The two main treatments for anxiety disorders are psychotherapy and medications. You may benefit most from a combination of the two. It may take some trial and error to discover which treatments work best for you.
Anxiety is not curable, but there are ways to keep it from being a big problem. Getting the right treatment for your anxiety will help you dial back your out-of-control worries so that you can get on with life. There are many ways to do this.
You feel like you're worrying too much and it's interfering with your work, relationships or other parts of your life. Your fear, worry or anxiety is upsetting to you and difficult to control. You feel depressed, have trouble with alcohol or drug use, or have other mental health concerns along with anxiety.
While most people with anxiety disorders need psychotherapy or medications to get anxiety under control, lifestyle changes and coping strategies also can make a difference.
Anxiety disorders are the most common of mental disorders and affect nearly 30% of adults at some point in their lives. But anxiety disorders are treatable and a number of effective treatments are available.
An anxiety emergency or extreme panic attack may require an ER visit if the sufferer is unable to get it under control. Extreme cases of hyperventilation can lead to tachycardia, an occurrence where the heart is beating so fast that it is unable to properly pump blood throughout the body.
For the majority of people with undiagnosed or untreated anxiety disorder, there are many negative consequences, for both the individual and society. These include disability, reduced ability to work leading to loss of productivity, and a high risk of suicide.
“High-functioning anxiety tends to become problematic when it bleeds into depression,” says Dr. Hamdani. “That's when most patients will start to seek help—when they're having trouble getting out of bed, difficulty sleeping, losing interest in doing things they enjoyed doing or thoughts of life not being worthwhile.”
To diagnose an anxiety disorder, a doctor performs a physical exam, asks about your symptoms, and recommends a blood test, which helps the doctor determine if another condition, such as hypothyroidism, may be causing your symptoms. The doctor may also ask about any medications you are taking.
Success of treatment varies, but most people with an anxiety disorder can be helped with professional care. Benefits of CBT are usually seen in 12 to 16 weeks. Medication may be a short-term or long-term treatment option, depending on severity of symptoms, other medical conditions and individual circumstances.
Since it's a natural part of the human condition, anxiety is not completely curable. But feeling anxious should be a temporary state that resolves when a stressor or trigger has passed.
Panic disorder
Panic attacks are intense, overwhelming and often uncontrollable feelings of anxiety. Physical symptoms can include trouble breathing, chest pain, dizziness and sweating.
Severe anxiety symptoms can become a persistent problem. They can interrupt daily functioning, impact quality of life, and become too difficult to manage. Severe anxiety can even bring about suicidal thoughts.
feeling tense, nervous or unable to relax. having a sense of dread, or fearing the worst. feeling like the world is speeding up or slowing down. feeling like other people can see you're anxious and are looking at you.
An anxiety disorder can last anywhere from a few months to many years. It will go away completely for some, and for others, it may be a lifelong condition to treat.
Difficult experiences in childhood, adolescence or adulthood are a common trigger for anxiety problems. Going through stress and trauma when you're very young is likely to have a particularly big impact. Experiences which can trigger anxiety problems include things like: physical or emotional abuse.
The Effect of Anxiety on the Heart
Rapid heart rate (tachycardia) – In serious cases, can interfere with normal heart function and increase the risk of sudden cardiac arrest. Increased blood pressure – If chronic, can lead to coronary disease, weakening of the heart muscle, and heart failure.
An ER doctor can walk you through various breathing exercises to help relieve some of that anxiety and improve your breathing, and if necessary, they can also prescribe anti-anxiety medication. Not only will you find relief visiting the ER, but you'll also be more prepared for future panic attacks.
If you go the emergency room, you may have an EKG, blood tests, and a chest X-ray to make sure you're not having a heart attack or other serious problem. The doctor may also give you medicine to help you relax. Talk to your doctor or a therapist if you have panic attacks often.
Psychotherapy is also effective for managing anxiety in the medically ill. Supportive therapy and brief cognitive-behavioral therapy can be readily used at bedside or in an office. Psychodynamic psychotherapy is an option for those patients who are more resilient and whose condition is less acute.
Stress. Daily stressors like traffic jams or missing your train can cause anyone anxiety. But long-term or chronic stress can lead to long-term anxiety and worsening symptoms, as well as other health problems. Stress can also lead to behaviors like skipping meals, drinking alcohol, or not getting enough sleep.
Anxiety attacks, also known as panic attacks, are episodes of intense panic or fear. They usually occur suddenly and without warning. Sometimes there's an obvious trigger—getting stuck in an elevator, for example, or thinking about the big speech you have to give—but in other cases, the attacks come out of the blue.
A psychiatrist is a medical doctor with specialized training in the diagnosis and treatment of mental illnesses. A psychiatrist can provide both psychotherapy and medication to treat your anxiety disorder.