Let's Talk About Anxiety Disorders |
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That first date, an important job interview, the big speech, a critical test... times when most people feel a little anxious. Sweaty palms and "butterflies" in the stomach during challenging situations are normal. Anxiety disorders, however, are medical illnesses that differ dramatically from normal feelings of nervousness. The symptoms of these disorders often occur without warning and make the simplest of life's routines sources of nearly unbearable discomfort. What Are Anxiety Disorders? Anxiety disorders are the most common of emotional disorders, annually affecting more than 20 million Americans (approximately one in nine). Symptoms of anxiety disorders can include:
Anxiety disorders differ from normal feelings of nervousness, as the symptoms often occur for no apparent reason and do not go away. Rather than functioning as a call to action, these alarming reactions can make everyday experiences sources of potential terror. If left untreated, anxiety disorders can propel people to take extreme measures (such as refusing to leave the house) to avoid situations that may trigger or worsen their anxiety. Job performance and personal relationships inevitably suffer as a result. Fortunately, these illnesses generally respond well to treatment, and the majority of patients receiving treatment experience significant relief from their symptoms. Unfortunately, many people with anxiety disorders do not seek treatment because they do not recognize their symptoms as a sign of illness or they fear the reactions of co-workers, family, or friends. Types of Anxiety Disorders
Panic Disorder
Because these attacks occur unexpectedly and seemingly without reason, people with panic disorder often first believe that they are having a heart attack.
Phobias A phobia is an uncontrollable, irrational, and persistent fear of a specific object, situation, or activity. The fear experienced by people with phobias can be so great that some individuals go to extreme lengths to avoid the source of their dread. There are three types of phobias:
Phobias are diagnosed only when the specific fear is excessively upsetting or significantly interferes with normal daily activities.
Obsessive-Compulsive Disorder Obsessions are frequently occurring irrational thoughts that cause great anxiety but that cannot be controlled through reasoning. Common obsessions include preoccupations with dirt or germs, nagging doubts (e.g., "Did I turn off the oven?" or "Did I lock the house?"), and a need to have things in a very particular order. Although an individual with an obsession realizes that the thoughts are unreasonable and not related to real-life problems, this knowledge is not enough to make the unwanted thoughts go away. Instead, to get rid of the obsessive thoughts, people with obsessive-compulsive disorder (OCD) often engage in repetitive rituals, or compulsions, to reduce their anxiety. Examples of compulsions include repeated hand washing (to avoid contamination), constant checking and rechecking to satisfy doubts (e.g., the oven is off; the house is locked), and following rigid rules of order (putting on clothes in exactly the same sequence every day). Compulsive behaviors can sometimes take up more than an hour a day, thus becoming excessively disruptive of normal daily routines and social relationships.
Post-traumatic Stress Disorder Posttraumatic stress disorder (PTSD) occurs in individuals who have survived a severe or terrifying physical or emotional event. People with PTSD keep experiencing the ordeal through recurrent nightmares or memories of the event, flashbacks, and extreme emotional, mental, and physical distress when exposed to situations that remind them of the trauma. Additional symptoms include:
Events that can trigger PTSD include military combat, violent personal attack (e.g., rape), natural disasters (e.g., earthquake), tragedies (e.g., bombing, plane crash), physical or sexual abuse during childhood, or witnessing another person’s serious injury.
Generalized Anxiety Disorder People with generalized anxiety disorder (GAD) experience ongoing, exaggerated tension that interferes with daily functioning. Individuals with GAD worry constantly, even when there is no apparent reason for doing so. The focus of these excessive concerns can be health, family, work, or money. In addition, those with GAD are unable to relax, are easily tired and irritable, have difficulty concentrating, and may experience insomnia, muscle tension, trembling, fatigue, and headaches. Although people with GAD usually do not seek to avoid specific objects or situations, they are highly likely to have additional mental health difficulties, such as depression, substance abuse, or another anxiety disorder. What Causes Anxiety Disorders? Anxiety disorders run in families. For example, if one identical twin has an anxiety disorder, the second twin is likely to have an anxiety disorder as well, which suggests that genetics—possibly in combination with life experiences—makes some people more susceptible to these illnesses. Brain chemistry, too, appears to play a role in the onset of anxiety disorders, since symptoms of anxiety disorders are often relieved by medications that alter levels of chemicals in the brain. Personality also may play a role, as people who have low self-esteem and poor coping skills may be prone to anxiety disorders. Finally, life experiences such as long-term exposure to abuse, violence, or poverty may affect individuals’ susceptibility to these illnesses. Treatment Although each anxiety
disorder has its own unique characteristics, most anxiety disorders respond well to two types of
treatment: medication and psychotherapy. These treatments can be prescribed alone or in combination.
Although not cures, both treatments are effective in relieving the symptoms of anxiety disorders,
thus enabling individuals to live healthier lives. Other Sources of Information
American Psychiatric Association
Anxiety Disorders Association of America
Freedom From Fear
National Alliance for the Mentally Ill (NAMI)
National Institute of Mental Health (NIMH)
National Mental Health Association
National Self-Help Clearinghouse Call APA fastFAX (APA’s toll-free fax-on-demand service) for a menu of items available free by fax: 1-888-267-5400.
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American Psychiatric Association Produced by the APA Joint Commission on Public Affairs and the Division of Public Affairs. This pamphlet was developed for educational purposes and does not necessarily reflect opinion or policy of the American Psychiatric Association. One in a series of pamphlets designed to reduce the stigma surrounding mental illnesses by promoting informed factual discussion of the disorders and their psychiatric treatments. ISBN 0-89042-360-1 |
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