, they are the brain’s cry for help. “With awareness, early diagnosis, and proper treatment, even the most alarming symptoms can lead to a story of hope and healing.”

Speaking about a recent case, Dr Goyal reveals how these illnesses can slip into a person’s life. “A woman in her early 60s slowly withdrew from daily life, her fearfulness mistaken for emotional stress.” Dr Goyal shares and adds, “Though routine scans were normal, an FDG-PET revealed autoimmune encephalitis. With timely immunotherapy, her sleep, confidence, and personality returned. Even severe symptoms can reverse with early treatment,”

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Dr Goyal talks about symptoms that deserve closer attention: Sometimes the signs are so ordinary that families overlook them:

- Sudden fearfulness or anxiety without a clear reason
- Loss of confidence in routine tasks
- Withdrawal from outdoor activities or social gatherings
- A dramatic shift in personality
- Trouble making decisions
- Sleep disruption or unusual confusion

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Dr Goyal notes, “When these changes appear out of the blue, and especially when they don’t match a person’s emotional history, it’s wise to consider a neurological cause.”

The symptoms are not always psychological. “Many arise from treatable neurological or immune processes affecting the brain’s functioning. Specialised imaging, detailed assessment, and careful observation of patterns can uncover conditions that might otherwise be misunderstood.” informs Dr Goyal. “Families often feel relieved to learn that such shifts can have a medical explanation. And with timely help, recovery is not only possible but often complete.”

FAQs on neurological illness:

1. What are neurological illnesses?

Conditions that affect the brain, spinal cord, or nerves, such as epilepsy, stroke, or Parkinson’s disease.

2. What causes neurological illnesses?

Causes can include genetics, infections, injuries, autoimmune issues, or age-related changes.

3. What are common symptoms?

Symptoms may include headaches, weakness, memory problems, tingling, seizures, or difficulty moving.

4. Can neurological illnesses be treated?

Many can be managed with medication, therapy, lifestyle changes, or surgery, depending on the condition.

5. When should I see a doctor?
If you experience persistent headaches, numbness, sudden weakness, seizures, or coordination problems.

Disclaimer: This article, including health and fitness advice, only provides generic information. Don’t treat it as a substitute for qualified medical opinion. Always consult a specialist for specific health diagnosis.

Namita S Kalla is a senior journalist who writes about different aspects of modern life that include lifestyle, health, fashion, beauty, and entertainment.
first published: Nov 20, 2025 10:02 am

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