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https://www.iampsychiatry.com/anxiety-disorders

Dealing With Severe Anxiety Disorder Symptoms of anxiety often interfere with the daily routine It is essential to seek treatment and relief Trauma including emotional or physical abuse as well as neglect increases your risk for anxiety So do certain life circumstances such as chronic health conditions and stress Psychotherapy also called counseling assists you in changing negative thought patterns that create troublesome feelings Cognitive behavioral therapy is the most wellknown form of psychotherapy for anxiety Medications The use of medication can be a successful way to minimize symptoms for a variety of people This is in addition to lifestyle and therapy modifications There isnt one medicine that is suitable for every person I Am Psychiatry is essential to choose the right medication for you Your MDVIP provider will discuss your anxietyrelated symptoms along with your medical history and goals with you to determine the most effective treatment option for you Benzodiazepines are a class of drugs which target gammaaminobutyric acid GABA in your brain helping to slow down the overexcited part of your brain and promote calm They are typically prescribed for shortterm use like during a panic attack or any other intense anxiety attack Examples include Xanax Klonopin and Valium Antidepressants are used to combat depression but are often used to treat anxiety disorders too 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 commonly GAD PDA and SAD Another type of antidepressant may be prescribed for anxiety disorders such as selective serotonin reuptake inhibits SSRIs These are generally prescribed for mild to moderate anxiety disorder and have been proven to be effective in randomized controlled studies There may be a need for stronger medication to treat a severe anxiety disorder This could be an SSRI or tricyclic These are typically prescribed for patients who havent responded to other treatments and a patient must be carefully monitored for sedation or depression as a side result If you cant find relief with an SSRI or an SNRI physician may try introducing a monoamineoxidase A inhibitor They are usually prescribed when other treatments have failed They can be very efficient in reducing the symptoms of SAD Quetiapine and agomelatine are two common examples Its important to remember that a medication isnt a cure and should be taken under a doctors supervision Always discuss the advantages and risks of any medication including the possibility of adverse effects Its important to ask your doctor about scheduling and followup appointments following your initial visit Regular checkins are crucial to help manage anxiety symptoms in the long run Counseling Talk therapy or psychotherapy is an important component of treatment for anxiety disorders A qualified therapist can show you ways to alter negative thoughts emotions and behaviors that are contributing to your symptoms There are a variety of psychotherapy including cognitivebehavioral therapy CBT This method is extensively researched and is the most effective treatment for anxiety disorders Your therapist could recommend additional treatments such as mindfulnessbased exposure therapy or an method known as acceptance and commitment therapy ACT Cognitive therapy examines the negative thinking patterns that can cause anxiety It teaches you to challenge these thoughts and replace them with more realistic positive ones These patterns of thinking are usually learned through childhood experiences and are difficult to change on your own If your symptoms are severe they may affect your daily routine and make it hard to complete your job or participate in social activities Your counselor will determine how often you experience anxietyrelated symptoms and how long they last and how severe they can be They will also search for other mental health issues that may be contributing to your symptoms including depression or addiction disorders Talk therapy sessions are generally conducted facetoface with a health professional such as a psychiatrist or psychologist Your therapist will look at your facial expressions as well as body language to help you understand your reactions to certain situations This can help determine whether the symptoms you are experiencing are due to an individual cause such as stress that persists or traumatic events Anxiety is a prevalent disorder that can affect any person Finding the correct diagnosis and implementing the right treatment plan will ease your symptoms and increase your living quality Be aware that conquering an anxiety disorder takes time and dedication but its worth the effort in the end Establishing a strong support system implementing healthy lifestyle habits and practicing relaxation techniques are all important elements of your treatment strategy The more you practice these techniques the more effective they will become Therapy for Exposure If you are suffering from a fear or phobia that you are suffering from you may connect certain situations or objects with negative consequences Your mental health professional might use exposure therapy to break this association and stop avoiding things that trigger anxiety This is a method of exposing you to anxietyprovoking items or situations for a set period of time in a safe environment As time passes this allows you realize that the thing or circumstance isnt really dangerous and that you can cope with it Gradually your therapist will introduce you to more challenging situations or things This is known as graded exposure For instance if scared of snakes your therapist will begin by showing you pictures of snakes during your first session In the subsequent sessions theyll ask you to look at the image of a snake in glass and then feel a snake For some the type of exposure isnt comfortable and therapists may opt for interoceptive exposure instead This is the process of deliberately triggering physical sensations that occur during anxiety such as shaking or a pounding heart and educating you on the fact that although these sensations may be uncomfortable they arent harmful It is important to collaborate with a professional with experience and expertise in this type of therapy You could end up abstaining from activities that cause anxiety which could make your symptoms worse Your therapist will instead assist you face the fears and anxiety that prevent you from living your life to the fullest Your therapist might also employ cognitive behavioral treatment to address the root of the belief that is causing your anxiety For instance if think that your anxiety is an indicator of weakness they will help you identify and challenge these beliefs Your therapist will also teach you breathing and relaxation techniques as well as other strategies to manage the negative impact these thoughts can have on your life They will also provide information on the physiology and inappropriate triggers of the fight or flight response in anxiety disorders Mindfulness Mindfulness is a practice of contemplation that dates back to thousands of years that encourages an openness to any experience even the unpleasant ones It is not a religious or secular system of belief and can be practiced by anyone While mindfulness is often attributed to Buddhism but many of the most prominent practitioners point out that the practice has its roots in the ancient traditions of contemplative meditation Research has shown that mindfulness meditation can improve selfregulation mood and ability to recognize maladaptive patterns of thinking and reacting It has also been proven to alter the brains structure and circuits involved in emotion processing These changes are associated with decreased activity in the Default Mode Network which is thought to be involved in the aetiology and causes of anxiety MindfulnessBased Cognitive Therapy and MindfulnessBased Stress Reduction are the most common secular mindfulness programs These therapeutic interventions typically include eight classes per week lasting between two and three hours Recent research has focused on shorter less intensive mindfulness training These shorter interventions can be taught by a trained therapist without the assistance of a meditation teacher or group leader These newer studies have found that short mindfulnessbased training can have immediate effects on the ruminative thinking processes Short mindfulness training can lower anxiety and can also reduce the duration of ruminative thinking processes This research supports the notion that mindfulness training can be helpful in treating GAD Mindfulness has been proven to reduce depression increase happiness and mood in addition to having a direct impact on emotional reactivity This is due in large part to the effects on negative thinking patterns and the reduction of symptoms of rumination and selfcriticism A small study at the University of Waterloo found that 10 minutes of meditation can help to break the ruminative thinking patterns that trigger anxiety In the study 82 anxious participants were asked to complete a computer task that was interrupted constantly Half of the participants listened for 10 minutes to a soothing audio while the other half listened to an audio book The studys results revealed that those in the mindfulness audio group had significantly lower anxiety levels than those in the other groups This suggests that GAD is treatable with mindfulness training but further research is needed to determine which techniques are effective Future studies should evaluate the effects mindfulnessbased training and other psychotherapeutic treatment

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