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Dealing With Severe Anxiety Disorder Anxiety symptoms can interfere with your daily routine. It is essential to seek treatment and relief. Traumas, like emotional or physical abuse or neglect, can increase your anxiety. As do certain life events like chronic health issues and stress. Counseling (also known as psychotherapy) assists you in changing negative thoughts that cause distressing feelings. The most popular kind of psychotherapy used to combat anxiety is cognitive behavioral therapy. Medications For a lot of people medications can be an effective way to alleviate symptoms as well as lifestyle modifications. There is no one medication that is suitable for every person. It is essential to determine the best medication for you. Your MDVIP provider can talk with you about your anxiety-related symptoms, your health history and goals to determine the most effective treatment options for you. Benzodiazepines are fast-acting drugs that target gamma-aminobutyric acids (GABA) in your brain, assisting to calm the over-excited part of your brain, and promote peace. These are often prescribed for short-term use, such as when a panic attack or other anxiety-provoking event occurs. The most common examples are Xanax (alprazolam), Klonopin (clonazepam) and Valium (diazepam). Antidepressants can treat depression, but are often used to treat anxiety disorder s as well. They work by regulating the levels of chemicals in your brain—or neurotransmitters—like serotonin and norepinephrine. These drugs are used to treat all types of anxiety disorders, but they're typically used to treat GAD, PDA and SAD. Another type of antidepressant could be prescribed for anxiety disorders, such as selective serotonin reuptake inhibits (SSRIs). They are prescribed for mild-to moderate anxiety disorders and have been proven to be effective in controlled, randomized tests. For a severe anxiety disorder you may require more powerful medication like an SSRI or a tricyclic antidepressant. These are typically prescribed for patients who haven't responded to other treatments, and a patient should be closely monitored for sedation or depression as an unwanted side effect. If you can't find relief with an SSRI or an SNRI or a SNRI, your doctor may try adding a monoamine oxidase A inhibitor. They are typically prescribed when other treatments have failed. They can be very effective in reducing the symptoms of SAD. Examples include quetiapine, and agomelatine. Be aware that a medication is not a cure. It is best to take it under the supervision of a physician. Always discuss with your doctor about the risks and benefits of any medication. This includes potential negative side effects. It is essential to ask your doctor about scheduling follow-up appointments following your initial visit. Routine check-ins are important to help manage anxiety symptoms over the long-term. Counseling The use of medication is essential for treating anxiety disorders however, psychotherapy (or talk therapy) is a crucial component of the treatment plan. A qualified therapist will show you how to modify unhealthy thoughts, emotions and behaviors that can cause symptoms. There are many types of psychotherapy including cognitive-behavioral therapies (CBT). This method has been extensively researched and is the best treatment for anxiety disorders. Your therapist could recommend additional treatments, such as exposure therapy or a mindfulness-based approach called acceptance and commitment therapy (ACT). Cognitive therapy focuses on the negative thoughts that can cause anxiety. It teaches you to confront these negative thoughts and replace them by more realistic, positive thoughts. Often, these thought patterns originate through childhood experiences and can be difficult to break on your own. If your symptoms are severe, they may affect your daily routine and make it hard to complete your work or engage in social activities. Your counselor will determine how often you experience symptoms of anxiety, how long they last, and how intense they may be. They will also search for any other mental health issues that may be contributing to your symptoms, such as depression or substance use disorders. Talk therapy sessions are usually held face-to-face with a qualified mental health professional, such as a psychologist or psychiatrist. Your therapist will examine your facial expressions and body language to understand your reactions to certain situations. This can help determine whether the symptoms you are experiencing are the result of a specific cause such as a stressful situation that continues or traumatic events. Anxiety is a common condition that can affect everyone. Making the correct diagnosis and implementing the right treatment plan will alleviate your symptoms and enhance your quality of life. Be aware that conquering an anxiety disorder requires time and commitment but it's worth the effort in the end. Creating a strong support network and implementing healthy lifestyle practices and implementing relaxation techniques are all valuable elements of your treatment strategy. The more you practice these skills, the more effective they'll become. Exposure Therapy When you suffer from a fear or phobia that you are suffering from, you may identify certain things or situations with negative consequences. Your mental health professional might utilize exposure therapy to break the relationship and stop avoiding things that trigger anxiety. This is a method of the exposure of you to anxiety-inducing objects or situations for a predetermined period of time in a secure environment. In time, this will help you realize that the feared item or situation isn't a risk and that you are able to deal with it. Gradually, your therapist will introduce you to more difficult 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 the subsequent sessions, you'll be asked to examine the image of a poisonous snake behind glass before touching an actual snake. For some this type of exposure isn't suitable, so a therapist may use interoceptive exposure instead. This involves purposefully triggering the physical sensations that arise when you are anxious, such as shaking or a heart beating and educating you that while these feelings are uncomfortable, they aren't harmful. It's important to work with an expert in mental health who is trained and experienced in the use of this therapy. You could find yourself staying away from things that cause anxiety, which can make your symptoms worse. Instead your therapist can help you overcome the anxieties and fears that hinder you from living life to the fullest. Your therapist could also use cognitive behavioral therapy to address the underlying beliefs that fuel your anxiety. If you think that your anxiety is a sign of weakness, your therapist will help you discover these beliefs and confront them. Additionally, your therapist will instruct you on breathing and relaxation techniques as well as other strategies to manage the negative effects of these thoughts. They will also teach you about the physiology and 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 promotes an openness to any experience, even the unpleasant ones. Anyone can practice it. It is not a religion nor a belief system that is secular. While mindfulness is often associated with Buddhism some practitioners claim that the technique has its roots in many ancient contemplative traditions. Studies have shown that mindfulness meditation can enhance self-regulation, mood and ability to detect abnormal patterns of thinking and reacting. It has been proven that mindfulness meditation has the ability to alter the structure of brain networks that are involved in processing emotions. These changes are linked to an increase in activity in Default Mode Network which is involved in the aetiology of anxiety. The most common secular mindfulness programs include Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT). These types of clinical interventions typically involve eight weekly classes that run approximately two to three hours each. Recent research has focused more on shorter, less intense mindfulness classes. These shorter interventions can also be taught by a qualified psychotherapist without the help of an instructor of meditation or a group leader. The latest research has found that short mindfulness-based exercises can immediately affect the ruminative thinking processes. Particularly, short mindfulness sessions can reduce arousal and cut down on the duration of ruminative thoughts. This research supports the notion that mindfulness training could be beneficial in the treatment of GAD. In addition to its direct effects on emotional reactivity and control of attention, mindfulness has been found to decrease depression and boost positive mood and well-being. This is largely due to the effects on negative thinking patterns and the reduction of the symptoms of self-criticism and rumination. A small study carried out at the University of Waterloo suggests that 10 minutes of mindfulness meditation can help in reducing the ruminative thoughts patterns which contribute to anxiety. In the study, 82 people who suffered from anxiety were asked to complete the computer, which was frequently interrupted by interruptions. Half of the participants were able to listen to a 10-minute meditation audio while the other half listened to an audio book. The study results showed that those in the mindfulness audio group had significantly lower levels of anxiety than those in the two other groups. This suggests that mindfulness training can be used to treat GAD, but further research is needed to determine the specific methods that work. Future studies should also compare the effects of mindfulness-based training with other psychotherapeutic treatments.