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Munk Kirkpatrick posted an update 6 months ago
Dealing With Severe Anxiety Disorder
Symptoms of anxiety often interfere with everyday life. It is crucial to seek treatment and relief.
Traumas, like physical or emotional abuse, or neglect, can cause anxiety. As do certain life events such as chronic health conditions and stress.
Counseling (also called psychotherapy) helps you change negative thoughts that cause distressing feelings. The most common kind of psychotherapy used to combat anxiety is cognitive behavior therapy.
Medicines
Medication can be an effective method to reduce symptoms for many people. This is in addition to lifestyle and therapy adjustments. There isn’t a single medication that is suitable for everyone. It is essential to choose the right medication for you. Your MDVIP provider will discuss your anxiety-related symptoms along with your medical history, and goals with you to determine the most appropriate treatment option for you.
Benzodiazepines are a class of drugs that work to target gamma-aminobutyric acid (GABA) in your brain, helping to slow down the overexcited part of your brain and promote peace. These are commonly prescribed for short-term use, like during a panic attack or another intense anxiety episode. Examples include Xanax, Klonopin and Valium.
Antidepressants help combat depression, but they’re often used to manage anxiety disorders too. They work by regulating the levels of chemicals in your brain–or neurotransmitters–like serotonin and norepinephrine. These drugs are used to treat anxiety disorders of various kinds, but most often GAD, PDA, and SAD.
Another type of antidepressant could be prescribed to treat anxiety, namely selective serotonin reuptake inhibitors (SSRIs). These are generally prescribed for moderate to mild anxiety disorder and have been shown to be effective in randomized controlled studies.
If you suffer from severe anxiety disorders it is possible to require a stronger drug, such as an SSRI or tricyclic antidepressant. These are typically reserved for patients who haven’t responded to other treatments. The patient must be carefully monitored for sedation or depression as a side result.
If you don’t get relief from a SSRI, SNRI or monoamine oxidase A inhibitor, your doctor may try adding one. They are typically prescribed when other treatments have failed. They can be very efficient in reducing the symptoms of SAD. Quetiapine and agomelatine are a couple of common examples.
Remember that a medicine is not an answer to your problem. It is best to take it under the supervision of a physician. Always discuss the benefits and risks of any medication, including potential negative side effects. During your initial visit, it’s also important to inquire about follow-up visits and appointment times. Routine check-ins are important to help manage anxiety symptoms over the long-term.
Counseling
Talk therapy (or psychotherapy) is a crucial component of treatment for anxiety disorders. A trained therapist can teach you ways to change unhealthy emotions, thoughts and behaviors that contribute to your symptoms.
A variety of psychotherapy methods are available, including cognitive therapy (CBT). This approach has been well studied and is the most effective method for treating anxiety disorders. Your therapist could suggest additional treatments, such as mindfulness-based acceptance and commitment therapy, or exposure therapy.
Cognitive therapy examines your negative thoughts patterns that can cause anxiety. It helps you challenge these thoughts and replace them with more realistic, positive thoughts. These thoughts are typically developed through childhood experiences and are difficult to change on your own.
If your symptoms are severe they may interfere with your everyday life and make it difficult to work or take part in social activities. Your therapist will determine how often you experience symptoms of anxiety as well as the length of time they last, and how intense they can be. They will also assess for any other mental issues that may be causing the symptoms, such a addiction or depression.
Talk generalized anxiety disorder are usually conducted face-to-face with a mental health professional, such as a psychologist or psychiatrist. Your counselor will be able to observe your body language, facial expressions and other indicators to discern your reactions to certain situations. This will allow them to determine if your symptoms are due to a specific trigger like a constant stressor or traumatic event.
Anxiety can affect everyone. A proper diagnosis can aid in reducing your symptoms and improve your quality of life. Remember that overcoming an anxiety disorder takes time and commitment however it is well worth the effort in the long run. Establishing a strong support system and implementing healthy lifestyle habits and practicing relaxation techniques are all important components of your treatment strategy. The more you use these techniques and the more effective they will become.
Exposure Therapy
If you are suffering from a phobia or fear it is common to associate certain objects or situations with negative consequences. Your mental health professional may utilize exposure therapy to break this association and stop avoiding things that cause anxiety. This is a method of exposing you to anxiety-provoking items or situations for a controlled period of time in a secure environment. Over time, this helps you understand that the feared object or situation isn’t dangerous and that you can deal with it.
Your therapist will start you with situations or objects that don’t cause high levels of anxiety. They will then gradually move up to more challenging ones. This process is called “graded exposure.” In the first session for instance, if your therapist is aware that you are scared of snakes, they’ll show you images of them. In subsequent sessions, they will show you an image of a snake behind glass, and then feel a snake. Some people find this kind of exposure uncomfortable, and so the therapist may use interoceptive (or tactile) exposure. This involves deliberately triggering physical sensations, such as shaking or pounding heart, and teaching that these feelings, while uncomfortable, are not harmful.
It’s important to work with an expert in mental health who is skilled and knowledgeable in using this therapy. You could end up avoiding things that trigger anxiety, which could cause your symptoms to get worse. Instead your therapist can help you confront the fears and anxieties that are keeping you from living life to the fullest.
Your therapist might also employ cognitive behavioral therapy to address the root belief that causes your anxiety. For instance, if you believe that your anxiety is an indicator of weakness, they’ll help you identify and challenge these beliefs. Your therapist will also teach you breathing and relaxation techniques, along with other coping strategies to lessen the negative impact that these beliefs can have on your life. They will also instruct you about the physiology behind the fight or flight response and how it is caused by anxiety disorders.
Mindfulness
Mindfulness is an ancient contemplative practice that encourages the willingness to experience, including unpleasant emotions. Anyone can practice it. It is not a religion nor a secular belief system. While mindfulness is often associated with Buddhism some practitioners claim that the technique has its roots in a variety of ancient traditions of contemplation.
Research has proven that mindfulness meditation can improve mood, self-regulation and ability to recognize maladaptive patterns of thinking and reacting. It has been shown that mindfulness meditation has the ability to alter the brain’s structure and function, which is involved in processing emotion. These changes are linked to a decreased activity in Default Mode Network which is involved in the aetiology of anxiety.
Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction are the two most widely used mindfulness programs in the secular world. These are generally eight weekly classes that run about two to three hours each. Recent research has focused on shorter, less intensive mindfulness training. These shorter interventions can be taught by a certified therapist, without the assistance of a meditation teacher or group leader.
These newer studies have found that short mindfulness-based training can be immediate in affecting the ruminative thinking processes. Short mindfulness training can lower anxiety and can also reduce the time spent in ruminative thought processes. This research supports the notion that mindfulness training could be helpful in treating GAD.
Mindfulness has been shown to decrease depression, improve positive moods and well-being in addition to its direct effect on emotional reactions. This is due in large part to the positive effects it has on negative thinking patterns as well as the reduction of symptoms of rumination and self-criticism.
A small study at the University of Waterloo found that 10 minutes of mindfulness can help disrupt the ruminative thought patterns that trigger anxiety. In the study, 82 people who were suffering from anxiety were assigned to complete an online task that was constantly interrupted by interruptions. Half of them were able to listen for 10 minutes to a meditation audio while the other half listened an audio book.
The results of the study showed that participants who listened to the mindfulness audio had significantly lower anxiety levels than those in the other two groups. This suggests that GAD can be treated using mindfulness training, however more research is needed to determine which techniques are effective. Future studies should evaluate the effects of mindfulness-based training with other psychotherapeutic treatment.