Hypervigilance is an enhanced state of sensory sensitivity accompanied by an exaggerated intensity of behaviors whose purpose is to detect activity. Hypervigilance may bring about a state of increased anxiety which can cause exhaustion. Other symptoms include: abnormally increased arousal, a high responsiveness to stimuli, and a constant scanning of the environment.
In hypervigilance, there is a perpetual scanning of the environment to search for sights, sounds, people, behaviors, smells, or anything else that is reminiscent of activity, threat or trauma. The individual is placed on high alert in order to be certain danger is not near. Hypervigilance can lead to a variety of obsessive behavior patterns, as well as producing difficulties with social interaction and relationships.
Hypervigilance can be a symptom of post traumatic stress disorder (PTSD) and various types of anxiety disorders. It is distinguished from paranoia. Paranoid diagnoses, such as can occur in schizophrenia, can seem superficially similar, but are characteristically different.
Hypervigilance is differentiated from dysphoric hyperarousal in that the person remains cogent and aware of their surroundings. In dysphoric hyperarousal, a person with PTSD may lose contact with reality and re-experience the traumatic event verbatim. Where there have been multiple traumas, a person may become hypervigilant and suffer severe anxiety attacks intense enough to induce a delusional state where the effects of related traumas overlap. This can result in the thousand-yard stare.
People suffering from hypervigilance may become preoccupied with scanning their environment for possible threats, causing them to lose connections with their family and friends. They might 'overreact' to loud and unexpected noises or become agitated in highly crowded or noisy environments. They will often have a difficult time getting to sleep or staying asleep. Sustained states of hypervigilance, lasting for a decade or more, lead to higher sensitivity to disturbances in their local environment, and an inability to tolerate very small or large groups. After resolution of the situation demanding their attention, people are exhausted and are often unable to function in normal society.