Types
of Anxiety Disorders
Generalized Anxiety Disorder
(GAD) is perhaps the most common type of anxiety disorder. It consists
of excessive nervousness or worry about events or activities. The person
is troubled by nervousness most days, and finds it difficult or impossible
to control. In addition to nervousness or worry, the person has any number
of the above-listed symptoms of anxiety disorders. While the person may
have real reasons for worry, clearly the anxiety is excessive and becomes
a problem in itself.
Phobias cause anxiety about specific situations.
If the person can avoid the particular situation, he experiences much
less anxiety. Many phobias are minor, and cause little disability:
fears of snakes and spiders, for example. Phobias can be disabling
when the feared situation is a common part of life: elevators, driving,
or flying. When forced into the feared situation, the above-listed
symptoms of anxiety become very severe and can result in a “panic attack.”
Perhaps the most disabling phobia is social phobia.
The person with social phobia is excessively frightened by situations
in which he will be observed by others. The fear is usually of humiliation
or embarrassment. Public speaking, parties, and restaurants are often
the feared situations. The person with social phobia often has suffered
from excessive shyness since childhood.
When forced into a “social” situation, the person
will experience any of the above-listed symptoms of anxiety. Loneliness
and career frustration often result from social phobia.
Panic Disorder causes “panic attacks,” sometimes
known as “anxiety attacks.” These are sudden, intense spells of any
of the above-listed anxiety symptoms. Particularly common are difficulty
breathing, fast pounding heartbeat, intense fear, and tremors. Panic
attacks can occur anywhere, anytime; often they awaken the person from
sleep. The panic attack can last from a few minutes to several hours.
Between panic attacks the person may feel well, or may develop symptoms
of Generalized Anxiety Disorder as described above.
The fear of having another panic attack can be more
disabling than the momentary panic attacks themselves. A person may
worry constantly about having another panic attack. He may avoid more
and more situations in which a panic attack occurred. In extreme cases
the person may remain at home and rarely leave: a condition called Agoraphobia.
Obsessive-Compulsive Disorder causes unpleasant
repetitive thoughts and excessively repetitive actions. Most commonly,
the thoughts and actions focus on themes of dirt, germs, washing and
cleaning; orderliness and neatness resulting in slowness; bizarre religious
thoughts and actions; hoarding; nail biting and hair pulling. Other
anxiety symptoms listed above may also be present.
Post-traumatic Stress Disorder occurs following
a severe physical or psychological trauma, such as a near-fatal accident
or assault. Memories and dreams of the event recurrently intrude into
awareness. Persons avoid anything that might remind them of the event.
Other of the above anxiety symptoms also occur.
Causes of Anxiety Disorders
While there is still much that medical
science does not know about the causes of anxiety disorders, we do have
increasing evidence that the causes of anxiety disorders can be chemical,
psychological, or a combination of both.
Given enough stress, anyone could develop an anxiety
disorder. The brain’s circuits for handling tension could be overwhelmed,
and then anxiety spills over uncontrollably. Once this happens, the
brain may never regain emotional stability on its own.
Even without unusual stress, a person can develop
an anxiety disorder on the basis of chemical problems in the brain.
These chemical disorders are often inherited, and anxiety disorders
do tend to run in families. Or the chemical disorders can develop during
life due to aging or disease.
Whether from stress, heredity, or disease, three
brain proteins seem to be out of balance in persons with anxiety disorders:
serotonin, norepinephrine, and GABA (g-aminobutyric acid).
Treatment of Anxiety Disorders.
With modern treatment, almost all patients with
anxiety disorders can be helped greatly. Many patients will have almost
complete remission of their symptoms; most others will have at least
a 50% reduction of symptoms.
Treatment usually involves both medications and counseling.
The medications used to treat anxiety disorders increase the effectiveness
of the brain chemicals GABA and serotonin. Some also stabilize norepinephrine.
Often relief is experienced in a matter of a few hours. Modern antidepressants
are used to stabilize serotonin; mild tranquilizers increase the effects
of GABA. All the medications used are safe.
The counseling done for anxiety disorders is usually
cognitive therapy. This well-proven form of counseling teaches
you how to reduce anxiety by mental control. Usually less than 12 sessions
are required, and improvement is experienced after the first one or
two sessions. Cognitive therapy can be done individually or in group
therapy.
How Much Does Treatment
Cost?
The treatment of anxiety disorders is surprisingly affordable.
Most health insurance will pay at least 50% of the cost
of care. With two policies, nearly all the costs will be paid by health
insurance.
Even on a simple financial basis, treating anxiety
disorders is a good investment. Patients earn and save more
money because they are mentally and physically functioning better!
They waste less time and money at work and at home.
By the way, an independent audit recently showed
that the total cost of treatment at Tate Healthcare Specialists is 35%
less than the Arkansas statewide average. I believe this is because
we are more accurate in our evaluation and diagnosis and we use state-of-the-art
treatment.
Should You Seek Treatment Now?
If you or a loved-one are suffering from the
symptoms of an anxiety disorder to the point that your schoolwork, career,
family life, or social life are adversely effected then treatment should
be sought. Untreated, an anxiety disorder has a destructive effect
on performance, relationships, mood, and self-esteem. Untreated, continued
anxiety can result in long-term health problems such as gastric ulcer,
heart disease, and high blood pressure. Treatment will improve the
overall physical and psychological health of the person.
Why See A Specialist?
We know that seeing a medical specialist
is more expensive than seeing your GP. But understanding anxiety disorders
and prescribing the appropriate treatment are complex. Physicians who
spend most of their time working with these disorders and their treatment
are able quickly to diagnose, provide treatment and adjust treatment
accurately. This will ensure that you will not suffer needlessly and
will save you time and money.
At Tate Healthcare Specialists we specialize in the
diagnosis and treatment of anxiety disorders and related conditions.
We can diagnose and treat most quickly and effectively
Conclusions
Anxiety disorders are very common: up to 30% of
females and 20% of males will suffer from an anxiety disorder in their
lifetime. Unfortunately, most persons with anxiety disorders never receive
treatment. Instead, most see their family physician for the physical
symptoms of anxiety: breathing difficulties, GI distress, palpitations
and chest pain.
Anxiety disorders have several subtypes, although
most share similar symptoms.
Without treatment, anxiety disorders are usually
lifelong. Treatment of anxiety disorders with cognitive therapy and
medications results in cure or improvement in the majority of people.
Treatment is quickly effective and affordable. Most
health insurance will reimburse 50% to 80% of our fee. By the way,
a recent health insurance audit showed our costs of care to be 35% less
than similar specialists in Arkansas. I believe this is because we are
dedicated to fast, accurate diagnosis and quickly effective care.
Call 800-889-4319 today for
more information or to make an appointment. You can also request an
appointment by clicking Request an Appointment.
Or Click Free Symptom Analysis
for free feedback about your symptoms. Do it today!
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