12/08/2026
The fear of dizziness is one of the most significant things keeping it going. 🧠
In this video Alessio explains vestibular anxiety — the pattern that develops when the brain, having experienced enough frightening dizzy episodes, goes into a state of continuous alert. Scanning for the next one. Anticipating it before it arrives. Avoiding the situations that might trigger it.
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This is not a psychological weakness. It is the brain doing exactly what it was designed to do — protecting you based on past experience. The problem is that the protection itself becomes part of the problem.
When the brain stays on constant alert — braced, monitoring, anticipating — the vestibular sensitisation that makes dizziness more likely stays active. The avoidance confirms to the brain that the avoided situations are genuinely dangerous. The world gets smaller. The dizziness remains.
The way out is not rest. It is not waiting. It is carefully calibrated exposure — small, controlled, supervised micro-doses of the sensation the brain has learned to fear — so the brain can recalibrate and learn that the threat has passed.
What we see consistently in patients who follow this approach: baseline dizziness drops within one to two months. As recovery progresses, the anxiety about an episode may still arrive — but the episode itself does not. That feeling of impending anxiety without the episode is actually a sign that the brain is recovering. It is still sending the alert — but the vestibular system is no longer responding. Eventually even the alert fades.
This is what vestibular rehabilitation at Hito is designed to do — not just retrain the balance system, but retrain the brain's relationship with dizziness itself.
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