Psychological DisordersPsychology

Understanding Anxiety Disorders: Symptoms, Causes, and Treatment

Think of a situation, on a sunny day, a generally happy man decided to spend time with his family at the mall. When they needed to go to the upper floor, they had to choose between the stairs and the elevator. Since they had a small child who couldn’t climb the stairs, the family decided to take the elevator, mainly because of his wife’s suggestion. 

As they walked toward the elevator, the man felt a wave of some unusual feelings. He was nervous about entering the small space, a feeling he found hard to explain. Even though he was unsure, he stepped inside because his family encouraged him. 

Once inside, the mirrors around them showed not just their reflections but also the man’s growing discomfort. He felt a rush of panic as his heart raced and sweat started to form on his forehead. A tightness in his chest grew, signaling his urge to get out of the elevator quickly. 

This situation depicts an overview of today’s discussion. 

Let’s dive deep into this matter…

In today’s fast-paced world, it’s common for individuals to experience various anxious feelings. However, experiencing anxiety, particularly when it escalates, is a different matter altogether. Many people are excessively worried about future events or preoccupied with past experiences. 

Here is an authentic definition given by the American Psychological Association (APA)

Anxiety is characterized by feelings of tension, worried thoughts, and physical changes such as increased heart rate and blood pressure.

When anxiety progresses into an anxiety disorder, it becomes a significant concern. Anxiety disorders involve persistent and overwhelming feelings of fear and worry that interfere with daily functioning. 

Understanding the mechanism of anxiety involves examining the internal changes that trigger anxious feelings. When our body encounters a problem or perceives danger, it releases adrenaline, initiating a fight-or-flight response. This physiological reaction is a natural stress response, characterized by symptoms such as increased heart rate and heightened alertness. 

Although people often get confused between anxiety and fear, they represent different emotional responses. 

Anxiety v/s Fear

  • Anxiety: This is a response to an unknown, internal, and vague threat. It is future-oriented and can manifest as a long-lasting feeling of apprehension. 
  • Fear: In contrast, fear is a response to a known, external, and definite threat. It is typically a short-lived reaction to an immediate danger. 

Recognizing the differences between anxiety and fear is crucial for understanding how anxiety develops and manifests. While fear can be a useful emotion that prompts protective actions, anxiety can become problematic when it persists and interferes with daily life. By understanding these mechanisms, individuals can better manage their anxiety and seek appropriate support when needed. 

Symptoms of Anxiety Disorders 

Anxiety disorders encompass a broad and complex range of conditions and the symptoms can vary significantly from person to person and may not always be easily identifiable. However, several common symptoms are often associated with anxiety disorders: 

Excessive Worry 

Individuals with anxiety disorders often experience excessive worry, which can manifest as obsessive thoughts and repetitive behaviors that deviate from their typical routines. This persistent worrying frequently interferes with daily activities and negatively impacts overall well-being. 

Panic Attacks 

Panic attacks are another hallmark of anxiety disorders. These episodes involve sudden, intense feelings of fear or anxiety, often accompanied by physical symptoms such as: Increased heart rate, Rapid breathing, or hyperventilation. 

These attacks can be overwhelming and may occur unexpectedly, leading to further anxiety about experiencing another attack. 

Phobias 

Phobias represent irrational fears that lead to extreme anxiety in response to specific objects or situations. Individuals may experience intense fear even in the absence of actual danger, which can significantly impair their ability to function in daily life. 

Gastrointestinal Problems 

Anxiety can manifest physically, leading to gastrointestinal issues. Common symptoms include Stomach pain, Nausea, and Changes in appetite. 

These physical symptoms often arise directly from elevated levels of anxiety. 

Restlessness and Checking Behaviors 

Many individuals with anxiety disorders experience restlessness and engage in repetitive checking behaviors. This may include constantly checking on things or feeling an overwhelming need to ensure that everything is in order. Such behaviors can be particularly distressing and may disrupt daily life. 

Causes of Anxiety Disorders 

While identifying the symptoms of anxiety disorders is crucial, it is equally important to understand the underlying reasons for their occurrence. Anxiety disorders can arise due to a combination of psychological and biological factors, rather than a single cause. 

Psychological Factors 

1. Perception of Control 

Individuals who believe they can control every event and have the right to influence their environment are less likely to experience anxiety symptoms. Conversely, those who feel helpless and incapable of managing situations on their own are more prone to developing anxiety disorders. 

2. External Locus of Control 

When faced with stressful situations, people with an external locus of control are more likely to experience anxiety, as they feel they cannot change their circumstances without assistance from others. 

3. Thought Suppression 

Attempts to suppress unwanted or threatening thoughts can lead to increased anxiety. This paradoxical effect occurs when trying to avoid thinking about certain thoughts making them more prominent. 

Biological Factors 

The development of anxiety disorders can also be influenced by various biological factors, including several sub-factors: 

1. Hereditary Factors 

Genetic predispositions have a chance to increase the likelihood of developing anxiety disorder. There are some researches done that show that certain kinds of genes dominantly affect the occurrence of excessive anxiety in individuals. 

2. Family History 

A family history of anxiety disorders significantly raises the risk for individuals. If a close family member, such as a parent or sibling, has an anxiety disorder, there is a higher chance that other family members may also experience similar issues. For example, if a parent is highly anxious due to work-related stress, their child may be more likely to develop anxiety as well. 

3. Stressful or Challenging Experiences 

There are specific life events or bad memories, that play a role in the onset of anxiety disorders. Several events can have a long-lasting impact on an individual’s mental health. 

4. Clinical Conditions 

Serious medical conditions, such as chronic pain, heart disease, and diabetes, can lead to feelings of extreme and persistent anxiety. Additionally, withdrawal from certain medications or substances can also trigger anxiety symptoms. 

Types of anxiety disorders 

The Diagnostic and Statistical Manual of Mental Disorders (DSM) is the most authoritative book in the field of psychology, encompassing all mental disorders and detailing their causes and diagnoses. It serves as a vital resource for psychologists and psychiatrists in identifying mental illnesses and addressing the problems faced by patients. So, here is a list of several types of anxiety disorders as mentioned in the DSM:

  1. Separation Anxiety Disorder 
  2. Selective Mutism 
  3. Specific Phobia 
  4. Social Anxiety Disorder 
  5. Panic Disorder 
  6. Generalized Anxiety Disorder 
  7. Substance/Medication-Induced Anxiety Disorder 

Treatment of Anxiety Disorders 

While we have gained an understanding of how anxiety disorders develop, it is equally important to explore effective ways to manage or overcome them.  

As research has shown, anxiety disorders do not arise from a single cause or factor, but rather from a combination of various elements. Similarly, treating anxiety disorders requires a multifaceted approach, as there is no one-size-fits-all solution.  

By employing a range of treatments and coping strategies, individuals can better manage and alleviate the symptoms of their anxiety disorders. 

The primary approach to treating anxiety disorders often involves the use of medications, which can effectively alleviate symptoms. Commonly prescribed medications include: 

  • Antidepressants: These are frequently used to treat anxiety disorders and can help improve mood and reduce anxiety. 
  • Benzodiazepines: These medications are also effective but only for the purpose of short-term relief of anxiety symptoms and cannot be recommended for long-term use due to the risk of dependence. 
  • Beta-blockers: These are sometimes prescribed to manage physical symptoms of anxiety, such as rapid heartbeat. 

In addition to medication, psychotherapy plays a crucial role in managing anxiety disorders. This therapeutic approach helps individuals understand and address their emotional, cognitive, and behavioral challenges related to anxiety. 

  • Cognitive Behavioral Therapy (CBT): CBT focuses on helping individuals identify and modify negative thought patterns that contribute to their anxiety. Through this process, clients learn to think more clearly and develop coping strategies to manage their anxiety more effectively. 
  • Exposure therapy: It is a specific type of psychotherapy that involves gradually exposing individuals to the things they fear. This is done while simultaneously employing relaxation techniques to help calm the body’s stress response. The goal is to reduce avoidance behaviors and desensitize the individual to their fears. 

In addition to therapy and medication, implementing coping strategies can be beneficial in managing anxiety. Such as:  

  • Limiting caffeine intake can help reduce anxiety levels while ensuring adequate sleep is crucial for maintaining mental health. 
  • Engaging in regular exercise not only improves mood but also serves as a powerful tool for reducing anxiety.
  • Incorporating deep breathing techniques can calm the mind and body, and practicing yoga promotes relaxation and mindfulness. Additionally, progressive muscle relaxation, which involves systematically tensing and relaxing different muscle groups, can significantly alleviate physical tension. 

Anxiety, though seemingly common nowadays, can of course interfere with an individual’s daily life when it becomes excessive. By gaining insights into the responsible causes and identifying the symptoms associated with these disorders, individuals can better manage the aftereffects. Importantly, being aware of the available treatment options and strategies for managing anxiety, including the benefit of seeking professional help, can serve as an effective coping mechanism. 

Author

  • Nandini Jaiswal

    Content creator at PsychOnPoint, Nandini is an M.A. student at Banaras Hindu University (BHU), Varanasi, majoring in Psychology. She works with PsyConnect and has a keen interest in psychology. Additionally, she enjoys writing and exploring various facets of human behavior through her academic and creative pursuits.

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Nandini Jaiswal
Content creator at PsychOnPoint, Nandini is an M.A. student at Banaras Hindu University (BHU), Varanasi, majoring in Psychology. She works with PsyConnect and has a keen interest in psychology. Additionally, she enjoys writing and exploring various facets of human behavior through her academic and creative pursuits.
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