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Dealing With Severe Anxiety Disorder Symptoms of anxiety often interfere with the daily routine. It is crucial to seek treatment and relief. Traumas, such as physical or emotional abuse or neglect, can cause anxiety. As do certain life events, like chronic health conditions and stress. Counseling (also known as psychotherapy) helps you change negative thoughts that trigger anxiety and stress. Cognitive behavioral therapy is the most well-known form of psychotherapy used to treat anxiety. Medicines The use of medication can be a successful method to reduce symptoms for a variety of people. This is in addition to lifestyle and therapy modifications. There isn't one medicine that is suitable for every person. It is essential to determine the best medication for you. Your MDVIP provider will discuss your anxiety-related symptoms as well as your medical history, and goals with you to determine the most effective treatment option for your needs. Benzodiazepines work quickly to target the gamma aminobutyric (GABA) acid in your brain. They aid in calming your brain's overexcited and promote calm. These are often prescribed for short-term use like when panic attacks or other overwhelming anxiety occurs. Common examples include Xanax (alprazolam), Klonopin (clonazepam) and Valium (diazepam). Antidepressants can be 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 medications are used to treat all types of anxiety disorders, however they're typically used to treat GAD, PDA and SAD. A different type of antidepressant can be prescribed for anxiety disorders, such as selective serotonin reuptake inhibitors (SSRIs). These are prescribed for mild-to-moderate anxiety disorders and have shown to be effective using controlled, randomized tests. You may need an additional medication to treat severe anxiety disorders. This could be an SSRI, or a tricyclic. These drugs are reserved for patients who haven't had a response to other treatments. Patients must be closely monitored for side effects such as sedation or depression. If you're not able to get relief from a SSRI or an SNRI physician may consider adding a monoamine oxidase A inhibitor. These are typically prescribed after other treatments have failed and they can be very beneficial in reducing symptoms of SAD. Quetiapine and agomelatine are two common examples. It is crucial to remember that a medication isn't a cure and should be administered under a physician's supervision. Always discuss with your doctor the dangers and benefits of each medication. This includes potential side effects. When you first visit, it's important to inquire about follow-up appointments and scheduling. Regular check-ins are crucial to help manage anxiety symptoms over the long-term. Counseling Talk therapy (or psychotherapy) is an important part of treatment for anxiety disorders. A trained therapist can teach you ways to alter unhealthy thoughts, emotions, and behavior that contribute to your symptoms. A variety of psychotherapy methods are available, including cognitive behavior therapy (CBT). It is a well-studied method and the most effective method for treating anxiety disorders. Your therapist might suggest other treatments such as mindfulness-based acceptance and commitment therapy, or exposure therapy. Cognitive therapy examines your negative thoughts patterns that contribute to anxiety. It teaches you to confront these thoughts and replace them with more realistic, positive thoughts. Often, these thought patterns originate through childhood experiences and can be difficult to break on your own. If your symptoms are severe they may hinder your daily activities, making it difficult to work or participate in social activities. Your counselor will determine how often you experience anxiety-related symptoms, how long they last, and how intense they may be. They will also assess for other mental problems which could be contributing to the symptoms, like depression or substance abuse disorders. Talk therapy sessions are typically conducted face-to-face with a health professional such as a psychiatrist or psychologist. Your therapist can look at your facial expressions as well as body language to better discern your reactions to specific situations. This will allow them to determine if your symptoms may be related to a specific cause that is ongoing, like a stressful situation or traumatic experience. Anxiety is a very common condition that can affect anyone. The correct diagnosis can help you relieve your symptoms and improve the quality of your life. Remember that overcoming an anxiety disorder requires time and dedication, but it is worth the effort in the long run. The treatment plan you have for anxiety should include a solid network of support and healthy lifestyle choices, and relaxation techniques. The more you use these techniques and the more effective they'll become. Therapy for Exposure When you have an anxiety or fear, you tend to identify certain situations or events with negative consequences. To break this association and stop avoiding the things that trigger anxiety or phobias, your mental health professional might use exposure therapy. This technique involves exposing you to anxiety-provoking items or situations for a controlled period of time in a safe environment. Over time, you will learn that the feared incident or object isn't risky and you are able to deal with it. Gradually your therapy therapist will introduce you to more challenging situations or items. This process is called “graded exposure.” For example, if you're afraid of snakes, your therapist will begin by showing snake pictures in the first session. In subsequent sessions, they will ask you to look at a picture of a snake in glass and then touch the snake. For some the kind of exposure isn't suitable, so the therapist might use interoceptive stimulation instead. This involves deliberately triggering physical sensations such as shaking or pounding heart, and teaching that these feelings, though uncomfortable, are not harmful. It is crucial to work with someone who has expertise and training in this kind of therapy. You could end up avoiding things that trigger anxiety, which could cause your symptoms to get worse. Instead, your therapist will help you overcome the fears and anxieties that are keeping you from living your life to the fullest. Your therapist might also employ cognitive behavioral treatment to address the root of the belief that is causing your anxiety. If you think that your anxiety is an indication of weakness, your counselor will help you recognize these beliefs and challenge them. In addition your therapist will instruct you on relaxation and breathing techniques and other coping strategies to reduce the negative effects of these thoughts. They will also instruct you on the physiology of the fight-or-flight reaction and how it is caused by anxiety disorder s. Mindfulness Mindfulness is a contemplative practice that encourages the willingness to experience, even unpleasant emotions. Anyone can practice it. It is not a religion nor an unreligious belief system. Although mindfulness is often linked to Buddhism however, a number of leading practitioners insist that the technique has roots in the ancient traditions of contemplative meditation. Studies have shown that mindfulness meditation can improve self-regulation, mood and ability to detect abnormal patterns of thinking and reacting. It has also been shown to change the brain's structure and circuits involved in processing emotions. These changes are linked to an increase in activity in the Default Mode Network which is associated with anxiety's aetiology. Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction are the two most popular mindfulness programs for secular use. These clinical interventions usually involve eight classes per week, lasting between two and three hours. Recent research has focused on shorter, less intense mindfulness classes. These shorter sessions can be taught by a trained therapist, without the assistance of a meditation teacher or group leader. These newer studies have found that short mindfulness-based exercises can have immediate effects on the ruminative thinking processes. Specifically, short mindfulness training can reduce arousal as well as decrease the duration of thoughts of ruminative thought. This research supports the idea that mindfulness training may help in treating GAD. Mindfulness has been found to decrease depression, boost positive moods and well-being in addition to its direct influence on emotional reactions. This is mostly due to the positive effects it has on negative thinking patterns as well as the reduction of symptoms of self-criticism and rumination. A small study carried out at the University of Waterloo suggests that 10 minutes of meditation can help to disrupt the patterns of ruminative thinking which contribute to anxiety. In the study, 82 participants who suffered from anxiety were asked to complete a computer task that was frequently interrupted by interruptions. Half of the participants took a 10-minute mindfulness audio and the other half listened to an audio book. The results of the study showed that participants who were listening to the mindfulness audio had significantly lower anxiety levels than those in the two other groups. This suggests that mindfulness-based training can be used to treat GAD, but further research is required to determine the specific methods that are effective. Future studies should also evaluate the results of mindfulness-based training with other psychotherapeutic treatments.