Identification and Treatment of Anxiety Disorders

Ever have the feeling of “butterflies” in your stomach before a first date? Feel tense during an argument with a loved one? What about sweaty palms and nervousness when talking with your manager? All of these are signs of anxiety- a normal emotion that calls us to action. Anxiety disorders differ from normal feelings because the symptoms occur for no obvious reason and they don’t go away.1 If not recognized and treated, an anxiety disorder can cause people to avoid anything that might trigger their anxiety or lead to them abusing substances as a way to manage feelings of fear and panic. Relationships and job performance often suffer as a result.
There
are several types of anxiety disorders with different symptoms and treatments:
Panic
disorder is usually experienced as an overwhelming fear of being
in danger and is called a panic attack. The symptoms may include shortness
of breath, sweating, trembling or shaking, chest pain or a pounding heart,
nausea, dizziness, fear of “going crazy” or dying. For more
detailed information read, When It's More Than
Just A Case of the Nerves
Phobias
are uncontrollable and persistent fears of a specific object, situation
or activity. People with phobias can go to extreme lengths to avoid the
source of their dread --such as refusing to fly or ride in elevators if
they are afraid of heights, or not attending important family or work events
due to social phobia. Others never leave their home in order to avoid panic
attacks in situations where they may be embarrassed or unable to get away
if they have agoraphobia.
Obsessive-compulsive
disorder symptoms include irrational thoughts that occur frequently
and cannot be controlled by reasoning. In order to get rid of these thoughts,
most people develop repetitive rituals. For example, someone who fears contamination
will continuously wash their hands. Someone else might check and recheck
several times to be sure they didn't leave home without turning off the
stove, for fear of burning the house down.
Posttraumatic
stress disorder (PTSD) occurs when a person experiences a severe
or terrifying emotional or physical event -- such as an abusive childhood,
war and terrorism, or a natural disaster or accident. People who have PTSD
keep re-living the event through nightmares and flashbacks, causing severe
emotional, mental and physical distress. Other symptoms include feeling
numb, jittery or constantly on guard.
Generalized
anxiety disorder (GAD) causes people to worry constantly when
there is no reason for doing so. They worry to the point that it interferes
with daily functioning and may focus on money, family, work or health issues.
The ongoing and extreme tension leads to irritability, inability to concentrate,
headaches, fatigue, trembling and trouble sleeping.2
The good news for the 17-20 million Americans who suffer annually from anxiety disorders is that they can be treated with psychotherapy and medications. It is important to see a mental health professional in order to determine which type of treatment is most appropriate for the specific anxiety disorder each person may have.
Please
contact EAP for a referral to a mental health provider in your area.
Call 1-800-688-6330 or email
us.
Written
by Elaine Webb, LCSW, MPH, CEAP,
Cracker Barrel EAP Counselor
May, 2005
1 www.psych.org/public_info/anxiety.cfm
2www.freedomfromfear.org
Click below for more information on:
Tips About How to Help Loved Ones with Anxiety Disorders
Brochures available from our office on this topic:
Anxiety
What is PTSD (Post
Traumatic Stress Disorder)
Relaxation Techniques
To order, call 1-800-688-6330 or email us.