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Dealing With Severe Anxiety Disorder Anxiety symptoms can interfere with your daily routine It is crucial to seek treatment and relief Trauma such as physical or emotional abuse and neglect increase your risk of developing anxiety Certain life situations such as chronic health conditions and stressful situations also increase the chance of experiencing anxiety Psychotherapy also known as counseling assists you in changing negative thinking patterns that lead to anxietyprovoking feelings The most common type of psychotherapy that is used to combat anxiety is cognitive behavioral therapy Medicines For many medications can be a good option to help minimize symptoms alongside therapy and lifestyle changes There isnt a onesizefitsall drug that is suitable for everyone so its crucial to find what is right for you Your MDVIP provider can speak to you about your anxiety symptoms your health background and goals to determine the most effective treatment options for you Benzodiazepines are quick to target the Gamma aminobutyric GABA acid that is present in your brain They help to calm your brains overexcited and promote calm They are typically prescribed for shortterm use such as when panic attacks or other anxietyprovoking event occurs Examples include Xanax Klonopin and Valium Antidepressants can be used to treat depression and anxiety disorders They work by regulating the levels of chemicals in your brainor neurotransmitterslike serotonin and norepinephrine These medications can be utilized to treat all kinds of anxiety disorder but they are most commonly used to treat GAD PDA and SAD Another form of antidepressant is selective serotonin reuptake inhibitors SSRIs may also be prescribed for anxiety They are usually prescribed for moderate to mild anxiety disorder and have been shown to be effective in random controlled studies For severe anxiety disorder you may need a stronger drug such as an SSRI or tricyclic antidepressant These medications are only for patients that have not had a response to other treatments Patients must be monitored closely for adverse reactions such as depression or sedation If youre not able to get relief from an SSRI or an SNRI physician may try adding a monoamine oxidase A inhibitor They are usually recommended when other treatments have failed and they can be very beneficial in relieving symptoms of SAD Quetiapine and agomelatine are two typical examples It is crucial to keep in mind that a medication isnt a cure and should be taken under a doctors supervision Always discuss with your doctor the risks and benefits of any medication This includes potential adverse effects When you first visit its important to inquire about followup appointments and scheduling Anxiety can become worse as time passes and regular checkins with your provider are crucial to managing anxiety symptoms over the long term Counseling Medicines are essential to treat anxiety disorders but psychotherapy or talk therapy is an important part of the treatment plan A trained therapist will show you how to alter negative thoughts emotions and habits that contribute to your symptoms Several different types of psychotherapy are available including cognitive therapy CBT This approach is wellstudied and the gold standard in treating anxiety disorders Your therapist may suggest additional treatments such as mindfulnessbased acceptance and commitment therapy or exposure therapy Cognitive therapy is a way to examine the negative thought patterns that can cause anxiety It teaches you how to overcome these negative thoughts and replace them with more real positive thoughts These patterns of thinking are usually developed through childhood experiences and can be difficult to change on your own If your symptoms are serious they can hinder your daily activities which makes it difficult to work or engage in social activities Your counselor will determine how often you experience anxiety symptoms as well as the length of time they last and how severe they may be They will also check for other mental health issues that may be contributing to your symptoms such as depression or addiction disorders Talk therapy sessions are generally conducted facetoface with a trained mental health professional such as psychiatrists or psychologists Your therapist will examine your facial expressions and body language to better comprehend your reactions to certain situations This can help determine the cause of the symptoms youre experiencing are the result of an individual cause such as stress that persists or traumatic experiences Anxiety can be a problem for anyone Finding the correct diagnosis and implementing a treatment plan will help alleviate your symptoms and enhance your quality of life Remember that beating anxiety disorders requires patience and commitment however the effort is worth it in the end Establishing a strong support system implementing healthy lifestyle habits and practicing relaxation techniques are all valuable components of your treatment strategy The more you practice these techniques the more effective theyll become Therapy for Exposure When you suffer from a fear or phobia that you are suffering from you may associate certain objects or situations with negative consequences Your mental health professional may utilize exposure therapy to break this association and stop avoiding things that cause anxiety This approach exposes you situations or objects that trigger anxiety for a controlled period of time in a safe environment Over time this helps you realize that the feared item or situation isnt a risk and that you can deal with it Your therapist will begin with situations or objects that dont trigger extreme levels of anxiety and slowly progress to more difficult ones This is known as graded exposure In the first session for instance if the therapist suspects that youre afraid of snakes they will show you pictures of snakes In the subsequent sessions youll be asked to examine a photo of a venomous snake behind glass before touching the real snake For some people the type of exposure isnt comfortable and a therapist may use interoceptive stimulation instead This involves deliberately triggering physical sensations that are experienced in anxiety like shaking or a pounding heart and teaching you that while these feelings are uncomfortable they arent harmful It is important to work with someone who has experience and training in this type of therapy You may end up avoiding things that trigger anxiety which could cause you to experience more symptoms Your therapist will instead assist you face the fears and anxiety that are preventing you from living life to the fullest Your therapist might also use cognitive behavioral therapy to address the underlying beliefs that fuel your anxiety For example if you think that your anxiety is a sign of weakness they will help you identify and challenge these assumptions Additionally your therapist will instruct you on breathing and relaxation techniques as well as other coping strategies to reduce the negative impact of these thoughts disorders anxiety will also teach you about the physiology and inappropriate triggers of the fight or flight response in anxiety disorders Mindfulness Mindfulness is a contemplative practice that has been practiced for thousands of years that encourages an openness to any experience even the unpleasant ones It isnt a religious or secular belief system and can be practiced by anyone Though mindfulness is often equated with Buddhism the most prominent practitioners point out that the technique has its roots in many ancient contemplative traditions Studies have shown mindfulness meditation can boost mood and selfregulation aswell being able to recognize and respond to abnormal patterns It has also been shown to change the brains structure and circuits involved in emotion processing These changes are associated with lower activity in the Default Mode Network which is involved in the aetiology and causes of anxiety The most common secular mindfulness programs are MindfulnessBased Stress Reduction MBSR and MindfulnessBased Cognitive Therapy MBCT These clinical interventions usually involve eight classes per week that last between two and three hours Recent research has focused more on shorter less intense mindfulness classes These shorter sessions can be taught by a trained therapist without the assistance of a meditation teacher or group leader These newer studies found that short mindfulness sessions can have a positive effect on ruminative thoughts In particular short mindfulness classes can reduce arousal and cut down on the time it takes to think about thoughts of ruminative thought This research supports the idea that mindfulness training may aid in the treatment of GAD Mindfulness has been found to decrease depression boost positive moods and wellbeing in addition to its direct effect on emotional reactions This is largely due to the positive effects it has on negative thinking patterns and the reduction in the symptoms of selfcriticism and rumination A small study carried out at the University of Waterloo suggests that 10 minutes of meditation can help in reducing the ruminative thinking patterns that contribute to anxiety In the study 82 people who were suffering from anxiety were assigned to complete a computer task that was constantly interrupted by interruptions Half of the participants were able to listen for 10 minutes to a soothing audio while the other half listened an audio book The studys results revealed that those who were listening to the mindfulness audio had significantly lower levels of anxiety than those in the other two groups This suggests that GAD is treatable with mindfulness training however more research is required to determine which techniques are effective Future studies should also compare the effects of mindfulnessbased therapy with other psychotherapeutic treatments