Anxiety Disorders

12 min read

Anxiety disorders are a group of mental health conditions that cause feelings of fear, worry, and unease. They can range from mild to severe and can interfere with a person’s daily life. Anxiety disorders are the most common mental health disorder in the United States, affecting 40 million adults in the United States age 18 and older, or 18.1% of the population every year.

Types of Anxiety Disorders

There are several types of anxiety disorders, including generalized anxiety disorder, panic disorder, social anxiety disorder, and specific phobias. Each type of anxiety disorder has its own set of symptoms and causes.

Generalized Anxiety Disorder (GAD)

Generalized anxiety disorder (GAD) is characterized by persistent and excessive worry about a variety of topics. People with GAD may experience physical symptoms such as muscle tension, headaches, and fatigue.

Panic Disorder

Panic disorder is characterized by recurrent and unexpected panic attacks. Panic attacks are sudden periods of intense fear or discomfort that can include physical symptoms such as chest pain, heart palpitations, shortness of breath, and dizziness.

Social Anxiety Disorder

Social anxiety disorder is characterized by intense fear of social situations and being judged by others. People with social anxiety disorder may experience physical symptoms such as blushing, sweating, and trembling.

Specific Phobias

Specific phobias are intense fears of specific objects or situations. People with specific phobias may experience physical symptoms such as trembling, sweating, and difficulty breathing when exposed to the object or situation they fear.

Causes of Anxiety Disorders

The exact cause of anxiety disorders is not known, but there are several factors that may contribute to the development of anxiety disorders, including genetics, brain chemistry, and life events. People with anxiety disorders may also have underlying medical conditions or take certain medications that can contribute to the development of anxiety.

Diagnosis of Anxiety Disorders

Anxiety disorders are diagnosed based on a person’s symptoms and a mental health evaluation. A mental health professional will ask questions about a person’s symptoms, medical history, and family history to determine if they have an anxiety disorder.

Take the Anxiety Disorders Assessment

Symptoms

  • Feeling restless, wound-up, or on-edge
  • Being easily fatigued
  • Having difficulty concentrating
  • Having difficulty controlling feelings of worry
  • Having trouble sleeping
  • Experiencing gastrointestinal (GI) problems
  • Having difficulty breathing
  • Experiencing sudden panic attacks
  • Having a sense of impending danger, panic, or doom

If you are experiencing any of these symptoms, it is important to seek help from a mental health professional. They can help you identify the type of anxiety disorder you may have and provide treatment options.

Causes

Genetics

Research suggests that genetics may play a role in the development of anxiety disorders. Studies have found that anxiety disorders can run in families, and that people who have a close relative with an anxiety disorder are more likely to develop one themselves.

Brain Chemistry

Changes in the brain’s chemistry can also contribute to anxiety disorders. Neurotransmitters are chemicals that carry messages between nerve cells in the brain. When these chemicals are out of balance, it can lead to anxiety.

Stressful Life Events

Stressful life events, such as the death of a loved one, a divorce, or a job loss, can trigger anxiety. Other life changes, such as starting a new job or moving to a new city, can also cause anxiety.

Substance Abuse

Substance abuse can also lead to anxiety. Drugs and alcohol can cause changes in the brain that can lead to anxiety. In addition, withdrawal from drugs and alcohol can cause anxiety.

Medical Conditions

Certain medical conditions can also cause anxiety. These include thyroid problems, heart disease, diabetes, and asthma. In some cases, the anxiety is caused by the medical condition itself, while in other cases, it is caused by the fear of having a medical condition.

Getting a Diagnosis

Diagnostic Criteria

The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) is the standard reference used by mental health professionals to diagnose mental health conditions, including anxiety disorders. The DSM-5 outlines specific criteria for diagnosing anxiety disorders, including:

  • Excessive fear or worry that is out of proportion to the actual danger or threat
  • Difficulty controlling the fear or worry
  • Physical symptoms, such as increased heart rate, sweating, trembling, or difficulty breathing
  • Avoidance of situations that trigger fear or worry

Diagnostic Process

The process of diagnosing an anxiety disorder typically begins with a physical exam and medical history. This helps to rule out any physical conditions that may be causing the symptoms. The doctor may also order lab tests to check for any underlying medical conditions.

The doctor will then ask questions about the person’s symptoms and how they are affecting their life. The doctor may also ask about family history of mental health conditions. This information helps the doctor determine if the person meets the criteria for an anxiety disorder.

Conclusion

Getting an accurate diagnosis is an important first step in treating an anxiety disorder. With the right diagnosis, a person can get the help they need to manage their symptoms and live a full and productive life.

Questions for Your Doctor

Discuss Your Symptoms

When talking to your doctor about your anxiety disorder, it is important to discuss your symptoms. Describe the symptoms you are experiencing, such as racing thoughts, difficulty sleeping, or feeling overwhelmed. Be sure to mention any physical symptoms you are experiencing, such as chest pain, shortness of breath, or nausea.

Discuss Your Treatment Options

Your doctor can help you decide which treatment option is best for you. Treatment options for anxiety disorders can include medication, psychotherapy, or a combination of both. Your doctor can help you decide which option is best for you and can provide you with more information about the risks and benefits of each option.

Discuss Your Lifestyle Changes

Your doctor can also help you make lifestyle changes that can help you manage your anxiety disorder. These changes can include getting regular exercise, eating a healthy diet, and getting enough sleep. Your doctor can also provide you with tips on how to manage stress and how to practice relaxation techniques.

Discuss Your Support System

It is important to have a strong support system when managing an anxiety disorder. Talk to your doctor about the people in your life who can provide you with emotional support. Your doctor can also provide you with information about support groups or other resources that can help you manage your anxiety disorder.

Discuss Your Follow-Up Care

Finally, it is important to discuss follow-up care with your doctor. Follow-up care can include regular check-ins with your doctor, medication adjustments, or referrals to other specialists. Your doctor can help you create a plan for follow-up care that is tailored to your needs.

Anxiety disorders can be difficult to manage, but talking to your doctor can help. Be sure to discuss your symptoms, treatment options, lifestyle changes, support system, and follow-up care with your doctor to help you manage your anxiety disorder.

Treatment

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is a type of psychotherapy that focuses on changing negative thought patterns and behaviors. CBT helps people identify and challenge their irrational beliefs and replace them with more realistic and helpful ones. It also helps people learn how to manage their emotions and reactions to stressful situations. CBT is often used to treat anxiety disorders, as it can help people learn how to better manage their anxiety.

Medication

Medication is another common treatment for anxiety disorders. There are several types of medications that can be used to treat anxiety, including antidepressants, anti-anxiety medications, and beta-blockers. These medications can help reduce the symptoms of anxiety, such as racing thoughts, restlessness, and difficulty sleeping. It is important to note that medication should always be used in conjunction with other treatments, such as CBT, in order to be most effective.

Relaxation Techniques

Relaxation techniques are another way to help manage anxiety. These techniques can include deep breathing, progressive muscle relaxation, and mindfulness. Deep breathing involves taking slow, deep breaths and focusing on the breath as it moves in and out of the body. Progressive muscle relaxation involves tensing and then relaxing each muscle group in the body. Mindfulness involves focusing on the present moment and being aware of one’s thoughts and feelings without judgment. These techniques can help reduce stress and anxiety.

Exercise

Exercise is another way to help manage anxiety. Exercise can help reduce stress and anxiety by releasing endorphins, which are hormones that can help improve mood. Exercise can also help reduce tension and improve sleep. It is important to find an exercise routine that works for you and that you enjoy doing.

Conclusion

Anxiety disorders can be difficult to manage, but there are a variety of treatments available to help. Cognitive Behavioral Therapy, medication, relaxation techniques, and exercise are all effective treatments for anxiety disorders. It is important to find the treatment that works best for you and to remember that it is possible to manage anxiety.

Drugs & Medications

Types of Anxiety Medications

The most common types of medications used to treat anxiety disorders are selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and benzodiazepines. SSRIs and SNRIs are antidepressants that work by increasing the levels of serotonin and norepinephrine in the brain. These medications can help reduce symptoms of anxiety, such as fear, worry, and uneasiness. Benzodiazepines are sedatives that work by calming the nervous system. They can help reduce symptoms of anxiety, such as racing heart, sweating, and trembling.

Side Effects of Anxiety Medications

All medications have the potential for side effects. Common side effects of SSRIs and SNRIs include nausea, headache, insomnia, and sexual dysfunction. Common side effects of benzodiazepines include drowsiness, confusion, and memory problems. It is important to talk to your doctor about the potential side effects of any medication you are considering taking.

Conclusion

Anxiety disorders can be debilitating, but there are medications available to help manage symptoms. SSRIs and SNRIs are antidepressants that work by increasing the levels of serotonin and norepinephrine in the brain. Benzodiazepines are sedatives that work by calming the nervous system. It is important to talk to your doctor about the potential side effects of any medication you are considering taking.

Diet

What to Eat

A healthy diet for anxiety should include plenty of fresh fruits and vegetables, whole grains, lean proteins, and healthy fats. Eating a variety of foods from each food group can help to ensure that you are getting all the essential nutrients your body needs. Additionally, it is important to stay hydrated by drinking plenty of water throughout the day.

Foods that are high in omega-3 fatty acids, such as salmon, walnuts, and flaxseed, can help to reduce inflammation and improve mood. Eating foods that are high in B vitamins, such as leafy greens, eggs, and legumes, can also help to reduce anxiety. Additionally, foods that are high in magnesium, such as nuts, seeds, and dark chocolate, can help to reduce stress and improve sleep.

What to Avoid

It is important to avoid processed and sugary foods, as these can cause blood sugar spikes and crashes that can worsen anxiety. Additionally, it is important to limit caffeine and alcohol, as these can both have a negative impact on mental health. Finally, it is important to avoid foods that are high in trans fats, as these can increase inflammation and worsen anxiety.

Conclusion

Eating a balanced diet that is rich in essential nutrients can help to reduce the symptoms of anxiety and improve overall mental health. Eating plenty of fresh fruits and vegetables, whole grains, lean proteins, and healthy fats can help to ensure that you are getting all the essential nutrients your body needs. Additionally, it is important to avoid processed and sugary foods, as well as caffeine and alcohol, as these can all have a negative impact on mental health.

Lifestyle

Exercise Regularly

Regular exercise can help reduce stress and anxiety. Exercise releases endorphins, which are hormones that can help reduce stress and improve your mood. Aim for at least 30 minutes of exercise per day, such as walking, running, swimming, or biking.

Get Enough Sleep

Getting enough sleep is essential for managing anxiety. Aim for 7-9 hours of sleep per night. If you have trouble sleeping, try to establish a regular sleep schedule and avoid caffeine and alcohol before bed.

Eat a Healthy Diet

Eating a healthy diet can help reduce anxiety. Avoid processed foods and sugary snacks, and focus on eating whole foods such as fruits, vegetables, and lean proteins. Eating a balanced diet can help keep your energy levels up and reduce stress.

Practice Relaxation Techniques

Relaxation techniques such as deep breathing, meditation, and yoga can help reduce stress and anxiety. Take time each day to practice these techniques and focus on calming your mind and body.

Talk to Someone

Talking to a friend, family member, or therapist can help you manage your anxiety. Talking to someone can help you process your thoughts and feelings and can provide you with support.

Limit Caffeine and Alcohol

Caffeine and alcohol can both increase anxiety. Try to limit your intake of both and focus on drinking more water.

Take Time for Yourself

Take time each day to do something that you enjoy. This could be reading a book, listening to music, or taking a walk. Taking time for yourself can help reduce stress and improve your mood.