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Here are some quick facts about anxiety:
Let's have a closer look at anxiety disorders...
We all have feelings of anxiety, worry and fear sometimes. These can be normal responses to certain situations. You might worry about an issue at work, or feel worried doing something new. These feelings can give you an awareness of the risks and what you need to do in a difficult or dangerous situation. This reaction is known as ‘fight or flight.’
Your brain responds to a threat or danger by releasing stress hormones such as adrenaline and cortisol. Even if you have imagined the danger, these hormones cause the physical symptoms of anxiety. Once the threatening situation has stopped, your body will usually return to normal.
But if you have an anxiety disorder these feelings of fear and danger can be ongoing and interrupt your daily routine long after the threat has gone. They can make you feel like things are worse than they actually are.
Everyone’s experience of anxiety disorders is different. Not everyone who has an anxiety disorder will experience the same symptoms.
Mental symptoms of anxiety can include:
If you dissociate you might feel like you are not connected to your own body. Or like you are watching things happen around you, without feeling them.Physical symptoms of anxiety can include:
Anxiety can be hard to cope with, and can lead to depression.
We don’t fully understand what causes anxiety disorders. But it is thought that the following factors can cause anxiety.
Some people seem to be born more anxious than others. You may get anxiety through your genes.
This could be bad experiences such as being bullied or losing a loved one. It could also include big changes in life such as moving home, losing your job or pregnancy.
Caffeine in coffee and alcohol can make you feel anxious. Street drugs can also have an effect. It can be a bit of a vicious cycle as some people may use drugs or alcohol in order to cope with their anxiety.
Sometimes you know what is causing your anxiety. When the problem goes, so does your anxiety.
There are many forms of anxiety disorder. Here are the main ones.
GAD is common. The main symptom of GAD is over worrying about different activities and events. This may feel out of your control. You feel anxious a lot of the time if you have GAD. You might feel ‘on edge’ and alert to your surroundings.
This can affect your day-to-day life. You might find that it affects your ability to work, travel places or leave the house. You might also get tired easily or have trouble sleeping or concentrating. You might have physical symptoms, such as muscle tension and sweating. .
It is common to have other conditions such as depression or other anxiety disorders if you have GAD.
GAD can be difficult to diagnose because it does not have some of the unique symptoms of other anxiety disorders. Your doctor is likely to say you have GAD if you have felt anxious for most days over six months and it has had a bad impact on areas of your life.
You will have regular panic attacks with no particular trigger if you have panic disorder. They can happen suddenly and feel intense and frightening. You may also worry about having another panic attack.
Panic disorder symptoms can include the following.
You might also dissociate during a panic attack and feel detached from your body. This can feel very frightening.
Certain situations can cause panic attacks. For example you may have a panic attack if you don’t like small places but you have to use a lift. This doesn’t mean that you have panic disorder, but you may have agoraphobia.
Social anxiety disorder is sometimes known as social phobia. Lots of people may worry about social situations but if you have social anxiety you will have an intense fear or dread of social or performance situations. This will happen before, during or after the event.
Some common situations where you may experience anxiety are the following.
You may be worried that you will do something or act in a way that is embarrassing.
You might feel aware of the physical signs of your anxiety. This can include sweating, a fast heartbeat, a shaky voice and blushing. You may worry that others will notice this or judge you. You might find that you try to avoid certain situations. You might realise that your fears are excessive, but you find it difficult to control them.
Your GP will ask you questions about your symptoms and might ask you to fill out a questionnaire. This will help them find out how anxious you feel in social situations. They may refer you to a mental health specialist for a full assessment.
You can ask for a telephone appointment with your GP if it would be too difficult for you to see them in person.
A phobia is an overwhelming fear of an object, place, situation, feeling or animal.
Phobias are stronger than fears. They develop when a person has increased feelings of danger about a situation or object. Someone with a phobia may arrange their daily routine to avoid the thing that's causing them anxiety.
Common examples of phobias include the following.
Agoraphobia is a fear of being in situations where escape might be difficult. Or situations where help wouldn't be available if things go wrong. This could be the following.
You might find that these situations make you feel distressed, panicked and anxious. You may avoid some situations altogether. This can affect day-to-day life.
Agoraphobia can make it difficult to make an appointment with your GP to talk about your symptoms. You might not feel able to leave your house or go to the GP surgery. You can arrange a telephone appointment if you have symptoms of agoraphobia. A GP will decide on the best treatment options for you depending on what you tell them.
You might believe that something bad will happen if you do not do these things. You may realise that your thinking and behaviour is not logical but still find it very difficult to stop.
There are different types of OCD, which include:
Skin picking is medically known as dermatillomania. It is an impulse control disorder. You will regularly pick at your skin. Often you will pick healthy skin. This can cause damage to your skin, including bleeding, bruising and sometimes permanent marks. You will usually pick the skin on your face, but might also pick other areas of the body. You will find it difficult to stop yourself doing it.
No one knows the cause for skin-picking. It is thought that it could be a type of addiction. Or it relieves tension and stress. It is common to have OCD and dermatillomania at the same time.
Your GP may arrange for you to see a specialist mental health doctor like a psychiatrist for diagnosis.
Hair pulling is medically known as trichotillomania. It is an impulse control disorder. You feel the urge to pull out your hair if you have this condition. This can be from your scalp or other places such as your arms, eyelashes, legs or pubic area. You will find it difficult to stop yourself doing this.
You might experience a build-up of tension which you can relieve by pulling out the strand of hair. You might not even be aware that you’re doing it.
It can be difficult to stop, which can lead to hair loss. This in turn can make you feel guilty, embarrassed and affect how you feel about yourself or how your friends and family see you.
You will have upsetting thoughts about the way you look if you have BDD. The thoughts don’t go away and have a big effect on daily life. This is not the same as being vain about your appearance. You may believe that you are ugly and that everyone sees you as ugly, even if they reassure you that this isn’t true. Or you may believe that people are focused on an area of your body such as scar or birthmark. It can be very distressing and lead to depression.
You may spend a large amount of time doing the following.
* Staring at your face or body in the mirror.
* Comparing your features with other people’s.
* Covering yourself with lots of makeup.
* Thinking about plastic surgery when you do not need it.
Speak to your GP if you think you have BDD. They should discuss treatment options with you. The GP may arrange for a team with more BDD experienced to help you.
Post-Traumatic Stress Disorder is when your anxiety is caused by a life-threatening or life altering event. You can feel anxious for months or years after the event even if you weren’t physically harmed at the time. Read more about PTSD.
The health service offers low-intensity treatments, talking therapy or medication to treat anxiety disorders. Some people will need both at the same time. People can recovery from anxiety disorders.
Non-facilitated means that you will try to help yourself using information for the NHS.
You should get:
Psycho education means that you will learn about your symptoms and how to manage them.
Your learning should:
CBT helps you understand the links between your thoughts, feelings and behaviour. It can help you to find ways to overcome your anxiety by challenging negative thoughts and beliefs.
Depending on the anxiety that you have, you will usually get 12–15 weekly sessions each lasting 1 hour. You should get less if you recover sooner and more if you need it.
Applied relaxation means that you will focus on relaxing your muscles in a certain way. And at a certain time. For example learning how you can relax your muscles so that you are able to fall asleep easier.
A trained therapist will teach you different techniques to manage your situation.
Depending on the anxiety that you have, you will usually get 12–15 weekly sessions each lasting 1 hour. You will get less if you recover sooner and more if you need it.
This is effective for a range of anxiety disorders, particularly obsessive compulsive disorder (OCD). Your therapist will encourage you to experience your obsessive thoughts and help you to manage them in a different way. They will build up the difficulty of each task.
Selective serotonin re-uptake inhibitors (SSRIs)
SSRI’s are a type of antidepressant used to treat anxiety disorders. Sertraline is the most common SSRI suggested for anxiety, but there are other SSRIs available.
Doctors should only prescribe benzodiazepines if your anxiety is extreme or if you are in crisis. This is because they are addictive and they may become less effective over time.
These can help with the physical signs of anxiety. They can help to lower a fast heartbeat, shaking or blushing.
Complementary therapies are treatments that are not usually part of mainstream NHS care. Some people find them useful for helping with symptoms of anxiety. Such as mindfulness, yoga and hypnotherapy.
As well as medication or talking treatments you could also try self-help techniques. These are things that you can do to help you relax and manage your symptoms better.
It is important to find out what is right for you. Don’t expect things to change overnight. You may need to practice your self-help techniques on a regular basis before your symptoms get better.
Some examples of self-help techniques are the following.
Read more about how to help yourself and recovery.
It’s important to be aware of your own mental health and get your own support if are struggling to cope.
A user led organisation that supports anyone with anxiety, phobias, panic attacks or other anxiety disorders.
Telephone: 08444 775 774 (Monday to Friday 9.30am–5.30pm)
Text: 07537 416905
Address: Anxiety UK, Zion Community Resource Centre, 339 Stretford Road, Hulme, Manchester. M15 4ZY
Aware NI run support groups across Northern Ireland.
Social Anxiety UK
Gives information, advice and support on obsessive compulsive disorder (OCD) and related disorders such as body dysmorphic disorder (BDD), skin-picking and hair pulling.
Offers emotional support and information on anxiety disorders and medication including tranquilizers. They have a 1 to 1 mentoring scheme and a telephone recovery group available to their members.
Telephone: 0300 772 9844 (Everyday 10:00am - 10:00pm, Service Charge: local rate)
Youth Helpline 0330 606 1174 (For ages 13-20, open 3pm - 6pm. Monday to Friday)
Address: Jubilee House, 74 High Street, Madeley, Telford, Shropshire, TF7 5AH