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What Is An Anxiety Episode

Where To Get Help

Episode 2: Understanding Anxiety (Part 1)

Overcoming anxiety and dealing with panic attacks is easier if you seek help. Talk to your doctor, , or see below for online programs and tools that can help.

How To Stop An Anxiety Attack

People have this powerful idea to make the anxiety attack stop, Carbonell says, but you cant make it stop through force of will. However, if you look back at your history, you’ll see that every anxiety attack does indeed stop, even if it feels awful for a while.

Your best first step stopping an anxiety attack is to simply notice your symptoms and accept that you’re having an attack. This can be challenging if it’s one of your first anxiety attacks, but after that you’ll know more about what to expect.

Some People May Develop Panic Disorders

For many people, the feelings of panic occur only occasionally during periods of stress or illness. A person who experiences recurring panic attacks is said to have panic disorder, which is a type of anxiety disorder. They generally have recurring and unexpected panic attacks and persistent fears of repeated attacks.

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Phobias And Irrational Fears

A phobia is an unrealistic or exaggerated fear of a specific object, activity, or situation that in reality presents little to no danger. Common phobias include fear of animals , fear of flying, and fear of needles. In the case of a severe phobia, you might go to extreme lengths to avoid the object of your fear. Unfortunately, avoidance only strengthens the phobia.

Panic Disorder: When Fear Overwhelms

Anxiety

Do you sometimes have sudden attacks of anxiety and overwhelming fear that last for several minutes? Maybe your heart pounds, you sweat, and you feel like you cant breathe or think clearly. Do these attacks occur at unpredictable times with no apparent trigger, causing you to worry about the possibility of having another one at any time?

An untreated panic disorder can affect your quality of life and lead to difficulties at work or school. The good news is panic disorder is treatable. Learn more about the symptoms of panic disorder and how to find help.

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Anxiety: What It Is What To Do

While anxiety symptoms vary widely, odds are good that at some point youve experienced occasional physical and emotional distress signals such as panicky breathing, your heart pounding in your chest, trouble sleeping, feelings of dread, or even loops of worry. Thats normal.

Experiencing anxiety is normal, says Dr. Gene Beresin, executive director of the Clay Center for Healthy Young Minds at Massachusetts General Hospital. A certain amount of anxiety can even be helpful. The problem is that sometimes the systems underlying our anxiety responses get dysregulated, so that we overreact or react to the wrong situations.

What Does Anxiety Feel Like To Me

What is anxiety like? Ive suffered from anxiety and panic attacks since my early teens, though at the time I wasnt aware that that is what they were. Think about it.. How does anxiety feel to a 15 year old when everything is so stressful to begin with? With that said, what does stress feel like? It was only when I was 21 and went through a particularly stressful period that my general anxiety as well as overwhelming panic came to the surface, and I started having panic attacks at night almost every night.

Looking back on that time, as well as at a handful of events that have triggered significant anxiety since then, Ive come up with two lists: What does anxiety feel like mentally? and What does anxiety feel like physically?

Mentally, anxiety feels like

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Treatment Of Anxiety And Panic

There is plenty that can be done for people who have problems with anxiety and panic.

Treatment can include:

  • cutting back on alcohol, cigarettes and drugs
  • distracting yourself with mental activities, like counting
  • slow breathing, which can be supported by using mobile apps such as Breathe
  • psychological therapies, such as cognitive behavioural therapy

Getting professional support is always a good idea. Its important to find the right health professional for you. And there are plenty of online self-help programs, support and ways to get therapy, too.

Symptoms Of Anxiety And Panic Attacks

Anxiety | Talking about mental health – Episode 2

A panic-style anxiety attack can crop up suddenly and dissipate almost as quickly. There are several characteristics of these lightning-fast panic attacks that help people know they are experiencing this type of attack. Its worth noting that experiencing only one or two of these symptoms doesnt necessarily indicate a panic attack generally, there need to be or four more of these symptoms occurring simultaneously.

  • Racing heart rate or palpitations
  • Overwhelming sense of anxiety
  • Difficulty breathing, to the point where a person may feel as if they are choking or suffocating
  • Shaking and trembling
  • Sweating and hot or cold flashes
  • A feeling of dead weight or tingles through the arms and legs
  • Unreasonable worry about dying as a result of the panic attack

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How To Manage Anxiety Or Panic Attacks

When you feel like an anxiety or panic attack coming on, you can try the following techniques to calm yourself:

Deep breathing

When you feel like your breathing rate is increasing, focus your attention on each exhale and inhale. Feel your stomach fill with air when inhaling and count down from four when exhaling. Repeat until your breathing slows.

Practice mindfulness

Mindfulness-based interventions help to treat anxiety and panic disorders by grounding thoughts in the present. You can practice it by observing sensations and thoughts without reacting to them.

Acknowledge your situation

Anxiety and panic attacks can be incredibly frightening. Recognize, accept, and remind yourself that what you are experiencing will pass.

Relaxation techniques

Relaxation techniques such as aromatherapy, guided therapy, and muscle relaxation can help manage anxiety or panic attacks. If you experience symptoms of either condition, try something that you find relaxing.

Lifestyle changes

Some lifestyle changes can help prevent anxiety attacks and panic attacks or reduce the severity of symptoms when an attack occurs, including:

There Are Effective Treatments For Anxiety

Treatment is tailored to the diagnosis. Effective options include:

  • Lifestyle changes, such as skipping caffeine, exercising regularly, and avoiding medicines or substances that might cause anxiety symptoms.
  • Mind-body approaches, such as deep breathing, meditation, mindfulness, and techniques to ease muscle tension and promote calm.
  • Psychotherapy, such as cognitive behavioral therapy and exposure therapy. CBT teaches people to challenge and reframe distorted or unhelpful anxious thinking, because thoughts influence feelings and actions. Exposure therapy helps people tolerate and calm anxiety by gradually exposing a person to feared situations or objects under guidance from a therapist.
  • Medicines, such as short-acting drugs called benzodiazepines, which are taken as needed when anxiety spikes. Low doses of some antidepressants, particularly selective serotonin reuptake inhibitors , help relieve anxiety when taken daily.

Often, a combination of approaches is best. Relieving anxiety with medicine while using CBT or exposure therapy to strengthen coping skills and help retrain the brain can do much to make anxiety manageable.

About the Author

Francesca Coltrera, Editor, Harvard Health Blog

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Treatment Options For Panic And Anxiety Attacks

Whether youre dealing with panic, anxiety, or both, its important to know that help is available. The most common treatment options include therapy, medication, and self-help strategies. There are similar things used to treat panic and anxiety attacks and are very helpful if anxiety or panic intensifies.

Psychotherapy helps people gain a better understanding of their symptoms, develop constructive ways to manage them, work through past pain and trauma, and build a strong support network.

Medications can help reduce your symptoms. Sometimes medications are needed only for a short time, they can even be a one-time thing but other people may benefit from long-term medication use.

Self-help techniques, including breathing exercises and positive self-talk, can teach you ways to manage symptoms yourself in a healthy way.

How Is Anxiety Treated

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Which anxiety treatments will work for you depends on you, what type of anxiety disorder you have, and how severe it is. Mild anxiety may be helped by making lifestyle changes such as regular physical exercise, or undergoing therapy such as cognitive behaviour therapy. More severe cases may require medicine.

People involved in your care might include your doctor, a psychiatrist or a psychologist, mental health nurse or other type of counsellor.

Recovery is possible with the right care. Common treatments and ways to manage anxiety include the following:

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Anxiety Disorders: An Overview

Sanne van Rooij, PhD, and Anaïs Stenson, PhD

In an anxiety-related disorder, your fear or worry does not go away and can get worse over time. It can influence your life to the extent that it can interfere with daily activities like school, work and/or relationships. Fear, stress, and anxiety are “normal feelings and experiences” but they are completely different than suffering from any of the seven diagnosable disorders plus substance-induced anxiety, obsessive-compulsive disorders, and trauma- or stressor-related disorders.

Anxiety disorders keep people from sleeping, concentrating, talking to others, or even leaving their home. Anxiety that may need treatment is often irrational, overwhelming, and disproportionate to the situation. It makes sufferers feel as though they have no control over their feelings, and it can involve severe physical symptoms like headaches, nausea, or trembling. It becomes classified as a disorder when normal anxiety becomes irrational and begins to recur and interfere with daily life.

But, as an example, what if someone will not leave their home for extended periods of time because they are afraid of being in a crowd or being reminded of a past traumatic event. That is not a “normal feeling or experience.”

If you think you might be struggling with an anxiety disorder, you’re not alone:

When Is Anxiety A Mental Health Problem

Anxiety can become a mental health problem if it impacts your ability to live your life as fully as you want to. For example, it may be a problem if:

  • your feelings of anxiety are very strong or last for a long time
  • your fears or worries are out of proportion to the situation
  • you avoid situations that might cause you to feel anxious
  • your worries feel very distressing or are hard to control
  • you regularly experience symptoms of anxiety, which could include panic attacks
  • you find it hard to go about your everyday life or do things you enjoy.

If your symptoms fit a particular set of medical criteria then you might be diagnosed with a particular anxiety disorder. But it’s also possible to experience problems with anxiety without having a specific diagnosis. Our pages on self-care and treatment for anxiety offer suggestions for help and support.

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How Is Panic Disorder Diagnosed

Medical or mental health providers can diagnose panic disorder. Your provider may diagnose panic disorder when you have repeated panic attacks and you:

  • Persistently worry about having more panic attacks or their consequences.
  • Obsess about losing control during a panic attack.
  • Change your behaviors to avoid situations that may trigger a panic attack.

What Should I Ask My Doctor

Episode 2: Understanding Anxiety (Part 1 Sound Updated)

If you have anxiety or were recently diagnosed with an anxiety disorder, consider asking your doctor these questions at your next visit.

  • How did I get anxiety? Is there a chance I passed this on to my kids?
  • Are there any underlying medical problems that could be causing my anxiety symptoms?
  • What are my treatment options for anxiety? Will I need to take an anxiety drug? Will I take it every day or as needed? How long will I need to take it?
  • What side effects can I expect from medications? Is there a way to minimize or prevent side effects?
  • What should I do if I miss a dose of medication?
  • Should I begin therapy sessions? Which type and for how long?
  • How long before I can expect to feel better?
  • Once treated, how likely is it that my anxiety symptoms will return?
  • What lifestyle changes can I make to help me feel better?
  • How will alcohol or other drugs interact with my medication or affect my anxiety?
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    Types Of Anxiety Disorder

    There are several different classified anxiety disorders. Each disorder has different symptoms that certain situations may trigger.

    Anxiety disorders include :

    • Panic disorder : This involves frequent panic attacks accompanied by the constant fear of future attacks. People with panic disorder may lose a job, refuse to travel or leave their home, or completely avoid anything they believe will trigger an attack.
    • GAD: This is a constant state of worry or persistent feeling of dread, which may last months or years.
    • Social anxiety disorder: People will have an intense and persistent fear that others are watching and judging them.
    • Phobic disorder: This features intense anxiety and irrational fear of an object or situation, for example, a fear of spiders or open spaces. People with phobic disorder may be aware that their fear is irrational.

    As well as the physical symptoms of anxiety, people may experience the following:

    • feeling tense or nervous
    • seeking lots of reassurance from others
    • low mood or depression
    • rumination, which is when a person thinks about a situation or thought repeatedly
    • worry about what will happen in the future
    • worrying about anxiety, such as when a panic attack might occur

    Not every case of anxiety will include all these symptoms. Anxiety can be mild, moderate, or severe, depending on the trigger and how the person reacts to it.

    Anxiety that continues for a long time or has a specific trigger

    • the use of some medications
    • a recent or past traumatic experience

    Talking To A Health Care Provider About Your Mental Health

    Communicating well with a health care provider can improve your care and help you both make good choices about your health. Find tips to help prepare for and get the most out of your visit at Taking Control of Your Mental Health: Tips for Talking With Your Health Care Provider. For additional resources, including questions to ask a provider, visit the Agency for Healthcare Research and Quality website.

    If you or someone you know is in immediate distress or is thinking about hurting themselves,call the National Suicide Prevention Lifeline toll-free at 1-800-273-TALK . You also can text the Crisis Text Line or use the Lifeline Chat on the National Suicide Prevention Lifeline website.

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    What Are Anxiety Episodes

    Anxiety episodes gradually intensify over time and refer to the chronic excessive worry that a sufferer experiences. Symptoms include muscle tension, fatigue, and concentration difficulties. Anxiety episodes will make the body produce more cortisol, a stress hormone, and too much of this can be harmful because it curbs body functions that would be non-essential in a fight or flight situation . This results in a suppressed digestive system, reproductive system, and growth process.

    This Is What Someone With Anxiety Really Looks Like Because It Isnt Always Struggling To Breathe

    The Stress

    Anxiety has one goal, and its to destroy people. And sometimes it does.

    Anxiety takes away their ability to breathe and it makes you watch as it cripples them. But sometimes its sneaky. Sometimes its destroying a person and the scariest part about it is you have no idea that its happening. Because sometimes anxiety isnt always as obvious as a person gasping for air as they struggle to breathe.

    Sometimes anxiety is a person simply sitting there. Its a person staring off into space as if theyre caught up in a daydream, when in reality theyre suffering from their own personal nightmare. Anxiety isnt always falling apart on the outside, even when youre shattering on the inside. Its racing thoughts and irrational fears that clutter your brain and sink your heart. Its nothing that can be seen unless you live inside that persons head and nothing that can be felt unless you feel that persons heart.

    Sometimes anxiety is a person feeling paranoid even when nothings wrong. Anxiety is running back inside the house to turn off the oven thats already off. Its hitting the lock on your car doors three times before youre convinced theyre locked. Its over analyzing every word someone said, and constantly worrying everyone hates you. Its going over every conversation youve ever had and the irrational fear that at some point you must have said or done something wrong. Anxiety isnt trusting anyone, including yourself.

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    What Causes Panic Disorder

    Panic disorder sometimes runs in families, but no one knows for sure why some family members have it while others dont. Researchers have found that several parts of the brain and certain biological processes may play a crucial role in fear and anxiety. Some researchers think panic attacks are like false alarms where our bodys typical survival instincts are active either too often, too strongly, or some combination of the two. For example, someone with panic disorder might feel their heart pounding and assume theyre having a heart attack. This may lead to a vicious cycle, causing a person to experience panic attacks seemingly out of the blue, the central feature of panic disorder. Researchers are studying how the brain and body interact in people with panic disorder to create more specialized treatments. In addition, researchers are looking at the ways stress and environmental factors play a role in the disorder.

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