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WHAT IS ANXIETY DISORDER?
People
experiencing Anxiety Disorders are frequently misunderstood
or dismissed as the worried well, thought to be
suffering from nerves or being highly strung. Society
has been slow to recognise the suffering and disability
that is caused by Anxiety Disorders.
Everybody
knows what it's like to feel anxiousthe butterflies
in your stomach before a first date, the tension
you feel when your boss is angry, the way your heart
pounds if you're in danger. Anxiety rouses you to
action. It gears you up to face a threatening situation.
It makes you study harder for that exam, and keeps
you on your toes when you're making a speech. In
general, it helps you cope.
But if
you have an anxiety disorder, this normally helpful
emotion can do just the oppositeit can keep
you from coping and can disrupt your daily life.
Anxiety disorders aren't just a case of "nerves."
They are illnesses, often related to the biological
makeup and life experiences of the individual, and
they frequently run in families. There are several
types of anxiety disorders, each with its own distinct
features.
Anxiety
Disorders profoundly affect people's work, social,
and family life. People experiencing Anxiety Disorders
have a higher risk of suicide, drug and alcohol
abuse.
How Common are
Anxiety Disorders?
- Anxiety
disorders are the most common psychiatric illnesses
in America affecting both children and adults.
- Anxiety
disorders may develop from a complex set of risk
factors, including genetics, brain chemistry,
personality, and life events.
- Anxiety
disorders are highly treatable, yet only about
one-third of the more than 19 million suffering
from an anxiety disorder receive treatment.
- Anxiety
disorders cost the U.S. $46.6 billion in 1990
in direct and indirect costs, nearly one-third
of the nation's total mental health bill of $148
billion.
- More
than $22.84 billion is associated with the repeated
use of healthcare services, as those with anxiety
disorders seek relief for symptoms that mimic
physical illnesses.
- People
with an anxiety disorder are three-to-five times
more likely to go to the doctor and six times
more likely to be hospitalized for psychiatric
disorders than non-sufferers.
What
Are the Different Kinds of Anxiety Disorders?
Panic DisorderRepeated
episodes of intense fear that strike often and without
warning. Symptoms include heart palpitations, chest
pain or discomfort, sweating, trembling, tingling
sensations, feeling of choking, fear of dying, fear
of losing control, and feelings of unreality.
Obsessive-Compulsive
DisorderIndividuals are plagued
by persistent, recurring thoughts (obsessions) that
reflect exaggerated anxiety or fears; typical obsessions
include worry about being contaminated or fears
of behaving improperly or acting violently. The
obsessions may lead an individual to perform a ritual
or routine (compulsions)-such as washing hands,
repeating phrases or hoarding-to relieve the anxiety
caused by the obsession.
Post-Traumatic
Stress DisorderCan follow an exposure
to a traumatic event such as a sexual or other criminal
assault, witnessing a death, the unexpected death
of a loved one, war, child abuse, natural disasters
or crashes. There are three main symptoms associated
with PTSD: "reliving" of the traumatic
event (such as flashbacks and nightmares); avoidance
behaviors (such as avoiding places related to the
trauma) and emotional numbing (detachment from others);
and physiological arousal such difficulty sleeping,
irritability or poor concentration.
PhobiasTwo
major types of phobias are specific phobia and social
phobia. People with specific phobia experience extreme,
disabling, and irrational fear of something that
poses little or no actual danger; the fear leads
to avoidance of objects or situations and can cause
people to limit their lives unnecessarily. People
with social phobia or social anxiety disorder (SAD)
have an overwhelming and disabling fear of scrutiny,
embarrassment, or humiliation in social situations,
which leads to avoidance of many potentially pleasurable
and meaningful activities. Physical symptoms associated
with this disorder include heart palpitations, faintness,
blushing and profuse sweating.
Generalized
Anxiety DisorderExcessive, unrealistic
worry that lasts six months or more; in adults,
the anxiety may focus on issues such as health,
money, or career. Almost always anticipating the
worst even though there is little reason to expect
it; accompanied by physical symptoms, such as fatigue,
trembling, muscular aches, insomnia, abdominal upsets,
dizziness, irritability, headache, or nausea.
What
Are the Treatments for Anxiety Disorders?
Anxiety disorders are real, serious and treatable.
Experts believe that anxiety disorders are caused
by a combination of biological and environmental
factors, much like other disorders, such as heart
disease and diabetes.
The vast
majority of people with an anxiety disorder can
be helped with professional care. Success of treatment
varies with the individual. Some people may respond
to treatment after a few months, while others may
take a year or more. Treatment is sometimes complicated
by the fact that people very often have more than
one anxiety disorder, or suffer from depression
or substance abuse. This is why treatment must be
tailored to the individual.
Although
treatment is individualized, there are several standard
approaches that have proven to be effective. Therapists
will use one, or a combination of these therapies.
More
medications are available than ever before to effectively
treat anxiety disorders. These include antidepressants
or benzodiazepines. If one medication is not effective,
others can be tried. New medications are currently
being tested or are under development to treat anxiety
symptoms.
The two
most effective forms of psychotherapy used to treat
anxiety disorders are behavioral therapy and cognitive-behavioral
therapy. Behavioral therapy tries to change actions
through techniques such as diaphragmatic breathing
or through gradual exposure to what is frightening.
In addition to these techniques, cognitive-behavioral
therapy teaches patients to understand their thinking
patterns so they can react differently to the situations
that cause them anxiety. The sponsor of this site
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Is
it Possible for Anxiety Disorders to Coexist with
Other Physical or Mental Disorders?
It is common for an anxiety disorder to accompany
another anxiety disorder, or in some cases depression,
eating disorders or substance abuse. Anxiety disorders
can also coexist with physical disorders. In such
instances, these disorders will also need to be
treated. Before undergoing any treatment, it is
important to have a thorough medical exam to rule
out other possible causes.
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