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Everyone
knows what it is like to feel anxious -- butterflies in your stomach
before a speech, the tension you feel when you stuck in traffic
and late for an appointment, the way you're heart pounds when you're
in danger. Anxiety serves a purpose in our life. It can make you
study harder for an exam, or it can help you prepare adequately
for a presentation. In general, it helps you cope.
But
if you have an anxiety disorder, this normally helpful emotion can
do just the opposite -- it can disrupt your daily life and prevent
you from coping. It isn't just a case of "nerves." It is an illness,
and the most common of all the mental disorders. More than 23 million
Americans suffer with some form of anxiety disorder and if affects
people of all ages. There are several types of anxiety disorders,
each with its own distinct features, which are briefly described
below.
Generalized
Anxiety Disorder
Those
that suffer with this disorder experience chronic and exaggerated
worry and tension, even though there is no precipitating factor
to provoke it. There is often a persistent fear of disaster, and
excessive worrying about health, money, family or work. It is hard
to relax, and you often experience trembling, muscle tension, headaches,
irritability and sweating. You may often have a feeling of nausea,
breathlessness, or a lump in the throat. You startle easily, tend
to feel tired, have trouble concentrating and sometimes suffer from
depression. It often begins in childhood or adolescence. If you
have spent at least 6 months worrying excessively about a number
of everyday problems, it is recommended that a mental health profession
be consulted. Hypnotherapy and relaxation therapies often alleviate
symptoms associated with this disorder.
Panic
Disorder
This
disorder is characterized by panic attacks. A panic attack affects
the mind, body and behavior. It is often experienced as a feeling
of terror and physical debilitation that strikes suddenly and repeatedly
with no warning and for no identifiable reason at any time and place,
even during sleep. There is often physical sensations of profuse
sweating, weakness, dizziness, heart palpitations, tingling or numbness,
chest pain or smothering sensations, a sense of unreality or fear
of impending doom or loss of control. Often people genuinely believe
they are having a heart attack or stroke, losing their mind of on
the verge of death. They usually last between two and ten minutes,
and in between attacks there is persistent, lingering worry, and
sometimes intense anxiety that another attack could come any minute.
This leads to avoidant behaviors in one third of all people with
panic disorder. When one's life becomes so restricted by the disorder,
the condition is called agoraphobia. Sometimes people only have
one panic attack in a lifetime, others have them recurrently. The
disorder usually begins in young adults, but can appear at any age.
With proper treatment, between 70 and 90% are helped significantly.
Social
Phobia
If
you suffer from this disorder, you experience intense fear of becoming
humiliated in social situations, specifically of embarrassing yourself
in front of other people. You tend to believe that other people
are very competent in public and that you are not. Small mistakes
you make may seem to you much more exaggerated than they really
are. You may fear being with people other than those close to you,
or giving a speech, talking to a boss or other figure, or dating.
Though it seems similar to shyness, it is not. Shy people, though
they may feel uneasy, don't experience the extreme anxiety or avoid
circumstances that make them feel self-conscious. In contrast, people
with social phobia aren't necessarily shy at all. But the anticipation
of particular situations can disrupt normal life and interfere with
career or social relationships. For instance, one may turn down
a job promotion because of the fear of giving public presentations.
Or the dread of a social event can begin weeks in advance, and symptoms
can be quite debilitating. Social phobia often begins around early
adolescence or even younger. About 80 percent of people find relief
from their symptoms when treated.
Post
Traumatic Stress Disorder
People
with PTSD have persistent frightening thoughts and memories of their
ordeal (a terrifying or life-threatening event, a traumatic incident
or series of incidents or witnessing such an incident) and feel
emotionally numb. Often those who suffer with this disorder have
identifiable symptoms such as nightmares, disturbing recollections
during the day, hyper vigilance, sleep problems, depression, feeling
detached or numb, being easily startled, irritability, and quickness
to anger. Seeing or experiencing reminders of the incident(s) may
be very distressing. The disorder is sometimes accompanied by depression,
substance abuse or anxiety. It can occur at any age. The onset and
length of symptoms varies in relation to the traumatic experience,
but if symptoms last more than one month, professional help is recommended.
EMDR has been found to be very effective with this particular disorder,
as well as Social Phobia.
Obsessive-Compulsive
Disorder
This
disorder is characterized by anxious thoughts and/or rituals you
feel you can't control. It is often experienced as persistent, unwelcome
thoughts or images and/or the urgent need to engage in certain rituals.
Sometimes, OCD sufferers are obsessed with dirt and germs and wash
their hands repeatedly. Other times, there is an excessive preoccupation
with doubts, or thoughts of violence and fear that you will harm
people close to you accompanied by a persistent need to check things
repeatedly. Long periods of time may be spent touching things or
counting, preoccupation with symmetry or order. There may be persistent
thoughts of performing sexual acts that are repugnant to you; or
you may be disturbed by thoughts that are against your religious
beliefs. The disturbing thoughts or images are called obsessions,
and the rituals to prevent or dispel them are called compulsions.
Temporary relief from obsessive discomfort usually result, in the
absence of pleasure. OCD can appear in childhood, adolescence, or
adulthood, but normally shows up in the teens or early adulthood.
The disorder afflicts approximately one in fifty people, and its
course is variable --symptoms may come and go, decrease over time,
or become progressively worse. It often runs in families. Depression,
and other anxiety disorders and eating disorders may accompany OCD.
Certain types of medications and behavioral treatments have been
found to benefit people with this disorder.
Separation
Anxiety Disorder
This
is a disorder normally found in children. It is defined as "developmentally
inappropriate and excessive anxiety concerning separation from home
or from those to whom the child is attached." It is manifested by
excessive distress when the child is separated or anticipates separation
from home or attached figures, such as a parent or caretaker. Sometimes,
the child engages in persistent worry about losing the person, or
something happening to them. Often, children with this disorder
will refuse to go to school or other places because of their fear
of separation. These children can also refuse to go to sleep or
sleep away from home. They will at times have nightmares about the
separation, and/or complain of headaches, stomachaches, nausea or
vomiting when faced with possible separation. Obviously, this type
of immobilizing fear can inhibit normal development and interfere
with social growth. Therefore, it is important that parents recognize
these symptoms and seek professional guidance when appropriate.
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