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Dealing With Severe Anxiety Disorder Anxiety-related symptoms can hinder everyday life. It is essential to seek treatment and relief. Traumas, such as physical or emotional abuse, or neglect, can increase your anxiety. Certain life situations such as chronic health conditions and stressful situations, can also increase the chance of experiencing anxiety. Psychotherapy (also known as counseling) helps you to change negative thinking patterns that lead to troublesome feelings. Cognitive behavioral therapy is the most well-known form of psychotherapy for anxiety. Medicines For many, medication can be a good option to help reduce symptoms, along with therapy and lifestyle modifications. There is no one medication that is suitable for all. It is essential to determine the best medication for you. Your MDVIP provider can speak to you about your anxiety symptoms, your health history and goals to determine the best treatment options for you. Benzodiazepines are fast-acting drugs which affect gamma-aminobutyric acid (GABA) in your brain, which helps to calm the over-excited part of your brain, and promote peace. They are typically prescribed for short-term use such as during a panic attack or any other intense anxiety attack. Examples include Xanax, Klonopin and Valium. Antidepressants are used to treat anxiety and depression disorders. They work by regulating the levels of chemicals in your brain—or neurotransmitters—like serotonin and norepinephrine. These drugs are used to treat anxiety disorders of all kinds, but more frequently GAD, PDA, and SAD. Another form of antidepressant is selective serotonin reuptake inhibitors (SSRIs) are also able to be prescribed for anxiety. These are prescribed for mild-to-moderate anxiety disorders and have shown to be effective using randomized controlled studies. For severe anxiety disorder, you may need an additional medication like an SSRI or tricyclic antidepressant. These are typically reserved for patients who haven't responded to other treatments. The patient should be checked for depression or sedation as an unwanted side result. If you don't experience relief from an SSRI, SNRI or monoamine oxidase A inhibitor doctor may suggest adding one. These are generally only recommended when other treatments have failed, and they can be very beneficial in reducing symptoms of SAD. Quetiapine, and agomelatine are two typical examples. Remember that a medicine is not a cure. It should only be taken under the supervision of a medical professional. You should always discuss with your physician the risks and benefits of any medication. This includes potential adverse effects. When you first visit, it's also important to ask about follow-up visits and appointment times. Anxiety can worsen over time, and routine appointments with your physician are essential to reducing anxiety symptoms in the long run. Counseling Talk therapy (or psychotherapy) is a crucial part of treatment for anxiety disorders. A trained therapist will teach you how to change negative thoughts, emotions, and habits that can cause symptoms. There are many types of psychotherapy that include cognitive-behavioral therapy (CBT). This method is extensively researched and is the gold standard in treating anxiety disorders. Your therapist might suggest additional treatments, such as mindfulness-based acceptance and commitment therapy or exposure therapy. Cognitive therapy is a way to examine the negative thought patterns that cause anxiety. It teaches you to challenge these negative thoughts and replace them with more realistic positive, positive thoughts. Often, these thought patterns are learned from childhood experiences and can be difficult to break on your own. If your symptoms are severe, they can affect your daily life, making it difficult to work or participate in social activities. Your therapist will assess the frequency of your anxiety-related symptoms, and how long they last and how intense they are. They will also look for any other mental disorders that could be contributing to the symptoms, such a depression or substance abuse disorders. Talk therapy sessions are generally conducted face-to-face with a trained mental health professional such as psychiatrist or psychologist. Your therapist will be able to observe your facial expressions, body language and other indicators to understand how you react to certain situations. This can help determine if the symptoms you are experiencing are due to an individual cause, such as an ongoing stressful situation or traumatic events. Anxiety is a common disorder that can be experienced by everyone. Getting the right diagnosis and starting the right treatment plan will alleviate your symptoms and enhance your level of living. Be aware that conquering anxiety disorders takes time and dedication, but the effort is worth it in the end. Creating a strong support network and implementing healthy lifestyle habits and implementing relaxation techniques are all valuable elements of your treatment plan. The more you use these techniques, they'll improve their effectiveness. Exposure Therapy When you suffer from a fear or phobia that you are suffering from, you may identify certain things or situations with negative consequences. Your mental health professional may utilize exposure therapy to break the association and stop avoiding things that cause anxiety. This method exposes you to things or situations that trigger anxiety for a set period of time in a secure environment. In time, this will help you understand that the object or situation isn't dangerous and that you are able to deal with it. Gradually your therapy therapist will introduce you to more difficult situations or items. This is referred to as “graded-exposure.” In the initial session, for example, if your therapist is aware that you are afraid of snakes they will show you images of snakes. In the subsequent sessions, you'll be asked to view the image of a poisonous snake behind glass before touching the real snake. For some people this type of exposure isn't pleasant, and a therapist may use interoceptive stimulation instead. This involves purposefully triggering the physical sensations that occur in anxiety, like shaking or a pounding heart and educating you that even though these sensations are uncomfortable they aren't harmful. It's essential to consult a mental health professional who is skilled and knowledgeable in using this therapy. If you don't, you'll end up abstaining from things that cause anxiety, and this could actually cause the symptoms to get worse. Instead your therapist can help you face the anxieties and fears that prevent you from living your life to its fullest. Your therapist might also use cognitive behavioral therapy to address the beliefs that cause your anxiety. For example, if you think that your anxiety is a sign of weakness, they'll help you to identify and challenge these assumptions. 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 provide information on the physiology as well as triggers of the fight or flight response in anxiety disorders. Mindfulness Mindfulness is an ancient contemplative practice that encourages the willingness to experiencing, even the most unpleasant emotions. It is not a religious or secular system of belief and is accessible to anyone. Though mindfulness is often equated with Buddhism the most prominent practitioners point out that the practice is rooted in many ancient traditions of contemplation. Research has shown that mindfulness meditation can enhance self-regulation, mood and ability to detect abnormal patterns of thinking and reacting. It has also been proven to change the brain's structure and circuits involved in processing emotions. These changes are connected to a decreased activity in Default Mode Network which is involved in the aetiology of anxiety. Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction are among the most popular mindfulness programs for secular use. These clinical interventions generally involve eight weekly classes that run around two to three hours each. Recent research has focused on shorter, less intense mindfulness classes. These short-term interventions can be taught by a certified psychotherapist without the assistance of an instructor of meditation or a group leader. Recent research has shown that short mindfulness-based training can be immediate in affecting ruminative thought processes. Short mindfulness training can lower arousal, and also decrease the duration of ruminative thought processes. This research supports the notion that mindfulness training is useful in the treatment of GAD. Mindfulness has been proven to decrease depression, boost positive moods and well-being in addition to its direct influence on emotional reactivity. This is due to the effects of mindfulness on negative thinking patterns, and the reduction of symptoms like thoughts of shaming and rumination. A small study conducted at the University of Waterloo found that 10 minutes of mindfulness can aid in reducing the ruminative thought patterns that cause anxiety. In generalized anxiety disorder , 82 anxiety-prone participants were required to complete a task on a computer where they were constantly interrupted. Half of them took a 10-minute mindfulness audio, while the other half read an audio book. The study's results revealed that those who were listening to the mindfulness audio had significantly lower levels of anxiety than those in the other two groups. This suggests that GAD can be treated using mindfulness training, but more research is required to determine which techniques are effective. Future studies should compare the effects mindfulness-based training and other psychotherapeutic treatments.