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Different perspectives on anxiety disorders
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Anxiety Disorder
Shelby N. Reuse
Miller-Motte Technical College
Do you know what it feels like to be anxious? Of course you do. We have all experienced the first date butterflies in our stomach, or the anticipation of waiting on a very important test grade. Anxiety is a common reaction to stressful situations, which aids in helping us cope with those situations. If you have an anxiety disorder, then you may find that your emotions will do just the opposite. Anxiety disorders can be so severe that if untreated, they can interfere with your daily lifestyle. There are numerous types of anxiety disorders, all with their own distinct features. Anxiety disorders are treatable and can have an overwhelming effect on the psychosocial quality of
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Individuals who have been diagnosed with GAD may feel overwhelmed with day to day interactions such as work, family, and money. Generalized Anxiety Disorder affects 6.8 million adults in the United States alone, and is more common in women than in men. Although the cause of this disorder is still unknown, GAD shows evidence of traumatic encounters in one’s life, family history, and genetic factors.
Have you ever heard the saying “it feels like an elephant is sitting on my chest”? If so, that person has experienced a panic attack at some point in their life. Individuals who are diagnosed with panic disorder have unexpected and recurrent attacks of panic that can last for several minutes or longer. This is called a panic attack. Panic attacks are characterized by anxiety of losing control even when there is no potential danger. Panic attacks can appear at any time, and many people with panic disorder worry about and fear the possibility of having another attack. A person with panic disorder may become depressed and feel embarrassed because he or she cannot carry out daily activities like going to school or work, going to the gym, or driving a car. Panic disorder is most common in women than men and usually begins at an early
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Social anxiety disorder (also known as social phobia) is a form of anxiety and just like any disorder, it has its own characteristics. It is extreme, persistent anxiety of being watched and judged by the people around you. I feel that social anxiety is one of the hardest forms of anxiety to cope with because a person can feel isolated. This disorder can make it very hard for one to go to school, grocery shop, work, or even have casual encounters with co-workers at an event. The slightest blush or wrong move this person makes, they feel ashamed and overwhelmed with stress as to what the people around them think. One may find that they avoid social situations all together due to the fear of being rejected or humiliated. What we may consider as “shy”, someone could be suffering from something much more severe than
2. By looking through the case study, the most prominent problem Sara struggles with, is her persistent worry about different parts of her life including her job status, health and her relationship with her husband. For the past six months, she has been anxious and worried excessively, leading her to have difficulty sleeping. As she admitted, “ I cannot shut my brain off anymore, I am worrying all the time”, therefore her condition met the primary criteria of generalized anxiety disorder which is the excessive worry for at least 6 months more days than not, about diverse events and activities. Being restless, irritable, having sleep difficulty and being easily fatigued are four factors of GAD that are apparent in this case. “I have always had lots of energy but now at times I struggle to get out of bed and drag myself thorough the work day”; it indicates the fatigue she recently experienced. Fidgets with her jewellery when speaking and a nervous laugh she has, shows her persistent anxiety. Moreover, she was recently diagnosed with irritable bowel syndrome which has a high comorbidity with anxiety disorders. In conclusion, since she is persistently worried about different aspects of her life and she has the criteria for GAD, generalized anxiety disorder is the most likable disorder she has.
One of the most common anxiety disorder is social phobia, which can sometimes be interchangeable with Social Anxiety Disorder (SAD). Marc de Rosnay, and others, states that Social Anxiety Disorder is characterized by a clearly noticeable fear and avoidance of most social situations where the individual may be put under scrutiny by others, and by fear in such situations, the individual will behave in an embarrassing manner (de Rosnay). One of the most notable feature of social phobia is that it has an early onset, as early as 7-9 months in most cases. The characteristics of having social phobia, or social anxiety disorder, is that the individuals are shy when meeting new people, quiet in a large group, blush easily, and often avoids making eye contact. There are a lot of concerns/problems with having social anxiety disorder. As a group, individuals with anxiety disorders had the largest burden of role disability compared to other common mental health conditions, exceeding the burden for mood disorders and in some cases, substance abuse (Grigorenko).
Generalized Anxiety Disorder, also known as (GAD) is one of the several types of anxiety disorders. GAD according to our textbook (Lahey) is an uneasy sense of general tension and apprehension for no apparent reason that makes the individual highly uncomfortable because of its prolonged presence. GAD is much more than the normal anxiety people experience day to day. Without provoking, it is chronic and exaggerated worry and tension. This disorder can involve anticipating disaster, often worrying excessively about health, money, family or work. Sometimes, though, just the thought of getting through the day brings anxiety.
Fear and Anxiety are essential functions that occur in the brain that allow people to respond to stimuli appropriately. These feelings as normal as they are can cause problems and in 3.1 percent of adult Americans approximately 6.8 million people it does cause problems (“Generalized anxiety disorder”, 2014). A problem can arise when people have too much fear and anxiety; a problem is evident when it interferes with their life and their ability to do things. This is known as general anxiety disorder (GAD). When someone is suffering from generalized anxiety disorder they normally experience excessive exaggerated anxiety and worry about normal life events that give no clear reason for worry (“Generalized anxiety disorder”, 2014). This disorder can be debilitating and rule over people’s lives if it is severe and a better understanding of the disorder can be gained by looking at historical views, current views, causes and symptoms, case studies, differential diagnosis considerations, and treatment.
Anxiety is a feeling of tension associated with a sense of threat of danger when the source of the danger is not known. In comparison, fear is a feeling of tension that is associated with a known source of danger. I believe it is normal for us to have some mild anxiety present in our daily lives. Everyday that I can think of I have some kind of anxiety though out that day. Anxiety warns us and enables us to get ready for the ‘fight or flight’ response. However, heightened anxiety is emotionally painful. It disrupts a person's daily functioning.
The onset of Generalized anxiety disorder begins in childhood or adolescents, and It can have a lifetime prevalence of 3-5% with a higher risk in women. One major effect of Generalized Anxiety Disorder is excessive worry or anxiety lasting up to 6 months at a time, although individuals that have Generalized Anxiety Disorder don’t identify their worrying as excessive all of the time, but they will recount subjective distress because of a constant worry, or may have difficulty with control over the worrying, or even experience social impairment. Anxiety can be associated up to 6 symptoms which include inability to sleep, fatigued, lack of concentration, easily agitated, muscle tension, and sleep disturbances. Most of which can affect everyday lifestyle and greatly effect physical health, not only can they cause personal distress but may also cause distress in those around.
unrelenting anxiety about events that are unlikely to occur. Symptoms that point to GAD are
Panic disorder is a psychiatric disorder in which debilitating anxiety and fear arise frequently and without reasonable cause. Panic attacks do not happen out of normal fear. Panic attacks happen without reason or warning. If you have panic disorder it could come from one of the following: family history, abnormalities of the brain, substance abuse, or major life stress(Panic Attacks and Panic Disorder. (n.d.). Retrieved March 28, 2016, from http://www.webmd.com/anxiety-panic/guide/mental-health-panic-disorder). This disorder is in the category of anxiety and depression. Panic disorder belongs to axis one, which is clinical disorders, this is the top level of the DSM multiaxial
According to Sharp (2012), “anxiety disorders are the most widespread causes of distress among individuals seeking treatment from mental health services in the United States” (p359).
The symptoms that one face during GAD include: worry all the time, irritation, feeling of insecurity, depression, dizziness, tension, restless, sleeping disorder, headaches, mental disorder, nausea, and muscle aches. It happens continually for more than 6 months. The symptoms of worry vary during General Anxiety Disorder, worry about family, finance, and always thinking about negative outcomes of any action. Although worrying about family is normal, but in GAD case, the patient think whole day about the way of living of his family, their future, their finance and calculate negative outcomes.
Social anxiety disorder is also known as social phobia. It is defined as the fear of social situations that involve interaction with other people. It is the fear and anxiety of being judged and evaluated negatively by other people or behaving in a way that might cause embarrassment or ridicule. This leads to feelings of inadequacy, self-consciousness, and depression. The person with social anxiety disorder may believe that all eyes are on him at all times. Social anxiety disorder is the third largest mental health case issue in the world, and it can effect 7% of the population (15 million Americans) at any given time.
Anxiety is a normal reaction to stress. Every person experiences some form of anxiety in his or her lifetime. Anxiety helps us deal with tense situations like using our flight or fight reaction, study harder for an exam, or keep focus on important deadlines. Anxiety can be useful until it gets to the point of interfering with everyday life. Some people explain it as not being able to shut the anxiety off. When anxiety becomes an excessive, irrational dread of everyday situations, it becomes a disabling disorder (National Institute of Mental Health, 2009). Each year, anxiety disorders affect about 40 million American adults age 18 years and older (National Institute of Mental Health, 2009). There are five major Anxiety Disorders they include Generalized Anxiety Disorder (GAD), Obsessive-Compulsive Disorder (OCD), Panic Disorder, Post-Traumatic Stress Disorder (PTSD), and Phobias.
The difference between normal worrying and generalized anxiety disorder are the accompanying symptoms as well as the length of time the worrying persists. To occasionally torment oneself with or suffer from distressing thoughts is classified as normal worrying. The symptoms of worrying may vary, but most people experience disturbed feelings and the mental fatigue of being overly concerned with a circumstance. On the other hand, with generalized anxiety disorder (GAD) one experiences excessive anxiety under most circumstances, expecting the worst even when there is no obvious or visible reason for concern. The symptoms are being agitated, on edge, easily tired, having difficulty concentrating, muscle tension, and issues with sleep. GAD usually develops during childhood or the adolescent years and the symptoms last as long as six months as opposed to normal worrying which dissipates in a much shorter length of time. (Word count: 141)
Social anxiety is a common personality disorder, it is caused by excessive and unreasonable fear of social situations. This type of anxiety is triggered by the fear of being judged by others, based off of who they are or how they behave. People who suffer from social anxiety tend to experience distorted thinking, leading to fake accusations about the outcome
Social phobias are fears of being in situations where your activities can be watched and judged by others. People with social phobias try to avoid social functions at all costs and find excuses not to go to parties or out on dates. This avoidance is the difference between having a social phobia and simply just being shy.