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Anxiety Disorders

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Anxiety is a normal reaction to stress. Mild levels can be beneficial in some situations. It can alert us to dangers and help us prepare and pay attention.

Anxiety disorders differ from normal feelings of nervousness or anxiousness and involve excessive fear or anxiety. Anxiety disorders are the most common of mental disorders and affect nearly 30 percent of adults at some point in their lives. Anxiety disorders can cause people into try to avoid situations that trigger or worsen their symptoms. Job performance, schoolwork and personal relationships can be affected. However, anxiety disorders are treatable with a number of psychotherapeutic treatments. Treatment helps most people lead normal productive lives.

There are several types of anxiety disorders: generalized anxiety disorder, panic disorder with or without agoraphobia, specific phobias, agoraphobia, social anxiety disorder, separation anxiety disorder, and selective mutism.

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Expert Q&A: Anxiety Disorders

Feeling anxious at times, like before a test or presentation, is normal. When those feelings are ongoing, happen often, and start to interfere with daily life, it may be more than normal stress. Symptoms can range from mild uneasiness to severe panic attacks. If anxiety is causing you to avoid activities or disrupt your routine and sleep, it may be time to seek professional evaluation and treatment if needed.

Yes. Techniques like deep breathing and meditation are often the first step for managing mild anxiety. They’re easy to learn, widely available through apps and online resources, and can be used anywhere. A mental health professional can help tailor these methods if needed. For moderate and severe anxiety, meditation and relaxation techniques are typically used in addition to medication and/or therapy.

Yes. Common first-line medications are selective serotonin reuptake inhibitors (SSRIs), which are helpful for panic attacks and other anxiety disorders. They usually take four to six weeks to work and have relatively mild side effects. Benzodiazepines may also be used, but typically only for short-term relief if other treatments aren’t helpful. Benzodiazepines can cause drowsiness and may be habit-forming, so they’re used cautiously.

Children with anxiety are commonly treated with cognitive behavioral therapy (CBT). It often works well on its own for mild anxiety. For more severe anxiety, selective serotonin reuptake inhibitor (SSRIs) may also be prescribed.

Some supplements may help, but it’s important to talk with your doctor before starting any, to ensure safety and proper use.

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Author

Anxiety experts

Judith A. Gutierrez, M.D., M.P.H.

Josepha Immanuel, M.D., FAPA

Brook Choulet, M.D.
Concierge Sports & Performance Psychiatrist
Founder, Choulet Performance Psychiatry
President, American Board of Sports & Performance Psychiatry

Medical leadership for mind, brain and body.

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