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Dealing With Severe Anxiety DisorderAnxiety-related symptoms can hinder your daily routine. It is important to get treatment and relief.Traumas, including physical or emotional abuse, or neglect, can cause anxiety. Certain life situations like chronic health conditions or stressful situations, also increase your chance of experiencing anxiety.Psychotherapy (also known as counseling) helps you to change negative thought patterns that create troublesome feelings. The most common kind of psychotherapy used to combat anxiety is cognitive behavioral therapy.MedicationsFor many people, medication can be an effective way to alleviate symptoms as well as lifestyle changes. But, there's no one-size-fits-all drug that is suitable for everyone, so it's crucial to find what is right for you. Your MDVIP provider will discuss your anxiety-related symptoms as well as your medical history, and goals with you to determine the most appropriate treatment option for you.Benzodiazepines are quick-acting medications which affect gamma-aminobutyric acid (GABA) in your brain, which helps to slow down the overexcited part of your brain and encourage peace. They are usually prescribed for short-term usage, like when panic attacks or any other form of anxiety is experienced. Common examples include Xanax (alprazolam), Klonopin (clonazepam) and Valium (diazepam).Antidepressants can treat depression, but they're often employed to treat anxiety disorders too. They work by regulating the levels of chemicals in your brain--or neurotransmitters--like serotonin and norepinephrine. These medications are used to treat all types of anxiety disorder, but they are most commonly used to treat GAD, PDA and SAD.Another type of antidepressant may be prescribed to treat anxiety, specifically selective serotonin reuptake inhibits (SSRIs). They are prescribed for mild to moderate anxiety disorders and have been proven to be effective in randomized controlled studies.For severe anxiety disorder you may require an additional medication like an SSRI or tricyclic antidepressant. These drugs are reserved for patients who haven't had a response to other treatments. Patients must be closely monitored for adverse effects like depression or sedation.If you don't experience relief from an SSRI, SNRI or monoamine oxidase A inhibitor, your doctor may try adding one. They are typically prescribed when other treatments have failed. They can be extremely effective in reducing the symptoms of SAD. Common examples are quetiapine and agomelatine.It is crucial to remember that medication isn't a cure and should be taken under a doctor's supervision. You should always discuss the benefits and risks of any medication, including potential negative side effects. It is important to inquire with your doctor about scheduling and follow-up appointments during your first visit. Regular check-ins are crucial to control anxiety-related symptoms over the long term.CounselingTalk therapy (or psychotherapy) is a crucial part of treatment for anxiety disorders. A trained therapist will show you how to modify negative thoughts, emotions and habits that can cause symptoms.There are a variety of psychotherapy, including cognitive-behavioral therapy (CBT). This approach is well-studied and the most effective treatment for anxiety disorders. Your therapist might suggest additional treatments such as mindfulness-based acceptance and commitment therapy, or exposure therapy.Cognitive therapy focuses on the negative thought patterns that contribute to your anxiety. It teaches you to confront these thoughts and replace them with more realistic, positive ones. These patterns of thinking are usually acquired through childhood experiences and are difficult to change on your own.If your symptoms are severe, they could affect your daily routine and make it hard to complete your work or engage in social activities. Your therapy therapist will determine the frequency you experience anxiety-related symptoms and how long they last, and how intense they may be. They will also search for other mental health problems that may be contributing to your symptoms, including depression or addiction disorders.Talk therapy sessions are typically conducted face-toface with a certified mental health professional like psychiatrist or psychologist. Your therapist will look at your facial expressions as well as body language to help you understand your reactions to certain situations. This can help them determine if your symptoms are caused by a specific cause, such as an ongoing stressful situation or traumatic experience.Anxiety is a common condition that can affect any person. Getting the right diagnosis and starting a treatment plan will help ease your symptoms and increase your living quality. Remember that overcoming anxiety disorders requires patience and dedication, but the effort is worth it in the end. The treatment plan you have for anxiety should include a robust network of support and healthy lifestyle habits and relaxation techniques. The more you use these techniques, the more effective they will become.Exposure TherapyWhen you suffer from a phobia or fear it is common to associate certain objects or situations with negative consequences. Your mental health professional might employ exposure therapy to break this connection and stop avoiding situations that trigger anxiety. This technique exposes you to items or situations that cause anxiety for a controlled duration of time in a safe environment. In time, this will help you to learn that the thing or circumstance isn't really dangerous and that you can deal with it.Gradually your counselor will introduce you more challenging situations or things. This is referred to as "graded-exposure." For instance, if afraid of snakes the therapist will begin by showing you pictures of snakes in your first session. In the subsequent sessions, you'll be asked to look at the image of a poisonous snake behind glass before touching a real snake. Some people find this kind of exposure uncomfortable, so the therapist will employ interoceptive (or tactile) exposure. This involves deliberately creating physical sensations such as a pounding or shaking heart and educating the patient that these sensations, although uncomfortable, aren't harmful.It is essential to work with someone who has experience and training in this type of therapy. Otherwise, you'll end up avoiding the things that trigger your anxiety, which can cause your symptoms to worsen. Instead, your therapist will help you face the fears and anxieties that hinder you from living life to the fullest.Your therapist may also use cognitive behavioral therapy to tackle the root of the belief that is causing your anxiety. For instance, if you believe that your anxiety is an indicator of weakness, they'll help you to identify and challenge these beliefs. In addition your therapist will instruct you on breathing techniques and relaxation techniques, as well as other strategies for coping to lessen the negative impact of these thoughts. They will also provide you with information about the physiology behind the fight-or-flight reaction and how it is inappropriately activated in anxiety disorders .MindfulnessMindfulness is a contemplative practice that has been practiced for thousands of years that encourages an openness to any experience, even the unpleasant ones. Anyone can practice it. It is not a religion or a belief system that is secular. While mindfulness is often associated with Buddhism, leading practitioners note that the technique is rooted in many ancient traditions of contemplation.Studies have shown that mindfulness meditation can improve self-regulation, mood and ability to recognize the patterns of thinking that are not optimal and reacting. It has been shown that mindfulness meditation can alter the structure of brain networks involved in emotion processing. These changes are connected to an increase in activity in the Default Mode Network which is associated with anxiety's aetiology.The most common secular mindfulness programs are Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT). These therapeutic interventions typically include eight sessions per week, which last between two and three hours. Recent research has focused on a shorter, less intensive mindfulness training. These short-term interventions can be taught by a trained therapist without the aid of a meditation teacher or group leader.The latest research has shown that short mindfulness exercises can have an immediate impact on ruminative thoughts. In particular, short mindfulness classes can decrease arousal and decrease the duration of thoughts that are ruminative. This research supports the idea that mindfulness training can be useful in the treatment of GAD.In addition to its direct impact on emotional reactivity and attentional control It has also been proven to decrease depression and improve happiness and mood. This is due in large part to the effects on negative thinking patterns and the reduction of symptoms of self-criticism and rumination.A small study conducted at the University of Waterloo suggests that 10 minutes of mindfulness can help to break the patterns of ruminative thinking that contribute to anxiety. In the study, 82 anxious participants were required to complete a task on a computer that was interrupted constantly. Half of them listened to a 10-minute meditation audio and the other half read an audio book.The study results showed that participants in the mindfulness audio group had significantly lower anxiety levels than those in the two other groups. This suggests that mindfulness training could be used to treat GAD however further research is required to identify the specific techniques that work. Future studies should also evaluate the effects of mindfulness-based therapy with other psychotherapeutic treatments.