Anxiety
What is Anxiety?
Anxiety is our body’s natural response to perceived threats, a vital mechanism for survival. While everyone experiences anxiety, approximately 19% of U.S. adults struggle with it daily. Anxiety disorders, however, go beyond normal stress, causing persistent and excessive worry that disrupts daily life. It’s crucial to understand that having anxiety or an anxiety disorder doesn’t signify weakness; with proper care, individuals can lead fulfilling lives.
Anxiety and fear are adaptive responses to stress and imminent threats. Everyday situations can trigger normal anxiety, providing a temporary boost. When anxiety becomes persistent, interfering with daily functioning, it may signal an anxiety disorder. Recognizing this difference is essential for seeking timely intervention and managing the condition effectively, often through a combination of therapy, lifestyle changes, and, when necessary, medication. Understanding anxiety allows you to regain control and mitigate its impact on your well-being.
Anxiety Disorders
The phrase “I’m anxious” often conceals the complexity of anxiety, which manifests in various forms impacting daily activities like work, school, and relationships. One prevalent type is Generalized Anxiety Disorder (GAD), affecting nearly one in eight people in the U.S. Those with GAD experience constant worry about daily activities for at least six months, often feeling a lack of control. Physical and mental symptoms include restlessness, fatigue, muscle tension, excessive worry, and difficulty concentrating. GAD can co-occur with conditions like depression, substance use, PTSD, and OCD, making early recognition and intervention crucial.
Panic Disorder presents as sudden, uncontrollable fear or anxiety, distinct from anxiety’s gradual onset. Characterized by recurring panic attacks, individuals may fear the fear itself, leading to impulsive behavior and a sense of losing control. Panic attacks can prompt behavioral changes to avoid future episodes, impacting daily life and potentially leading to conditions like agoraphobia. Social Anxiety Disorder involves intense fear of negative evaluation in social situations, often leading to avoidance. Approximately 7% of the U.S. population experiences social anxiety disorder, with symptoms typically arising between ages eight and 15. Separation Anxiety Disorder involves excessive concern about separation from loved ones, affecting both children and adults. Phobias, such as agoraphobia or fear of needles, disrupt daily life activities and persist for six months or longer. Recognizing these distinct types is crucial for tailored intervention and support.
Myth VS FACT
Anxiety
Anxiety isn’t a real illness.
Anxiety is a legitimate, diagnosable psychiatric condition.
Feeling stressed, worried or anxious are very common experiences. Feeling worried, whether it’s about work, finances or personal life, can help people anticipate potential problems and solve them ahead of time. Because feeling worried or anxious is common and, in small doses, may be helpful in anticipating problems, many people may question whether anxiety is a real mental illness.
Anxiety disorders go beyond the general worry of day to day life. They are characterized by feeling worried or fearful every day for six months. People with anxiety experience symptoms such as:
- Tightness in the chest
- Racing heart
- Difficulty concentrating
- Fear of dying or losing control
- Difficulty sleeping due to worry
People with an anxiety disorder diagnosable by the Diagnostic and Statistical Manual for Mental Health, fifth edition (DSM-5) must have a certain number of symptoms that persist for at least six months. Anxiety disorders can be extremely debilitating and distressing to an individual.
All anxiety is the same.
here are several different types of anxiety disorders.
Anxiety affects people in different ways. Some people may experience anxiety related only to certain situations, while others experience it more constantly.
Common types of anxiety include:
- General anxiety disorder
- Panic disorder
- Social anxiety disorder
- Phobias
- Obsessive-Compulsive Disorder
- Post-Traumatic Stress Disorder
- Separation anxiety
Anxiety is a problem mostly for adults.
Anxiety affects both children and adults.
Although anxiety is the most common mental illness for adults, it’s also common in children. About 7 percent of children aged 3-17 years old (about 4.4 million kids) have diagnosed anxiety, according to the Centers for Disease Control and Prevention (CDC).
Anxiety can cause children behavioral, emotional, and physical symptoms in children, just as they can in adults.
Anxiety and depression are unrelated.
Many people who suffer from anxiety also suffer from depression.
It’s common for people to have both depression and an anxiety disorder. According to the ADAA, 50 percent of people with depression also have a diagnosed anxiety disorder.
And it’s not just depression. According to the ADAA, anxiety is related to several other mental and physical health conditions:
- Bipolar disorder
- Eating disorders
- Sleep disorders
- Substance abuse
- Attention deficit/hyperactive disorder
- Headaches
- Irritable bowel syndrome
- Chronic pain
- Fibromyalgia
I can get rid of my anxiety with a healthy lifestyle.
While you may be able to lessen your anxiety, it may not be cured.
Maybe you feel better after getting some exercise, or eating healthy, or getting a good night’s sleep. Maybe you cut out caffeine or other stimulants. Maybe you may choose to try natural or homeopathic methods to manage your symptoms, such as mediation, dietary changes, engagement in preferred hobbies or activities, or deep breathing. Maybe you avoid stressful situations altogether.
While doing some or all of that may make you feel better in the moment, it won’t cure your anxiety disorder. It’s important to seek out professional treatment to confront the causes of your anxiety disorder, instead of just trying to reduce stress.
Anxiety will go away on its own.
People may experience certain situations or stages of life that might increase levels of anxiety. In contrast, there may be periods of time where someone with an anxiety disorder might have a slight reduction in symptoms or be able to return to some of their regular activities. This may feel like a person with anxiety no longer has the disorder, or that their symptoms have been “cured.” However, anxiety disorders can be chronic and persistent, and if not dealt with properly, anxiety symptoms are likely to return.
In addition, feelings of anxiety are usually linked to underlying personality traits or ways of thinking. Because of this, getting anxiety to go away often requires addressing certain aspects of how a person thinks or behaves. While this shift in perspective often doesn’t happen on its own, it can be achieved through therapy or coping strategies for anxiety. Although a person can certainly make progress and feel like their anxiety symptoms are under control, it is best to address symptoms and causes of the disorder head-on.
Social anxiety is the same as being shy.
There are multiple differences between being shy vs. having social anxiety. On a basic level, social anxiety is an anxiety disorder, while shyness is considered part of someone’s personality. Social anxiety disorder, or social phobia, involves a persistent fear of social situations, or extreme worry about performance in a social group. Someone with social anxiety is extremely preoccupied with the fear that they will embarrass themselves or be scrutinized by others in a social situation, and they will often avoid social situations or experience extreme anxiety or panic in the lead-up.
Although people who are shy may be more likely to experience social anxiety, the two are not the same. People who are shy may feel slightly uncomfortable in social situations, or prefer solitude, but being shy is not characterized by extreme anxiety or panic in social settings.
A key difference between shyness and social anxiety is the level of distress experienced. In most cases, being shy is a personal quality that is often not overly upsetting. Social anxiety, on the other hand, can be extremely debilitating and isolating.
Anxiety in Children and Teens
Anxiety is a prevalent issue among children, adolescents, and teens, often emerging at different developmental stages. Anxiety disorders can be identified in children as young as four to eight years old, with around 32% of adolescents in the U.S. currently experiencing an anxiety disorder. The disruptions caused by the COVID-19 pandemic have intensified anxiety in this demographic, affecting their school, family life, and peer relationships. Distinguishing between normal worries and anxiety disorders in children can be challenging, but constant worrying that interferes with daily functioning may signal a more significant issue.
Recognizing and addressing anxiety in children is crucial, given its impact on their overall well-being. Symptoms vary widely and may include irritability, excessive worrying, sleep problems, and physical symptoms like headaches. Children are highly influenced by their environment, and anxiety can lead to feelings of isolation, fear, and shame. For teenagers, worries often center around academic performance, societal perceptions, and body image. Signs of anxiety in teens may include withdrawal from social activities, irritability, difficulties in school, or substance abuse. Helping children and teens cope with anxiety involves understanding the causes of their symptoms and providing timely support. Severe anxiety can significantly affect mental and emotional well-being, leading to withdrawal, avoidance, and a negative impact on self-esteem and confidence. Recognizing signs such as irritability, sleep disturbances, and avoidance behaviors is crucial for early intervention and support.
Myth VS FACT
Anxiety in Children and Teens
ANXIETY DISORDERS IN CHILDREN AND TEENS ARE RARE.
Regrettably, the prevalence of anxiety disorders in children is widespread, with a concerning upward trend in diagnoses. The Center for Disease Control (CDC) reports that approximately 7.1% of children aged 3-17 years, equivalent to around 4.4 million individuals, have been diagnosed with an anxiety disorder. To put it in perspective, this implies that 7-8 out of every 100 children have a formally identified anxiety disorder. It’s important to note that this statistic doesn’t encompass children who may be experiencing anxiety but haven’t undergone a formal diagnosis. The issue extends beyond the diagnosed cases, indicating a broader impact on childhood mental health.
My CHILD CAN STOP BEING ANXIOUS IF HE OR SHE WANTS TO.
Anxiety isn’t a rational thought that can be simply switched off. No child or teenager intentionally chooses to feel anxious, but without effective coping skills, anxiety persists, coursing through their bodies and perpetuating those uneasy feelings. When someone advises a child to “stop being anxious,” “calm down,” or “just relax,” they are assuming that it’s a feeling easily controlled. Unfortunately, it doesn’t work that way.
Regardless of how irrational a child’s thoughts or fears may seem, parental or caregiver explanations alone are insufficient to convince the child to switch off their anxiety. The complexity of anxiety goes beyond mere rationalization and requires supportive strategies for effective management.
ANXIETY ISN’T REAL, IT IS A CHILD BEING DRAMATIC.
Anxiety is an undeniable reality, whether or not an official anxiety disorder has been diagnosed. The thoughts and emotions that accompany anxiety can be profoundly debilitating, triggering negative cycles of behavior. Children and teens often go to great lengths to evade situations that provoke anxiety, sometimes displaying behaviors that may be perceived as misbehaviors.
The manifestation of anxiety can be quite pronounced as children and teens strive to assert control in uncomfortable situations. Bossy behavior, arguments, complaints, whining, and catastrophizing are all strategies employed to navigate or avoid anxiety-inducing circumstances. When they express physical symptoms related to anxiety, it’s not a mere fabrication; these sensations are genuine. Regardless of whether the situation logically warrants anxiety, if the child or teen perceives a genuine threat, their body responds accordingly, generating authentic feelings. Moreover, during heightened anxiety, rational thinking diminishes, making the thoughts experienced by the child or teen undeniably real to them in that moment.
Avoiding situations helps no child manage anxiety.
Children employ various subtle strategies to avoid anxiety, often manifesting gradually and escaping notice initially. They might express reluctance, saying phrases like “I don’t want to go there; they were mean last time” or “That was boring at Beavers.” Over time, you may notice your child distancing themselves from specific activities or events.
As parents, witnessing a child in distress can be difficult, prompting a desire to shield them from such discomfort. While offering immediate relief, overlooking these challenging situations can prove detrimental in the long run. It hinders their development of independence, preventing them from learning how to navigate the world beyond your immediate presence and diminishing their engagement in social activities.
My child will grow out of it
Anxiety issues stand out as the most prevalent challenges in childhood, and they frequently persist into adolescence and adulthood. Contrary to the belief that children naturally outgrow anxiety, it often becomes a risk factor for depression later in life. Hence, it is crucial for children to receive assistance in comprehending and effectively managing their anxiety.
Anxiety will go away on its own.
People may experience certain situations or stages of life that might increase levels of anxiety. In contrast, there may be periods of time where someone with an anxiety disorder might have a slight reduction in symptoms or be able to return to some of their regular activities. This may feel like a person with anxiety no longer has the disorder, or that their symptoms have been “cured.” However, anxiety disorders can be chronic and persistent, and if not dealt with properly, anxiety symptoms are likely to return.
In addition, feelings of anxiety are usually linked to underlying personality traits or ways of thinking. Because of this, getting anxiety to go away often requires addressing certain aspects of how a person thinks or behaves. While this shift in perspective often doesn’t happen on its own, it can be achieved through therapy or coping strategies for anxiety. Although a person can certainly make progress and feel like their anxiety symptoms are under control, it is best to address symptoms and causes of the disorder head-on.
Social anxiety is the same as being shy.
There are multiple differences between being shy vs. having social anxiety. On a basic level, social anxiety is an anxiety disorder, while shyness is considered part of someone’s personality. Social anxiety disorder, or social phobia, involves a persistent fear of social situations, or extreme worry about performance in a social group. Someone with social anxiety is extremely preoccupied with the fear that they will embarrass themselves or be scrutinized by others in a social situation, and they will often avoid social situations or experience extreme anxiety or panic in the lead-up.
Although people who are shy may be more likely to experience social anxiety, the two are not the same. People who are shy may feel slightly uncomfortable in social situations, or prefer solitude, but being shy is not characterized by extreme anxiety or panic in social settings.
A key difference between shyness and social anxiety is the level of distress experienced. In most cases, being shy is a personal quality that is often not overly upsetting. Social anxiety, on the other hand, can be extremely debilitating and isolating.
Anxiety in Adults
Anxiety disorders stand out as the most prevalent psychiatric conditions, with an estimated 25% of adults expected to contend with an anxiety disorder at some point in their lives.
Adult anxiety can exert profound effects on various facets of life, extending beyond momentary stressors. When anxiety becomes a persistent companion, occurring more frequently and intensely than typical stress responses, it can create significant disruptions. These disruptions often manifest in daily activities, impacting work, relationships, and overall well-being. The relentless nature of anxiety can lead to avoidance behaviors, hindering individuals from participating in experiences they once found enjoyable or fulfilling.
In the workplace, anxiety may impede productivity, hinder career advancement, or even lead to job dissatisfaction. In social settings, it can strain relationships, making it challenging to connect with others or engage in social activities. Physically, chronic anxiety may contribute to health issues such as insomnia, headaches, and digestive problems. The cumulative impact of anxiety on mental and emotional health is substantial, potentially leading to conditions like depression or exacerbating existing mental health challenges. Recognizing and addressing adult anxiety is crucial, as doing so can pave the way for improved overall functioning, enhanced quality of life, and the development of coping strategies to navigate life’s challenges.
Diagnosis
To diagnose an anxiety disorder, we employ various strategies. A psychological evaluation entails in-depth discussions about thoughts, feelings, and behaviors to pinpoint a diagnosis and identify any related complications. This process is essential as anxiety disorders often coexist with other mental health issues, such as depression or substance misuse, complicating the diagnostic process. Comparing symptoms against the criteria in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) aids in arriving at an accurate diagnosis. Physical exams, symptom inquiries, and blood tests may be recommended to rule out any underlying medical conditions that could contribute to anxiety symptoms.
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