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Understanding Anxiety

 Anxiety is a normal, healthy feeling that is experienced by everyone. It is the body’s way of reacting to stimulus that pushes us to either "fight" or "flight" over a situation. However, when anxiety attacks are chronic, severe, and irrational, and begin to affect the health of a person (physically, psychologically and emotionally), it already becomes a problem that must be addressed immediately. There is a thick line between healthy and unhealthy anxiety attacks. Unfortunately, the demarcation line is almost ignored that normal anxiety crosses into the territory of anxiety disorders.

 
Types of Anxiety Disorder
 
There are six different types of anxiety disorder, each has its own characteristics: generalized anxiety disorder, panic disorder, phobia, post-traumatic stress disorder, social anxiety disorder, and obsessive-compulsive disorder.
 
Generalized anxiety disorder (GAD) is a chronic worry or fear over almost everything without even knowing why. They feel anxious from day to day activities and are troubled that bad things will happen. People with GAD show symptoms such as stomach upset, fatigue, restlessness, and insomnia. 
 
Panic disorder is repeated, unexpected panic attacks, and fears that panic episodes will likely to happen. People with panic disorder are likely to have agoraphobia, or fear of being in places where help or escape will be difficult in case of another panic attack. People with agoraphobia are also afraid of being trapped in confined places such as an airplane or crowded areas such as a shopping mall.
 
Phobia is excessive, irrational, and exaggerated fear over simple things that generally present little or no danger. Common phobias are heights, snakes, spiders, dark, and flying. People with phobias tend to avoid the things they are afraid of in order to escape anxiety attacks. However, avoidance only strengthens the phobia.
 
Post-traumatic stress disorder is an anxiety disorder that happens after a life-threatening or a traumatic event. People with PTSD show symptoms such as hyper-vigilance, avoiding situations or places that remind them about the event, nightmares and flashbacks about the things that happened, startling easily, and isolation. 
 
Social anxiety disorder or social phobia is fear of being seen negatively by others or fear of getting humiliated in public by other people. Social anxiety is often mistaken as an ordinary extreme shyness. People with this kind of disorder usually isolate themselves from others or event and places where crowd usually gathers. Stage fright is the most common type of social anxiety. 
 
Obsessive-compulsive disorder or OCD is a condition where a person has unwanted behavior or thoughts which appear to be impossible to control. People with OCD can have certain obsession such as worries that they might hurt someone or that they have forgotten to turn the lights off. They can also have uncontrollable compulsion. The most common is washing of hands repeatedly. 
 
Do you experience anxiety attacks?
 
• Are you always worried, tense, and on the edge?
 
• Do you feel like you are in danger whenever you are in confined places?
 
• Are you afraid of mingling with strangers, meeting new friends or even meeting relatives?
 
• Do you feel that something bad or catastrophic will happen if certain things are not done according to plan?
 
• Do you experience worry, fear and anxiousness that affect your relationship, work, healthy, and other responsibilities?
 
• Do you feel irrational fear but couldn’t shake it?
 
• Does your anxiety force you to avoid everyday situations and activities?
 

Understanding Panic Attacks

What is a panic attack?
 
A panic attack is a sudden attack of exaggerated anxiety and fear. Often, attacks happen without warning and without any apparent reason. Some people may experience just one episode of panic attack, while others can have recurring episodes. Recurring episodes usually happen after a person is exposed to various events or situations that may "trigger" panic. While it is generally harmless, panic attacks can severely disable a person physically, emotionally and psychologically. In extreme cases, panic attacks can lead to panic disorder.
 
Who gets panic attacks?
 
The condition affects many people. It is believed that 10% of the total population is suffering from panic attacks, yet many are still undiagnosed or under-diagnosed. They tend to occur more on young adults. Female are twice as prone to have an attack as male. It is also said that the condition is genetically inherited so panic attacks may run in the family.
 
How do I know if I am having an attack?
 
A panic attack can be identified with different signs and symptoms. They include increased heartbeat or palpitation, chest pain, hyperventilation or shortness of breath, stomach churning, upset stomach, trembling and shaking, muscle tension, sweating, dizziness and light-headedness, hot or cold flashes, tingling sensation or numbness, fear of dying, going crazy or losing control and feeling detached from the surroundings.
 
The signs and symptoms of panic attacks are similar to a heart attack. The former is not dangerous, the latter can be deadly. It is best therefore to seek for emergency medical help, especially if the patient experiences it for the first time. 
 
What cause an attack?
 
Many panic attacks happen without any apparent reason; they just come out of the blue. However, attacks may be caused by post traumatic stress from the death of a loved one, family conflicts, bad relationships, divorce of parents, car accident, public humiliation, etc. An attack may occur when a person is exposed to various events or situations almost similar to the past that may "trigger" panic. 
 
Stress is closely linked to panic attacks. Triggers include stressful life event as well as stressful working and living environment. Genetics is also believed to cause an attack. 
 
What should I do during an attack?
 
Panic attacks peak from 5 to 10 minutes; it rarely lasts for more than half an hour. But during this time, you can experience discomfort such as those signs and symptoms mentioned above. Since the increased in heart rate is the main reason for experiencing other symptoms, it is important to take control of your breathing during an attack. Breathe slowly and deeply as you can. Breathe in slowly for 3 counts then hold your breath for the next 3 slow counts. Then, exhale for 3 slow counts.
 
Do this until you are calm. If you are able to stand, get up slowly and walk around. It is also helpful to breathe into a plastic or a paper bag. This allows you to re-breathe your carbon dioxide. Carbon dioxide helps correct the blood acid level that had been disturbed by excessive breathing.  
 

While practicing deep breathing, try to focus your attention away from the cause of panic. Replace your anxious thoughts with happy ones. If available, do something that will occupy your mind such as solving puzzles and playing word games. 

Natural Ways For Coping With Anxiety

 Anxiety attacks are unhealthy to the overall well-being of a person. It can alter the way a person lives. If under an anxiety attack, a person thinks, reacts, and behaves abnormally. This happens because the chemicals in the body tip their balance, hence worsening the effects of anxiety even further. As a result, the person feels physical pain, experiences irrational fear, and shows disproportioned reaction over things.

 
His social life may suffer including his relationship to his friends, relatives, family, and even to him/herself. If the condition is not addressed and properly treated, the person may think that his life is worthless. In extreme case, he may commit suicide. Thus, on the onset of anxiety, treatment is necessary. Here are some of the possible natural treatments for anxiety attacks:
 
Meditation and relaxation techniques – These are proven effective methods in dealing with anxiety attacks. Through meditation and relaxation techniques such as breathing techniques, the mind will be able to control the body. Meditation and relaxation techniques can be used during an anxiety attack to slow down the heartbeat, control breathing, and divert the mind away from the cause of anxiety attack. Although these methods require practice, once you learn the proper techniques, they are very effective. 
 
Diet – The food we eat plays a very large role in our overall health, including our mental health. A well-balanced diet and healthy eating promotes a healthy brain and a healthy body. It is advised to prefer natural or organic foods rather than processed foods or those with preservatives and chemicals. If the cause of anxiety attack is weight problem, adapting a diet that helps you reduce weight can solve the problem. 
 
Exercise – Aside from diet, another important factor that helps promote a healthy well-being is exercise. Studies suggest that as little as 30 minutes of exercise, 3 to 5 times a week can have great effects to the body as well as the mind. 
 
Herbal treatments – St. John Wort, Hyperforin, 5HTP (5-hydroxytryptophan), Melissa officinalis, Ginkgo Biloba, passionflower, valerian, scullcap, California poppy, hops and lavender are used as an alternative to prescription drugs to treat anxiety. Natural herbs can be made as tea, but some of these are already available over-the-counter as powder, liquid, capsule, oil, tincture, tablets and tea.  
 
Pray – If you believe in the power of prayer, pray. Many studies show that prayer is an effective way to relieve stress and anxiety as prayers have soothing and calming effect both on the body and on the mind. 
 
Laugh – Laughter still holds the title as the best medicine. This is because when you laugh, your body releases endorphins or "happy chemicals" that help you to feel good and happier. 
 
Identify where anxiety is coming from – Sometimes, anxiety attacks happen for no apparent reason. But that doesn’t mean that there is really no reason. After all something cannot happen out of nothing. Thus, if you experience an episode of anxiety attack, there must be a trigger (it might be directly linked to the attack or it might come from something else, totally apart from the event).
 
Once you identify the cause of the attack (which is as important as recognizing that you are having one), it is easy deal with it directly and process your condition using the natural ways mentioned above or through anxiety treatment and therapy.

What Could Happen If You Do Not Get Treatment

 At the onset of panic attacks or disorder, it is best to go see your doctor immediately and have it evaluated as this will not only give you a clear understanding of what condition you are undergoing but this could also prevent the aggravation of the disorder. Here are several possible scenarios if you do not get panic attacks intervention immediately:

 
Agoraphobia. Contrary to public belief, agoraphobia is not the fear of closed spaces. It is actually fear of public places basing from the Greek root word "agora" which means market or marketplace. Agoraphobics fear interaction with people especially in places where they expect to experience episodes of panic or anxiety. Panic attacks and agoraphobia are often closely connected as these disorders exhibit identical symptoms such as shortness of breath, the sensation of dying or going crazy, and the feeling of having heart attack. 
 
Over-dependence on psychotherapeutic medications specifically anti-anxiety disorder medications. People suffering from panic attacks and could not get hold of themselves are often helped by medications to control their symptoms. But for those who cannot muster enough initiative to resolve their condition without having to rely on medications are often enclosed within the idea of medication as the ultimate solution against panic attacks.
 
While over-dependence on medication to control the symptoms of panic attacks is not the same as addiction to the medications, this behavior still poses serious possible problems since those people who become dependent on drugs oftentimes fail to utilize other more effective treatments. They can also become too dependent that they would fail to function properly without the necessary dosage of particular drugs. 
 
Further, although dependence on medications is not an entirely negative solution, in fact for some people it is the most effective, it should be remembered that it is not the only solution. There are less intensive, less invasive, but equally appropriate and effective anxiety treatment therapies and methods that are typically overlooked due to too much dependence on panic attack drugs. 
 
Depression. 20% of panic attack patients are likely to commit suicide, a typical outcome of depression, at one time or another, says research. The connection between panic attacks and depression can be viewed from several different standpoints. According to an explanation for example, depression develops from a person’s exhaustion caused by chronic anxiety that typically accompany such attacks.
 
Another explanation purports to the fact that those people with panic attacks and also have developed serious cases of agoraphobia are prevented from socializing with other people and from doing the things that they previously enjoyed, leading to a general feeling of isolation and unhappiness. This further leads to the development of episodes of depression.  
 
Diabetes. It is not uncommon to find people who are suffering from panic attacks and also have indications of comorbid disorders, an example of which is diabetes. Research shows that people with diabetes and who also experienced intermittent episodes of panic attacks are less likely to live quality lives and are also more likely to develop complications. Among people with diabetes, panic attacks as well as depression impede them from efficiently monitoring and controlling their blood glucose level. 
 
Substance abuse. Chronic misuse of alcohol and other unhealthy substances is a coping mechanism against negative conditions such as behavioral disorders. So long as the condition that caused the chronic use of substances exists, in this case panic attacks, the negative resolution will persist. 
 
Whether it be generalized anxietypost traumatic stress, or social anxiety disorder, one needs to take action and get help when coping with anxiety

 

What You Can Do When Having A Panic Attack

These are some steps to take when coping with anxiety.

Although it is not advisable to diagnose yourself with panic attack, it is really not sensible to wait until your supposed "attack" is over before you do something about it. Here are the things you must know so that when you feel that you are having an attack, you know what to do:

 
Understand what panic attack is all about. Awareness is the most important weapon to combat panic attacks because when you feel or know that you are under an attack, it is much easier for you to counter the effects of the symptoms that go along with it. Remember this: panic attacks can happen to anyone. It can happen to stressed and depressed person as well as happy and healthy ones. It can happen without warning, without any apparent reason.
 
Triggers can also cause irrational and exaggerated fear and anxiety. Chemical imbalance in the body (low serotonin and low progesterone levels) can trigger an attack. And while there are so many studies that suggest some causes of panic attacks, the condition is still not fully understood. 
 
Know its symptoms. For most many people, there is no easy telling whether or not they are experiencing a panic attack during the moment of attack since it is difficult for them to rationalize things and to differentiate what is real from the unreal. While this is the case, it is not really an excuse. Here are the symptoms of panic attacks: heartbeat or palpitation, chest pain, hyperventilation or shortness of breath, stomach churning, upset stomach, trembling and shaking, muscle tension, sweating, dizziness and light-headedness, hot or cold flashes, tingling sensation or numbness, fear of dying, going crazy or losing control and feeling detached from the surroundings. Take note that people react to triggers differently, thus symptoms may vary from person to person.  
 
Practice deep breathing. Deep breathing during an attack is the most effective way to reduce the symptoms you are experiencing as well as divert your attention from the fearful thought. Breathe in deeply for 3 slow counts, hold your breath for 3 slow counts, and breathe out for another 3 slow counts. Repeat this process until you feel you are calm. You can also breathe into a paper bag. This reason for this is that re-breathing your carbon dioxide helps correct the blood acid level that had been disturbed by excessive breathing. 
 
Stay positive. While it is easier said than done, staying positive during an attack will speed up your recovery. Let the situation flow while keeping in mind that it will going to pass. An attack peaks for 5 to 10 minutes and rarely extends for more than half an hour so do not think that you are going crazy (or going to die) even if it feels that you are going crazy (or going to die). 
 
Avoid unnecessary stress. While you cannot avoid every stressful situation and it is also unhealthy to turn your back on situations that need to be addressed, avoiding unnecessary stress help reduce the chances of you experiencing an attack. Stay away from people who stress you out, from relationship that causes stress, and situations that get you tensed.
 
Learn to say "no" if you have other much important things to do; do not work for extended hours; do not accept additional work if you know you cannot do it properly, etc. 
 
 

Anxiety Treatment

 Anxiety attacks are frightening but the good thing is, episodes are generally harmless. In most cases, attacks rarely last for more than 30 minutes, with peak of intensity within the first 10 minutes. What make such attacks dangerous is if it becomes chronic and if it already affects the well-being of a person and already disrupts his normal way of life. 

 
Several treatments are proven very effective in stopping anxiety attacks. Let us look at some of the more popular ones:
 
Breathing technique – is one of the most effective ways in controlling anxiety attacks. Proper breathing helps slow down heartbeat and helps calm the tensed muscles as a result of the attack. Breathing also diverts the mind’s attention from the "trigger" and calms the self, thus, stopping the attack even faster. Proper breathing techniques are easy to learn and master.  
 
Self-hypnosis – is a great tool to alter your thought process as well as your body’s reaction to those fearful thoughts. During an anxiety attack, lay down on your back or in any comfortable position and try to process your thoughts. Identify the origin of such fearful thoughts. Know if it is real. If you concentrate enough in finding the origins of your thoughts, you will soon realize that they are really not a valid reason for excessive fear. It may sound simple, and it is. Psychiatrists now recommend self-hypnosis as a treatment for anxiety attacks and other anxiety disorders. (Hypnosis and cognitive-behavioral therapy can be used together by your therapist to stop symptoms of anxiety attacks.)
 
Meditation – has long been credited to relieve stress and anxiety as it promotes the release of negative energy from the body, relaxes tensed muscles, and calms the mind, which in turn, effectively reduces irrational fear and apprehension. Meditation may not be for all because of the time required to master the technique, however, with proper guidance of an expert or a little bit of patience and dedication, you can reap its benefits. 
 
Herbs – (such as chamomile, passion flower, lavender, and ginkgo biloba) are very effective long-term treatment for anxiety attacks. Since they are all-natural, they posses no side effects. They may not be as aggressive as prescription drugs but they work just as effective. 
 
Prescription medicines – are a major help in stopping the symptoms of anxiety and episodes of anxiety attacks. Antidepressants are the most common anxiety treatment. They must be taken continuously, which may take as long as six weeks before noticing the effects. Beta-blockers are a type of drugs that prevent symptoms from recurring. SSRIs or Selective Serotonin Reuptake Inhibitors boost the level of serotonin in the brain which regulates and normalizes emotions. 
 
Therapies – are a very important anxiety treatment. These target the psychological aspect of anxiety. CBT or the cognitive-behavioral therapy is used to alter the way of thinking – converting negative thoughts into positive ones. Techniques used in CBT include role-playing and relaxation technique. Exposure therapy exposes the person to the physical sensations of panic in a safe and controlled environment. Through repeated exposure, patients gain greater self control and more confidence in facing fearful situation.
 
Prescription medicines and therapies, when combined and used at treatment, are very effective. Medical studies show that the response rate of patients is much higher if both methods are used compared to those that are treated using either method. 
 

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