Understanding Anxiety

Learn About Anxiety

While experiencing fear, apprehension, or worry when facing a dangerous or stressful situation is often healthy, there are times when people experience these feelings to a degree that is out of proportion to the actual stressor. In fact, these feeling may even prevent them from functioning in their everyday lives. In these situations, a person may be diagnosed with an anxiety disorder. According to the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders, there are a number of diagnoses used to describe when a person’s anxiety prevents him or her from functioning well in his or her life. Some of these disorders include:

Specific phobia: People with specific phobias experience intense anxiety reactions that are triggered by specific stimuli. Common phobias include a fear of spiders, flying, being in enclosed spaces, animals, blood, or heights.

Social anxiety disorder: People with social anxiety disorder experience intense fear of being negatively evaluated by others in a social setting. This fear can often lead them to avoid many social situations, even if the consequences for avoiding these situations may be severe.

Panic disorder: Panic disorder sufferers experience intense episodes of anxiety known as panic attacks. During a panic attack, a person’s heart rate accelerates and he or she can experience sweating, shortness of breath, shaking, feeling as though he or she is choking, dizziness, numbness, derealization, depersonalization, and chest pain. During a panic attack, people often fear they are dying.

Generalized anxiety disorder (GAD): People with GAD experience heightened anxiety that is not necessarily tied to a specific situation or single stressor. They may feel restless, fatigued, and irritable and can have difficulty concentrating and difficulty sleeping. The degree of worry is such that it interferes with a person’s ability to function well in daily life.

Struggling with an anxiety disorder can be extremely difficult, and sometimes people attempt to use substances to manage the symptoms of anxiety that they experience. Unfortunately, substance use often creates problems of its own, and the person may then find him or herself fighting a two-front battle against both anxiety and substance use.

It may feel nearly impossible to gain victory in such a struggle, but help is available. With expert and compassionate treatment, it is possible to retake one’s life from the grasp of substance use and co-occurring anxiety.

Statistics

Anxiety Statistics

Anxiety disorders are some of the most common disorders among adults. According to the National Institute of Mental Health (NIMH), 18% of Americans will struggle with an anxiety disorder in a given year, and nearly one quarter of these adults, or roughly 4% of Americans overall, will be diagnosed as having a severe anxiety disorder. Over the course of their entire lives, nearly 30% of people will be diagnosed with anxiety disorders. Anxiety disorders also affect each gender differently, with women experiencing them 60% more frequently than men do. Unfortunately, only 42% of people with anxiety disorders will receive treatment in any given year.

Causes and Risk Factors

Causes and Risk Factors for Anxiety

A significant body of research has indicated that anxiety disorders are caused by a complex interaction of genetic and environmental factors. These may include:

Genetic: Research has shown that mental health disorders tend to run in families. That is, if a person’s parent or sibling has a mental health disorder, that person is also more likely to develop a mental health disorder at some point in life.

Environmental: In addition to genetic vulnerabilities, one’s environment can influence whether or not a person develops an anxiety disorder. Being exposed to severe chronic stress, traumatic events, violence, low socioeconomic status, and having poor social support can all increase the chance that a person will be diagnosed with an anxiety disorder. In addition, having poor coping resources can make an anxiety disorder more likely in a person’s life.

Risk Factors:

Lacking quality social support
Family history of mental illness or substance abuse
Personal history of other mental illness or substance abuse
Living in poverty
Experiencing long-term chronic stress
Having certain personality characteristics
Enduring traumatic experiences, such as physical, emotional, or sexual abuse
Being female
Growing up in an unstable home environment

Signs and Symptoms

Signs and Symptoms of Anxiety

The signs and symptoms of an anxiety disorder depend on a number of factors, such as one’s personality and which anxiety disorder a person is suffering from. However, the following are some signs and symptoms that can be present when someone is struggling with an anxiety disorder:

Behavioral symptoms:

Restlessness
Going out of one’s way to avoid certain people, places, or experiences
Having angry or aggressive outbursts
Being startled easily
Poor performance at work
Engaging in certain rituals to minimize anxiety
Not completing work or tasks on-time
Failing to keep up with responsibilities at home, work, or school

Physical symptoms:

Excessive sweating
Problems with sleeping
Changes in appetite
Shortness of breath
Dizziness
Nausea
Muscle tension
Headaches
Rapid heart rate
Changes in body temperature

Cognitive symptoms:

Racing thoughts
Loss of concentration
Nightmares
Obsessive thoughts
Difficulties with decision-making
Cyclical thoughts

Psychosocial symptoms:

Feelings of shame or guilt
Rapid changes in mood
Chronic worry
Strong feelings of apprehension
Feelings of powerlessness
Emotional detachment from events and relationships

Effects

Effects of Anxiety

Anxiety disorders tend to be highly treatable, but if a person continues to suffer from an anxiety disorder and co-occurring substance abuse and does not seek treatment, he or she may experience some of the following negative consequences:

Poor work performance
Loss of job
Financial difficulties
Relational stress
Loss of relationships
Developing a substance use disorder
Social withdrawal
Suffering from other mental health conditions
Worsening of anxiety disorder symptoms
Thoughts of suicide
Suicide attempts

Co-Occurring Disorders

Anxiety and Co-Occurring Disorders

Unfortunately many people suffer from other disorders in addition to their anxiety disorder and co-occurring substance use disorders. Some common co-occurring disorders may include: