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Dealing With Severe Anxiety Disorder The symptoms of anxiety can interfere with the daily routine It is essential to seek treatment and relief Traumas like physical or emotional abuse or neglect can lead to an increase in your anxiety As do certain life events like chronic health conditions and stress Counseling also called psychotherapy helps you to change negative thoughts that cause distressing feelings The most common kind of psychotherapy that is used to combat anxiety is cognitive behavior therapy Medicines For many people taking medication its an effective option to minimize symptoms alongside therapy and lifestyle changes There is no one medication that is suitable for everyone It is important to find the right medication for you Your MDVIP provider will discuss your anxietyrelated symptoms medical history and goals with you to determine the most effective treatment option for you Benzodiazepines are a class of drugs that target gammaaminobutyric acid GABA in your brain assisting to slow down the overexcited part of your brain and promote peace They are usually prescribed for shortterm use like when panic attacks or other overwhelming anxiety occurs Examples include Xanax alprazolam Klonopin clonazepam and Valium diazepam Antidepressants can treat depression but theyre often used to treat anxiety disorders as well They work by regulating the levels of chemicals in your brainor neurotransmitterslike serotonin and norepinephrine These drugs are used to treat anxiety disorders of all kinds but most frequently GAD PDA and SAD Another type of antidepressant may be prescribed to treat anxiety namely selective serotonin reuptake inhibits SSRIs They are usually prescribed for moderate to mild anxiety disorder and have been proven to be effective in randomized controlled studies You might require an additional medication to treat severe anxiety disorders It could be an SSRI or tricyclic These are usually reserved for patients who havent had a positive response to other treatments The patient must be carefully checked for depression or sedation as a side result If you arent getting relief from an SSRI SNRI or monoamine oxidase A inhibitor doctor might suggest adding one They are typically prescribed when other treatments have failed They can be very effective in relieving the symptoms of SAD The most common examples are quetiapine and agomelatine It is crucial to remember that a medication isnt a cure and should be administered under a physicians supervision Always discuss the advantages and risks of any medication including the possibility of negative side effects Its important to ask your doctor about scheduling followup appointments during your first visit Routine checkins are important to help manage anxiety symptoms over the longterm Counseling The use of medication is essential for treating anxiety disorders however psychotherapy or talk therapy is a crucial element of the treatment plan A qualified therapist can show you ways to alter negative thoughts emotions and behaviors that are contributing to your symptoms A variety of psychotherapy methods are available including cognitive behavior therapy CBT This approach is wellstudied and the gold standard in treating anxiety disorders Your therapist may recommend other treatments like mindfulnessbased or exposure therapy method known as acceptance and commitment therapy ACT Cognitive therapy examines your negative thoughts patterns that cause anxiety It teaches you to confront these thoughts and replace them with more realistic positive ones The majority of these thoughts originate through childhood experiences and can be difficult to break on your own If your symptoms are severe they may interfere with your everyday life making it difficult to work or participate in social activities Your therapy therapist will determine the frequency you experience symptoms of anxiety and how long they last and how intense they can be They will also check for other mental problems that could be contributing to the symptoms including addiction or depression Talk therapy sessions are usually held facetoface with a mental health professional such as a psychiatrist or psychologist Your therapist will be able to observe your facial expressions body language and other indicators to better know your reactions to certain situations This can help determine whether the symptoms you are experiencing are the result of a specific cause such as an ongoing stressful situation or traumatic events Anxiety can affect any person A proper diagnosis can alleviate your symptoms and improve the quality of your life Remember that overcoming anxiety disorders requires time and commitment however the effort is worth it in the end Creating a strong support network and implementing healthy lifestyle practices and implementing relaxation techniques are all essential elements of your treatment plan The more you use these techniques they will improve their effectiveness Exposure Therapy If you are suffering from a phobia or fear you tend to identify certain things or situations with negative consequences In order to end this association and stop avoiding things that cause anxiety or phobias your mental health professional could utilize exposure therapy This technique involves exposure to anxietyinducing items or situations for a predetermined period of time in a secure environment Over time you will realize that the situation or object is not dangerous and you can cope Your therapist will start you with the items or situations that dont trigger extreme levels of anxiety Then theyll gradually advance to more challenging ones This is referred to as gradedexposure For instance if youre afraid of snakes Your therapist will start by showing snake pictures in the first session In subsequent sessions they will have you look at the image of a snake on glass and then touch the snake For some people this type of exposure is not pleasant and therapists may opt for interoceptive stimulation instead This involves purposefully triggering the physical sensations that are experienced during anxiety such as a pounding heart or shaking and educating you that although these sensations may be uncomfortable theyre not harmful Its important to work with a mental health professional who is trained and experienced in using this therapy Otherwise youll end up abstaining from things that cause anxiety which can actually cause the symptoms to get worse Your therapist will instead help you confront the fears and anxiety that are preventing you from living your life to the fullest Your therapist might also employ cognitive behavioral therapy to tackle the root belief that causes your anxiety For example if you think that your anxiety is an indicator of weakness they will help you to identify and challenge these beliefs Additionally your therapist will teach you relaxation and breathing techniques and other strategies to manage the negative impact of these thoughts They will also instruct you about the physiology behind the fight or flight response and how it is activated in anxiety disorders Mindfulness Mindfulness is a contemplative practice that promotes the openness to experience even unpleasant emotions Anyone can practice it It is not a religion or a secular belief system Though mindfulness is often equated with Buddhism leading practitioners note that the technique has its roots in a variety of ancient traditions of contemplation Research has proven that mindfulness meditation can improve mood selfregulation and ability to recognize abnormal patterns of thinking and reacting It has also been proven to change the structure of brain circuits involved in processing emotions These changes are associated with a decreased activity in Default Mode Network which is associated with anxietys aetiology The most popular secular mindfulness programs include MindfulnessBased Stress Reduction MBSR and MindfulnessBased Cognitive Therapy MBCT These types of clinical interventions typically involve eight sessions per week which last between two and three hours Recent research has focused more on shorter less intense mindfulness classes These shorter interventions can also be taught by a trained psychotherapist without the aid of an instructor of meditation or a group leader disorders anxiety has found that short mindfulnessbased exercises can immediately affect thoughts that ruminate Short mindfulness training can reduce the level of arousal and reduce the duration of ruminative thought processes This research supports the notion that mindfulness training may help in treating GAD In addition to its direct effects on emotional reactivity as well as control of attention The study has found that mindfulness can help to decrease depression and boost positive mood and wellbeing This is largely due to the effects on negative thinking patterns as well as the reduction of symptoms of selfcriticism and rumination A small study at the University of Waterloo found that 10 minutes of mindfulness can help to break the ruminative thinking patterns that trigger anxiety In the study 82 participants who were suffering from anxiety were assigned to work on a computer task that was regularly interrupted with interruptions Half of them spent 10 minutes listening to a meditation track while the other half listened an audio book The studys results showed that participants who were listening to the mindfulness audio had significantly lower anxiety levels than those in the two other groups This suggests that mindfulnessbased training can be used to treat GAD however further research is required to determine the specific methods that are effective Future studies should examine the effects of mindfulnessbased training and other psychotherapeutic treatment