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Dealing With Severe Anxiety Disorder Anxiety symptoms can be a hindrance with the daily routine. It is crucial to seek treatment and relief. Traumas, such as physical or emotional abuse or neglect, can lead to an increase in your anxiety. So do certain life circumstances like chronic health issues and stress. Psychotherapy (also known as counseling) helps you to change negative thought patterns that create anxiety-provoking feelings. The most popular kind of psychotherapy that is used to combat anxiety is cognitive behavioral therapy. Medicines Medicine can be a beneficial way to minimize symptoms for a variety of people. This is in addition to lifestyle and therapy adjustments. However, there is no one-size-fits all medication that is effective for everyone, so it's crucial to find what is right for you. Your MDVIP provider will discuss your anxiety symptoms, medical history, and goals with you to determine the best treatment option for you. Benzodiazepines work quickly to target the gamma aminobutyric (GABA) acid that is present in your brain. They aid in calming your brain's overexcited state and promote tranquility. They are usually prescribed for short-term use, for instance, during panic attacks or another intense anxiety episode. Examples include Xanax (alprazolam), Klonopin (clonazepam) and Valium (diazepam). 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 any type of anxiety disorder , but they're most commonly used to treat GAD, PDA and SAD. Another form of antidepressant is selective serotonin reuptake inhibitors (SSRIs), may also be prescribed to treat anxiety. They are prescribed for mild-to moderate anxiety disorders, and have been shown to be effective using controlled, randomized studies. For severe anxiety disorder it is possible to require a stronger drug like an SSRI or a tricyclic antidepressant. These are usually reserved for patients who haven't responded to other treatments, and a patient must be carefully to be monitored for depression or sedation as an adverse result. If you're not able to get relief from an SSRI or an SNRI physician may try adding a monoamine oxidase A inhibitor. They are usually prescribed when other treatments have failed. They can be extremely effective in relieving the symptoms of SAD. Common examples are quetiapine and agomelatine. Be aware that a medication is not an answer to your problem. It must be taken only under the supervision of a physician. You should always discuss with your doctor about the dangers and benefits of each medication. This includes potential negative side effects. During your initial appointment, it's crucial to inquire about follow-up appointments and the timeframe for them. Regular check-ins are essential to control anxiety-related symptoms over the long-term. Counseling Medications are important for treating anxiety disorders however, psychotherapy (or talk therapy) is a crucial component of the treatment plan. A trained therapist will show you how to change unhealthy thoughts, emotions and habits that contribute to your symptoms. There are many types of psychotherapy, including cognitive-behavioral therapy (CBT). This approach has been well researched and is the gold standard for treating anxiety disorders. Your therapist could suggest additional treatments such as mindfulness-based acceptance and commitment therapy or exposure therapy. Cognitive therapy examines the negative thinking patterns that can cause anxiety. It helps you overcome these negative thoughts and replace them with more real positive, positive thoughts. These thoughts are typically learned through childhood experiences, and can be difficult to change on your own. If your symptoms are severe they may interfere with your everyday life and make 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 severe they are. They will also assess for any other mental issues that could be contributing to the symptoms, including depression or substance abuse disorders. Talk therapy sessions are typically conducted face-to-face with a health professional such as a psychiatrist or psychologist. Your therapist can observe your facial expressions and body language to help you discern your reactions to specific situations. This can help determine the cause of the symptoms you're experiencing are the result of one specific trigger, like an ongoing stressful situation or traumatic events. Anxiety can affect any person. A proper diagnosis can aid in reducing your symptoms and improve the quality of your life. Remember that overcoming anxiety disorder takes time and commitment however it is well worth it in the end. The treatment plan you have for anxiety should include a strong network of support and healthy lifestyle choices, and relaxation techniques. As you practice these techniques, they'll improve their effectiveness. Exposure Therapy If you are suffering from a fear or phobia, you tend to identify certain things or situations with negative consequences. To end this association and stop avoiding the things that cause anxiety or phobias, your mental health professional may utilize exposure therapy. This approach exposes you situations or objects that trigger anxiety for a controlled duration of time in a safe environment. Over time, you will realize that the situation or object isn't hazardous and you will be able to handle it. Gradually, your therapist will introduce you to more challenging situations or items. This is known as “graded-exposure.” In the first session for example, if your therapist suspects that you're scared of snakes, they'll show you images of snakes. In future sessions, you'll be asked to look at a photo of a venomous snake in glass, before interacting with a real snake. Some people find this kind of exposure uncomfortable, so the therapist may use interoceptive (or tactile) exposure. This involves deliberately creating physical sensations such as a pounding or shaking heart, and teaching that these feelings, though uncomfortable, aren't harmful. It is essential to work with a mental health professional who is skilled and knowledgeable in using this method of therapy. You could end up staying away from things that cause anxiety, which can cause your symptoms to get worse. Instead, your therapist will help you overcome the fears and anxieties that are keeping you from living life to the fullest. Your therapist could also use cognitive behavioral therapy to address the beliefs that are behind your anxiety. For instance, if believe that your anxiety is a sign of weakness, they'll help you to identify and challenge these assumptions. Your therapist will also teach you breathing and relaxation techniques, along with other strategies to manage the negative impact that these thoughts have on your life. They will also instruct you about the physiology behind the fight-or-flight response and how it is inappropriately triggered in anxiety disorders. Mindfulness Mindfulness is a meditation practice dating back thousands of years that encourages an openness to any experience, even the unpleasant ones. Anyone can practice it. It is not a religion or an unreligious belief system. Though mindfulness is often equated with Buddhism the most prominent practitioners point out that the practice is rooted in many ancient contemplative traditions. Research has proven that mindfulness meditation can improve mood and self-regulation as well being able to recognize and react to patterns that are not in sync with our brains. It has been shown that mindfulness meditation can alter the brain's structure and function, which is involved in processing emotion. These changes are linked to lower activity in the Default Mode Network, which is implicated in the aetiology of anxiety. Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction are the two most widely used mindfulness programs in the secular world. These are generally eight weekly classes that last around two to three hours each. More recent research has focused on shorter, less intensive mindfulness training. These shorter sessions can be taught by a certified therapist, without the assistance of a meditation instructor or group leader. These newer studies have found that short mindfulness-based classes can be immediate in affecting thoughts that ruminate. In particular, short mindfulness classes can reduce arousal as well as decrease the time it takes to think about thoughts that are ruminative. This research supports the notion that mindfulness training could be beneficial in treating GAD. In addition to its direct impact on emotional reactivity and attentional control, mindfulness has been found to decrease depression and boost happiness and mood. This is largely due to its effects on negative thinking patterns as well as the reduction in the symptoms of self-criticism and rumination. A small study conducted at the University of Waterloo suggests that 10 minutes of mindfulness can help in reducing the patterns of ruminative thinking which contribute to anxiety. In the study, 82 people who suffered from anxiety were asked to work on a computer task that was regularly interrupted with interruptions. Half of the participants were able to listen for 10 minutes to a meditation audio while the other half read an audio book. The study's results revealed that those who listen to the mindfulness audio had significantly lower anxiety levels than those in the other two groups. This suggests that mindfulness-based training can be used to treat GAD However, more research is required to determine the specific methods that are effective. Future studies should examine the effects of mindfulness-based training and other psychotherapeutic treatments.