Hello

Today when I was walking through the train station I was walking past a group of girls, I was dressed very smartly and looked good, when I was walking past them I got a fantasy in my mind that they thought I was good looking and mysterious. When I was doing this I got a feeling of excitement, but it was also creating a lot of stress in my head trying to act cool and making my heartbeat speed up, I maybe hold this action for 10-15 seconds. I have done this probably 50-100 times, I just love the feeling that people are admiring me. Usually the side effects of this are certain parts of my face go numb or tingling, or my fingertips.

When I sat on the train they had the heating on underneath me and it was very hot. I suddenly felt my cheek go very hot, and it felt like someone was pushing my cheek in with their fist or a gust of wind was blowing directly on my cheek my cheek was also tingling afterwards, I cannot describe how it felt, I thought I was having a stroke. Could it have been the heat or could I have damaged a nerve when I was walking past the girls?

Could doing this regularly cause Trigeminal Neuralgia?

Hi, Josh. Certainly the emotions and the body are interconnected in ways we don't always understand. For example tumors can affect emotions and behaviors and our thoughts can affect what goes on in our bodies. To answer your specific question - I don't think a doctor would say such thoughts and actions could cause Trigemnal Neuralgia or physical harm like a stroke (but doctors don't know everything, of course). Your symptoms don't sound like TN to me though some others here may have symptoms that are similar, I don't know.

I guess if I were you, I would want to explore what is going on with a neurologist or even a psychologist since strong emotions are involved. It's always good to understand ourselves better and to be sure nothing is wrong that needs treatment - you are obviously concerned.