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Dealing With Severe Anxiety Disorder Anxiety symptoms can interfere with your daily routine. It is important to seek treatment and get relief. Trauma, including emotional or physical abuse, as well as neglect, increase the risk of anxiety. So do certain life circumstances, like chronic health conditions and stress. Psychotherapy (also called counseling) assists you in changing negative thinking patterns that lead to troublesome feelings. The most common kind of psychotherapy used to combat anxiety is cognitive behavioral therapy. Medicines Medication can be an effective way to minimize symptoms for a variety of people. This is in addition to lifestyle and therapy modifications. There is no one medication that is suitable for all. It is essential to choose the right medication for you. Your MDVIP provider can talk with you about your anxiety-related symptoms, health background and goals to determine the best treatment options for you. Benzodiazepines quickly target the gamma aminobutyric (GABA) acid in your brain. They aid in calming your brain's overexcited and promote calm. They are typically prescribed for short-term use, such as during a panic attack or other overwhelming anxiety episode. Examples include Xanax, Klonopin and Valium. Antidepressants help combat depression, but are often used to treat anxiety disorders as well. They work by regulating the levels of chemicals in your brain—or neurotransmitters—like serotonin and norepinephrine. These medications are utilized to treat all kinds of anxiety disorders, but they're most commonly used to treat GAD, PDA and SAD. Another form of antidepressant is selective serotonin reuptake inhibitors (SSRIs) can also be prescribed to treat anxiety. They are prescribed for mild to moderate anxiety disorders and have shown to be effective in randomized controlled trials. For a severe anxiety disorder it is possible to require an additional medication, such as an SSRI or tricyclic antidepressant. These are usually reserved for patients who haven't had a positive response to other treatments. The patient must be carefully checked for depression or sedation as an adverse effect. If you can't find relief from an SSRI or an SNRI, your doctor might consider adding a monoamine oxidase A inhibitor. These are generally only prescribed after other treatments have failed and they can be extremely helpful in reducing symptoms of SAD. Quetiapine, and agomelatine are a couple of common examples. It's important to keep in mind that medication isn't a cure for anything and should be administered under a physician's supervision. It is important to discuss the benefits and potential risks of any medication, including potential adverse effects. In generalized anxiety disorder , it's crucial to inquire about follow-up visits and the timeframe for them. Regular check-ins are essential to control anxiety-related symptoms over the long-term. Counseling The use of medication is essential for treating anxiety disorders but psychotherapy (or talk therapy) is an important element of the treatment plan. A trained therapist will teach you how to alter negative thoughts, emotions, and habits that contribute to your symptoms. There are a variety of psychotherapy that include cognitive-behavioral therapy (CBT). This method is extensively researched and is the most effective method for treating anxiety disorders. Your therapist might suggest additional treatments, such as mindfulness-based exposure therapy or an method known as acceptance and commitment therapy (ACT). Cognitive therapy focuses on the negative thoughts that can cause anxiety. It teaches you how to challenge these negative thoughts and replace them by more realistic positive thoughts. These thoughts are typically developed through childhood experiences and can be difficult to change on your own. If your symptoms are severe, they may interfere with your daily life and make it hard to job or participate in social activities. Your counselor will determine how often you experience anxiety symptoms, how long they last, and how severe they may be. They will also check for any other mental issues that may be causing the symptoms, like addiction or depression. Talk therapy sessions are generally held face-toface with a mental health professional, such as a psychologist or psychiatrist. Your counselor will be able to observe your facial expressions, body language and other signs to better know how you react to certain situations. This will allow them to determine if your symptoms are caused by a specific cause that is ongoing, like a stressor or traumatic event. Anxiety is a very common condition that can affect everyone. Finding the right diagnosis and beginning an appropriate treatment plan can help ease your symptoms and increase your level of living. Be aware that conquering anxiety disorders requires time and commitment but the effort will be worth it in the end. Creating a strong support network and implementing healthy lifestyle habits and implementing relaxation techniques are all essential components of your anxiety disorder treatment plan. The more you utilize these techniques, they'll improve their effectiveness. Exposure Therapy When you suffer from a phobia or fear, you tend to associate certain objects or situations with negative consequences. A mental health professional could employ exposure therapy to break this association and stop avoiding things that trigger anxiety. This technique involves the exposure of you to anxiety-inducing objects or situations for a set period of time, in a safe environment. As time passes, this allows you realize that the object or situation isn't dangerous and that you can cope with it. Gradually your therapist will introduce you to more difficult situations or items. This is known as “graded exposure.” For example, if you're scared of snakes Your therapist will start by showing you pictures of snakes during the first session. In future sessions, you'll be asked to look at a photo of a venomous snake in glass, before interacting with an actual snake. Some people find this type of exposure uncomfortable, which is why the therapist will employ interoceptive (or tactile) exposure. This involves deliberately triggering physical sensations such as shaking or pounding heart, and teaching that these feelings, though uncomfortable, aren't harmful. It is essential to work with an expert in mental health who is skilled and knowledgeable in using this method of therapy. You could find yourself abstaining from activities that cause anxiety, which could make your symptoms worse. Instead your therapist will assist you face the anxieties and fears that prevent you from living your life to its fullest. Your therapist could also use cognitive behavioral therapy to tackle the beliefs that cause your anxiety. If you believe that your anxiety is an indication of weakness, your therapist will help you discover these beliefs and challenge them. Additionally, your therapist will teach you relaxation and breathing techniques and other strategies to manage the negative impact of these thoughts. They will also instruct you on the physiology of the fight-or-flight response and how it can be triggered in anxiety disorders. Mindfulness Mindfulness is a meditative practice that encourages the willingness to experience, including unpleasant emotions. It is not a religious or secular belief system, and is accessible to anyone. Though mindfulness is often equated with Buddhism some practitioners claim that the technique has its roots in a variety of ancient traditions of contemplation. Studies have shown mindfulness meditation can improve mood and self-regulation as well as the ability to recognize and react to patterns that are not in sync with our brains. It has been shown that mindfulness meditation has the ability to alter the brain's structure and function, which is involved in emotion processing. These changes are associated with an increase in activity in Default Mode Network which is involved in the aetiology of anxiety. Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction are the most common secular mindfulness programs. These types of clinical interventions typically involve eight weekly classes that run around two to three hours each. Recent research has focused on a shorter, less intensive mindfulness training. These short-term interventions can be taught by a qualified psychotherapist without the help of a meditation instructor or group leader. These newer studies found that short mindfulness training can have a positive impact on ruminative thoughts. In particular, short mindfulness classes can reduce arousal and cut down on the duration of ruminative thoughts. This research supports the notion that mindfulness training could help in treating GAD. Mindfulness has been proven to decrease depression, improve positive moods and well-being, in addition to having a direct impact on emotional reactivity. This is largely due to its effects on negative thinking patterns as well as the reduction in the 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 break the ruminative thinking patterns that cause anxiety. In the study, 82 anxious participants were asked to complete a computer task where they were constantly interrupted. Half of them listened to a 10-minute meditation audio, while the other half were listening to an audio book. The results of the study showed that participants in the mindfulness audio group had significantly lower anxiety levels than those in the other groups. This suggests that mindfulness training can be used to treat GAD, but further research is required to identify the specific methods that are effective. Future studies should also compare the effects of mindfulness-based therapy with other psychotherapeutic treatments.