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Anxiety

 

Definition

 

     Generalized anxiety is very common.  Most people experience periods of anxiety in their lives.  Others have general anxiety most of the time.  The latter condition generally begins between 20-35 years of age, and is somewhat more common in women.

 

Causes

 

     Genetic predisposition, psychological stressors (e.g., social, cultural, and major significant events), neurochemical abnormalities, e.g., serotonin, GABA (gamma aminobutyric acid), and other brain chemicals may all play a role.

 

Symptoms

  • Apprehension
  • Worry
  • Dizziness
  • Sweating
  • Trembling
  • Tense feeling
  • Vigilance
  • Irritability
  • Other body systems may be involved, with the resulting possible symptoms:
    1. Headaches, including migraines
    2. Heart racing
    3. Tightness or pressure in the chest
    4. Increased blood pressure
    5. Stomach pain and acid feeling
    6. Indigestion
    7. Hyperventilation or rapid, shallow breathing
    8. Choking sensation
    9. Tingling sensation

Screening and Diagnosis

  • Rule out other causes, such as thyroid problems, e.g., Pheochromocytoma

Treatment

  • Biofeedback
  • Regular exercise/ meditation and stress reduction techniques (e.g., deep breathing).
  • Psychotherapy counseling
  • Medications:
    1. Buspar
    2. Paxil and other calming anti-depressants
    3. Benzodiazepines such as Xanax, used cautiously due to addicting potential
 
 

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