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Dealing With Severe Anxiety Disorder Anxiety-related symptoms can hinder your daily routine. It is important to seek treatment and get relief. Traumas, including emotional or physical abuse or neglect, can increase your anxiety. Also, certain life situations, like chronic health conditions and stress. Psychotherapy (also known as counseling) helps you change negative thoughts that cause troublesome feelings. Cognitive behavioral therapy is the most common form of psychotherapy for anxiety. Medicines For many people taking medication, it's a good option to help alleviate symptoms as well as lifestyle changes. There isn't a single medication that works for every person. It is important to find the right medication for you. Your MDVIP provider can speak to you about your anxiety symptoms, your health history and goals to determine the most effective treatment options for you. Benzodiazepines are fast-acting drugs that affect gamma-aminobutyric acid (GABA) in your brain, assisting to calm the over-excited part of your brain and encourage peace. They are usually prescribed for short-term use, such as in the event of a panic attack or any other intense anxiety attack. Examples include Xanax, Klonopin and Valium. Antidepressants are used to treat depression and anxiety disorders . They work by regulating the levels of chemicals in your brain—or neurotransmitters—like serotonin and norepinephrine. These drugs can be utilized to treat all kinds of anxiety disorder, but they are most commonly used to treat GAD, PDA and SAD. Another type of antidepressant, selective serotonin reuptake inhibitors (SSRIs), may also be prescribed for anxiety. These are generally prescribed for moderate to mild anxiety disorder and have been proven to be effective in random controlled studies. For severe anxiety disorder, you may need more powerful medication like an SSRI or tricyclic antidepressant. These drugs are for patients who have not been able to respond to other treatments. Patients should be monitored closely for any side effects such as sedation or depression. If you aren't getting relief from a SSRI, SNRI or monoamine oxidase A inhibitor, your doctor may try adding one. These are generally only prescribed when other treatments have failed, and they can be beneficial in reducing symptoms of SAD. Quetiapine, and agomelatine are a couple of common examples. Remember that a medicine is not an answer to your problem. It should only be taken under the supervision of a medical professional. It is important to discuss the advantages and risks of any medication, as well as the potential side effects. When you first visit, it's also important to inquire about follow-up appointments and scheduling. Regular check-ins are crucial to help manage anxiety symptoms in the long run. Counseling Medicines are essential to treat anxiety disorders, but psychotherapy (or talk therapy) is also an essential element of the treatment plan. A trained therapist will show you how to change negative thoughts, emotions, and habits that cause your symptoms. Different types of psychotherapy are available, including cognitive behavioral therapy (CBT). This method is extensively researched and is the most effective method for treating anxiety disorders. Your therapist might suggest other treatments such as mindfulness-based acceptance and commitment therapy or exposure therapy. Cognitive therapy examines your negative thinking patterns that can cause anxiety. It teaches you to challenge these thoughts and replace them with more realistic, positive thoughts. Most of the time, these patterns are learned through childhood experiences and can be difficult to break on your own. If your symptoms are severe, they could hinder your daily activities and make it difficult to work or participate in social activities. Your therapist will evaluate the frequency you experience anxiety symptoms, as well as how long they last, and how intense they are. They will also assess for other mental problems which could be contributing to the symptoms, including depression or addiction disorders. Talk therapy sessions are generally held face-toface with a mental health professional such as a psychiatrist or psychologist. Your therapy therapist will observe your facial expressions, body language and other signals to discern your reactions to certain situations. This will help them determine if your symptoms are caused by a specific cause like a constant stressful situation or trauma. Anxiety is a prevalent condition that can be experienced by anyone. Getting the correct diagnosis and implementing an appropriate treatment plan can help ease your symptoms and increase your level of living. Remember that overcoming an anxiety disorder requires time and commitment but it's worth the effort in the end. Your anxiety disorder treatment plan should include a robust network of support, healthy lifestyle habits, and relaxation techniques. The more you use these techniques, they will improve their effectiveness. Exposure Therapy If you suffer from an anxiety or fear, you are more likely to connect certain situations or things with negative outcomes. A mental health professional could employ exposure therapy to break the connection and stop avoiding situations that trigger anxiety. This approach exposes you situations or objects that trigger anxiety for a set duration of time in a secure environment. As time passes, you'll realize that the incident or object isn't risky and you are able to deal with it. Your therapist will start you with the items or situations that don't cause high levels of anxiety. Then, they'll gradually advance to more challenging ones. This process is known as “graded exposure.” For instance, if afraid of snakes Your therapist will start by showing you pictures of snakes in the first session. In subsequent sessions, they'll have you look at an image of a snake behind glass, and then feel a snake. For some this kind of exposure isn't pleasant, and a therapist may use interoceptive stimulation instead. This involves deliberately creating physical sensations such as a pounding or shaking heart and teaching that these feelings, while uncomfortable, aren't harmful. It is essential to find a therapist who has experience and training in this kind of therapy. Otherwise, you'll end up abstaining from things that trigger your anxiety, and this can actually make your symptoms worse. Your therapist will instead assist you confront the fears and anxiety that are preventing you from living your life to the fullest. Your therapist might also use cognitive behavioral therapy to address the beliefs that are behind your anxiety. For example, if you believe that your anxiety is a sign of weakness, they will help you to identify and challenge these assumptions. Additionally, your therapist will teach you relaxation and breathing techniques and other strategies for coping to lessen the negative impact of these thoughts. They will also provide information on the physiology and triggers of the fight or flight response in anxiety disorders. Mindfulness Mindfulness is a meditation practice dating back thousands of years that encourages an openness to all experiences, even unpleasant ones. Anyone can practice it. It is not a religion or a secular belief system. Though mindfulness is often equated with Buddhism the most prominent practitioners point out that the technique has its roots in many ancient contemplative traditions. Research has shown that mindfulness meditation can improve self-regulation, mood and ability to detect the patterns of thinking that are not optimal and reacting. It has been demonstrated that mindfulness meditation can change the brain's structure and function, which is involved in processing emotion. These changes are linked to an increase in activity in Default Mode Network which is involved in the aetiology of anxiety. Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction are the most widely used mindfulness programs in the secular world. These are generally eight weekly classes lasting around two to three hours each. More recent research has focused on a shorter, less intensive mindfulness training. These shorter sessions can be taught by a trained therapist without the aid of a meditation teacher or group leader. These studies have found that short mindfulness exercises can have a positive impact on ruminative thoughts. Specifically, short mindfulness training can reduce arousal as well as decrease the duration of ruminative thoughts. This research supports the idea that mindfulness training can be helpful in treating GAD. Mindfulness has been proven to decrease depression, improve happiness and mood in addition to its direct influence on emotional reactions. This is due to the positive effects of mindfulness on negative thinking patterns, and the reduction of symptoms like the shaming and rumination. A small study conducted at the University of Waterloo suggests that 10 minutes of meditation can help to break the ruminative thinking patterns that contribute to anxiety. In the study, 82 participants who were suffering from anxiety were assigned to complete a computer task that was regularly interrupted with interruptions. Half of them listened to a 10-minute meditation audio, while the other half read an audio book. The results of the study showed that the participants in the mindfulness audio group had significantly lower anxiety levels than those in the two other groups. This suggests that GAD is treatable with mindfulness training, but further research is needed to determine which methods are effective. Future studies should examine the effects of mindfulness-based training with other psychotherapeutic treatment.