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Anxiety Disorders 

The best way to understand the nature of anxiety is to distinguish it from fear. For example, anxiety can be distinguished from fear in several ways. When you are afraid, your fear is usually directed toward a concrete, external object or situation. The event that you fear is within the bounds of possibility. You might fear missing a deadline, failing an exam, being unable to pay your bills, or being rejected by someone you want to please. When you experience anxiety, on the other hand, you often can't specify what it is you're anxious about. The focus of anxiety is more internal than external. It seems to be a response to a vague, distant, or even unrecognized danger. You might feel anxious about "losing control" of yourself, a situation, or a vague anxiety about "something bad happening or impending doom."

Anxiety affects your whole being. It is a physiological, behavioral, and psychological reaction all at once. On a physiological level, anxiety may include bodily reactions such as rapid heartbeat, muscle tension, nausea, dry mouth, or sweating. On a behavioral level, it can sabotage your ability to act, express yourself, or deal with certain everyday situations. Psychologically, anxiety is a subjective state of apprehension and uneasiness. In its most extreme form, it can cause you to feel detached from yourself and even fearful of dying or going crazy.

There are seven different types of anxiety disorders. Panic disorder is when the predominant feature is recurring panic attacks. This disorder can produce anticipatory anxiety (physical and emotional tension in anticipation of a panic attack). Panic disorder can also lead to agoraphobia, a marked fear or avoidance of being alone or of being in certain public places. The response is strong enough to significantly limit normal activities. Generalized anxiety disorder, a chronic state of tension which affects all systems in the body, is the third and most common type of anxiety disorder. Social phobia is an anxiety disorder that causes excessive or unreasonable fear that other people may notice and/or judge you. The persistent and irrational fear of an object or situation is categorized as a specific phobia. A severe type of anxiety disorder is termed obsessive-compulsive disorder. People who experience obsessive-compulsive disorder have obsessions (repetitive, unproductive thoughts) and compulsions (unproductive behaviors that are enacted ritualistically). A final type of anxiety disorder is posttraumatic stress disorder. This disorder identifies a specific emotional distress that follows a major psychologically traumatic event.

Signs and Symptoms: Panic Disorder

  • Shortness of breath or a feeling of being smothered
  • Heart palpitations-pounding heart or accelerated heart rate
  • Dizziness, unsteadiness, or faintness
  • Trembling or shaking
  • Feeling of choking
  • Sweating
  • Nausea or abdominal distress
  • Feeling of unreality
  • Numbness or tingling in hands and feet
  • Hot and cold flashes
  • Chest pain or discomfort
  • Fears of going crazy or losing control
  • Fears of dying

Social Phobia

  • Fear of blushing in public
  • Fear of choking on or spilling food while eating in public
  • Fear of being watched at work
  • Fear of using public toilets
  • Fear of writing or signing documents in the presence of others
  • Fear of crowds
  • Fear of taking examinations

Generalized Anxiety Disorder

  • Restlessness
  • Being easily fatigued
  • Difficulty concentrating
  • Irritability
  • Muscle tension
  • Difficulties with sleep
  • Fear of losing control
  • Fear of not being able to cope
  • Fear of failure
  • Fear of rejection or abandonment
  • Fear of death and disease

Post-Traumatic Stress Disorder

  • Repetitive, distressing thoughts about the event
  • Nightmares related to the event
  • Flashbacks so intense that you feel or act as though the trauma were occurring all over again
  • An attempt to avoid thoughts or feelings associated with the trauma
  • An attempt to avoid activities or external situations associated with the trauma-such as a phobia about driving developing after you have been in an auto accident
  • Emotional numbness-being out of touch with your feelings
  • Feelings of detachment or estrangement from others
  • Losing interest in activities that used to give you pleasure
  • Persistent symptoms of increased anxiety, such as difficulty falling or staying asleep, difficulty concentrating, startling easily, or irritability and outbursts of anger.

For More Information,
Contact:

David G. Nardecchia, M.Ed.
Counselor
nardecchia@rmu.edu
412-397-5861 phone
412-397-2589 fax
Nicholson Center 2nd

 
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