Doctor's Notes on Symptoms and Signs: Anxiety
Anxiety is a feeling of apprehension, worry, nervousness, or unease, typically about an imminent event or something with an uncertain outcome. Although anxiety itself is a symptom and sign for other disorders, the classic symptoms and signs of anxiety are as follows:
- feelings of stress,
- apprehension,
- fear,
- heart palpitations or fast heart rate and sweating, and
- shortness of breath.
Other symptoms may include the above but they occur in a more severe form.
- Numbness or tingling,
- trembling,
- sense of choking,
- chest pain,
- diarrhea,
- nausea,
- chills or hot flashes,
- dizziness,
- a feeling of detachment from the world, and
- an irrational fear of dying are additional signs and symptoms.
The potential causes of anxiety are numerous. In general, anxiety may be caused by a mental condition (for example, panic disorder, separation anxiety disorder), a physical condition (asthma, anemia), drugs (caffeine, amphetamines), and/or any combination.
What Are the Treatments for Anxiety?
There are two major treatments used for anxiety:
-
Psychotherapy
- Cognitive behavioral therapy (talk therapy, exposure therapy)
-
Medications (types vary with the symptoms and other health problems)
- Antidepressants
- Buspirone
- Sedatives like benzodiazepines (caution: short-time use only; possible addictive)
- Beta blockers (short-term only)
Often, both psychotherapy is combined with one or more medications as determined by your doctor.
Panic Attacks (Panic Disorder) : Test Your Mental Health IQ Quiz

Panic attacks are repeated attacks of fear that can last for several minutes.
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Anxiety Disorders
Anxiety as a medical condition is characterized by worry, fear, nervousness, shortness of breath, sleep problems and other symptoms. Diarrhea, tremors, and rapid heart rate are some physical symptoms of severe anxiety, which may arise from a mental or physical condition, drug use, or some combination of these causes. Treatment can include medication and psychotherapy. -
Binge Eating Disorder Symptoms and Signs
Binge eating disorder is a serious mental condition in which a person eats large amounts of food for a couple of weeks or more. Binge eating disorder is the most common eating disorder in the US. People with the eating disorder often feel depressed, anxious, and out of control, so they binge (eat large quantities of food). The binging episode is followed by body shaming, loneliness, guilt, and shame about eating. Many women with binge eating disorder hide their behavior due to shame, embarrassment, and guilt. Examples of symptoms of binge eating disorder include eating large amounts of food when you’re not hungry, eating faster than normal, eating until you are uncomfortably full, feeling depressed, guilty, or disgusted afterward. Binge order is treated with medications, psychotherapy, or both. -
Cleft Palate
Cleft palate and cleft lip are birth defects that occur when a baby's lip or mouth do not form properly during pregnancy during the sixth and ninth months of pregnancy. Early signs and symptoms of cleft palate include nursing problems, speech problems, ear infections, depression, and anxiety. There are 3 types and 3 stages of cleft palate. -
Hyperventilation
Hyperventilation syndrome is a condition where a person hyperventilates for an unknown cause. Symptoms of hyperventilation syndrome include bloating, burping, passing gas, abdominal pressure, anxiety, weakness, fainting, dizziness, confusion, and agitation. A person with hyperventilation syndrome should seek medical care to assure it is not a serious medical condition. -
Placenta Previa in Pregnancy
Placenta previa (also called low lying placenta) is a complication of pregnancy in which the placenta rests low in the uterus (womb) and covers all or part of the opening to the cervix. Causes include scarring, prior caesarian delivery, prior D&C procedure, and smoking, among other causes. The main symptom is bleeding. Treatment may include caesarian delivery. -
Separation Anxiety
Separation anxiety is a normal characteristic in infants and toddlers. Symptoms and signs include reluctance to fall asleep, homesickness, nightmares, tantrums if separated from the primary caregiver, and feelings of anxiety. Treatment may incorporate positive reinforcement, cognitive-behavioral therapy, and anti-anxiety medications. -
Williams Syndrome (in Children and Adults)
Williams Syndrome (WS) is a rare genetic disorder with characteristics, signs, and symptoms like digestive problems, eye problems, short stature, low birth weight babies, cardiac abnormalities, reduced muscle tone, and facial features like a wide mouth, small upturned nose, flat mid-face, widely spaced teeth, misaligned eyes, and a unique personality that combines over-friendliness and high levels of empathy with anxiety. Williams syndrome caused by an inherited (genetic) in which portions of chromosome 7 are deleted. Tests diagnose the condition. Symptoms of Williams syndrome can be treated; however, there is no cure. The average life-span or expectancy is about 10 to 20 years of age.
REFERENCE:
Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.