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Anxiety and Panic: Gaining Control Over How You're Feeling
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What is anxiety?
Anxiety can be a normal "alarm system" alerting you to danger. Imagine coming home and finding a burglar in your living room. Your heart beats fast. Your palms get sweaty. Your mind races. In this situation, anxiety can provide an extra spark to help you get out of danger. In more normal but busy situations, anxiety can give you the energy to get things done.
But sometimes anxiety can be out of control, giving you a sense of dread and fear for no apparent reason. This kind of anxiety can disrupt your life.
Are there different types of anxiety?
Yes. Anxiety can be a general feeling of worry, a sudden attack of panicky feelings, or a fear of a certain situation or object.
What is generalized anxiety disorder?
Generalized anxiety disorder is ongoing worry or fear that isn't related to a particular event or situation, or is out of proportion to what you would expect--for instance, constantly worrying about a child who is perfectly healthy.
Symptoms of generalized anxiety disorder include muscle tension, trembling, shortness of breath, fast heartbeat, dry mouth, dizziness, nausea, irritability, loss of sleep and not being able to concentrate.
What is panic disorder?
Panic disorder is another type of anxiety. It occurs when you have repeated periods of extreme panic, called panic attacks.
Suppose one day you're getting out of your car to go to work. Suddenly, your chest feels tight. Your heart races. You begin to feel dizzy and faint. You start to choke. You feel as if the end is near.
Was it all in your head? No. Most likely, you had a panic attack.
Panic attacks last about 5 to 30 minutes and may include any of the symptoms listed in the box below.
Panic attacks can lead to phobias if they aren't treated.
Panic attack symptoms
* Feeling like you're going to choke
* Chest pressure or chest pain
* Pounding heart
* Racing pulse
* Dizziness or lightheadedness
* Shortness of breath or tightness in the throat
* Sweating
* Trembling or shaking
* Nausea
* Tingling or numbness in the hands or feet
* Hot flashes or chills
* Sense of unreality or dreamlike sensations
* Extreme fear of losing control, doing something embarrassing, going "crazy" or dying
What is a phobia?
A phobia is an extreme, unreasonable fear in response to something specific. There are lots of different phobias, including fear of crowds, bridges, snakes, spiders, heights, open places or social embarrassment.
A phobia is only considered a problem when it keeps you from living a normal life. An example is being afraid to leave home because you are afraid of one of the things listed above.
What causes anxiety disorders?
Suppose the fire alarm goes off in your home. You race around frantically to find the fire. Instead, you find that there is no fire--the alarm just isn't working properly.
It's the same with anxiety disorders. Your body mistakenly triggers your alarm system when there is no danger. This may be due to a chemical imbalance in your body. It may also be related to an unconscious memory, to a side effect of a medicine or to an illness.
Can anxiety disorders be treated?
Yes. Talk to your family doctor if you think you have an anxiety disorder. He or she can help you form a plan to develop skills to cope with your anxiety. Your doctor may also suggest counseling and prescribe medicine if needed. The following are some tips on coping with anxiety:
Control your worry. Pick a place and time to do your worrying. Make it the same place and time every day. Spend 30 minutes thinking about your concerns and what you can do about them. Try not to dwell on what "might" happen. Focus more on what's really happening. Then let go of the worry and go on with your day.
Other Organizations
* National Institute of Mental Health
http://www.nimh.nih.gov
6001 Executive Blvd. Room 8184, MSC 9663
Bethesda, MD 20892-9663
888-8-ANXIETY (888-8-269-4389)
Source
Written by familydoctor.org editorial staff.
American Academy of Family Physicians
Reviewed/Updated: 09/06
Created: 01/96
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