Anxiety is emotionally painful. What You Don't Know Could Kill You!
Anxiety is emotionally painful. It disrupts a person's daily functioning.
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Anxiety is a feeling of tension associated with a sense of threat of danger when the source of the danger is not known. In contrast, fear is a feeling of tension that is associated with a known source of danger. It is normal for us to have some mild anxiety present in our daily lives. Anxiety warns us and enables us to get ready for the fight or flight response. However, heightened anxiety is emotionally painful. It disrupts a person's daily functioning.
Anxiety can be seen with several other emotional disorders including the following: Acute Stress Disorder Panic Attack Agoraphobia Phobia Anxiety Disorder Due to Medical Condition Post-traumatic Stress Disorder Generalized Anxiety Disorder Substance-Induced Anxiety Disorder Obsessive-Compulsive Disorder What characteristics are associated with anxiety?
Frequently, people with anxiety experience tightness in their chest, a racing or pounding heart, and a pit in their stomach. Anxiety causes some people to get a headache, to sweat, and/or to have the urge to urinate.
Severe anxiety, which can be described as an episode of terror, is referred to as a panic attack. Panic attacks can be extremely frightening. People who experience panic attacks over a prolonged time period may become victims of agoraphobia and fear leaving home or going into crowded places.
Is there a genetic basis for anxiety disorder?
Research shows strong evidence for a genetic basis for anxiety. If a person has anxiety, more than 10% of his/her relatives will also suffer from some form of anxiety.
Do anxiety disorders affect males, females, or both?
Females are twice as likely to suffer from anxiety than males. However, an equal number of males and females are seen for treatment of their anxiety.
At what age does anxiety disorder appear?
Anxiety problems commonly begin when people are in their 20s. However, people of any age can suffer from and require treatment for anxiety.
How common are anxiety disorders in our society?
Anxiety disorders are very common. At least three percent (3%) of the population has had or will be diagnosed with some form of abnormal anxiety.
How are anxiety disorders diagnosed?
A mental health professional may diagnose an anxiety disorder after taking a careful personal history from the client/patient. It will be important to the therapist to learn the details of that person's life. It is also very important not to overlook a physical illness that might mimic or contribute to this psychological disorder since some medical illnesses can cause anxiety-like symptoms. For instance, a person with an overactive thyroid, known as hyperthyroidism, may have symptoms similar to anxiety
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If there is any question whether the individual might have a physical problem, the mental health professional should recommend a complete physical examination by a medical doctor. People examined during an anxiety attack usually have rapid pulse, rapid breathing, dry mouth, and sweating palms. They might also complain of dizziness or numbness or tingling in their extremities. Laboratory tests might be necessary as a part of the physical workup.
How are anxiety disorders treated?
Psychotherapy is recommended for someone with moderate to severe anxiety.
Antianxiety medications can be used effectively to reduce severe anxiety. For example, sometimes people experiencing a panic attack think they are having a heart attack, and they worry that they might die. Therefore, they go to a hospital emergency room to be evaluated. Once they are evaluated and diagnosed with anxiety, they are given reassurance that they are not going to die, and they may be treated with medications to lessen their anxious symptoms.
What can people do if they need help?
If you, a friend, or a family member would like more information and you have a therapist or a physician, please discuss your concerns with that person.
Anxiety disorders are serious medical illnesses that affect approximately 19 million American adults.1 These disorders fill people's lives with overwhelming anxiety and fear. Unlike the relatively mild, brief anxiety caused by a stressful event such as a business presentation or a first date, anxiety disorders are chronic, relentless, and can grow progressively worse if not treated.
Effective treatments for anxiety disorders are available, and research is yielding new, improved therapies that can help most people with anxiety disorders lead productive, fulfilling lives. If you think you have an anxiety disorder, you should seek information and treatment.
This brochure will
• help you identify the symptoms of anxiety disorders,
• explain the role of research in understanding the causes of these conditions,
• describe effective treatments,
• help you learn how to obtain treatment and work with a doctor or therapist, and
• suggest ways to make treatment more effective.
The anxiety disorders discussed in this brochure are
• panic disorder,
• obsessive-compulsive disorder,
• post-traumatic stress disorder,
• social phobia (or social anxiety disorder),
• specific phobias, and
• generalized anxiety disorder.
Each anxiety disorder has its own distinct features, but they are all bound together by the common theme of excessive, irrational fear and dread.
The National Institute of Mental Health (NIMH) supports scientific investigation into the causes, diagnosis, treatment, and prevention of anxiety disorders and other mental illnesses. The NIMH mission is to reduce the burden of mental illness through research on mind, brain, and behavior. NIMH is a component of the National Institutes of Health, which is part of the U.S. Department of Health and Human Services.
Panic Disorder
"It started 10 years ago, when I had just graduated from college and started a new job. I was sitting in a business seminar in a hotel and this thing came out of the blue. I felt like I was dying.
"For me, a panic attack is almost a violent experience. I feel disconnected from reality. I feel like I'm losing control in a very extreme way. My heart pounds really hard, I feel like I can't get my breath, and there's an overwhelming feeling that things are crashing in on me.
"In between attacks there is this dread and anxiety that it's going to happen again. I'm afraid to go back to places where I've had an attack. Unless I get help, there soon won't be anyplace where I can go and feel safe from panic."
People with panic disorder have feelings of terror that strike suddenly and repeatedly with no warning. They can't predict when an attack will occur, and many develop intense anxiety between episodes, worrying when and where the next one will strike.
If you are having a panic attack, most likely your heart will pound and you may feel sweaty, weak, faint, or dizzy. Your hands may tingle or feel numb, and you might feel flushed or chilled. You may have nausea, chest pain or smothering sensations, a sense of unreality, or fear of impending doom or loss of control. You may genuinely believe you're having a heart attack or losing your mind, or on the verge of death.
Panic attacks can occur at any time, even during sleep. An attack generally peaks within 10 minutes, but some symptoms may last much longer.
Panic disorder affects about 2.4 million adult Americans and is twice as common in women as in men. It most often begins during late adolescence or early adulthood. Risk of developing panic disorder appears to be inherited. Not everyone who experiences panic attacks will develop panic disorder-for example, many people have one attack but never have another. For those who do have panic disorder, though, it's important to seek treatment.
Untreated, the disorder can become very disabling.Many people with panic disorder visit the hospital emergency room repeatedly or see a number of doctors before they obtain a correct diagnosis. Some people with panic disorder may go for years without learning that they have a real, treatable illness.Panic disorder is often accompanied by other serious conditions such as depression, drug abuse, or alcoholism and may lead to a pattern of avoidance of places or situations where panic attacks have occurred. For example, if a panic attack strikes while you're riding in an elevator, you may develop a fear of elevators. If you start avoiding them, that could affect your choice of a job or apartment and greatly restrict other parts of your life.
Some people's lives become so restricted that they avoid normal, everyday activities such as grocery shopping or driving. In some cases they become housebound. Or, they may be able to confront a feared situation only if accompanied by a spouse or other trusted person.
Basically, these people avoid any situation in which they would feel helpless if a panic attack were to occur. When people's lives become so restricted, as happens in about one-third of people with panic disorder, the condition is called agoraphobia. Early treatment of panic disorder can often prevent agoraphobia.
Panic disorder is one of the most treatable of the anxiety disorders, responding in most cases to medications or carefully targeted psychotherapy.
You may genuinely believe you're having a heart attack, losing your mind, or are on the verge of death. Attacks can occur at any time, even during sleep.
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Arthur Buchanan
