Anxiety
(Wiki)
Medication wise, anxiety disorders can be treated with
beta blockers, bromides, barbiturates, benzodiazepines, sedative antidepressants and, less frequently,
sedative antipsychotics.
The term "anxiety" encompasses a wide range of
different illnesses and symptoms which range from the trivial to the
fundamentally debilitating. As a disorder, it often manifests itself physically
and these symptoms in turn can confound the situation yet
further. Patients with anxiety related disorders are almost always hypersensitive to
the immediate environment, making diagnosis a little difficult -
doctors need to strip the paranoia away from the reality and this is no
easy task.
"A feeling of dread, fear, or
apprehension, often with no clear justification. Anxiety is
distinguished from true fear because the latter arises in
response to a clear and actual danger, such as one
affecting a person's physical safety. Anxiety, by contrast,
arises in response to apparently innocuous situations or is
the product of subjective, internal emotional conflicts the
causes of which may not be apparent to the person himself."
- Encyclopædia
Britannica
Generalised Anxiety Disorder
- A common and seemingly
perpetual disorder, this condition affects twice as many
women as men and exhibits symptoms that are not focused on any particular
event or object. In moderate to severe cases
mental symptoms translate into phycial
symptoms such as restlessness,
insomnia, headaches, dizziness and so on.
Treatment: Psychotherapy is the primary means of treatment
for this particular condition, where
cognitive behavioural therapy
is the most popular at
the time of writing. Additionally,
psychiatric drugs may be prescribed,
typically tranquillisers.
Obsessive-Compulsive Disorder
- A potentially
horrific disorder, obsessive compulsive disorder
compels patients to perform certain tasks repeatedly
until satisfactorily done and can also compel
patients to perform certain tasks to correct
imperfections (such as carefully arranging the pieces on
a chess board to ensure that they are dead centre of
their respective squares). These symptoms can translate into physical
obsessions, such as a condition known as Globus, whereby
the patient is forced to hold their breath until
they tap out of perform a certain task or combination.
Treatment: Medications can be a huge help in the
treatment of this illness as they can ease feelings of
distress stemming from compulsions and further to this
can also help suppress said feelings of
compulsion. Psychotherapy can also be
useful.
Panic Disorder - As opposed to generalised anxiety
disorder, panic disorder inflicts short, focused bursts
of anxiety on patients of not more than ten minutes in
duration, typically known as panic attacks. These attacks can be vicious and can
lead to the patient in question shutting down to the
outside world, incapable of basic functions for the
duration of said attack. Panic attacks can seemingly appear out of nowhere
but may also be triggered as a result of
stress, exercise or emotional shocks. Patients with panic disorder tend to
especially fear situations where they are on the spot
or are unable to easily retreat to a "safe" situation.
Treatment:
Again, medication can be extremely useful in the
treatment of this disorder. Tranquillisers are the most common
therapy, although antidepressants and other individual
medications (such as trifluoperazine) can also play an important
part. Psychotherapy is also important; a combination
of the two is most effective.
Phobias - Essentially irrational
fears thought to be form within the first
three months of ones life, phobias are known by
the patient to be absurd or irrational, in
contrast with most other anxiety disorders.
Treatment: Psychotherapy is the primary mode of
treatment; drug therapy is not all that usual in this
case, although it can help in certain situations.
Post-Traumatic Stress Disorder
- A condition resulting
from severe psychological stress or shocks, such as might be
experienced by a tragic accident befouling someone close
to one. This traumatic experience is often relived
through repetitive nightmares, insomnia, flashbacks and emotional oddities connected to
the incident. Symptoms can include severe irritability, unstable mood, memory loss, severe anxiety and/or appetite changes. Usually traumatic
ramifications subside in the months following the
experience but seemingly chronic symptoms warrant a diagnosis. Interestingly, the
illness has the capacity to lurk for years
before fully manifesting itself, making
treatment and diagnosis somewhat more difficult.
Treatment: Psychotherapy is the primary mode of treatment
and counselling and drug therapy can also be useful; a combination
can prove to be beneficial.
Social Anxiety Disorder
- Essentially, this
illness manifests itself as an acute
experience of anxiety or panic attacks triggered by intense social
situations, usually where one is being scrutinised to
any extent. Example situations would include speech
making, active pursuits with numerous colleagues and so
on. It is often referred to as a social phobia, but differs from phobias in that there is a rational reason
behind the fear, albeit one that is distorted.
Treatment: Psychotherapy is, in this case, very important
as whilst there is reason behind the
illness, it is distorted;
cognitive psychotherapy is therefore commonly regarded as
the prevalent therapy for this illness. Certain medications (such as SSRI antidepressants and benzodiazepenes) can also help alleviate
the symptoms, giving the mind time to repair
itself, as so to speak.