Dr. John Grohol is the founder, Editor-in-Chief & CEO of Psych Central. He is an author, researcher and expert in mental health online, and has been writing about online behavior, mental health and psychology issues -- as well as the intersection of technology and human behavior -- since 1992. Dr. Grohol sits on the editorial board of the journal Computers in Human Behavior and is a founding board member and treasurer of the Society for Participatory Medicine. He writes regularly and extensively on mental health concerns, the intersection of technology and psychology, and advocating for greater acceptance of the importance and value of mental health in today's society. You can learn more about Dr. John Grohol here.
Antidepressants can take time to work, so it’s important to give the medication a chance before reaching a conclusion about its effectiveness. If you begin taking antidepressants, do not stop taking them without the help of a doctor. When you and your doctor have decided it is time to stop the medication, the doctor will help you slowly and safely decrease your dose. Stopping them abruptly can cause withdrawal symptoms.
Characterized by the development of certain trauma-related symptoms following exposure to a traumatic event (see "Diagnostic criteria" below). While most people experience negative, upsetting, and/or anxious reactions following a traumatic event, a diagnosis of PTSD is made when symptoms and negative reactions persist for more than a month and disrupt daily life and functioning. Symptoms are separated into four main groups: re-experiencing, avoidance, negative cognitions and mood, and hyperarousal. The specific symptoms experienced can vary substantially by individuals; for instance, some individuals with PTSD are irritable and have angry outbursts, while others are not. In addition to the symptoms listed below, some individuals with PTSD feel detached from their own mind and body, or from their surroundings (i.e., PTSD dissociative subtype).
Generalized Anxiety Disorder is different than having a phobia about something. People with phobias are fearful of something in particular – for example, spiders, heights, or speaking in public. If you have Generalized Anxiety Disorder, you have an uneasy feeling about life in general. Often associated with feelings of dread or unease, you are in a state of constant worry over everything. If a friend doesn’t call you back within an hour, you may start to worry you did something wrong and the friend is upset with you. If you are waiting for someone to pick you up and he is a few minutes late – you may start to fear the worst – that he was in an accident, instead of thinking something more minor, like he got stuck in traffic. The feelings are not as intense as those that occur during a panic attack episode; however, the feelings are long-lasting. This results in having anxiety toward your life in general and the inability to relax – what some may consider far more debilitating than a specific phobia to a certain thing or situation, which you could possible avoid. There is no “off” switch. If you are suffering from Generalized Anxiety Disorder, you are experiencing a constant state of worry – and you cannot avoid it, because life, in general, is causing you anxiety.
Butterflies in your stomach before an important event? Worried about how you will meet a deadline? Nervous about a medical or dental procedure? If so, you are like most people, for whom some worry about major events (like having a child, taking an exam, or buying a house), and/or practical issues (like money or health conditions), is a normal part of life. Similarly, it is not uncommon to have fears about certain things (like spiders, injections, or heights) that cause you to feel some fear, worry, and/or apprehension. For example, many people get startled and feel nervous when they see a snake or a large insect. People can differ in what causes them to feel anxious, but almost everyone experiences some anxiety in the course of their life.
Some people with anxiety disorders might benefit from joining a self-help or support group and sharing their problems and achievements with others. Internet chat rooms might also be useful, but any advice received over the internet should be used with caution, as Internet acquaintances have usually never seen each other and what has helped one person is not necessarily what is best for another. You should always check with your doctor before following any treatment advice found on the internet. Talking with a trusted friend or member of the clergy can also provide support, but it is not necessarily a sufficient alternative to care from a doctor or other health professional.
Complementary and Alternative Therapies can be used in conjunction with conventional therapies to reduce the symptoms of anxiety. There is a growing interest in these types of alternative therapies, since they are non-invasive and can be useful to patients. They are typically not intended to replace conventional therapies but rather can be an adjunct therapy that can improve the overall quality of life of patients.
"The fight-or-flight system is hardwired for us humans to manage dangerous situations, and those of us with anxiety have an activated fight-or-flight response when the trigger is not really dangerous," says Beth Salcedo, MD, the medical director of The Ross Center for Anxiety & Related Disorders and board president of the Anxiety and Depression Association of America.
Behavioral choices can also significantly impact risk, as excessive tobacco or caffeine use can increase anxiety, whereas regular exercise can decrease anxiety. Specific temperament and personality traits also may confer risk of having an anxiety disorder. With regards to temperament, shyness and behavioral inhibition in childhood can increase risk of developing an anxiety disorder later in life. With regard to personality traits, the Five Factor Model of Personality consists of five broad trait domains including Neuroticism, Extraversion, Openness to Experience, Agreeableness, and Conscientiousness. An individual higher on trait Neuroticism or low on Conscientiousness is at a higher risk for all anxiety disorders, and an individual low on trait Extraversion is at a higher risk of developing social phobia and agoraphobia. Some more narrow personality traits have also been found to relate to risk for anxiety, including anxiety sensitivity, a negative or hostile attributional style, and self-criticism. Personality disorders have also been shown to relate to increased risk for anxiety disorders.
Anxiety is associated with abnormal patterns of activity in the brain. One way to treat anxiety is to directly target abnormal nerve cell activity. Neuromodulation or brain stimulation therapy is a non-invasive and painless therapy that stimulates the human brain. In some recent clinical trials, patients that did not respond to more traditional forms of treatment (i.e. medication) showed a reduction in symptoms of depression and anxiety. There are two main types of neuromodulation:
Panic disorder is characterized by repeated, unexpected panic attacks, as well as fear of experiencing another episode. A panic disorder may also be accompanied by agoraphobia, which is the fear of being in places where escape or help would be difficult in the event of a panic attack. If you have agoraphobia, you are likely to avoid public places such as shopping malls, or confined spaces such as an airplane.
The electrocardiograph in a person with panic attacks often shows tachycardia, but does not usually show any of the changes typically seen in people with heart attacks or angina. However, if significant risk factors for cardiovascular disease are present, a noninvasive evaluation to rule out coronary artery disease (CAD) may sometimes be a good idea.
I experienced my first panic attack this year around February! I was at work, checking people bags and etc.. then all of a sudden a big strong rush hit my whole entire body ! So I walked over to my desk to relax and calm down for about 15 mins, I was so scared my hands and feet were tingling , my head was spinning, too many people was around me I was getting irritated! My heart was beating so fast! My body wouldn’t stop shaking! My hands was getting clams! I didn’t know what to do! Ever since my girlfriend moved to another city , I didn’t have no one anymore , so I had car problems and kept losing jobs !!! So then I been stressing about everything thinking she’s gonna leave me and I won’t be able to see her again, or I won’t ever get a car or have a stable job! But once I figured out it was a panic attack I calmed down! I seriously thought something was wrong with me. It felt like I was about to pass out on the floor or something ! This is something I would never thought I would experienced !! So now on everyday to day basis, I have anxiety from time to time ! But I’m trying not to make medication for it because I do not want to take any pills to calm me down or put me to sleep! If I can do before without pills than I can do it again. Some days I couldn’t control it but I always say “ hey it’s okay, just relax your tripping ain’t nothing wrong”. Some days I have headaches that come and go but people tell me it’s anxiety and I’m like do anxiety really give me headaches? Because my head feels like it’s so tight , then I have pain in my neck. So by me getting irritated by the headache and neck pain I get to thinking something wrong but I know it’s stress. But since I got a stable job, and a car and a roof over my head now I feel a little better but I still have anxiety attacks from time to time. Hopefully it will go away soon. But until then ima fight it like I never had and ima try to ignore it by meditating and listening to music !! I also made a Facebook page for people who going through the same thing as me !
Research demonstrates that the most effective treatments for anxiety are behavioral. Such treatments often involve gradually exposing sufferers to the situations they fear. Anxiety therapy may also focus on changing distorted thought patterns that underlie the condition. Drugs may help patients control their anxiety, but they are typically effective only during treatment and do not usually cure the condition. Increasingly, researchers are finding that mindfulness meditation can be a successful technique that helps lessen anxiety.
Medications options for panic attacks typically include benzodiazepines and antidepressants. Benzodiazepines are being prescribed less often because of their potential side effects, such as dependence, fatigue, slurred speech, and memory loss. Antidepressant treatments for panic attacks include selective serotonin reuptake inhibitors (SSRIs), serotonin noradrenaline reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), and MAO inhibitors (MAOIs). SSRIs in particular tend to be the first drug treatment used to treat panic attacks. Selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants appear similar for short-term efficacy. SSRIs carry a relatively low risk due to the fact that they are not associated with much of a tolerance or dependence, and are difficult to overdose with. TCAs are similar to SSRIs in their many advantages, but come with more common side effects such as weight gain and cognitive disturbances. They are also easier to overdose on. MAOIs are generally suggested for patients who have not responded to other forms of treatment.
No matter what your plan is, having one in place is the most important thing. You can think of your plan as your go-to set of instructions for yourself when you feel a panic attack coming on. One plan might be to take yourself out of your current environment, sit down, and call a friend or family member that can help distract you from your symptoms and help you to calm down. Then you can incorporate the following techniques.
Anxiety attacks usually peak within 10 minutes, and they rarely last more than 30 minutes. But during that short time, the terror can be so severe that you feel as if you’re about to die or totally lose control. The physical symptoms of anxiety attacks are themselves so frightening that many people believe they’re having a heart attack. After an anxiety attack is over, you may be worried about having another one, particularly in a public place where help isn’t available or you can’t easily escape.
Although your gut response might be to leave the stressful situation immediately, don’t. “Let your anxiety level come down,” advises Carmin. Then you can decide if you want to leave or if there's a way to get back to whatever you were doing when the anxiety attack started. Staying in the moment will help you overcome anxiety, but it’s hard to do this at first.
Depression is a condition in which a person feels discouraged, sad, hopeless, unmotivated, or disinterested in life in general for more than two weeks and when the feelings interfere with daily activities. Major depression is a treatable illness that affects the way a person thinks, feels, behaves, and functions. At any point in time, 3 to 5 percent of people suffer from major depression; the lifetime risk is about 17 percent.