What is severe anxiety


Types, Causes, Symptoms & Treatments

Overview

What is an anxiety disorder?

An anxiety disorder is a type of mental health condition. If you have an anxiety disorder, you may respond to certain things and situations with fear and dread. You may also experience physical signs of anxiety, such as a pounding heart and sweating.

It’s normal to have some anxiety. You may feel anxious or nervous if you have to tackle a problem at work, go to an interview, take a test or make an important decision. And anxiety can even be beneficial. For example, anxiety helps us notice dangerous situations and focuses our attention, so we stay safe.

But an anxiety disorder goes beyond the regular nervousness and slight fear you may feel from time to time. An anxiety disorder happens when:

  • Anxiety interferes with your ability to function.
  • You often overreact when something triggers your emotions.
  • You can’t control your responses to situations.

Anxiety disorders can make it difficult to get through the day. Fortunately, there are several effective treatments for anxiety disorders.

Who is at risk for anxiety disorders?

A mix of genetic and environmental factors can raise a person’s risk for developing anxiety disorders. You may be at higher risk if you have or had:

  • Certain personality traits, such as shyness or behavioral inhibition — feeling uncomfortable with, and avoiding, unfamiliar people, situations or environments.
  • Stressful or traumatic events in early childhood or adulthood.
  • Family history of anxiety or other mental health conditions.
  • Certain physical conditions, including thyroid problems and heart arrhythmias (unusual heart rhythms).

Anxiety disorders occur more often in women. Researchers are still studying why that happens. It may come from women’s hormones, especially those that fluctuate throughout the month. The hormone testosterone may play a role, too — men have more, and it may ease anxiety. It’s also possible that women are less likely to seek treatment, so the anxiety worsens.

What are the types of anxiety disorders?

There are several types of anxiety disorders, including:

  • Generalized anxiety disorder (GAD).
  • Panic disorder.
  • Phobias.
  • Separation anxiety.

Other mental health conditions share features with anxiety disorders. These include post-traumatic stress disorder and obsessive-compulsive disorder.

What is generalized anxiety disorder (GAD)?

With GAD, you may feel extreme and unrealistic worry and tension — even if there’s nothing to trigger these feelings. Most days, you may worry a lot about various topics, including health, work, school and relationships. You may feel that the worry continues from one thing to the next.

Physical symptoms of GAD can include restlessness, difficulty concentrating and sleeping problems.

What is a panic disorder?

If you have a panic disorder, you get intense, sudden panic attacks. These attacks often feature stronger, more intense feelings than other types of anxiety disorders.

The feelings of terror may start suddenly and unexpectedly or they may come from a trigger, like facing a situation you dread. Panic attacks can resemble heart attacks. If there’s any chance you’re experiencing a heart attack, go to the emergency room. It’s better to err on the side of caution and have a healthcare professional check you.

During a panic attack, you may experience:

  • Sweating.
  • Heart palpitations (feeling like your heart is pounding).
  • Chest pain.
  • Feeling of choking, which can make you think you’re having a heart attack or “going crazy.”

Panic attacks are very upsetting. People with panic disorder often spend a lot of time worrying about the next panic attack. They also try to avoid situations that might trigger an attack.

What are phobias?

Phobias are an intense fear of certain situations or objects. Some of these fears may make sense, such as a fear of snakes. But often, the level of fear doesn’t match the situation.

Like with other anxiety disorders, you may spend a lot of time trying to avoid situations that may trigger the phobia.

A specific phobia, or a simple phobia, is an intense fear of a particular object or situation. It may cause you to avoid everyday situations. Some specific phobias include fear of:

  • Animals, such as spiders, dogs or snakes.
  • Blood.
  • Flying.
  • Heights.
  • Injections (shots).

Healthcare providers used to call this condition social phobia. You may have overwhelming worry and self-consciousness with daily social situations. You may worry about others judging you or you may be anxious that you’ll embarrass yourself or open yourself up to ridicule. People with social anxiety disorder may avoid social situations entirely.

Agoraphobia

If you have agoraphobia, you may have an intense fear of being overwhelmed or unable to get help. Usually, you have a fear of two or more of these environments:

  • Enclosed spaces.
  • Lines or crowds.
  • Open spaces.
  • Places outside your house.
  • Public transportation.

In severe situations, a person with agoraphobia may not leave the house at all. They’re so terrified of having a panic attack in public that they prefer to stay inside.

What is separation anxiety disorder?

This condition mostly happens to children or teens, who may worry about being away from their parents. Children with separation anxiety disorder may fear that their parents will be hurt in some way or not come back as promised. It happens a lot in preschoolers. But older children and adults who experience a stressful event may have separation anxiety disorder as well.

How common are anxiety disorders?

Anxiety disorders are the most common mental health conditions in the U.S. They affect about 40 million Americans. They happen to nearly 30% of adults at some point. Anxiety disorders most often begin in childhood, adolescence or early adulthood.

How do anxiety disorders affect children?

It’s normal for children to feel some amount of anxiety, worry or fear at certain points. For example, a child may feel scared of a thunderstorm or barking dog. A teenager might get anxious about an upcoming test or school dance.

But sometimes, children approach these situations with overwhelming dread or they can’t stop thinking about all the fears tied to one of these events. It may seem that none of your comforts help. These children often get “stuck” on their worries. They have a hard time doing their daily activities, like going to school, playing and falling asleep. They’re extremely reluctant to try something new.

When thinking about your child’s anxiety levels, “getting stuck” is key. It separates the regular worries of childhood from an anxiety disorder that needs professional help. If the anxiety or worry interferes with your child’s ability to function, it may be time to seek help

Symptoms and Causes

What causes anxiety disorders?

Anxiety disorders are like other forms of mental illness. They don’t come from personal weakness, character flaws or problems with upbringing. But researchers don’t know exactly what causes anxiety disorders. They suspect a combination of factors plays a role:

  • Chemical imbalance: Severe or long-lasting stress can change the chemical balance that controls your mood. Experiencing a lot of stress over a long period can lead to an anxiety disorder.
  • Environmental factors: Experiencing a trauma might trigger an anxiety disorder, especially in someone who has inherited a higher risk to start.
  • Heredity: Anxiety disorders tend to run in families. You may inherit them from one or both parents, like eye color.

What are the symptoms of an anxiety disorder?

Symptoms vary depending on the type of anxiety disorder you have. General symptoms of an anxiety disorder include:

Physical symptoms:

  • Cold or sweaty hands.
  • Dry mouth.
  • Heart palpitations.
  • Nausea.
  • Numbness or tingling in hands or feet.
  • Muscle tension.
  • Shortness of breath.

Mental symptoms:

  • Feeling panic, fear and uneasiness.
  • Nightmares.
  • Repeated thoughts or flashbacks of traumatic experiences.
  • Uncontrollable, obsessive thoughts.

Behavioral symptoms:

  • Inability to be still and calm.
  • Ritualistic behaviors, such as washing hands repeatedly.
  • Trouble sleeping.

How do I know if my child has an anxiety disorder?

Anxiety-related problems in children share four common features. The anxiety:

  • Is typically a fear or fixation that interferes with the ability to enjoy life, get through the day or complete tasks.
  • Is puzzling to both the child and parents.
  • Does not improve after logical explanations to address the worries.
  • Is treatable.

Diagnosis and Tests

How are anxiety disorders diagnosed?

If you have symptoms of an anxiety disorder, talk to your healthcare provider. They’ll start with a complete medical history and physical examination.

There are no lab tests or scans that can diagnose anxiety disorders. But your provider may run some of these tests to rule out physical conditions that may be causing symptoms.

Who can diagnose anxiety disorders?

If your provider finds no signs of physical illness, they may refer you to a psychiatrist or psychologist. These mental health professionals specialize in diagnosing and treating mental illnesses. They may use specially designed interview and assessment tools to figure out if you have an anxiety disorder. Typically, the provider bases a diagnosis on:

  • Your reported symptoms, including how intense they are and how long they last.
  • Discussion of how the symptoms interfere with your daily life.
  • The provider’s observation of your attitude and behavior.

Providers also consult the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The American Psychiatric Association publishes the DSM-5. It’s the standard reference manual for diagnosing mental illnesses.

Management and Treatment

How are anxiety disorders treated?

An anxiety disorder is like any other health problem that requires treatment. You can’t will it away. It’s not a matter of self-discipline or attitude. Researchers have made a lot of progress in the last few decades in treating mental health conditions. Your healthcare provider will tailor a treatment plan that works for you. Your plan may combine medication and psychotherapy.

How does medication treat anxiety disorders?

Medications can’t cure an anxiety disorder. But they can improve symptoms and help you function better. Medications for anxiety disorders often include:

  • Anti-anxiety medications, such as benzodiazepines, may decrease your anxiety, panic and worry. They work quickly, but you can build up a tolerance to them. That makes them less effective over time. Your healthcare provider may prescribe an anti-anxiety medication for the short-term, then taper you off or the provider may add an antidepressant to the mix.
  • Antidepressants can also help with anxiety disorders. They tweak how your brain uses certain chemicals to improve mood and reduce stress. Antidepressants may take some time to work, so be patient. If you feel like you’re ready to stop taking antidepressants, talk to your provider first.
  • Beta-blockers, usually used for high blood pressure, can help reduce some of the physical symptoms of anxiety disorders. They can relieve rapid heartbeat, shaking and trembling.

Your healthcare provider will work with you to find the right medication combination and dosage. Don’t change the dose without consulting your provider. They’ll monitor you to make sure the medicines are working without causing negative side effects.

How does psychotherapy treat anxiety disorders?

Psychotherapy, or counseling, helps you deal with your emotional response to the illness. A mental health provider talks through strategies to help you better understand and manage the disorder. Approaches include:

  • Cognitive behavioral therapy (CBT) is the most common type of psychotherapy used with anxiety disorders. CBT for anxiety teaches you to recognize thought patterns and behaviors that lead to troublesome feelings. You then work on changing them.
  • Exposure therapy focuses on dealing with the fears behind the anxiety disorder. It helps you engage with activities or situations you may have been avoiding. Your provider may also use relaxation exercises and imagery with exposure therapy.

What happens if I don’t get treatment for my child with an anxiety disorder?

Getting your child help for an anxiety disorder can improve their development and self-esteem. But untreated anxiety disorders can harm:

  • Family relationships.
  • School performance.
  • Social functioning.

Your child may also end up with more serious mental and physical health problems. Fortunately, there are several treatments for anxiety disorders. The right treatment can help your child manage their symptoms and feel their best.

Prevention

Can anxiety disorders be prevented?

You can’t prevent anxiety disorders. But you can take steps to control or reduce your symptoms:

  • Check out medications: Talk to a healthcare provider or pharmacist before taking over-the-counter medications or herbal remedies. Some of these contain chemicals that may make anxiety symptoms worse.
  • Limit caffeine: Stop or limit how much caffeine you consume, including coffee, tea, cola and chocolate.
  • Live a healthy lifestyle: Exercise regularly and eat a healthy, balanced diet.
  • Seek help: Get counseling and support if you experienced a traumatic or disturbing event. Doing so can help prevent anxiety and other unpleasant feelings from disrupting your life.

Outlook / Prognosis

What’s the outlook for people with anxiety disorders?

Anxiety disorders can often go undiagnosed and untreated. Fortunately, treatment can help. The right treatment can help improve your quality of life, relationships and productivity. It can also support your overall well-being.

You don’t need to live with constant worry and fear. If you notice symptoms of an anxiety disorder, talk to your healthcare provider. It’s best to get diagnosed and treated as soon as possible. Doing so can limit the problems that anxiety disorders can cause. Often, a combination of medications and counseling for anxiety can help you feel your best.

Living With

How can I best cope with an anxiety disorder?

There are several steps you can take to cope with anxiety disorder symptoms. These strategies can also make your treatment more effective:

  • Explore stress management: Learn ways to manage stress, such as through meditation.
  • Join support groups: These groups are available in-person and online. They encourage people with anxiety disorders to share their experiences and coping strategies.
  • Get educated: Learn about the specific type of anxiety disorder you have so you feel more in control. Help friends and loved ones understand the disorder as well so they can support you.
  • Limit or avoid caffeine: Many people with anxiety disorder find that caffeine can worsen their symptoms.
  • Talk to your healthcare provider: Your provider is your partner in your care. If you feel like treatment isn’t working or have questions about your medication, contact your provider. Together, you can figure out how to best move forward.

Some people feel the effects of stress in their stomachs. People with IBS have uncomfortable problems with digestion, including stomach pain, constipation and diarrhea. They also frequently have anxiety and depression, which can make symptoms worse.

The connection between IBS and anxiety comes from the nervous system partly controlling the colon. The nervous system’s response to stress may affect the stomach. Among people who get treated for IBS, anywhere from 50% to 90% may also have an anxiety disorder or depression. Treatment for IBS may include stress management and psychotherapy to relieve symptoms.

When should I go to the emergency room for an anxiety disorder?

Symptoms of an anxiety disorder can resemble symptoms of a heart attack or another health emergency. If you’re experiencing an anxiety attack for the first time, or you’re concerned in any way about your health, call 911 or head to the nearest ER. A healthcare provider will check you for serious or life-threatening conditions.

If you’re having an anxiety attack and unsure whether you should head to an ER or not, it’s better to go. Healthcare professionals can make sure you’re OK and give you any necessary treatment.

What else should I ask my healthcare provider?

If you have an anxiety disorder, ask your provider:

  • What’s the best treatment for me?
  • Do I need medication? What type?
  • How long should I take medication?
  • What type of psychotherapy will work best?
  • What else can I do to manage my symptoms?
  • What other conditions am I at risk for?

A note from Cleveland Clinic

An anxiety disorder can make it difficult to get through your day. Anxiety disorder symptoms include feelings of nervousness, panic and fear. You may also have physical symptoms such as sweating and a rapid heartbeat. But you don’t need to live like this. Several effective anxiety disorder treatments are available. Talk to your healthcare provider to figure out your diagnosis and the best treatment plan. Often, treatment combines medications and therapy. Anti-anxiety medications and antidepressants, together with CBT, can help you feel your best.

Types, Causes, Symptoms & Treatments

Overview

What is an anxiety disorder?

An anxiety disorder is a type of mental health condition. If you have an anxiety disorder, you may respond to certain things and situations with fear and dread. You may also experience physical signs of anxiety, such as a pounding heart and sweating.

It’s normal to have some anxiety. You may feel anxious or nervous if you have to tackle a problem at work, go to an interview, take a test or make an important decision. And anxiety can even be beneficial. For example, anxiety helps us notice dangerous situations and focuses our attention, so we stay safe.

But an anxiety disorder goes beyond the regular nervousness and slight fear you may feel from time to time. An anxiety disorder happens when:

  • Anxiety interferes with your ability to function.
  • You often overreact when something triggers your emotions.
  • You can’t control your responses to situations.

Anxiety disorders can make it difficult to get through the day. Fortunately, there are several effective treatments for anxiety disorders.

Who is at risk for anxiety disorders?

A mix of genetic and environmental factors can raise a person’s risk for developing anxiety disorders. You may be at higher risk if you have or had:

  • Certain personality traits, such as shyness or behavioral inhibition — feeling uncomfortable with, and avoiding, unfamiliar people, situations or environments.
  • Stressful or traumatic events in early childhood or adulthood.
  • Family history of anxiety or other mental health conditions.
  • Certain physical conditions, including thyroid problems and heart arrhythmias (unusual heart rhythms).

Anxiety disorders occur more often in women. Researchers are still studying why that happens. It may come from women’s hormones, especially those that fluctuate throughout the month. The hormone testosterone may play a role, too — men have more, and it may ease anxiety. It’s also possible that women are less likely to seek treatment, so the anxiety worsens.

What are the types of anxiety disorders?

There are several types of anxiety disorders, including:

  • Generalized anxiety disorder (GAD).
  • Panic disorder.
  • Phobias.
  • Separation anxiety.

Other mental health conditions share features with anxiety disorders. These include post-traumatic stress disorder and obsessive-compulsive disorder.

What is generalized anxiety disorder (GAD)?

With GAD, you may feel extreme and unrealistic worry and tension — even if there’s nothing to trigger these feelings. Most days, you may worry a lot about various topics, including health, work, school and relationships. You may feel that the worry continues from one thing to the next.

Physical symptoms of GAD can include restlessness, difficulty concentrating and sleeping problems.

What is a panic disorder?

If you have a panic disorder, you get intense, sudden panic attacks. These attacks often feature stronger, more intense feelings than other types of anxiety disorders.

The feelings of terror may start suddenly and unexpectedly or they may come from a trigger, like facing a situation you dread. Panic attacks can resemble heart attacks. If there’s any chance you’re experiencing a heart attack, go to the emergency room. It’s better to err on the side of caution and have a healthcare professional check you.

During a panic attack, you may experience:

  • Sweating.
  • Heart palpitations (feeling like your heart is pounding).
  • Chest pain.
  • Feeling of choking, which can make you think you’re having a heart attack or “going crazy.

Panic attacks are very upsetting. People with panic disorder often spend a lot of time worrying about the next panic attack. They also try to avoid situations that might trigger an attack.

What are phobias?

Phobias are an intense fear of certain situations or objects. Some of these fears may make sense, such as a fear of snakes. But often, the level of fear doesn’t match the situation.

Like with other anxiety disorders, you may spend a lot of time trying to avoid situations that may trigger the phobia.

A specific phobia, or a simple phobia, is an intense fear of a particular object or situation. It may cause you to avoid everyday situations. Some specific phobias include fear of:

  • Animals, such as spiders, dogs or snakes.
  • Blood.
  • Flying.
  • Heights.
  • Injections (shots).

Healthcare providers used to call this condition social phobia. You may have overwhelming worry and self-consciousness with daily social situations. You may worry about others judging you or you may be anxious that you’ll embarrass yourself or open yourself up to ridicule. People with social anxiety disorder may avoid social situations entirely.

Agoraphobia

If you have agoraphobia, you may have an intense fear of being overwhelmed or unable to get help. Usually, you have a fear of two or more of these environments:

  • Enclosed spaces.
  • Lines or crowds.
  • Open spaces.
  • Places outside your house.
  • Public transportation.

In severe situations, a person with agoraphobia may not leave the house at all. They’re so terrified of having a panic attack in public that they prefer to stay inside.

What is separation anxiety disorder?

This condition mostly happens to children or teens, who may worry about being away from their parents. Children with separation anxiety disorder may fear that their parents will be hurt in some way or not come back as promised. It happens a lot in preschoolers. But older children and adults who experience a stressful event may have separation anxiety disorder as well.

How common are anxiety disorders?

Anxiety disorders are the most common mental health conditions in the U.S. They affect about 40 million Americans. They happen to nearly 30% of adults at some point. Anxiety disorders most often begin in childhood, adolescence or early adulthood.

How do anxiety disorders affect children?

It’s normal for children to feel some amount of anxiety, worry or fear at certain points. For example, a child may feel scared of a thunderstorm or barking dog. A teenager might get anxious about an upcoming test or school dance.

But sometimes, children approach these situations with overwhelming dread or they can’t stop thinking about all the fears tied to one of these events. It may seem that none of your comforts help. These children often get “stuck” on their worries. They have a hard time doing their daily activities, like going to school, playing and falling asleep. They’re extremely reluctant to try something new.

When thinking about your child’s anxiety levels, “getting stuck” is key. It separates the regular worries of childhood from an anxiety disorder that needs professional help. If the anxiety or worry interferes with your child’s ability to function, it may be time to seek help

Symptoms and Causes

What causes anxiety disorders?

Anxiety disorders are like other forms of mental illness. They don’t come from personal weakness, character flaws or problems with upbringing. But researchers don’t know exactly what causes anxiety disorders. They suspect a combination of factors plays a role:

  • Chemical imbalance: Severe or long-lasting stress can change the chemical balance that controls your mood. Experiencing a lot of stress over a long period can lead to an anxiety disorder.
  • Environmental factors: Experiencing a trauma might trigger an anxiety disorder, especially in someone who has inherited a higher risk to start.
  • Heredity: Anxiety disorders tend to run in families. You may inherit them from one or both parents, like eye color.

What are the symptoms of an anxiety disorder?

Symptoms vary depending on the type of anxiety disorder you have. General symptoms of an anxiety disorder include:

Physical symptoms:

  • Cold or sweaty hands.
  • Dry mouth.
  • Heart palpitations.
  • Nausea.
  • Numbness or tingling in hands or feet.
  • Muscle tension.
  • Shortness of breath.

Mental symptoms:

  • Feeling panic, fear and uneasiness.
  • Nightmares.
  • Repeated thoughts or flashbacks of traumatic experiences.
  • Uncontrollable, obsessive thoughts.

Behavioral symptoms:

  • Inability to be still and calm.
  • Ritualistic behaviors, such as washing hands repeatedly.
  • Trouble sleeping.

How do I know if my child has an anxiety disorder?

Anxiety-related problems in children share four common features. The anxiety:

  • Is typically a fear or fixation that interferes with the ability to enjoy life, get through the day or complete tasks.
  • Is puzzling to both the child and parents.
  • Does not improve after logical explanations to address the worries.
  • Is treatable.

Diagnosis and Tests

How are anxiety disorders diagnosed?

If you have symptoms of an anxiety disorder, talk to your healthcare provider. They’ll start with a complete medical history and physical examination.

There are no lab tests or scans that can diagnose anxiety disorders. But your provider may run some of these tests to rule out physical conditions that may be causing symptoms.

Who can diagnose anxiety disorders?

If your provider finds no signs of physical illness, they may refer you to a psychiatrist or psychologist. These mental health professionals specialize in diagnosing and treating mental illnesses. They may use specially designed interview and assessment tools to figure out if you have an anxiety disorder. Typically, the provider bases a diagnosis on:

  • Your reported symptoms, including how intense they are and how long they last.
  • Discussion of how the symptoms interfere with your daily life.
  • The provider’s observation of your attitude and behavior.

Providers also consult the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The American Psychiatric Association publishes the DSM-5. It’s the standard reference manual for diagnosing mental illnesses.

Management and Treatment

How are anxiety disorders treated?

An anxiety disorder is like any other health problem that requires treatment. You can’t will it away. It’s not a matter of self-discipline or attitude. Researchers have made a lot of progress in the last few decades in treating mental health conditions. Your healthcare provider will tailor a treatment plan that works for you. Your plan may combine medication and psychotherapy.

How does medication treat anxiety disorders?

Medications can’t cure an anxiety disorder. But they can improve symptoms and help you function better. Medications for anxiety disorders often include:

  • Anti-anxiety medications, such as benzodiazepines, may decrease your anxiety, panic and worry. They work quickly, but you can build up a tolerance to them. That makes them less effective over time. Your healthcare provider may prescribe an anti-anxiety medication for the short-term, then taper you off or the provider may add an antidepressant to the mix.
  • Antidepressants can also help with anxiety disorders. They tweak how your brain uses certain chemicals to improve mood and reduce stress. Antidepressants may take some time to work, so be patient. If you feel like you’re ready to stop taking antidepressants, talk to your provider first.
  • Beta-blockers, usually used for high blood pressure, can help reduce some of the physical symptoms of anxiety disorders. They can relieve rapid heartbeat, shaking and trembling.

Your healthcare provider will work with you to find the right medication combination and dosage. Don’t change the dose without consulting your provider. They’ll monitor you to make sure the medicines are working without causing negative side effects.

How does psychotherapy treat anxiety disorders?

Psychotherapy, or counseling, helps you deal with your emotional response to the illness. A mental health provider talks through strategies to help you better understand and manage the disorder. Approaches include:

  • Cognitive behavioral therapy (CBT) is the most common type of psychotherapy used with anxiety disorders. CBT for anxiety teaches you to recognize thought patterns and behaviors that lead to troublesome feelings. You then work on changing them.
  • Exposure therapy focuses on dealing with the fears behind the anxiety disorder. It helps you engage with activities or situations you may have been avoiding. Your provider may also use relaxation exercises and imagery with exposure therapy.

What happens if I don’t get treatment for my child with an anxiety disorder?

Getting your child help for an anxiety disorder can improve their development and self-esteem. But untreated anxiety disorders can harm:

  • Family relationships.
  • School performance.
  • Social functioning.

Your child may also end up with more serious mental and physical health problems. Fortunately, there are several treatments for anxiety disorders. The right treatment can help your child manage their symptoms and feel their best.

Prevention

Can anxiety disorders be prevented?

You can’t prevent anxiety disorders. But you can take steps to control or reduce your symptoms:

  • Check out medications: Talk to a healthcare provider or pharmacist before taking over-the-counter medications or herbal remedies. Some of these contain chemicals that may make anxiety symptoms worse.
  • Limit caffeine: Stop or limit how much caffeine you consume, including coffee, tea, cola and chocolate.
  • Live a healthy lifestyle: Exercise regularly and eat a healthy, balanced diet.
  • Seek help: Get counseling and support if you experienced a traumatic or disturbing event. Doing so can help prevent anxiety and other unpleasant feelings from disrupting your life.

Outlook / Prognosis

What’s the outlook for people with anxiety disorders?

Anxiety disorders can often go undiagnosed and untreated. Fortunately, treatment can help. The right treatment can help improve your quality of life, relationships and productivity. It can also support your overall well-being.

You don’t need to live with constant worry and fear. If you notice symptoms of an anxiety disorder, talk to your healthcare provider. It’s best to get diagnosed and treated as soon as possible. Doing so can limit the problems that anxiety disorders can cause. Often, a combination of medications and counseling for anxiety can help you feel your best.

Living With

How can I best cope with an anxiety disorder?

There are several steps you can take to cope with anxiety disorder symptoms. These strategies can also make your treatment more effective:

  • Explore stress management: Learn ways to manage stress, such as through meditation.
  • Join support groups: These groups are available in-person and online. They encourage people with anxiety disorders to share their experiences and coping strategies.
  • Get educated: Learn about the specific type of anxiety disorder you have so you feel more in control. Help friends and loved ones understand the disorder as well so they can support you.
  • Limit or avoid caffeine: Many people with anxiety disorder find that caffeine can worsen their symptoms.
  • Talk to your healthcare provider: Your provider is your partner in your care. If you feel like treatment isn’t working or have questions about your medication, contact your provider. Together, you can figure out how to best move forward.

Some people feel the effects of stress in their stomachs. People with IBS have uncomfortable problems with digestion, including stomach pain, constipation and diarrhea. They also frequently have anxiety and depression, which can make symptoms worse.

The connection between IBS and anxiety comes from the nervous system partly controlling the colon. The nervous system’s response to stress may affect the stomach. Among people who get treated for IBS, anywhere from 50% to 90% may also have an anxiety disorder or depression. Treatment for IBS may include stress management and psychotherapy to relieve symptoms.

When should I go to the emergency room for an anxiety disorder?

Symptoms of an anxiety disorder can resemble symptoms of a heart attack or another health emergency. If you’re experiencing an anxiety attack for the first time, or you’re concerned in any way about your health, call 911 or head to the nearest ER. A healthcare provider will check you for serious or life-threatening conditions.

If you’re having an anxiety attack and unsure whether you should head to an ER or not, it’s better to go. Healthcare professionals can make sure you’re OK and give you any necessary treatment.

What else should I ask my healthcare provider?

If you have an anxiety disorder, ask your provider:

  • What’s the best treatment for me?
  • Do I need medication? What type?
  • How long should I take medication?
  • What type of psychotherapy will work best?
  • What else can I do to manage my symptoms?
  • What other conditions am I at risk for?

A note from Cleveland Clinic

An anxiety disorder can make it difficult to get through your day. Anxiety disorder symptoms include feelings of nervousness, panic and fear. You may also have physical symptoms such as sweating and a rapid heartbeat. But you don’t need to live like this. Several effective anxiety disorder treatments are available. Talk to your healthcare provider to figure out your diagnosis and the best treatment plan. Often, treatment combines medications and therapy. Anti-anxiety medications and antidepressants, together with CBT, can help you feel your best.

treatment, how to get rid of anxiety, how to deal with anxiety for no reason

Anxiety is a negatively colored mood with feelings of worry, tension, and fear. In moderation, such emotions are useful: they help to mobilize forces and find a way out of extreme situations. But there must be grounds for concern, and normally it lasts a limited period of time.

If a person constantly experiences a feeling of anxiety and anxiety for no reason, this may indicate the presence of a mental disorder. In the absence of help, constant tension wears out the nervous system and the body as a whole, which leads to a breakdown in adaptation mechanisms and the development of chronic diseases.

If you notice that you cannot relax for a long time, then you should think about visiting a specialist.

In pathological cases, a state of anxiety and restlessness without a cause manifests itself both mentally and physically.

Mental symptoms:

  • constant feeling of fear and excitement for no reason,
  • poor concentration and attention,
  • sleep disorders,
  • emotional lability, irritability, tearfulness,
  • inability to relax and fully engage in daily activities or communication,
  • the need to reassure others that everything is okay. At the same time, words of support do not bring relief.

Physical symptoms:

  • rapid breathing and heartbeat,
  • headaches, pain in the abdomen and in the region of the heart,
  • excessive sweating,
  • eating disorders: increased or loss of appetite,
  • weakness,
  • shivering, chills,
  • stool disorders: frequent urge, constipation,
  • feeling short of breath,
  • nausea,
  • muscle spasms and pain.

Unreasonable anxiety and anxiety increase or smooth out from time to time. Exacerbations often accompany stress: conflicts, important events, illness. Normally, a person recovers quickly after the situation is resolved, but when upset, negative emotions do not go away.

The intensity of anxiety varies from mild to severe. The extreme is panic. If you ignore an anxiety state for a long time for no reason, then panic attacks can join it. They overtake unexpectedly and sometimes without a good enough reason, but after this episode, a person begins to avoid situations similar to the one in which it happened: public transport, an elevator, or just a crowd of people. This greatly reduces the quality of life and can lead to social isolation.

Causes of causeless anxiety and anxiety

The occurrence of anxiety disorder is influenced by heredity. It has been found that certain brain structures and features of biological processes play an important role in the emergence of fear and anxiety. Personal characteristics, somatic health problems, lifestyle and various types of addictions also matter. Sometimes there is no cause for causeless anxiety and worry. Negative feelings usually have a trigger - an event or thought that causes an anxious response. However, most people are not aware of their triggers and believe that their emotions are groundless. In this case, only a specialist will help to understand why excitement arises for no reason.

There are a number of diseases, the symptoms of which are constant anxiety. With causeless fear and anxiety, the reasons may be as follows:

  • Generalized Anxiety Disorder: Persistent nervousness and worry over small things that are usually visible to others and last 6 or more months. It starts in adolescence and intensifies with age.
  • Obsessive-compulsive disorder: obsessive thoughts and fears that are accompanied by obsessive actions that do not bring relief. Obsessive-compulsive disorder is distinguished - a person is indomitably haunted by memories that reproduce a traumatic situation.
  • Phobias: irrational fear of any, even mundane, things. Accompanied by uncontrolled panic and physical manifestations.
  • Panic attack - an excruciating and sudden attack of panic, which is accompanied by a fear of death and vivid somatic symptoms. The regular occurrence of panic attacks means the development of a panic disorder.
  • Post-traumatic stress disorder: occurs after a severe traumatic situation and is accompanied by high levels of anxiety, avoidance and flashbacks.

These are the most common examples, but pathological anxiety can be a symptom of other disorders or the result of a failed stress management. If you want to understand why there is a feeling of anxiety for no reason, you should consult a doctor. Without clarifying the main factor and working on it, it is impossible to restore health and peace of mind.

What to do with causeless anxiety and anxiety

It is difficult to live in constant stress. If you experience causeless anxiety and fear of what to do, the following list will tell you:

  1. Talk to someone you trust. This could be a relative, a close friend, a therapist, or a helpline employee. People are social creatures, so communication is a good way to relieve internal tension.
  2. Find a way to calm down quickly. There is not always a person with whom you can share. Therefore, it is important to find a suitable method that will help you relax: breathing techniques, soothing music, aromatherapy, self-massage, and more. If you cannot independently choose a technique that quickly helps with anxiety for no reason, a specialist will tell you what to do.
  3. Add physical activity to your life. It is a natural and effective remedy for anxiety. Moderate sport relieves stress, lowers stress hormones, and strengthens the nervous system. Get at least 30 minutes of physical exercise a day.
  4. Normalization of lifestyle. Get enough sleep, eat well, give up bad habits. This stabilizes physical performance and neurotransmitter levels, which helps maintain emotional balance.
  5. Start keeping a diary. Notes help identify patterns of anxiety flare-ups, understand the causes, and notice early signs of their occurrence. Also, thanks to this, you will begin to focus more on positive events that you might not have noticed before.

With excitement for no reason, everyone who regularly encounters this wants to know what to do. There is no universal method, however, the 5 steps listed above are recommended for every person with increased anxiety. This may be enough to alleviate symptoms. But if self-help techniques do not give the desired effect, then with a regularly occurring feeling of anxiety for no reason, you need to find out from a specialist what to do.

Treatment of causeless feelings of anxiety and restlessness

Regardless of the cause of pathological anxiety, professional help is the only complete method to eliminate the problem. If you have constant excitement and anxiety for no reason, you can quickly and effectively learn from a psychiatrist or psychotherapist how to get rid of this condition.

Due to the diversity of anxiety disorders, their therapy must be adapted to the individual clinical picture and diagnosis. Therefore, only a highly qualified specialist who has experience working with different types of anxiety conditions can tell you how to get rid of an anxiety state for no reason. For example, the therapy algorithm for a patient with obsessive-compulsive disorder (OCD) is different from the help for panic attacks.

For a state of anxiety and anxiety without a cause, treatment includes the following approaches:

  1. Psychotherapy. The most promising direction, which not only eliminates the symptom, but identifies the cause and fights it. Therapy teaches when feeling anxiety for no reason, how to get rid of acute attacks of anxiety, relax, look at life situations differently. The doctor will help to uncover the main causes of your fears and work them out. The patient receives the tools to overcome anxiety and uses them successfully. Cognitive-behavioral therapy is usually used: in the course of treatment, the patient encounters an object of concern and gradually gains confidence that he can control the situation.
  2. Medical therapy. Depending on the type of anxiety and the presence of associated mental or physical health problems, antidepressants, sedatives, sleeping pills, and other drugs may be prescribed. When anxiety is felt without a cause, drug treatment will alleviate the symptoms and improve the quality of life of the patient during his psychotherapeutic work on the underlying cause. Uncontrolled medication leads to dangerous side effects and withdrawal syndrome, so they can only be used according to the individual course prescribed by the doctor.

It is recommended to use a combination of psychotherapeutic and drug treatment, but sometimes only the first one is enough.

You should not put off visiting a doctor if you feel that experiences are preventing you from living. Over time, the symptoms worsen and other severe mental illnesses join: depression, neurotic disorders, and more. If the normalization of lifestyle does not help, it means that you will understand how to get rid of unreasonable anxiety only from a psychotherapist. With a timely appeal to a competent specialist, only a few sessions of psychotherapy may be enough for recovery.

Thanks to modern psychotherapeutic approaches, hundreds of people are making great strides every day in the fight against anxiety disorders. There is no need to endure the painful burden of fear and anxiety, because timely assistance allows you to achieve excellent results: the patient will fully recover and return to a full life, and the improvement will be noticeable after the first session.

Unreasonable anxiety - why there is a constant state of anxiety

All people experience anxiety from time to time. For example, you can get nervous when you have a fight with a loved one or before taking an exam. Anxiety itself is not a very pleasant emotion, but it is completely normal.

Sometimes anxiety becomes persistent and uncontrollable. In situations where it interferes with everyday life, takes on a permanent or excessively acute character, the problem cannot be ignored. You should contact a specialist and figure out what anxiety means in your case. Perhaps you need qualified help.

Anxiety disorders are one of the most common mental illnesses in modern society.

Anxiety disorders are one of the most common mental illnesses in modern society. Usually a person cannot understand what anxiety means, from which it is impossible to get rid of. The disease makes you feel scared and restless for no apparent reason. If left untreated, it becomes a long-term problem and significantly reduces the quality of life. At the same time, no matter what form of anxiety disorder the patient suffers from, an experienced specialist will always select a therapy that will help to cope with the disease.

What is the alarm

Common signs of anxiety disorders to look out for include:

  • Feeling nervous and uncontrollable restlessness that is not appropriate for the situation;
  • Unwarranted panic, premonition of catastrophe or death;
  • Increased activity of the autonomic nervous system: dizziness, sweating, trembling, rapid breathing, palpitations, pain in the heart, dry mouth, nausea, stool disturbance;
  • Sleep and appetite disorders;
  • Problems with concentration, inability to distract from the object of concern;
  • Anxiety, irritability;
  • Strong, uncontrollable feeling of fear in relation to ordinary situations (phobias).

Anxiety, whatever it may be, always has characteristic features and causes. The concept of "anxiety disorder" is general and corresponds to several diagnoses, each of which has its own characteristics. It is important to distinguish one from the other in order to correctly diagnose and choose the correct treatment. Experience and high qualifications will allow a specialist to do this without difficulty.

Generalized Anxiety Disorder (GAD) is a mental illness characterized by so-called non-fixed anxiety. This is groundless anxiety, which does not depend on specific circumstances, but is persistent and uncontrollable. Physical manifestations in the form of vegetative symptoms are added to anxiety. All this greatly interferes with studying, working and communicating. Clinically significant is the presence of signs of GAD for 6 months.

A distinctive feature is the generalization of sensations: constant anxiety in GAD does not have a specific stressor, it is directed to life circumstances in general, including minor and unlikely situations. The course is permanent, the symptoms are always present, from time to time they intensify, but they never acquire an acute form, as in panic attacks.

The concept of "anxiety disorder" is general and corresponds to several diagnoses, each of which has its own characteristics.

Panic disorder (panic attacks) are abrupt episodes of panic and discomfort, which are accompanied by fear of death and physical manifestations: interruptions in the heart, feeling short of breath, dizziness.

Unlike GAD, panic attacks occur spontaneously and acutely. Patients are in constant expectation of an attack, they experience a debilitating feeling of anxiety. With GAD, a person is constantly in a state of anxiety, but it is not associated with the expectation of an attack, but with bad forebodings and fears about all kinds of life situations.

Panic attacks are also important to distinguish from phobic disorders. Attacks can be one of the signs of a phobia and speak of its severity. If there is a primary phobia, then it will be the main diagnosis.

This disorder should be differentiated from obsessive-compulsive disorder (OCD), in which panic attacks can occur only when trying to suppress intrusive thoughts, and from post-traumatic stress disorder (PTSD). In the latter case, anxiety occurs only under certain circumstances that remind the patient of the cause of the trauma.

People suffering from this disorder do their best to avoid frightening circumstances, which can impose significant restrictions on lifestyle.

Phobic disorder (phobias) are acute episodes of panic that are associated with specific situations and objects. People suffering from this disorder do their best to avoid frightening circumstances, which can impose significant restrictions on lifestyle.

Among the phobias, there are social phobia - an overwhelming fear of social interactions, and agoraphobia, which is a complex of similar fears associated with the fear of open and closed spaces. There are other isolated phobias, but a distinctive feature of this type is that the fear occurs in strictly defined situations and is limited only to them.

Anxious depression. The usual signs of an anxiety disorder are characterized by nervousness, irritability, problems with sleep and concentration. But, unlike other disorders, the depressive component is also mandatory - depressed mood, melancholy, lack of interest in life. In mixed anxiety and depressive disorder, the symptoms of anxiety and depression are present to an equal degree, without a clear predominance of one over the other, which does not allow them to be considered separately from each other.

Schizoaffective disorder is another disease in which mood disorders are observed: unreasonable anxiety, guilt, problems with concentration, irritability, and more. However, according to ICD-10, this diagnosis can only be confirmed when the psychotic symptoms of schizophrenia, such as delusions and hallucinations, are combined with affective disorders of a depressive or manic nature.

Obsessive-compulsive disorder (OCD) is obsessive ideas based on irrational thoughts and fears that force a person to perform certain actions - rituals (ritual behavior).

To alleviate concerns, a person can endlessly wash their hands, even if the skin on them becomes irritated and cracked.

Obsessions and compulsions greatly interfere with daily activities. If a person tries to ignore these thoughts, anxiety increases. Because of this, the patient is forced to continue to perform the ritual in order to relieve stress. OCD often centers around specific themes, such as the fear of germs. To alleviate concerns, a person can endlessly wash their hands, even if the skin on them becomes irritated and cracked.

Alarm causes. Diagnostics

The causes of anxiety disorders are varied, as are the types themselves. Usually, in the pathological state of unreasonable anxiety, the causes consist of a complex interaction of factors that may include:

  • genetic predisposition;
  • imbalance of neurotransmitters;
  • personality traits: people with a labile psyche, sensitive temperament, prone to negative emotions;
  • stressful situations, mental trauma, unfavorable living conditions, somatic diseases;
  • use of drugs, alcohol, improper medication.

Only a qualified psychiatrist can correctly identify the causes of anxiety and provide assistance. You can not delay seeking help, as the condition may worsen and be complicated by social isolation, suicidal actions and various types of addiction.

To conduct a complete diagnosis of the condition, the doctor uses the following methods:

  1. Psychiatric examination - a specialist collects a detailed anamnesis, takes into account clinical manifestations and compares them with diagnostic criteria.
  2. Pathopsychological research is a modern technique that helps to understand the personal characteristics and psychological state of the patient.
  3. Laboratory and instrumental examination - Neurotest and Neurophysiological test system allow you to get an objective picture of the state of the nervous system and cognitive functions, EEG and other instrumental techniques help to exclude organic pathology

Treatment of anxiety and anxiety disorders

Treatment depends on the type of disorder and may include one or a combination of the following approaches.

Individual psychotherapy is the main treatment for any type of disorder. Allows you to find out why anxiety has arisen and whether it is pathological. Clinical signs are analyzed and problems are worked out.

One of the effective methods for correcting anxiety disorders, especially phobic ones, OCD and GAD, has become cognitive behavioral therapy. With the help of modeling problem situations, the patient, under the guidance of a doctor, learns to cope with panic and acquires skills that allow him to return to a normal lifestyle.

Drug therapy to eliminate acute symptoms, relieve anxiety and depression, if necessary, mild pharmacotherapy with antidepressants or modern tranquilizers can be used.

As additional methods that accelerate adaptation and help to cope with stress, physiotherapy, breathing exercises, art therapy, biofeedback therapy are used.

Important

When to seek immediate help: