Author: Leaman Ralph

Panic attacks are sudden periods of intense fear that may include palpitations, sweating, shaking, shortness of breath, numbness, or a feeling that something bad is going to happen. The maximum degree of symptoms occurs within minutes. Typically they last for about 30 minutes but the duration can vary from seconds to hours. There may be a fear of losing control or chest pain. Panic attacks themselves are not dangerous physically. Panic attacks can occur due to number of disorders including panic disorder, social anxiety disorder, post traumatic stress disorder, drug use disorder, depression, and medical problems. They can either be triggered or occur unexpectedly. Smoking and psychological stress increase the risk of having a panic attack. Before diagnosis, conditions that produce similar symptoms should be ruled out, such as hyperthyroidism, hyperparathyroidism, heart disease, lung disease, and drug use. Treatment of panic attacks should be directed at the underlying cause. In those with frequent attacks, counselling or medications may be used. Breathing training and muscle relaxation techniques may also help. Those affected are at a higher risk of suicide. In Europe about 3% of the population has a panic attack in a given year while in the United States they affect about 11%. They are more common in females than males. They often begin during puberty or early adulthood. Children and older people are less commonly affected.

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Social anxiety can be defined as nervousness in social situations. Some disorders associated with the social anxiety spectrum include anxiety disorders, mood disorders, autism, eating disorders, and substance use disorders. Individuals higher in social anxiety avert their gazes, show fewer facial expressions, and show difficulty with initiating and maintaining conversation. Trait social anxiety, the stable tendency to experience this nervousness, can be distinguished from state anxiety, the momentary response to a particular social stimulus. Nearly 90% of individuals report feeling a form of social anxiety (i.e., shyness) at some point in their lives. Half of the individuals with any social fears meet criteria for social anxiety disorder. The function of social anxiety is to increase arousal and attention to social interactions, inhibit unwanted social behavior, and motivate preparation for social situations such as performance situations.

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Anxiety disorders are a group of mental disorders characterized by significant feelings of anxiety and fear. Anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a fast heart rate and shakiness. There are a number of anxiety disorders: including generalized anxiety disorder, specific phobia, social anxiety disorder, separation anxiety disorder, agoraphobia, panic disorder, and selective mutism. The disorder differs by what results in the symptoms. People often have more than one anxiety disorder. The cause of anxiety disorders is a combination of genetic and environmental factors. Risk factors include a history of child abuse, family history of mental disorders, and poverty. Anxiety disorders often occur with other mental disorders, particularly major depressive disorder, personality disorder, and substance use disorder. To be diagnosed symptoms typically need to be present for at least six months, be more than would be expected for the situation, and decrease functioning. Other problems that may result in similar symptoms including hyperthyroidism; heart disease; caffeine, alcohol, or cannabis use; and withdrawal from certain drugs, among others. Without treatment, anxiety disorders tend to remain. Treatment may include lifestyle changes, counselling, and medications. Counselling is typically with a type of cognitive behavioral therapy. Medications, such as antidepressants, benzodiazepines, or beta blockers, may improve symptoms. About 12% of people are affected by an anxiety disorder in a given year and between 5-30% are affected at some point in their life. They occur about twice as often in females as males, and generally begin before the age of 25. The most common are specific phobia which affects nearly 12% and social anxiety disorder which affects 10% at some point in their life. They affect those between the ages of 15 and 35 the most and become less common after the age of 55. Rates appear to be higher in the United States and Europe.

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An anxiolytic (also antipanic or antianxiety agent) is a medication or other intervention that inhibits anxiety. This effect is in contrast to anxiogenic agents, which increase anxiety. Together these categories of psychoactive compounds or interventions may be referred to as anxiotropic compounds or agents. Some recreational drugs such as alcohol (also known formally as ethanol) induce anxiolysis initially; however, studies show that many of these drugs are anxiogenic. Anxiolytic medications have been used for the treatment of anxiety disorder and its related psychological and physical symptoms. Anxiolytics have been shown to be useful in the treatment of anxiety disorder. Light therapy and other interventions have also been found to have an anxiolytic effect. Beta-receptor blockers such as propranolol and oxprenolol, although not anxiolytics, can be used to combat the somatic symptoms of anxiety such as tachycardia and palpitations. Anxiolytics are also known as minor tranquilizers. The term is less common in modern texts and was originally derived from a dichotomy with major tranquilizers, also known as neuroleptics or antipsychotics. There are concerns that some GABAergics, such as benzodiazepines and barbiturates, may have an anxiogenic effect if used over long periods of time.

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Somatic anxiety is the physical symptoms of anxiety, such as butterflies in the stomach. It is also known as somatization. It is commonly contrasted with cognitive anxiety, which is the mental manifestations of anxiety, or the specific thought processes that occur during anxiety, such as concern or worry. These different components of anxiety are especially studied in sports psychology, specifically relating to how the anxiety symptoms affect athletic performance. “Symptoms typically associated with somatization of anxiety and other psychiatric disorders include abdominal pain, dyspepsia, chest pain, fatigue, dizziness, insomnia, and headache.” These symptoms can either happen alone or multiple can happen at once. Somatic anxiety is often pushed to the side and is not being treated as seriously as other forms of anxiety. Although not recognized, the most common way people express anxiety is through physical pain. This is including sayings like “butterflies in my stomach.” A lot of people someway relate their pain to the culture they were raised in. An example given by Charlotte Hanlon and Abebaw Fekeddu was that someone of sub African descent might describe their somatic pain as burning or crawling sensations all over the body. Children with this disorder tend to decline tremendously in school. This disorder also has the affect to make the person want to stop attending social events and activities. The reason there is no cure for these somatic anxiety pains is that the treatment plans are too risky and might be harmful to the child. Most of the time, a child is sent to see a regular physician but in some cases a specialist is required. A common suggestion is to try to make the child attend social activities. Increasing evidence shows that adults with this disorder often receive traces of it during their childhood years. Some symptoms tend to be the same for adults struggling with social anxiety. Although commonly overlooked, scientist are starting to study somatic anxiety more. Studies are actually starting to show that some medically overlooked cases that could not relate physical pain to any type of organ disfunction typically could have been somatic anxiety.

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