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Coping with Anxiety and Phobias
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Everyone worries or gets scared sometimes. But
if you feel extremely worried or afraid much
of the time, or if you repeatedly feel panicky,
you may have an anxiety disorder. Anxiety disorders
-- which include panic attacks, post-traumatic
stress disorder, obsessive-compulsive disorder,
and phobias -- are among the most common mental
illnesses, affecting about 23 million American
adults. Thankfully, never before have there been
so many therapies to help control anxiety. This
report will provide up-to-date information on
these treatments, including medications, exposure
therapy, cognitive-behavioral therapy, hypnosis,
and exercise. It also includes information on
the many types of anxiety disorders, their symptoms,
causes, and getting a proper diagnosis, as well
as advice on making treatment work for you.
Prepared by the editors of the Harvard Health
Publications in conjunction with Michael Mufson,
M.D., Assistant Professor of Psychiatry at Harvard
Medical School. (updated: 2006)
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Table of Contents:
- Links to depression
- What causes anxiety?
- Genetic underpinnings
- The brain
- Life experiences
- Personality
- Types of anxiety
disorders
- Panic attack
- Panic disorder
- Specific phobia
(simple phobia)
- Social phobia
(social anxiety disorder)
- Obsessive-compulsive
disorder
- Post-traumatic
stress disorder
- Acute stress
disorder
- Generalized anxiety
disorder
- Medical conditions
that provoke or mimic symptoms of
anxiety disorder
- Substance-induced
anxiety disorder
- Sex differences in
anxiety
- Anxiety in children
and teenagers
- Full range of
anxiety disorders
- Diagnosis and
treatment in children
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- Anxiety and aging
- Diagnosing anxiety
- Medical history
and general physical exam
- Screening tests
- Psychiatric evaluation
- Treating anxiety
- Psychological
therapy for anxiety
- What you should
know about medications
- Medications for
anxiety disorders
- Other treatments
- Making treatment
work for you
- Persist with
treatment
- Learn to cope
with stress
- Don’t drink
coffee or smoke
- Seek social support
- On the horizon
- Comparing medication
and psychosocial therapies
- Developing benzodiazepines
and antidepressants
- Other types of
drugs
- Glossary
- Resources
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Here's an
Excerpt from this Anxiety Disorders Special Health
Report
We live in anxious times. Around the clock,
we hear news of war, murder, natural disasters,
and ominous threats such as terrorism and bird
flu. If you’re lucky enough not to be directly
affected by major catastrophes, more personal
issues can still provoke anxiety, such as your
physical health, your job and financial security,
and your relationships with family and friends.
Even relatively small-scale things such as getting
stuck in traffic, fixing a computer problem,
or preparing for a work presentation can be significant
sources of stress.
While it’s natural to sometimes worry,
feel scared, and experience anxiety from these
and other sources, it’s not normal for
fear and anxiety to dominate your life. For example,
anxiety can make you so uneasy around people
that you isolate yourself, skirting social gatherings
and passing up potential friendships. It can
fill you with such obsessive thoughts or inexplicable
dread of ordinary activities that you cannot
work. It can even cause chest pain so severe
that you think you’re having a heart attack.
Getting help has always been easier said than
done. As with many mental health issues, there
has long been a stigma surrounding anxiety. People
are ashamed to admit to phobias (fears of specific
objects or circumstances) and persistent worries,
which seem like signs of weakness. The shame,
combined with the tendency of people with anxiety
to avoid others, is perhaps the biggest obstacle
to relief and recovery. Without treatment, many
individuals become more fearful and isolated.
Consider seeking advice. You’re not alone.
Anxiety disorders include problems such as panic
attacks, phobias, post-traumatic stress disorder,
and obsessive-compulsive disorder. They are the
most prevalent type of psychiatric condition
in the United States, affecting about 23 million
American adults. For every individual with an
anxiety disorder, many more are affected by it,
including spouses, children, other relatives,
friends, and employers.
This report provides up-to-date information
about the causes and treatment of anxiety disorders,
including behavior therapies, relaxation techniques,
and medications. And we hope that it gives you
something more: an incentive to seek help and
feel better.
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