anxiety
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.



By: Mike Shery

About the Author:

Dr Shery is in Cary, IL, near Algonquin, Crystal Lake, Marengo and Lake-in-the-Hills. He’s an expert psychologist. Call 1 847 516 0899 and make an appt orlearn more about counseling at: http://www.carypsychology.com



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November
29
anxiety
Although anxiety is accepted as being a normal and healthy emotion, some people suffer from intense anxiety, which ends up affecting their lives and causing them to keep away from certain situations that they used to be able to deal without difficulty. If you are suffering from anxiety then you should begin on finding an appropriate and effective method of treatment.

The first thing you need to do is determining the type of anxiety disorder you suffer from. There are five main types of anxiety disorders: generalized anxiety disorder, obsessive compulsive disorder, panic disorder, post-traumatic stress disorder, and social anxiety disorder. Effective treatments for each anxiety disorder are accessible, and new and enhanced treatments are always becoming available.

Non-medication treatments

Once you have found out the type of anxiety that you are suffering from you will be able to find the suitable anxiety disorder treatment. Mild anxiety disorders can often be treated relatively simple with relaxation and breathing techniques. Yoga, for instance, is a great type of exercise that can really help with anxiety and related health conditions. This is definitely something that should be tried prior to more serious forms of anxiety disorder treatment.

If your anxiety is more severe or constant, then therapy or counseling may become the best option. Cognitive behavioral therapy for one has been confirmed to be very effective in the treatment of all types of anxiety disorder. In this therapy you work one on one with an experienced and qualified mental health professional, who will assist you to deal with your fears in a safe and controlled environment. Over time you will be able to find out the root of your anxiety and from there work towards developing a treatment plan that will lead you to your normal life.

You can also select an anxiety disorder treatment plan that involves natural and herbal treatments. Herbal remedies such as valerian root and kava kava have over and over again proven to be effective at treating anxiety disorders and depression. You do need to keep in mind that just because these herbal remedies are natural it does not indicate that you do not still have to be careful. If taken inappropriately, these remedies can actually worsen your anxiety.

Hypnotherapy, biofeedback, and acupuncture are other options for anxiety disorder treatment. In order to determine which one is going to work best for you, you need to talk to your doctor. You may need to try a few different methods before you find the one that works best for you and your particular anxiety condition.

Medications for anxiety disorder

Generally, most treatments for anxiety disorders include at least one prescription medication. If you start taking medication as a treatment for anxiety disorder, it is important to understand that this should not be a long-term solution and you should keep working with a certified mental health professional in order to determine the root cause of your anxiety.

There are several common medications for anxiety disorder and one of them is selective serotonin reuptake inhibitors. Serotonin is known as the brain’s all-natural happy drug. Scientists believe that a lack of serotonin is the source of depression, anxiety, and panic attacks and therefore the purpose of selective serotonin reuptake inhibitors is to increase the levels of serotonin in the brain. Some familiar brands that use selective serotonin reuptake inhibitors are Prozac and Zoloft.

Benzodiazepines are another choice of medication, which act like minor tranquilizers. They decelerate the body’s nervous system, giving it an all-over calm. These types of medications can be addictive, so they should only be taken as prescribed. Some well-known brand names are Xanax and Valium.

Another medication that is used to treat anxiety disorder is antidepressants, which affect the neurotransmitters in the brain. Effexor is a good example of this type of anxiety disorder medication. Monoamine oxidase inhibitors (MAOIs) are very strong antidepressant drugs that should only be taken as a last resort after all other treatments have been tried. These drugs can be lethal when combined with certain other drugs and foods. One thing that need to be noted, anyone who takes antidepressants may become more susceptible to suicide, especially when they first begin to take them or when the dosage is changed.

Last important remark

Taking time to find the right treatment for your anxiety disorder is going to be vital to your success and you are going to want to work with a professional, especially if you have little knowledge on anxiety disorders in general. Remember that treatment for anxiety disorder is as different as the individuals who use them, and what works well for one person may not be effective for you. You may find relief from various sources of treatment including medication, therapy, self-help, alternative medicine or another form of treatment, and it may take some time and some trial and error in order to discover what works best for you.

One thing to remember is that support from family and friends are also very important. Many communities have organized support groups for people with different difficulties and you should be able to find a support group dedicated to anxiety disorder. These groups are typically made up of people with similar problems. Most patients find it reassuring to realize that they are not alone. Others in the group will be able to share advices, failures, and successes.



By: Cindy Heller

About the Author:

Cindy Heller is a professional writer. Visit pet insurance plan to learn more about pet health insurance marketing plan and florida pet health insurance.



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October
30
Filed Under (Health) by Brad on 30-10-2008
stress
There are many symptoms related to stress. It is only when our mind and body does not overcome the amount of stress that we have many symptoms of stress.

Symptoms of stress can be a death sentence. Stress symptoms can include gastrointestinal problems and this is why it is very difficult for the person to return to health.

Are symptoms bad?

Symptoms are important — if we listen and learn from them. Stress symptoms speak volumes about a state of well-being. The symptoms of stress are symptoms related to one of the main causes of stress: physical, electromagnetic/geopathic, thermal, allergies/sensitivities, toxins/poisons, nutrition, and emotions.

Emotional stress is what people consider when they think about stress. Emotional health is paramount to your health and well-being. To get a grasp on your stress you have to take time to understand your emotional state. When you do you can change it to reduce the stress in your life.

Name one symptom and it is related to stress. We all have stress symptoms. This is a part of life. How we each deal with stress in our lives leaves clues to our quality of life. Symptoms speak volumes to how we deal with life.

You want to be more specific? Your heart beat is related to stress. At rest it beats to pump blood through your body. The more you work, the harder it beats and when you really over-do it, it can’t keep up with your demands.

Physical stress, emotional stress, and nutritional stress all exhibit symptoms of stress in different parts of the body and mind.

But the question isn’t all the symptoms of stress that society keeps chasing. It is in finding the cause of stress related to your symptoms. Remove the cause of your stress and you remove the affect of your stress.

How to remove the cause of your stress takes work and dedication. There are some tools that work and some things you can do that will increase your stress. Find what works for you and make a stress management plan for a lifetime.

Stress is a normal response of your body to situations that you perceive as ‘dangerous’. We all have amounts of stress every day that we each have to deal with.

Burn this into your brain: Any symptom you have is related to stress to some degree or another!

A great practice to get into is to correlate the symptom you have to a particular stress. Is your symptom related to lack of sleep, bad food, insufficient exercise, or emotional stress?

Can you even identify your stress? Is your stress buried deep?

When you ask pointed questions about your symptom and your stress you might find an answer you need to move beyond your current level of health.

Physical symptoms of stress are virtually any symptoms that show up. Physical symptoms are a mirror from the body to the stress the person is going through. Chronic stress brings with it many of the physical symptoms you are probably dealing with today.

Symptoms caused by stress go through many physiological changes.

The first effect on the body is that blood is diverted from less vital to more vital organs. Over time and amount chronic stress, less blood in a certain area causes that area to become malnourished. Then this body part may give physiological symptoms.

All due to a stress response and reaction by the body. The cure? Remove the stress–THEN attend to the physical symptom.

After a period of time, your body will nourish the non-vital area once again and the body will heal. Can you see why addressing the physical symptom of stress without finding the cause of stress is foolish?

The first hallmark sign of the body’s reaction to stress is dysfunction of the adrenal glands; an adrenal enlargement. These are the stress glands of choice in the body. These glands literally become fatigued and “stressed”. Caffeine, sugar, inactivity, emotional stress, physical stress all have a profound effect on the adrenal system and lowers any chance of dealing with stress.

The second effect in reaction to stress is the activity of the lymphatic system; an intense shrinkage or atrophy of the thymus, the spleen, the lymph nodes and lymphatic structures throughout the body. They cannot keep immune surveillance. Do you know people who are always sick? Check out their stress and you’ll find a correlation.

The third effect of stress on the body is bleeding or deep irritation to the lining of the stomach and intestines. They literally ulcerate. Stomach ulcers. Intestinal ulcers.

It is when the mind and body does not overcome the amount of stress that we have effects of stress show up on the body.

Are symptoms of stress bad? If we listen and learn from our symptoms we can lessen the effects of stress and become healthy.



By: Dr Peter Lind

About the Author:

To find out how you can reduce your stress, go to Symptoms of Stress for a free stress package of information.



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October
27
Filed Under (Health) by Brad on 27-10-2008
anxiety
Many anxiety sufferers turn to medication in an attempt to control stress and alleviate anxiety and panic attacks, but unfortunately, anxiety medications are not always a panacea to restore emotional balance and calm. In fact, anxiety medications do not “cure” anxiety at all — they merely attempt to lessen the symptoms by suppressing the emotional range of the sufferer.

It is also well-known that many anti-anxiety medications have a wide variety of side effects, ranging from weight gain to sexual dysfunction; and in some circumstances, the medications can even make the patient’s anxiety worse. Fortunately there are alternative methods of restoring balance and eliminating anxiety, without the use of prescription medications. Let’s take a look at a few of the most common methods of controlling and even eliminating anxiety without resorting to potentially dangerous drugs.

Anxiety is not a disease; it is an imbalance of the emotions. In other words, anxiety is a problem that is most commonly caused by our habitual way of thinking and reacting to the world–it’s a type of “thinking problem.” Therefore, the ideal way to alleviate anxiety and panic attacks is by addressing the root cause, not just the symptoms, and this can best be done by using exercises and techniques to reduce stress and improve feelings of well-being on a daily basis.

Relaxation exercises have been clinically proven to significantly reduce anxiety symptoms. Techniques such as tai chi and yoga benefit many anxiety sufferers, and can be practiced by virtually anyone of any age (assuming they are physically healthy and capable of mild to moderate exertion). Both tai chi and yoga are exercises which help to calm the mind, and can improve our mental focus and clarity by “slowing down” our thought processes, and concentrating on breath and movement.

In fact, focused breathing exercises are themselves a useful tool to reduce stress. Meditation is a similar practice that has also been proven to have a positive effect on restoring balance to the emotions, and even improve the functioning of the immune system and our overall physical health. All of these techniques are great alternatives to using anxiety medications, and best of all they are all natural, and have no known side effects or withdrawal symptoms.

But along with all of these stress reduction techniques, it is also important to eat a balanced diet, and limit our intake of stimulants such as caffeine and nicotine, both of which have been shown to aggravate anxiety symptoms. Cutting out (or at least cutting down on) coffee and soft drinks is important for anxiety sufferers. Reducing sugar intake is also helpful to avoid the “wired” feelings that can sometimes bring on anxiety or panic attacks.

Another aspect of your diet that can affect anxiety is food allergies. While there are many different types of food allergies that can cause emotional imbalances like anxiety, one commonly undiagnosed food allergy is dairy products. Some anxiety sufferers report immediate reduction in their overall feelings of stress and anxiety by simply eliminating dairy from their diet.

And last but certainly not least, anxiety sufferers should consider their overall attitude and state of mind. Because anxiety is a thinking problem, and not a disease, our habitual thoughts play a great role in its development. Positive thinking is not just for motivational speakers or the blissfully ignorant among us — is also an extremely useful tool in restoring balance to our lives, and eliminating chronic anxiety. In fact, there is no anti-anxiety medication on the market that is as powerful as your mind!

Refusing to be a victim and assuming responsibility for your state of mind is empowering, and can have very real, measurable results in improving anxiety situations. After all, anxiety and panic attacks begin with thoughts, which just prove how powerful our thoughts can be.

This is great news for anxiety sufferers, because if our thoughts are powerful enough to generate an anxiety attack in the first place, they are also powerful enough to eliminate anxiety problems, and bring us back into a balanced emotional state. When anxiety medications do not provide relief from the problem, using a combination of the all-natural methods listed in this article is a great alternative to overcoming anxiety and panic attacks once and for all.



By: Jon Mercer

About the Author:

Discover the real alternative to anxiety medications.
Breakthrough video-based exercises stop Anxiety and Panic in their Tracks!



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