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Dealing With Severe Anxiety DisorderAnxiety symptoms can be a hindrance with everyday life. It is crucial to seek treatment and relief.Trauma, including physical or emotional abuse and neglect, increase your risk of developing anxiety. Certain life circumstances, such as chronic health conditions and stressful situations also increase your risk of developing anxiety.Counseling (also called psychotherapy) helps you to change negative thoughts that cause distressing feelings. Cognitive behavioral therapy is the most well-known form of psychotherapy for anxiety.MedicinesFor many people, medication can be an effective way to minimize symptoms alongside therapy and lifestyle modifications. There isn't a one-size-fits all medication that is effective for everyone, so it's important to determine which one is best 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 effective treatment option for your needs.Benzodiazepines are fast-acting drugs that work to target gamma-aminobutyric acid (GABA) in your brain, helping to slow down the overexcited part of your brain, and promote peace. They are usually prescribed for short-term usage, for instance, when panic attacks or other overwhelming anxiety occurs. Examples include Xanax, Klonopin and Valium.Antidepressants help combat depression, but are often employed to treat anxiety disorders as well. They work by regulating the levels of chemicals in your brain--or neurotransmitters--like serotonin and norepinephrine. These drugs can be used to treat any type of anxiety disorder s, however they're most commonly used to treat GAD, PDA and SAD.Another type of antidepressant, selective serotonin reuptake inhibitors (SSRIs) are also able to be prescribed for anxiety. They are prescribed for mild-to moderate anxiety disorders, and have been shown to be effective through controlled, randomized tests.For severe anxiety disorder it is possible to require more powerful medication, such as an SSRI or a tricyclic antidepressant. These drugs are reserved for patients who haven't been able to respond to other treatments. Patients should be closely monitored for side effects such as depression or sedation.If you don't get relief from an SSRI, SNRI or monoamine oxidase A inhibitor doctor might suggest adding one. These are generally only prescribed when other treatments have failed, and they can be beneficial in reducing symptoms of SAD. Quetiapine and agomelatine are two typical examples.Be aware that a medication is not an answer to your problem. It should only be taken under the supervision of a medical professional. Always discuss the advantages and risks of any medication, including the possibility of side effects. It's important to ask your doctor about scheduling and follow-up appointments following your initial visit. Anxiety can become worse over time, and routine check-ins with your provider are key to managing anxiety symptoms in the long term.CounselingTalk therapy (or psychotherapy) is an essential component of treatment for anxiety disorders. A trained therapist can teach you ways to alter negative thoughts, emotions and behaviors that contribute to the symptoms.There are many types of psychotherapy, including cognitive-behavioral therapy (CBT). This approach has been thoroughly studied and is the most effective method for treating anxiety disorders. Your therapist might suggest other treatments such as mindfulness-based acceptance and commitment therapy or exposure therapy.Cognitive therapy examines the negative thought patterns that contribute to your anxiety. It teaches you to challenge these thoughts and replace them with more realistic, positive thoughts. Often, these thought patterns are learned through childhood experiences and can be difficult to break on your own.If your symptoms are severe, they can hinder your daily activities which makes it difficult to work or participate in social activities. Your counselor will determine how often you experience anxiety symptoms and how long they last, and how severe they may be. They will also check for any other mental disorders that could be contributing to the symptoms, like depression or addiction disorders.Talk therapy sessions are typically held face-toface with a mental health professional, such as a psychologist or psychiatrist. Your therapist can examine your facial expressions and body language to help you discern your reactions to specific situations. This can help determine whether the symptoms you are experiencing are due to a specific cause such as stress that persists or traumatic events.Anxiety can be a problem for anyone. A proper diagnosis can help you relieve your symptoms and improve your quality of life. Be aware that conquering an anxiety disorder requires time and commitment but it's worth the effort in the long run. Creating a strong support network and implementing healthy lifestyle practices and implementing relaxation techniques are all essential components of your treatment plan. The more you use these techniques, the more effective they will become.Exposure TherapyIf you are suffering from fears or phobias, you are more likely to connect certain situations or things with negative outcomes. In order to break this association and stop avoiding the things that trigger anxiety, your mental health professional may employ exposure therapy. This technique exposes you to items or situations that cause anxiety for a set period of time in a secure environment. In time, you'll learn that the feared situation or object is not hazardous and you will be able to handle it.Your therapist will begin with situations or items that don't trigger high levels of anxiety. They will then gradually advance to more challenging ones. This is known as "graded exposure." For example, if you're scared of snakes the therapist will begin by showing snake pictures in the first session. In subsequent sessions, they'll show you the image of a snake behind glass and then touch a snake. For some people, this type of exposure is not pleasant, and the therapist might use interoceptive exposure instead. This is the process of deliberately triggering physical sensations that are experienced when you are anxious, such as shaking or a heart beating, and teaching you that although these sensations may be uncomfortable, they aren't harmful.It's essential to consult a mental health professional who is trained and experienced in using this therapy. You could find yourself abstaining from activities that cause anxiety, which could cause you to experience more symptoms. Instead your therapist can help you confront the fears and anxieties that prevent you from living your life to its fullest.Your therapist may also use cognitive behavioral treatment to address the root belief that causes your anxiety. If you think that your anxiety is an indication of weakness, your therapist will help you identify these beliefs and confront them. Your therapist will also instruct you on breathing and relaxation techniques, and other coping mechanisms to reduce the negative effects these thoughts have on your life. They will also educate you on the physiology of the fight or flight response and how it can be activated in anxiety disorders.MindfulnessMindfulness is a practice of contemplation that dates back to thousands of years that encourages an openness to any experience, even the unpleasant ones. It is not a religious or secular belief system, and is accessible to anyone. Although mindfulness is often linked to Buddhism however, a number of leading practitioners claim that the technique has roots in ancient contemplative traditions.Research has proven that mindfulness meditation can boost mood and self-regulation, as well being able to recognize and respond to maladaptive patterns. It has also been shown to alter the structure of brain circuits that are involved in processing emotion. These changes are associated with an increase in activity in Default Mode Network which is involved in the aetiology of anxiety.Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction are the most widely used mindfulness programs in the secular world. These clinical interventions usually involve eight classes per week that last between two and three hours. Recent research has focused on shorter, less intense mindfulness training. These short-term interventions can be taught by a certified therapist, without the assistance of a meditation instructor or group leader.These newer studies have found that short mindfulness-based classes can immediately affect ruminative thought processes. Short mindfulness training can lower the level of arousal and reduce the duration of ruminative thinking processes. This research supports the view that mindfulness training can be beneficial in the treatment of GAD.In addition to its direct impact on emotional reactivity and control of attention The study has found that mindfulness can help to decrease depression and improve positive mood and well-being. This is largely due to the effects on negative thinking patterns and the reduction in symptoms of rumination and self-criticism.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 cause anxiety. In the study, 82 people who were suffering from anxiety were assigned to work on an online task that was regularly interrupted with interruptions. Half of them listened to a 10-minute meditation audio while the other half listened to an audio book.The study's results showed that participants who listened to the mindfulness audio had significantly lower levels of anxiety than those in the other two groups. This suggests that GAD can be treated with mindfulness training, but more research is required to determine which methods are effective. Future studies should also examine the results of mindfulness-based training with other psychotherapeutic treatments.