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Dealing With Severe Anxiety Disorder Anxiety symptoms can affect everyday life. It is important to seek treatment and get relief. Traumas, such as emotional or physical abuse or neglect, can cause anxiety. Certain life circumstances, such as chronic health conditions and stressful situations, also increase your risk of developing anxiety. Psychotherapy (also known as counseling) helps you to change negative thoughts that cause difficult feelings. The most popular kind of psychotherapy that is used to combat anxiety is cognitive behavioral therapy. Medicines Medication can be an effective way to minimize symptoms for a variety of people. This is in addition to lifestyle and therapy modifications. There isn't a one-size-fits-all medication that works for all people, so it's vital to determine what works best for you. Your MDVIP provider will discuss your anxiety symptoms as well as your medical history and goals with you to determine the most appropriate treatment option for you. Benzodiazepines are a class of drugs which target gamma-aminobutyric acid (GABA) in your brain, which helps to calm the over-excited part of your brain and promote peace. These are commonly prescribed for short-term use for instance, during a panic attack or another intense anxiety episode. Examples include Xanax (alprazolam), Klonopin (clonazepam) and Valium (diazepam). Antidepressants help combat depression, but are often employed to treat anxiety disorders as well. They work by regulating the levels of chemicals in your brain—or neurotransmitters—like serotonin and norepinephrine. These medications are used to treat anxiety disorders of various kinds, but most commonly GAD, PDA, and SAD. Another type of antidepressant could be prescribed to treat anxiety, namely selective serotonin reuptake inhibits (SSRIs). They are prescribed for mild-to moderate anxiety disorders and have shown to be effective using randomized controlled studies. You may need an additional medication to treat severe anxiety disorder. It could be an SSRI or tricyclic. These are typically reserved for patients who haven't responded to other treatments. A patient should be checked for depression or sedation as a side effect. If you aren't getting relief from an SSRI, SNRI or monoamine oxidase A inhibitor doctor might suggest adding one. These are usually prescribed only when other treatments have failed. They can be very efficient in reducing the symptoms of SAD. Quetiapine and agomelatine are a couple of common examples. It is crucial to keep in mind that medication isn't a cure and should be administered under a physician's supervision. It is important to discuss with your physician the potential risks and benefits of any medication. This includes possible side effects. When you first appointment, it's crucial to inquire about follow-up visits and appointment times. Anxiety can worsen as time passes, and regular appointments with your physician are essential to reducing anxiety symptoms over the long haul. Counseling Medicines are essential to treat anxiety disorders however, psychotherapy (or talk therapy) is an important component of the treatment plan. A trained therapist can teach you how to modify unhealthy emotions, thoughts and behaviors that contribute to your symptoms. A variety of psychotherapy methods are available, including cognitive behavior therapy (CBT). It is a well-studied method and the most effective treatment for anxiety disorders. Your therapist could suggest additional treatments, such as mindfulness-based acceptance and commitment therapy, or exposure therapy. Cognitive therapy examines your negative thinking patterns that can cause anxiety. It helps you challenge these thoughts and replace them with more realistic, positive thoughts. The majority of these thoughts originate through childhood experiences and can be difficult to break on your own. If your symptoms are serious, they may affect your daily life which makes it difficult to work or engage in social activities. Your therapist will determine the frequency you experience anxiety symptoms, as well as how long they last, and how intense they are. They will also look for other mental problems that may be causing the symptoms, such a addiction or depression. Talk therapy sessions are typically conducted face-toface with a certified mental health professional such as psychiatrists or psychologists. Your therapist can observe your facial expressions and body language to help you discern your reactions to specific situations. This will help determine if the symptoms you are experiencing are the result of one specific trigger, like stress that persists or traumatic experiences. Anxiety is a very common condition that can affect everyone. A proper diagnosis can help you relieve your symptoms and improve the quality of your life. Be aware that conquering an anxiety disorder takes time and dedication but it's worth it in the end. The treatment plan you have for anxiety should include a robust network of support, healthy lifestyle habits, and relaxation techniques. The more you practice these techniques, the more effective they will become. Exposure Therapy If you suffer from fears or phobias, you may associate certain things or situations with negative outcomes. In order to overcome this fear and stop avoiding the things that trigger anxiety, your mental health professional may use exposure therapy. This method exposes you to situations or objects that trigger anxiety for a set period of time in a controlled environment. As time passes, you'll discover that the fearful incident or object isn't risky and you are able to deal with it. Gradually, your therapy therapist will introduce you to more difficult situations or items. This process is known as “graded exposure.” In the first session, for instance, if the therapist knows that you are scared of snakes, they will show you pictures of them. In subsequent sessions, you will be asked to view an image of a venomous snake in glass, before interacting with the real snake. For some people, this kind of exposure isn't comfortable, and a therapist may use interoceptive exposure instead. panic anxiety disorder involves deliberately creating physical sensations such as shaking or pounding heart and educating the patient that these sensations, although uncomfortable, are not harmful. It is important to collaborate with a professional who has experience and training in this kind of therapy. Otherwise, you'll end up avoiding the things that trigger your anxiety, which can cause your symptoms to worsen. Your therapist will instead help you face the fears and anxiety that hinder you from living your life to the fullest. Your therapist may also use cognitive behavioral treatment to address the root of the belief that is causing your anxiety. For instance, if you believe that your anxiety is an indicator of weakness, they will assist you in identifying and challenging these beliefs. Your therapist will also teach you breathing and relaxation techniques, along with other strategies to manage the negative impact these thoughts have on your life. They will also provide information on the physiology and triggers of the fight or flight response in anxiety disorders. Mindfulness Mindfulness is a practice of contemplation that has been practiced for thousands of years that encourages an openness to all experiences, even unpleasant ones. Anyone can practice it. It is not a religion nor a secular belief system. While mindfulness is often attributed to Buddhism but many of the most prominent practitioners point out that the technique has roots in the ancient traditions of contemplative meditation. Research has shown that mindfulness meditation can improve mood and self-regulation as well as the ability to recognize and react to patterns that are not in sync with our brains. It has also been demonstrated to change the brain's structure and circuits involved in processing emotions. These changes are associated with an increase in activity in Default Mode Network which is implicated in anxiety's aetiology. Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction are the two most popular mindfulness programs for secular use. These clinical interventions generally involve eight weekly classes that run around two to three hours each. Recent research has focused on a shorter, less intensive mindfulness training. These short-term interventions can be taught by a trained psychotherapist without the help of an instructor in meditation or a group leader. These newer studies have found that short mindfulness-based training can be immediate in affecting the ruminative thinking processes. Specifically, short mindfulness training can reduce arousal and cut down on the duration of ruminative thoughts. This research supports the view that mindfulness training is beneficial in the treatment of GAD. Mindfulness has been proven to decrease depression, boost positive moods and well-being in addition to its direct effect on emotional reactions. This is mostly due to the positive effects it has on negative thinking patterns and the reduction in symptoms of self-criticism and rumination. A small study conducted at the University of Waterloo found that 10 minutes of meditation could help to break the ruminative thinking patterns that trigger anxiety. In the study, 82 participants who were suffering from anxiety were assigned to complete a computer task that was frequently interrupted by interruptions. Half of the participants spent 10 minutes listening to a meditation track while the other half read an audio book. The study results showed that participants in the mindfulness audio group had significantly lower levels of anxiety than those in the other groups. This suggests that GAD can be treated with mindfulness training, but more research is needed to determine which methods are effective. Future studies should evaluate the effects mindfulness-based training and other psychotherapeutic treatments.