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Dealing With Severe Anxiety DisorderAnxiety symptoms can be a hindrance with daily life. It is important to seek treatment and get relief.Traumas, such as physical or emotional abuse, or neglect, can increase your anxiety. Certain life circumstances like chronic health conditions or stressful situations, also increase the risk of developing anxiety.Psychotherapy (also known as counseling) assists you in changing negative thinking patterns that lead to difficult feelings. The most popular type of psychotherapy that is used to treat anxiety is cognitive behavioral therapy.MedicationsMedicine can be a beneficial way to minimize symptoms for a variety of people. This is in addition to lifestyle and therapy changes. There isn't a single medication that works for everyone. It is important to choose the right medication 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 quickly target the Gamma aminobutyric (GABA) acid in your brain. They help calm your brain's overexcited state and promote calm. They are usually prescribed for short-term use such as when a panic attack or other anxiety-provoking event occurs. Examples include Xanax, Klonopin and Valium.Antidepressants can be used to treat anxiety and depression disorders. They work by regulating the levels of chemicals in your brain--or neurotransmitters--like serotonin and norepinephrine. These drugs are used to treat anxiety disorders of all kinds, but most frequently GAD, PDA, and SAD.Another form of antidepressant is selective serotonin reuptake inhibitors (SSRIs) are also able to be prescribed to treat anxiety. They are prescribed for mild to moderate anxiety disorders, and have been shown to be effective in controlled, randomized studies.For severe anxiety disorder you may require an additional medication like an SSRI or a tricyclic antidepressant. These are typically prescribed for patients who haven't responded to other treatments, and a patient must be carefully checked for depression or sedation as an adverse effect.If you aren't able to find relief from a SSRI or an SNRI, your doctor might consider adding a monoamine oxidase A inhibitor. They are usually prescribed after other treatments have failed, and they can be very beneficial in reducing symptoms of SAD. The most common examples are quetiapine and agomelatine.Be aware that a medication is not an answer to your problem. It must be taken only under the supervision of a doctor. You should always discuss the benefits and risks of any medication, including potential side effects. During your initial appointment, it's crucial to inquire about follow-up appointments and the timeframe for them. Anxiety can become worse as time passes, and regular check-ins with your provider are essential to reducing anxiety symptoms over the long term.CounselingTalk therapy (or psychotherapy) is a crucial part of treatment for anxiety disorders. A qualified therapist can show you how to modify negative thoughts, emotions and behaviors that contribute to your symptoms.There are many types of psychotherapy that include cognitive-behavioral therapy (CBT). This method is extensively researched and is the gold standard in treating anxiety disorders. Your therapist could recommend alternative treatments, such as mindfulness-based exposure therapy or an approach known as acceptance and commit therapy (ACT).Cognitive therapy focuses on the negative thought patterns that can cause anxiety. It teaches you how to challenge these negative thoughts and replace them by more realistic, positive thoughts. Most of the time, these patterns originate from childhood experiences and may be difficult to break on your own.If your symptoms are severe, they may hinder your daily activities and make it difficult to complete your job or participate in social activities. Your counselor will determine how often you experience anxiety-related symptoms and how long they last, and how intense they can be. They will also check for any other mental disorders that may be causing the symptoms, including addiction or depression.Talk therapy sessions are generally held face-to-face with a qualified mental health professional such as a psychologist or psychiatrist. Your counselor will be able to observe your facial expressions, body language and other signals to better know how you react to specific situations. This will help determine whether the symptoms you are experiencing are due to a specific cause such as stress that persists or traumatic experiences.Anxiety can affect everyone. A proper diagnosis can help you relieve your symptoms and improve your quality of life. Be aware that conquering an anxiety disorder takes time and dedication but it's worth it in the long run. Establishing a strong support system and implementing healthy lifestyle practices and implementing relaxation techniques are all important components of your anxiety disorder treatment strategy. The more you use these techniques, they will improve their effectiveness.Exposure TherapyIf you suffer from a fear or phobia you tend to identify certain situations or events with negative outcomes. Your mental health professional might use exposure therapy to break this connection and stop avoiding situations that can trigger anxiety. This approach exposes you items or situations that cause anxiety for a set period of time in a safe environment. In time, this will help you to learn that the item or situation isn't a risk and that you can cope with it.Gradually, your counselor will introduce you more challenging situations or items. This process is called "graded exposure." For instance, if afraid of snakes the therapist will begin by showing you pictures of snakes in the first session. In subsequent sessions, you will be asked to look at an image of a venomous snake in glass, before interacting with the real snake. Some people find this kind of exposure uncomfortable, so the therapist will employ interoceptive (or tactile) exposure. This involves deliberately triggering physical sensations such as a pounding or shaking heart and teaching that these sensations, although uncomfortable, are not harmful.It is essential to work with an expert in mental health who is trained and experienced in using this therapy. You could end up avoiding things that trigger anxiety, which can make your symptoms worse. Your therapist will instead assist you face the anxiety and fears that prevent you from living your life to the fullest.Your therapist may also use cognitive behavioral treatment to address the underlying belief that fuels your anxiety. For instance, if you think that your anxiety is a sign of weakness, they will assist you in identifying and challenging these assumptions. Additionally, your therapist will instruct you on relaxation and breathing techniques and other strategies to manage the negative impact of these thoughts. They will also provide you with information about the physiology behind the fight or flight response and how it can be activated in anxiety disorders.MindfulnessMindfulness is a contemplative practice that encourages the willingness to experiencing, even the most unpleasant emotions. Anyone can practice it. It is not a religion or a belief system that is secular. Though mindfulness is often tied to Buddhism however, a number of leading practitioners claim that the practice has its roots in ancient contemplative traditions.Studies have shown mindfulness meditation can improve mood and self-regulation as well being able to recognize and respond to abnormal patterns. It has been proven that mindfulness meditation can change the structure of brain networks involved in emotion processing. These changes are associated with an increase in activity in Default Mode Network which is implicated in anxiety's aetiology.Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction are the two most widely used mindfulness programs in the secular world. These are generally eight weekly classes that last approximately two to three hours each. Recent research has focused on shorter, less intense mindfulness training. These shorter sessions can be taught by a trained psychotherapist without the assistance of an instructor of meditation or a group leader.The latest research has found that short mindfulness-based training can have immediate effects on ruminative thought processes. Short mindfulness training can lower arousal, and also decrease the time spent in ruminative thought processes. www.iampsychiatry.com supports the idea that mindfulness training can be helpful in treating GAD.Mindfulness has been proven to reduce depression, increase happiness and mood in addition to having a direct impact on emotional reactions. This is mostly due to its effects on negative thinking patterns and the reduction of symptoms of self-criticism and rumination.A small study conducted 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 complete a computer task that was regularly interrupted with interruptions. Half of them spent 10 minutes listening to a meditation audio while the other half listened an audio book.The study results showed that those in the mindfulness audio group had significantly lower anxiety levels than those in the two other groups. This suggests that mindfulness-based training can be used to treat GAD, but further research is required to determine the specific methods that work. Future studies should examine the effects of mindfulness-based training with other psychotherapeutic treatment.