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Dealing With Severe Anxiety Disorder Anxiety-related symptoms can hinder everyday life. It is important to get treatment and relief. Trauma, including emotional or physical abuse as well as neglect, increase the risk of anxiety. So do certain life circumstances like chronic health issues and stress. Counseling (also called psychotherapy) assists you in changing negative thoughts that trigger anxiety and stress. Cognitive behavioral therapy is the most popular form of psychotherapy used to treat anxiety. Medicines For many medications can be a good option to help alleviate symptoms as well as lifestyle adjustments. There isn't a one-size-fits-all drug that is suitable for everyone, so it's crucial to determine what works best for you. Your MDVIP provider will discuss your anxiety symptoms, medical history and goals with you to determine the most effective treatment option for you. Benzodiazepines are quick to target the Gamma aminobutyric (GABA) acid within your brain. They aid in calming down your overexcited brain and promote calm. They are usually prescribed for short-term usage, such as when a panic episode or other overwhelming anxiety occurs. Examples include Xanax, Klonopin and Valium. Antidepressants are used to treat depression and anxiety disorders. They work by regulating the levels of chemicals in your brain—or neurotransmitters—like serotonin and norepinephrine. These drugs are used to treat anxiety disorders of all kinds, but more commonly GAD, PDA, and SAD. A different type of antidepressant can be prescribed to treat anxiety, specifically selective serotonin reuptake inhibitors (SSRIs). These are prescribed for mild-to-moderate anxiety disorders and have been proven to be effective in randomized controlled trials. You may need an additional medication to treat severe anxiety disorder. It could be an SSRI or a tricyclic. These drugs are reserved for patients that have not had a response to other treatments. Patients should be monitored closely for any adverse effects like depression or sedation. If you don't experience relief from an SSRI, SNRI or monoamine oxidase A inhibitor, your doctor may try adding one. These are generally only prescribed after other treatments have failed and they can be helpful in reducing symptoms of SAD. The most common examples are quetiapine and agomelatine. Be aware that a medication is not a cure. It must be taken only under the supervision of a medical professional. You should always discuss with your doctor the dangers and benefits of each medication. This includes possible side effects. It is important to inquire with your doctor about scheduling follow-up appointments following your initial visit. Anxiety can worsen over time, and regular visits to your doctor are essential to reducing anxiety symptoms over the long term. Counseling The use of medication is essential for treating anxiety disorders, but psychotherapy (or talk therapy) is also an essential component of the treatment plan. A qualified therapist can show you ways to alter unhealthy emotions, thoughts and behaviors that are contributing to your symptoms. Different types of psychotherapy are available, including cognitive behavior therapy (CBT). This approach is well-studied and the most effective treatment for anxiety disorders. Your therapist may recommend other treatments, like mindfulness-based exposure therapy or an approach known as acceptance and commit therapy (ACT). Cognitive therapy focuses on the negative thinking patterns that contribute to your anxiety. It teaches you to challenge these thoughts and replace them with more realistic, positive thoughts. These thought patterns are often learned through childhood experiences, and can be difficult to change on your own. If your symptoms are severe, they could interfere with your daily life and make it hard to complete your work or participate in social activities. Your counselor will determine how often you experience anxiety symptoms, how long they last, and how severe they can be. They will also check for any other mental health issues that may be contributing to your symptoms, such as depression or substance use disorders. Talk therapy sessions are typically conducted face-to-face with a health professional such as a psychologist or psychiatrist. Your therapist will be able to observe your body language, facial expressions and other indicators to help you discern how you react to specific situations. This can help determine whether the symptoms you are experiencing are due to an individual cause, such as an ongoing stressful situation or traumatic events. Anxiety can be a problem for anyone. The right diagnosis will help you relieve your symptoms and improve your quality of life. Remember that beating anxiety disorders takes time and dedication however the effort is worth it in the end. Creating a strong support network and implementing healthy lifestyle habits and implementing relaxation techniques are all important components of your treatment plan. The more you practice these techniques, the more effective they will become. Exposure Therapy If you are suffering from a phobia or fear, you tend to identify certain things or situations with negative consequences. To overcome this fear and stop avoiding the things that trigger anxiety or phobias, your mental health professional might utilize exposure therapy. This technique exposes you to things or situations that trigger anxiety for a certain amount of time in a controlled environment. As time passes, this allows you understand that the feared object or situation isn't dangerous and that you are able to deal with it. Your therapist will start you with situations or objects that don't cause high levels of anxiety. They will then gradually move up to more challenging ones. This process is called “graded exposure.” In the first session for instance, if the therapist knows that you are scared of snakes, they will show you pictures of snakes. In subsequent sessions, you will be asked to view the image of a poisonous snake behind glass before touching a real snake. Some people find this kind of exposure uncomfortable, and so a therapist will use interoceptive (or tactile) exposure. This involves deliberately triggering physical sensations such as shaking or pounding heart and educating the patient that these feelings, though uncomfortable, are not harmful. It is crucial to find a therapist who has experience and training in this type of therapy. You could end up abstaining from activities that cause anxiety, which could cause you to experience more symptoms. Instead, your therapist will help you overcome the anxieties and fears that prevent you from living life to the fullest. Your therapist may also use cognitive behavioral treatment to address the root belief that causes your anxiety. If you think that your anxiety is an indication of weakness, the counselor will help you recognize these beliefs and confront them. Your therapist will also teach you breathing and relaxation techniques, and other strategies to manage the negative impact that these thoughts can have on your life. They will also educate you on the physiology of the fight-or-flight reaction and how it can be triggered in anxiety disorders. Mindfulness Mindfulness is a contemplative practice dating back thousands of years, which encourages an openness to any experience, even the unpleasant ones. 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 practice has its roots in many ancient contemplative traditions. Research has shown that mindfulness meditation can enhance self-regulation, mood and ability to detect abnormal patterns of thinking and reacting. It has also been shown to alter the structure of brain circuits involved in processing emotions. These changes are linked to an increase in activity in Default Mode Network which is associated with anxiety's aetiology. The most popular secular mindfulness programs are Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT). These clinical interventions generally involve eight weekly classes that last around two to three hours each. Recent research has focused on shorter, less intense mindfulness training. These shorter sessions can be taught by a trained psychotherapist without the help of an instructor of meditation or a group leader. These newer studies have found that short mindfulness-based training can immediately affect thoughts that ruminate. Specifically, short mindfulness training can reduce arousal and cut down on the time spent thinking about thoughts that are ruminative. This research supports the idea that mindfulness training can aid in the treatment of GAD. Mindfulness has been found to decrease depression, boost positive moods and well-being, in addition to its direct effect on emotional reactions. This is due in part to the effects of mindfulness on negative thinking patterns and the reduction of symptoms such as rumination and shaming. generalized anxiety disorder at the University of Waterloo found that 10 minutes of meditation could help disrupt the ruminative thought patterns that contribute anxiety. In the study, 82 people who suffered from anxiety were asked to complete an online task that was regularly interrupted with interruptions. Half of them took a 10-minute mindfulness audio and the other half read an audio book. The study's results showed that participants who listen to the mindfulness audio had significantly lower anxiety levels than those in the other two groups. This suggests that GAD is treatable with mindfulness-based training, however more research is required to determine which methods are effective. Future studies should also evaluate the effects of mindfulness-based therapy with other psychotherapeutic treatments.