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Anxiety



Anxiety is a universal human emotion, regarded as a mental health problem when it is severe and persistent.


 

What is anxiety?

 

Anxiety, like depression, is a universal human emotion. It is only when it is severe and persistent that it may be regarded as mental health problem.

 

Anxiety can be described as an overwhelming feeling of discomfort or unease. At the same time that you feel anxious you may also experience physical changes such as sweating, a racing heart, palpitations or rapid breathing. Although anxiety can be unpleasant, it rarely lasts long and most people manage to cope with it.

 

For one in ten people however, the anxiety doesn't seem to go away. They experience anxiety all the time or feel that anxiety is ruling their lives. They may try to avoid the situations that cause them anxiety and they may feel OK in the short term but it limits what they can do and the anxiety returns when these situations arise again. For example, they may decide that they cannot go to certain places or do things that they previously enjoyed.

 

It is important to get help and to learn how to tackle anxiety by understanding what kind of anxiety it is. This is because there are important variations in the different forms of anxiety and the ways in which they can be treated. For example, some forms of anxiety may have physical causes, such as an overactive thyroid gland, hormonal disturbances or withdrawal from drugs.

 

Main types of anxiety:

 

  • Phobias: a specific type of anxiety, defined as out-of-proportion fears. For example, a fear of heights or small spaces.
  • Panic attacks: characterized by a sudden and intense sensation of fear and impending doom.
  • Obsessive compulsive disorder (OCD).

    • Obsessional thoughts are distressing, repetitive thoughts which you cannot ignore.
    • Compulsions are ritual actions or mental processes which you feel compelled to repeat in order to relieve the anxiety and stop the obsessional thoughts.

  • Post-traumatic stress disorder (PTSD): the after-effects of an unusually frightening or horrifying experience, for example seeing someone killed or losing your home or family.


  • Personality Disorders: some forms of anxiety are so severe that psychiatrists categorise them as personality disorders. For example, the condition Avoidant or Anxious Personality Disorder

 

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How can you relieve anxiety?

 

There are a number of things you can do to help prevent or lessen the impact of anxiety, whatever its form.

 

Self help

 

 

Self help is based on the idea that as you begin to understand your anxiety, you are able to develop more control over it, and are therefore more likely to be able to cope with it in the future.

 


  • Awareness / education: try to learn more about your anxiety. The more you are able to understand your anxiety, the less you will fear it.
  • Positive thinking: try to take a positive outlook, taking one day at a time. Don't be too hard on yourself. No one is perfect.
  • Structuring the day: it is important to find ways of motivating yourself, such as setting small and achievable goals. This may involve writing lists of things that may help in situations where you are likely to become anxious.


  • Relaxation: try to learn to relax by thinking about things that make you feel calm such as listening to music or reading. You could also use specific relaxation techniques such as meditation, or pre-recorded relaxation tapes.
  • Increase the amount of exercise you take. Physical exercise can trigger brain chemicals that will improve your mood. Feeling fit can make you feel more positive about yourself.
  • Diet: eating a low fat, high fibre diet, with lots of fresh vegetables and fruit will increase body energy. Also, try to avoid drinking too much tea and coffee as caffeine can increase anxiety levels. If your anxiety gets worse when you miss a meal, try avoiding 'fast burn' sugar and refined starch, which can produced dips in your blood sugar.
  • Talking to people: share and discuss your worries and the tasks you have set yourself with your friends and family. 

 

Professional help

 

Drug treatments are used to provide short-term help, rather than as a cure for the underlying causes of anxiety. Drugs may be most useful when combined with other treatments or support. If your GP prescribes drug treatment for anxiety, make sure that you understand what you are taking and what to expect from the drugs, as sometimes they take some time to have an effect.

 

Talking treatments, such as Cognitive Behaviour Therapy allow you to talk about your anxieties. CBT is called 'cognitive' (to do with thinking) because it emphasises the way our experience of anxiety is shaped by how we think about it. It is also called 'behavioral' because it stresses the importance of practising new behaviours, particularly facing up to whatever we fear and learning that we are able to cope.

 

You can also learn a lot about managing anxiety from asking other people who have experienced anxiety disorders about what has helped them to cope. People have reported benefits from a range of alternative or complementary therapies, including herbal remedies (e.g. Valerian), homeopathy, and acupuncture. Some studies have also suggested benefits from massage and from aromatherapy; for example lavender oil can help if you have problems sleeping.

 

Information on local health provision and self-help groups can be obtained from your GP, local Citizen's Advice Bureau orCommunity Health Council. There are also some national groups which may be able to help.

 

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Written in 2000 

 


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