Anxiety and Panic: Gaining Control Over How You're
Feeling
What is anxiety?
Anxiety can be a normal "alarm
system" alerting you to danger. Imagine coming home and
finding a burglar in your living room. Your heart beats fast.
Your palms get sweaty. Your mind races. In this situation,
anxiety can provide an extra spark to help you get out of
danger. In more normal but busy situations, anxiety can give
you the energy to get things done.
But sometimes anxiety can be out
of control, giving you a sense of dread and fear for no
apparent reason. This kind of anxiety can disrupt your
life.
Are there different types of
anxiety?
Yes. Anxiety can be a general
feeling of worry, a sudden attack of panicky feelings, a fear
of a certain situation or a response to a traumatic
experience.
What is generalized anxiety
disorder?
Generalized anxiety disorder is
ongoing worry or fear that isn't related to a particular event
or situation, or is out of proportion to what you would
expect--for instance, constantly worrying about a child who is
perfectly healthy.
Symptoms of generalized anxiety
disorder include muscle tension, trembling, shortness of
breath, fast heartbeat, dry mouth, dizziness, nausea,
irritability, loss of sleep and not being able to
concentrate.
What is panic disorder?
Panic disorder is another type of
anxiety. It occurs when you have repeated periods of extreme
panic, called panic attacks.
Suppose one day you're getting
out of your car to go to work. Suddenly, your chest feels
tight. Your heart races. You begin to feel dizzy and faint.
You start to choke. You feel as if the end is near. Was it all
in your head? No. Most likely, you had a panic attack.
Panic attacks last about 5 to 30
minutes and may include any of the symptoms listed in the box
below. Panic attacks can lead to phobias if they aren't
treated.
What is a phobia?
A phobia is an extreme,
unreasonable fear in response to something specific. Examples
include fear of crowds, bridges, snakes, spiders, heights,
open places or social embarrassment.
A phobia is only considered a
problem when it keeps you from living a normal life. An
example is being afraid to leave home because you are afraid
of having a panic attack or of not being able to escape if an
attack starts. This fear is called
agoraphobia.
What causes anxiety disorders?
Suppose the fire alarm goes off
in your home. You race around frantically to find the fire.
Instead, you find that there is no fire--the alarm just isn't
working properly.
It's the same with anxiety
disorders. Your body mistakenly triggers your alarm system
when there is no danger. This may be due to a chemical
imbalance in your body. It may also be related to an
unconscious memory, to a side effect of a medicine or to an
illness.
Can anxiety disorders be
treated?
Yes. Talk to your family doctor
if you think you have an anxiety disorder. He or she can help
you form a plan to develop skills to cope with your anxiety.
Your doctor may also suggest counseling and prescribe medicine
if needed. The following are some tips on coping with
anxiety:
Control your worry.
Pick a place and time to do your worrying. Make it the same
place and time every day. Spend 30 minutes thinking about your
concerns and what you can do about them. Try not to dwell on
what "might" happen. Focus more on what's really happening.
Then let go of the worry and go on with your
day.
Learn ways to relax.
These may include muscle relaxation, yoga, or deep breathing
(see box to the right).
Muscle relaxation is simple.
Start by choosing a muscle and holding it tight for a few
seconds. Then relax the muscle. Do this with all of your
muscles. Try starting with your feet muscles and working your
way up your body.
Exercise regularly.
People who have anxiety often quit exercising. But exercise
can give you a sense of well-being and help decrease feelings
of anxiety.
Get plenty of
sleep.
Avoid alcohol and drug
abuse. It may seem that alcohol or drugs relax you. But in
the long run they make anxiety worse and cause more
problems.
Avoid caffeine.
Caffeine is found in coffee, tea, soft drinks and chocolate.
Caffeine may increase your sense of anxiety because it
stimulates your nervous system. Also avoid over-the-counter
diet pills, and cough and cold medicines the contain a
decongestant.
Confront the things that
have made you anxious in the past. Begin by just picturing
yourself confronting these things. By doing this, you can get
used to the idea of confronting the things that make you
anxious before you actually do it. After you feel more
comfortable picturing yourself confronting these things, you
can begin to actually face them.
If you feel yourself getting
anxious, practice a relaxation technique or focus on a simple
task, such as counting backward from 100 to 0.
Although feelings of anxiety are
scary, they won't hurt you. Label the level of your fear from
0 to 10 and keep track as it goes up and down. Notice that it
doesn't stay at a very high level for more than a few seconds.
When the fear comes, accept it. Wait and give it time to pass
without running away from it.
Use medicine if it
helps. Your doctor may give you medicine to help reduce
your anxiety while you learn new ways to respond to the things
that make you anxious. Many types of medicine are available.
Your doctor will decide which medicine is right for
you.
Talk about your anxiety
with your doctor. Your doctor can help you make a plan to
cope with anxiety. "Talk therapy," or counseling, can help you
learn to express your needs and wants so you can feel more in
control and hold in less of your anger and
anxiety.
The most important thing is to
take action. Any action you take will help you gain a
sense of control over your anxiety.
Other
Organizations
National Institute of Mental
Health
http://www.nimh.nih.gov
888-8-ANXIETY
(888-8-269-4389)