January 8, 2009

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Anxiety (cont.)

Anxiety Symptoms

  • Panic disorder: recurrent episodes of panic attacks, worry about having an attack, about what it means, or changing the way one behaves because of the panic attacks for at least a month. Panic attacks are separate and intense periods of fear or feelings of doom developing over a very short time frame-10 minutes-and they're associated with at least four of the following:

    • Palpitations

    • Sweating

    • Trembling

    • Shortness of breath

    • Sense of choking

    • Chest pain

    • Nausea or other stomach upset

    • Dizziness

    • A feeling of being detached from the world (derealization)

    • Being unable to think, feeling as if the mind has gone blank

    • Fear of dying

    • Numbness or tingling

    • Chills or hot flashes
  • Generalized anxiety disorder: excessive, unrealistic, and difficult to control worry over a period of at least six months. It's associated with three of the following:

    • Restlessness

    • Easily tired

    • Trouble concentrating

    • Irritability

    • Muscle tension

    • Sleep problems
  • Phobic disorders: intense, persistent, and recurring fear of certain objects (such as snakes, spiders, or blood) or situations (such as heights, speaking in front of a group, or public places). These exposures may trigger a panic attack.
  • Stress disorders: anxiety (also known as post-traumatic stress disorder) caused by the exposure to either death or near-death circumstances such as fires, floods, earthquakes, shootings, automobile accidents, or wars, for example. Other traumatic events may not have had the threat of death or near-death but resulted in the severe injury or threat thereof. Examples of such trauma include victimization through physical or sexual abuse, witnessing the abuse of another or over-xposure to inappropriate material (for example, exposure of children to pornographic images or acts). The traumatic event is re-experienced in thoughts and dreams. Common behaviors include the following:

    • Re-experiencing the trauma, either when awake (flashbacks) or when asleep (nightmares)

    • Avoiding activities, places, or people associated with the triggering event

    • Difficulty concentrating

    • Difficulty sleeping

    • Being hypervigilant (you closely watch your surroundings)

    • Feeling a general sense of depression, irritability, doom and gloom with diminished emotions such as loving feelings or aspirations for the future
  • Symptoms such as chest pain, shortness of breath, palpitations, dizziness, fainting, and weakness generally should not be attributed to anxiety and require evaluation by a doctor.


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