Anxiety disorders

Anxiety disorders are a group of conditions where people experience intense anxiety or fear with persistent desire to avoid the anxiety provoking triggers. Depending on different triggering situations different types of anxiety disorders are:

  • Generalized anxiety disorder is a condition where person experiences unremitting worry about  different things such as health, finances, family, work and find it extremely hard to relax.
  • Panic disorder is characterised by repeated anxiety attacks which appear “out of blue” along with fear of having more panic attacks. 
  • Agoraphobia is fear of places where escape may be difficult such as crowds, markets, trains etc. People can have both Panic disorder and agoraphobia.
  • Social phobia is a condition where a person is terrified of social situations and avoids them due to the fear of embarrassment or being judged 
  • Separation anxiety disorder is a conditions seen in children or teenagers who experience intense anxiety when they are separated from their parents even for short periods. These individuals try everything to prevent separation and often come across as “clingy”.
  • Specific phobias are a group of conditions where  people experience unreasonable fear or avoidance of specific animals, insects, heights, flying, enclosed spaces, water, blood, etc.
  • Obsessive compulsive disorder (OCD) is a condition where the person has repeated unpleasant thoughts or urges (obsessions) such as feeling their hand are dirty or need to count or arrange things. At the same time they engage in repeated behaviour aimed at neutralising this fears (compulsions), such as washing hands or counting things, etc.  OCD is diagnosed when these thoughts and behaviour become too distressing and excessive.
  • Body dysmorphic disorder is a condition  where a person becomes excessively concerned  about minor defects in appearance and engages in behaviour to conceal the blemish with makeup or sometimes cosmetic surgery.
  • Hoarding disorder is a condition where a person collects or buys unneccesary household items creating a squalor and experiences intensely anxious when they have to part with or discard their possessions. 
  • Post-traumatic stress disorder (PTSD) is a condition that can develop after exposure to  traumatic event such as war, natural disaster, motor accident, physical or sexual assault. Symptoms includes: nightmares, flashbacks, hypervigilance, avoidance,  dissociation or numbness.

When someone is under a lot of stress their bodies release a chemical adrenaline in the blood which causes symptoms such as palpitation, muscle tension, racing thoughts, dry mouth, dizziness, feeling of choking, butterflies in stomach, etc. These symptoms constitute what is known as Flight or Fight reaction of Stress. These symptoms disappear when the stress is over. It appears that brains of individuals with Anxiety disorders fire away repeatedly causing unrelenting stress reaction. Another explanation is that their anxiety is maintained due to their severe avoidance which does not allow disconfirmation of their  beliefs about overestimation of risk.

What can I do about my anxiety disorder?

Anxiety disorders are among the most treatable mental illnesses. There are a few different things that research has shown to be helpful: 

Counselling: Majority of people with mild to moderate severity Anxiety disorders will benefit from a special form of counselling technique called Cognitive-behavioural therapy (CBT). This involves thorough assessment of troublesome thoughts, emotions, and behaviours that triggers or maintain your anxiety. The councillors teach you variety of coping strategies while gradually introducing things that you may have been avoiding until you feel comfortable. CBT requires active participation and practice of learned skills at home. Some people find this very helpful.

Medications: Others may want to try medicaitons. Some antidepressants have proven efficacy in management of anxiety disorder but are generally advised to be taken along with CBT. Medications work by reducing body’s stress  response.

Support Groups:  You are not alone as Anxiety disorders are one of the most common conditions. Support groups are a great way to share your experiences and learn from the experiences of others.

Self Help: There are some things you can do on your own to feel better: regular exercise, eating well, managing stress, spending time with friends and family, spirituality, and monitoring alcohol intake can help keep anxiety from getting worse or coming back. Talking to your doctor, asking questions, and feeling in charge of your own health are also very important.

What if I’m not responding to my current treatment?

Your psychiatrist will try to determine the exact cause oftreatment nonresponse,which include co-morbid medical conditions, co-morbid brain disorder, orcomplicated psychological or social problem, among other things. If symptoms remaindespite adequate counselling, additional medications can help. Otherwise, it may betime to consider biofeedback and neurofeedback which work by targeting disorderedsympathetic nervous system and disordered brain circuits, respectively, which areimplicated in maintenance of anxiety disorder.

Please speak to our staff or healthcare professional for more information aboutNeurofeedback.