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Dealing With Severe Anxiety Disorder The symptoms of anxiety can interfere with everyday life It is crucial to seek treatment and relief Traumas like physical or emotional abuse or neglect can lead to an increase in your anxiety Certain life circumstances such as chronic health conditions and stressful situations also increase the risk of anxiety Counseling also called psychotherapy helps you change negative thoughts that cause anxiety and stress The most commonly used kind of psychotherapy to combat anxiety is cognitive behavior therapy Medications For a lot of people medication can be a good option to help reduce symptoms along with therapy and lifestyle adjustments There isnt a single medication that is suitable for everyone It is important to find the right medication for you Your MDVIP provider will talk to you about your anxietyrelated symptoms your health background and goals to determine the best treatment options for you Benzodiazepines are a class of drugs that work to affect gammaaminobutyric acid GABA in your brain helping to slow down the overexcited part of your brain and encourage peace They are usually prescribed for shortterm use like in the event of a panic attack or other overwhelming anxiety episode Examples include Xanax Klonopin and Valium Antidepressants can combat depression but theyre also used to manage anxiety disorders as well They work by regulating the levels of chemicals in your brainor neurotransmitterslike serotonin and norepinephrine These drugs are used to treat anxiety disorders of all kinds but more frequently GAD PDA and SAD Another kind of antidepressant selective serotonin reuptake inhibitors SSRIs may also be prescribed for anxiety They are usually prescribed for mild to moderate anxiety disorders and have been shown to be effective in random controlled studies If you suffer from severe anxiety disorders you may need an additional medication like an SSRI or tricyclic antidepressant These are typically reserved for patients who havent responded to other treatments A patient must be carefully monitored for sedation or depression as an adverse result If you cant find relief from a SSRI or an SNRI physician may try adding a monoamine oxidase A inhibitor These are typically recommended when other treatments have failed and they can be extremely beneficial in reducing symptoms of SAD Examples include quetiapine and agomelatine Remember that a medicine is not a cure It must be taken only under the supervision of a medical professional You should always discuss with your doctor about the dangers and benefits of each medication This includes the possibility of negative side effects In your initial visit its important to inquire about followup appointments and appointment times Anxiety can become worse as time passes and regular visits to your doctor are essential to reducing anxiety symptoms over the long term Counseling Talk therapy or psychotherapy is an essential component of treatment for anxiety disorders A trained therapist will teach you how to change negative thoughts emotions and behaviors that can cause symptoms There are a variety of psychotherapy including cognitivebehavioral therapies CBT This method is extensively researched and is the most effective treatment for anxiety disorders Your therapist could recommend additional treatments such as mindfulnessbased or exposure therapy approach called acceptance and commitment therapy ACT Cognitive therapy focuses on the negative thoughts that contribute to your anxiety It helps you challenge these negative thoughts and replace them with more real positive positive thoughts These thoughts are typically learned through childhood experiences and are difficult to change on your own If your symptoms are severe they could hinder your daily activities and make it difficult to complete your job or participate in social activities Your therapist will assess the frequency of your anxiety symptoms as well as how long they last and how severe they are panic anxiety disorder will also assess for any other mental issues that could be contributing to the symptoms including depression or addiction disorders Talk therapy sessions are usually held facetoface with a mental health professional such as a psychologist or psychiatrist Your therapy therapist will observe your facial expressions body language and other signals to help you discern how you react to certain situations This will help determine the cause of the symptoms youre experiencing are due to an individual cause such as stress that persists or traumatic experiences Anxiety can be a problem for everyone The right diagnosis will alleviate your symptoms and improve your quality of life Be aware that conquering an anxiety disorder takes time and commitment but it is worth the effort in the end Establishing a strong support system and implementing healthy lifestyle practices and implementing relaxation techniques are all valuable components of your anxiety disorder treatment strategy The more you use these techniques the more effective they will become Exposure Therapy If you are suffering from a fear or phobia it is common to identify certain things or situations with negative consequences Your mental health professional may utilize exposure therapy to break this relationship and stop avoiding things that can trigger anxiety This technique involves exposure to anxietyinducing items or situations for a predetermined period of time in a safe environment In time this will help you to learn that the feared object or situation isnt dangerous and that you can cope with it Your therapist will start you with situations or objects that dont trigger high levels of anxiety They will then gradually progress to more difficult ones This process is called graded exposure In the initial session for example if your therapist is aware that you are scared of snakes theyll show you pictures of them In subsequent sessions theyll ask you to look at the image of a snake behind glass and then feel the snake Some people find this type of exposure uncomfortable and so a therapist will use interoceptive or tactile exposure This involves deliberately triggering physical sensations such as the heart pounding or shaking and teaching that these feelings while uncomfortable are not harmful It is essential to work with someone who has experience and training in this type of therapy Otherwise youll end up avoiding the things that trigger your anxiety and this can actually cause the symptoms to get worse Instead your therapist will assist you overcome the anxieties and fears that are keeping you from living your life to the fullest Your therapist may also use cognitive behavioral therapy to tackle the underlying belief that fuels your anxiety For example if you believe that your anxiety is an indicator of weakness they will assist you in identifying and challenging these beliefs Your counselor will also teach you breathing and relaxation techniques as well as other coping strategies to lessen the negative impact that these beliefs can have on your life They will also teach you about the physiology as well as triggers of the fight or flight response in anxiety disorders Mindfulness Mindfulness is a contemplative practice that promotes the openness to experience including unpleasant emotions It is not a religion or secular belief system and can be practiced by anyone Though mindfulness is often equated with Buddhism the most prominent practitioners point out that the technique has its roots in many ancient traditions of contemplation Research has proven that mindfulness meditation can boost mood and selfregulation as well being able to recognize and respond to maladaptive patterns It has been shown that mindfulness meditation has the ability to alter the brains structure and function which is that are involved in processing emotions These changes are linked to an increase in activity in Default Mode Network which is associated with anxietys aetiology The most common secular mindfulness programs are MindfulnessBased Stress Reduction MBSR and MindfulnessBased Cognitive Therapy MBCT These clinical interventions generally involve eight weekly classes lasting around two to three hours each More recent research has focused on shorter less intense mindfulness training These shortterm interventions can be taught by a trained therapist without the assistance of a meditation instructor or group leader Recent research has shown that short mindfulnessbased classes can be immediate in affecting thoughts that ruminate Specifically short mindfulness training can reduce arousal and cut down on the time it takes to think about thoughts that are ruminative This research supports the view that mindfulness training is useful in the treatment of GAD In addition to its direct impact on emotional reactivity and control of attention It has also been proven to decrease depression and boost positive mood and wellbeing This is due in part to the effects of mindfulness on negative thinking patterns and the reduction of symptoms like thoughts of shaming and rumination A small study carried out at the University of Waterloo suggests that 10 minutes of meditation can help to disrupt the ruminative thoughts patterns that contribute to anxiety In the study 82 anxietyprone participants were asked to complete a computer task that was interrupted constantly Half of them spent 10 minutes listening to a meditation audio 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 mindfulnessbased training can be used to treat GAD however further research is needed to determine the specific techniques that work Future studies should also compare the results of mindfulnessbased training with other psychotherapeutic treatments