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Posts Tagged ‘Anxiety Disorders’

When ever discussing ways and means to cure social anxiety disorder, it is helpful to understand precisely what the problem is, when it occurs and how a sufferer deals with it.
Social anxiety is a condition in which an individual goes through devastating anxiety in circumstances when they could possibly end up being noticed and criticised. The anxiety can further be anticipatory when the individual worries excessively at the thought of going out for a dining event or any place else where they think they would turn out to be looked at and criticised.

The individual is completely conscious that the anxiety is not rational but nevertheless has little or no control over it. While the sufferer could possibly experience many of the usual symptoms of anxiety, blushing and trembling are especially prevalent and unsettling.

Sadly, numerous people drink alcohol to help them cope in these types of disturbing situations and excessive drinking is considerably more common in social anxiety than in any other anxiety disorders. When desiring to cure social anxiety disorder, the alcohol mistreatment also needs to be monitored.

The most common way a person deals with their problem is to steer clear of any scenario inclined to make them anxious. This is one of the facets of the condition that treatment methods to cure social anxiety concentrates on.

The conventional mainstay of treatment to cure social anxiety disorder is psychological and features social skills education, relaxation classes, exposure, anxiety management and cognitive behavioural therapy (CBT). Cognitive behavioural therapy is the treatment method of preference to cure social anxiety disorder and calls for exposing the sufferer to the feared situation together with anxiety management. This will help to the affected person to face their fear head-on with the assurance that they have help and support.

The CBT and anxiety management employed to cure social anxiety disorder applies a collaboration of relaxation training and cognitive solutions to confront the thoughts that result in the social anxiety. Initially, there should be a detailed analysis of the problem, followed by a formulation of the situation that the sufferer can then challenge day to day. The aim when working with this approach to cure social anxiety disorder is to identify what happened right before the social anxiety started, what the person’s response was and also what exactly their thought processes were.

The participant is then asked to consider and illustrate a specific moment when they dealt with the anxiety in a social setting, and to attempt to remember precisely what they were thinking about immediately prior to and after the situation. This will help to to recognize a reliable pattern of thinking and responding which the person learns to recognize and challenge.

The therapist encourages and supports the person to expose themselves to circumstances likely to cause the social anxiety. The thoughts, sensations and behavior are then investigated by the therapist and the participant is urged to challenge their pessimistic thinking and behavior day after day in an effort to cure social anxiety disorder.

Drugs, such as benzodiazepines, buspirone and beta blockers, could possibly be prescribed which might help alleviate the physical symptoms of anxiety. It is important to note, however, that medication can not cure anxiety, is can only help to alleviate the symptoms.

A method which is dramatically earning popularity as an effective way to cure social anxiety disorder is the Linden Method. The Linden Method was designed and engineered by Charles Linden who endured crippling anxiety, including social anxiety, in addition to depression, agoraphobia, OCD and anxiety attacks for many years. He received several different sorts of treatments and various therapies over the years but nothing helped him. Eventually, he opted to help himself and within days his condition began to get better and it wasn’t much time before he was completely cured.

The concept behind the Linden Method used to cure social anxiety disorder is that there is an improper reaction to a perceived threat in a small part of the brain called the amygdala which leaves the brain on “high alert” and the person in a constant state of debilitating anxiety. The Linden Method is a natural anxiety cure which utilizes techniques to readjust the amygdala in order to return the body and brain to pre-illness levels.

The Linden Method has been demonstrated to cure social anxiety disorder in more than one hundred thousand people over the last twelve years.

People with generalized anxiety disorder (GAD) go through the day filled with exaggerated worry and tension, even though there is little or nothing to provoke it. They anticipate disaster and are overly concerned about health issues, money, family problems, or difficulties at work.

People with GAD cannot get rid of their concerns, even though they usually realize that their anxiety is more intense than the situation warrants. They are unable relax, startle easily and have difficulty concentrating.

Physical symptoms that often accompany the anxiety include, but are not limited to, fatigue, headaches, muscle tension, muscle aches, difficulty swallowing, trembling, twitching, irritability, sweating, nausea, lightheadedness, having to go to the bathroom frequently, feeling out of breath and hot flashes.

GAD affects about 6.8 million Americans and about twice as many women as men. It comes on gradually and can begin across the life cycle, though the risk is highest between childhood and middle age.

It is diagnosed when someone spends at least 6 months worrying excessively about a number of everyday problems. There is evidence that genes play a modest role in GAD.

Other anxiety disorders, depression, or substance abuse often accompany GAD, which rarely occurs alone. It is commonly treated with medication an/or cognitive-behavioral therapy.

Treatment of Anxiety Disorders

Anxiety disorders are typically treated with medication, specific types of psychotherapy, or both. Treatment choices depend on the problem and the persons preference.

Before treatment, a doctor must conduct a careful diagnostic evaluation to determine whether the symptoms are caused by an anxiety disorder or a physical problem. If an anxiety disorder is diagnosed, the type of disorder must be identified, as well as any coexisting conditions, such as depression or substance abuse.

Sometimes alcoholism, depression or other coexisting conditions have such a strong effect on the individual that treating the anxiety disorder must wait until the coexisting conditions are brought under control.

People with anxiety disorders who have already received treatment should tell their current doctor about that treatment.

If they received medication, they should tell their doctor what medication was used, what the dosage was at the beginning of treatment, whether it was ever increased or decreased, what side effects occurred and whether the treatment helped them significantly. If they received psychotherapy, they should describe the type of therapy, how often they attended sessions and how much the therapy helped.

Often people believe that they have failed at treatment or that the treatment did not work for them when, in fact, it was not given for an adequate length of time or was administered incorrectly. Sometimes people must try several different treatments or combinations before they find the one that works for them.

Medications

Medication will not cure anxiety disorders, but it can keep them under control while the person receives psychotherapy, often from a psychologist. The principal medications used to treat anxiety disorders are antidepressants, anti-anxiety drugs and beta-blockers which control some of the physical symptoms.

With proper treatment, many people with anxiety disorders can lead normal, fulfilling lives.

Antidepressants

Antidepressants were developed to treat depression but are also effective for anxiety disorders. Although these medications begin to alter brain chemistry after the very first dose, their full effect requires about 4 to 6 weeks before symptoms start to fade. It is important to continue taking these medications long enough to let them work.

SSRIs

Some of the newest antidepressants are called selective serotonin reuptake inhibitors, or SSRIs. SSRIs alter the levels of the neurotransmitter serotonin in the brain, which, like other neurotransmitters, helps brain cells communicate with one another.

Fluoxetine (Prozac), sertraline (Zoloft), escitalopram (Lexapro), paroxetine (Paxil) and citalopram (Celexa) are some of the SSRIs commonly prescribed for panic disorder, OCD, PTSD, and social phobia. These drugs are also used to treat panic disorder when it occurs in combination with OCD, social phobia or depression.

Venlafaxine (Effexor), a drug closely related to the SSRIs, is also used to treat GAD. These medications are started at low doses and gradually increased until they cause side effects or produce a beneficial effect.

SSRIs have fewer side effects than older antidepressants, but they sometimes produce slight nausea or jitters when people first start to take them. These symptoms fade with time, however.

Some people also experience sexual dysfunction with SSRIs, which may be helped by adjusting the dosage or switching to another medication.

Tricyclics

Tricyclics are older than SSRIs and work as well as SSRIs for anxiety disorders other than OCD. They are also started at low doses that are gradually increased.

They sometimes cause dizziness, drowsiness, dry mouth and weight gain, which can usually be corrected by changing the dosage or switching to another medication.

Tricyclics include imipramine (Tofranil), which is prescribed for panic disorder and GAD and clomipramine (Anafranil), which is the only tricyclic antidepressant useful for treating OCD.

MAOIs

Monoamine oxidase inhibitors (MAOIs) are the oldest class of antidepressant medications and the ones most commonly prescribed for anxiety are phenelzine (Nardil), followed by tranylcypromine (Parnate) and isocarboxazid (Marplan), which are useful in treating panic disorder and social phobia.

People who take MAOIs cannot eat a variety of foods and beverages (including cheese and red wine) that contain tyramine or take certain medications, including some types of birth control pills, pain relievers (such as Advil, Motrin and Tylenol, cold and allergy medications and herbal supplements; these substances can interact with MAOIs to cause dangerous increases in blood pressure.

MAOIs can also react with SSRIs to produce a serious condition called serotonin syndrome, which can cause confusion, hallucinations, increased sweating, muscle stiffness, seizures, changes in blood pressure or heart rhythm and other potentially life-threatening conditions.

Anti-Anxiety Drugs

High-potency benzodiazepines combat anxiety and have few side effects other than drowsiness. Because people can develop a tolerance to them and may need higher and higher doses to get the same effect, benzodiazepines are generally prescribed for short periods of time, especially for people who have abused drugs or alcohol or who become dependent on medication easily.

One exception to this rule, however, is people with panic disorder, who can take benzodiazepines for up to a year without harm. Clonazepam (Klonopin) is used for social phobia and GAD, lorazepam (Ativan) is helpful for panic disorder and alprazolam (Xanax) is useful for both panic disorder and GAD.

Some people experience withdrawal symptoms if they stop taking benzodiazepines abruptly instead of tapering off, and anxiety can return once the medication is stopped. These potential problems have led some physicians to shy away from using these drugs or to use them in inadequate doses.

Buspirone (Buspar), an azapirone, is a newer anti-anxiety medication used to treat GAD. Possible side effects include dizziness, headaches, and nausea. Unlike benzodiazepines, buspirone must be taken consistently for at least 2 weeks to achieve an anti-anxiety effect.

Psychotherapy

Psychotherapy involves talking with a trained mental health professional, such as a psychologist, social worker, or counselor, to discover what caused an anxiety disorder and how to deal with its symptoms.

Cognitive-Behavioral Therapy

Cognitive-Behavioral Therapy (CBT) is very useful in treating anxiety disorders. The cognitive part helps people change the thinking patterns that support their fears and the behavioral part helps people change the way they react to anxiety-provoking situations.

For example, CBT can help people with panic disorder learn that their panic attacks are not really heart attacks and help people with social phobia learn how to overcome the belief that others are always watching and judging them. When people are ready to confront their fears, they are shown how to use exposure techniques to desensitize themselves to situations that trigger their anxieties.

People with OCD who fear dirt and germs are encouraged to get their hands dirty and wait increasing amounts of time before washing them. The therapist helps the person cope with the anxiety that waiting produces; after the exercise has been repeated a number of times, the anxiety diminishes.

People with social phobia may be encouraged to spend time in feared social situations without giving in to the temptation to flee and to make small social blunders and observe how people respond to them. Since the response is usually far less harsh than the person fears, these anxieties are lessened.

People with PTSD may be supported through recalling their traumatic event in a safe situation, which helps reduce the fear it produces. CBT therapists also teach deep breathing and other types of exercises to relieve anxiety and encourage relaxation.

Exposure-based behavioral therapy has been used for many years to treat specific phobias. The person gradually encounters the object or situation that is feared, perhaps at first only through pictures or tapes, then later face-to-face.

Group therapy is particularly effective for social phobia. Often homework is assigned for participants to complete between sessions.

There is some evidence that the benefits of CBT last longer than those of medication for people with panic disorder, and the same may be true for OCD, PTSD, and social phobia. If a disorder recurs at a later date, the same therapy can be used to treat it successfully a second time.

Medication can be combined with psychotherapy for specific anxiety disorders, and this is the best treatment approach for many people.

Taking Medications

Before taking medication for an anxiety disorder:

1. Ask your doctor to tell you about the effects and side effects of the drug.

2. Tell your doctor about any alternative therapies or over-the-counter medications you are using.

3. Ask your doctor when and how the medication should be stopped. Some drugs cannot be stopped abruptly but must be tapered off slowly under a doctors supervision.

4. Work with your doctor to determine which medication is right for you and what dosage is best.

5. Be aware that some medications are effective only if they are taken regularly and that symptoms may recur if the medication is stopped.

How to Get Help for Anxiety Disorders

If you think you have an anxiety disorder, the first person you should see is a psychologist, psychiatrist or your family doctor. It must be determined whether the symptoms that alarm you are due to an anxiety disorder, another medical condition or both.

If an anxiety disorder is diagnosed, the next step is usually contracting with a mental health professional to provide treatment. The practitioners who are most helpful with anxiety disorders are psychologists and therapists who have training in cognitive-behavioral therapy and/or behavioral therapy and who are open to using medication if it is needed.

You should feel comfortable talking with the mental health professional you choose. If you do not, you should seek help elsewhere.

Once you find a mental health professional with whom you are comfortable, the two of you should work as a team and make a plan to treat your anxiety disorder.

Remember that once you start on medication, it is important not to stop taking it abruptly.

Certain drugs must be tapered off under the supervision of a doctor or bad reactions can occur. Make sure you talk to the doctor who prescribed your medication before you stop taking it.

If you are having trouble with side effects, it is possible that they can be eliminated by adjusting how much medication you take and when you take it.

Most insurance plans, including health maintenance organizations (HMOs), will cover treatment for anxiety disorders. Check with your insurance company and find out.

If you do not have insurance, the Health and Human Services division of your county government may offer mental health care at a public mental health center that charges people according to how much they are able to pay. If you are on public assistance, you may be able to get care through your state Medicaid plan.

Ways to Make Treatment More Effective

Many people with anxiety disorders benefit from joining a self-help or support group and sharing their problems and achievements with others. Internet chat rooms can also be useful in this regard, but any advice received over the Internet should be used with caution, as Internet acquaintances have usually never seen each other and false identities are common.

Talking with a trusted friend or member of the clergy can also provide support, but it is not a substitute for care from a psychologist or other mental health professional. Stress management techniques and meditation can help people with anxiety disorders calm themselves and may enhance the effects of their therapy.

There is preliminary evidence that aerobic exercise may have a calming effect. Since caffeine, certain illicit drugs and even some over-the-counter cold medications can aggravate anxiety disorders, they should be avoided.

Check with your physician or pharmacist before taking any additional medications. Also, the family is very important in ones recovery. Ideally, the family should be supportive and should not trivialize the disorder or demand improvement without treatment.

Anxiety and Related Disorders

If you’re sitting in a tornado shelter feeling apprehension about a tornado warning on the radio, then you probably have a normal fear response to your circumstances. If you’re sitting in there on a clear day, trembling, sweating and feeling doomed, then you probably have an anxiety disorder. Webster’s Dictionary defines anxiety as “An abnormal and overwhelming sense of apprehension and fear with physiological signs such as shortness of breath, a rapid pulse, or chest pain.” Anxiety Disorders are one of the most common psychiatric conditions, affecting fifteen to twenty per cent of the general population.

The first order of business for a physician evaluating anxiety is to determine as accurately as possible the patient’s complete state of health. At least one-third of patients with an underlying organic disorder present with anxiety symptoms. These could include too much thyroid hormone, problems with the adrenal glands, an unrecognized heart disorder, or diabetes. Treatment of the underlying medical problem thereby becomes the primary treatment for the anxiety.

The second order of business is to determine if a patient is putting something into their body which is causing the anxiety. This could include alcohol, which is a frequent cause of a cycle of anxiety. Other substances which could cause anxiety would be stimulants like diet pills, amphetamines or cocaine. Finally, some prescription drugs do not mix well together, especially when they are broken down by the same enzymes in the liver, and may cause severe anxiety. There are certain herbal remedies such as yohimbine (a purported male enhancer), which in some individuals, can cause anxiety. Elimination of these substances is the treatment for this type of anxiety, so a patient needs to be forthright about all substances and prescriptions which he is taking.

A type of primary anxiety disorder is the panic attack. This is usually unexpected, peaks in about ten minutes and usually lasts less than an hour. It is characterized by a feeling of losing control or going crazy, trembling or shaking, profuse sweating or chills or hot flashes, rapid heart rate, and a sense of not being able to catch one’s breath. It may be associated with agoraphobia, which is a fear of being trapped or unable to escape. (Agoraphobia can occur by itself, and thus be considered as another form of primary anxiety.)

There is another form of anxiety which most often begins in childhood. It is the fear of separation from an important attachment figure, for example a parent. This leads to a form of anxiety called separation anxiety which can occur at later times in life when one is faced with losing another attachment figure.

Some anxiety sufferers have an inordinate fear of humiliation in social or performance situations. Once again it is the physical symptoms which define the condition. One could be tormented by flushing (or blushing), rapid heart rate, shortness of breath, and/or a sense of doom. If it is a fear of social situations it is called Social Anxiety or phobia; fear of performance humiliation is called Performance Anxiety.

Some anxiety sufferers can have symptoms brought on by a specific object or situation. These are called the various and sundry phobias. It might be the fear of heights, fear of crossing a bridge, fear of spiders or germs. Again it is the intense emotional and physical symptoms which make this form of anxiety so disabling.

Another form of anxiety is the Obsessive-Compulsive Disorder. A person suffering from this may perform certain rituals to allay the anxiety. This could include excessive hand-washing, not stepping on cracks in the sidewalk, or repetitively locking and relocking a door. Jack Nicholson played an Obsessive-Compulsive in a movie a few years ago (Melvin Udall in “As Good As It Gets”), which very poignantly portrayed the interpersonal difficulties which can occur secondary to this condition. Dustin Hoffman’s “Rain Man” portrayed a Tourette’s Syndrome/Autistic patient’s extreme dependence on rituals to alleviate mounting anxiety.

If a person has six months or more of constant generalized anxiety and excessive worry with the physical and emotional repercussions of anxiety, this is called Generalized Anxiety Disorder. Sometimes this particular spectrum of symptoms can be secondary to a mood disorder such as depression or manic-depression. In this latter case treatment would be for the mood disorder.

There is an anxiety disorder which occurs after a person has endured a shocking situation in which he has faced the possibility of his own death. We see this in soldiers who have been traumatized on the battlefield. It can occur after a terrible accident or a natural disaster. The person has panic attacks and vivid nightmares. This type of anxiety is called Post-Traumatic Stress Disorder. The VA Hospital system has developed an extensive body of knowledge about this disorder and various specific techniques for treating it. Adjustment Disorder is a much less intense form of anxiety than PTSD. In this situation, an individual develops anxiety secondary to a new situation such as a new job or a different family arrangement.

Treatment of anxiety usually involves both psychological and medical treatment. Identifying sources of anxiety and likewise identifying physical symptoms can eliminate some of the dread one has for intermittent anxiety. Sometimes with phobias there can be a supportive desensitization which can help alleviate symptoms. Medications can include anti-anxiety agents such as diazepam or clonazepam, but care has to be taken to avoid medication dependency. The SSRI antidepressants like fluoxetine have anti-anxiety properties as well. Tricyclic antidepressants like clomipramine can be used to treat anxiety but have a greater incidence of side-effects.

John Drew Laurusonis M.D.

Doctors Medical Center

Anxiety is a natural human reaction that involves mind and body. It serves an important basic survival function: Anxiety is an alarm system that is activated whenever a person perceives danger or threat.
When the body and mind react to danger or threat, a person feels physical sensations of anxiety things like a faster heartbeat and breathing, tense muscles, sweaty palms, a queasy stomach, and trembling hands or legs. These sensations are part of the body’s fight flight response.

They are caused by a rush of adrenaline and other chemicals that prepare the body to make a quick getaway from danger. They can be mild or extreme.

The fight-flight response happens instantly when a person senses a threat. It takes a few seconds longer for the thinking part of the brain (thecortex) to process the situation and evaluate whether the threat is real, and if so, how to handle it. If the cortex sends the all-clear signal, the fight-flight response is deactivated and the nervous system can relax.

If the mind reasons that a threat might last, feelings of anxiety might linger, keeping the person alert. Physical sensations such as rapid, shallow breathing; a pounding heart; tense muscles; and sweaty palms might continue, too.

Normal Anxiety Everyone experiences feelings of anxiety from time to time. Anxiety can be described as a sense of uneasiness, nervousness, worry, fear, or dread of what’s about to happen or what might happen. While fear is the emotion we feel in the presence of threat, anxiety is a sense of anticipated danger, trouble, or threat.

Feelings of anxiety can be mild or intense (or anywhere in between), depending on the person and the situation. Mild anxiety can feel like a sense of uneasiness or nervousness. More intense anxiety can feel like fear, dread, or panic. Worrying and feelings of tension and stress are forms of anxiety. So are stage fright and the shyness that can come with meeting new people.

It’s natural for new, unfamiliar, or challenging situations to prompt feelings of anxiety or nervousness. Facing an important test, a big date, or a major class presentation can trigger normal anxiety. Although these situations don’t actually threaten a person’s safety, they can cause someone to feel “threatened” by potential embarrassment, worry about making a mistake, fitting in, stumbling over words, being accepted or rejected, or losing pride. Physical sensations such as a pounding heart, sweaty hands, or a nervous stomach can be part of normal anxiety, too.

Because anxiety makes a person alert, focused, and ready to head off potential problems, a little anxiety can help us do our best in situations that involve performance. But anxiety that’s too strong can interfere with doing our best. Too much anxiety can cause a person to feel overwhelmed, tongue-tied, or unable to do what they need to do.

Anxiety DisordersAnxiety disorders are mental health conditions that involve excessive amounts of anxiety, fear, nervousness, worry, or dread. Anxiety that is too constant or too intense can cause a person to feel preoccupied, distracted, tense, and always on alert.

Anxiety disorders are among the most common mental health conditions. They affect people of all ages including adults, children, and people in their teens. There are many different types of anxiety disorders, with different symptoms. They all have one thing in common, though: Anxiety occurs too often, is too strong, is out of proportion to the present situation, and affects a person’s daily life and happiness.

Symptoms of an anxiety disorder can come on suddenly, or they can build gradually and linger until a person begins to realize that something is wrong. Sometimes anxiety creates a sense of doom and foreboding that seems to come out of nowhere. It’s common for those with an anxiety disorder to not know what’s causing the emotions, worries, and sensations they have.

Different anxiety disorders are named to reflect their specific symptoms.

Generalized anxiety. With this common anxiety disorder, a person worries excessively about many things. Someone with generalized anxiety may worry excessively about school, the health or safety of family members, and the future. They may always think of the worst that could happen.

Along with the worry and dread, people with generalized anxiety have physical symptoms, such as chest pain, headache, tiredness, tight muscles, stomachaches, or vomiting. Generalized anxiety can lead a person to miss school or avoid social activities. With generalized anxiety, worries can feel like a burden, making life feel overwhelming or out of control.
Obsessive compulsive disorder (OCD). For a person with OCD, anxiety takes the form of obsessions (bad thoughts) and compulsions (actions that try to relieve anxiety).
Phobias. These are intense fears of specific situations or things that are not actually dangerous, such as heights, dogs, or flying in an airplane. Phobias usually cause people to avoid the things they are afraid of.
Social phobia (social anxiety). This intense anxiety is triggered by social situations or speaking in front of others. An extreme form calledselective mutism causes some kids and teens to be too fearful to talk at all in certain situations.
Panic attacks. These episodes of anxiety can occur for no apparent reason. With a panic attack, a person has sudden and intense physical symptoms that can include a pounding heart, shortness of breath, dizziness, numbness, or tingling feelings causes by overactivity of the body’s normal fear response.Agoraphobia is an intense fear of panic attacks that causes a person to avoid going anywhere a panic attack could possibly occur.
Posttraumatic stress disorder (PTSD). This type of anxiety disorder results from a traumatic or terrifying past experience. Symptoms include flashbacks, nightmares, or constant fear after the fact.
How Anxiety Disorders Affect PeopleFor people dealing with anxiety disorders, symptoms can feel strange and confusing at first. For some, the physical sensations can be strong and upsetting. For others, feelings of doom or fear that can happen for no apparent reason can make them feel scared, unprotected, and on guard. Constant worries can make a person feel overwhelmed by every little thing. All this can affect someone’s concentration, confidence, sleep, appetite, and outlook.

People with anxiety disorders might avoid talking about their worries, thinking that others might not understand. They may fear being unfairly judged, or considered weak or scared. Although anxiety disorders are common, people who have them may feel misunderstood or alone.

Some people with anxiety disorders might blame themselves. They may feel embarrassed or ashamed, or mistakenly think that anxiety is a weakness or a personal failing. Anxiety can keep people from going places or doing things they enjoy.

The good news is, doctors today understand anxiety disorders better than ever before and, with treatment, a person can feel better.

What Causes Anxiety Disorders?

Experts don’t know exactly what causes anxiety disorders. Several things seem to play a role, including genetics, brain biochemistry, an overactive fight-flight response, stressful life circumstances, and learned behavior.

Someone with a family member who has an anxiety disorder has a greater chance of developing one, too. This may be related to genesthat can affect brain chemistry and the regulation of chemicals called neurotransmitters. But not everyone with a family member who has an anxiety disorder will develop problems with anxiety.

Things that happen in a person’s life can also set the stage for anxiety disorders. Frightening traumatic events that can lead to PTSD are a good example.

Growing up in a family where others are fearful or anxious can “teach” a child to view the world as a dangerous place. Likewise, if a person grows up in an environment that is actually dangerous (if there is violence in the child’s family or community, for example), he or she may learn to be fearful or expect the worst.

Although everyone experiences normal anxiety in certain situations, most people even those who experience traumatic situations don’t develop anxiety disorders. And people who develop anxiety disorders can get relief with proper treatment and care. They can learn ways to manage anxiety and to feel more relaxed and at peace.

How Are Anxiety Disorders Treated?

Anxiety disorders can be treated by mental health professionals, or therapists. A therapist can look at the symptoms someone is dealing with, diagnose the specific anxiety disorder, and create a plan to help the person get relief.

A particular type of talk therapy called cognitive-behavior therapy (CBT) is often used. In CBT, a person learns new ways to think and act in situations that can cause anxiety, and to manage and deal with stress. The therapist provides support and guidance and teaches new coping skills, such as relaxation techniques or breathing exercises. Sometimes, but not always, medication is used as part of the treatment for anxiety.

What to DoGetting the problem treated can help a person feel like himself or herself again relaxed and ready for the good things in life. Someone who might be dealing with an anxiety disorder should:
Tell a parent or other adult about physical sensations, worries, or fears. Because anxiety disorders don’t go away unless they are treated, it’s important to tell someone who can help. If a parent doesn’t seem to understand right away, talk to a school counselor, religious leader, or other trusted adult.
Get a checkup. See a doctor to make sure there are no physical conditions that could be causing symptoms.
Work with a mental health professional. Ask a doctor, nurse, or school counselor for a referral to someone who treats anxiety problems. Finding out what’s causing the symptoms can be a great relief.
Get regular exercise, good nutrition, and sleep. These provide your body and brain with the right fuel and time to recharge.

Try to stay patient and positive. It can take time to feel better, and courage to face fears. But letting go of worry allows space for more happiness and fun.