Anxiety

What is anxiety?

Everyone feels anxious now and then. It’s a normal emotion. For example, you may feel nervous when faced with a problem at work, before taking a test, or before making an important decision.

Anxiety disorders are different, though. They are a group of mental illnesses, and the distress they cause can keep you from carrying on with your life normally.

For people who have one, worry and fear are constant and overwhelming, and can be disabling. But with treatment, many people can manage those feelings and get back to a fulfilling life.

Types of Disorders

Anxiety disorder is an umbrella term that includes different conditions:

• Panic disorder. You feel terror that strikes at random. During a panic attack, you may also sweat, have chest pain, and feel palpitations (unusually strong or irregular heartbeats). Sometimes you may feel like you’re choking or having a heart attack.
• Social anxiety disorder. Also called social phobia, this is when you feel overwhelming worry and self-consciousness about everyday social situations. You fixate about others judging you or on being embarrassed or ridiculed.
• Specific phobias. You feel intense fear of a specific object or situation, such as heights or flying. The fear goes beyond what’s appropriate and may cause you to avoid ordinary situations.
• Generalized anxiety disorder. You feel excessive, unrealistic worry and tension with little or no reason.

Symptoms

All anxiety disorders share some general symptoms:

• Panic, fear, and uneasiness
• Sleep problems
• Not being able to stay calm and still
• Cold, sweaty, numb or tingling hands or feet
• Shortness of breath
• Heart palpitations
• Dry mouth
• Nausea
• Tense muscles
• Dizziness

Causes

Researchers don’t know exactly what brings on anxiety disorders. Like other forms of mental illness, they stem from a combination of things, including changes in your brain and environmental stress, and even your genes. The disorders can run in families and could be linked to faulty circuits in the brain that control fear and other emotions.

Diagnosis

If you have symptoms, your doctor will examine you and ask for your medical history. She may run tests to rule out medical illnesses that might be causing your symptoms. No lab tests can specifically diagnose anxiety disorders.

If your doctor doesn’t find any medical reason for how you’re feeling, she may send you to a psychiatrist, psychologist, or another mental health specialist. Those doctors will ask you questions and use tools and testing to find out if you may have an anxiety disorder.

Your doctor will consider how long and how intense your symptoms are when diagnosing you. She’ll also check to see if the symptoms keep you from carrying out your normal activities.

Treatments

Most people with the condition try one or more of these therapies:

• Medication: Many antidepressants can work for anxiety disorders. They include escitalopram (Lexapro) and fluoxetine (Prozac). Certain anticonvulsant medicines (typically taken for epilepsy) and low-dose antipsychotic drugs can be added to help make other treatments work better. Anxiolytics are also drugs that help lower anxiety. Examples are alprazolam (Xanax) and clonazepam (Klonopin). They’re prescribed for social or generalized anxiety disorder as well as for panic attacks.
• Psychotherapy: This is a type of counseling that addresses the emotional response to mental illness. A mental health specialist helps you by talking about how to understand and deal with your anxiety disorder.
• Cognitive behavioral therapy: This is a certain type of psychotherapy that teaches you how to recognize and change thought patterns and behaviors that trigger deep anxiety or panic.

Managing Symptoms

These tips may help you control or lessen your symptoms:

• Cut down on foods and drinks that have caffeine, such as coffee, tea, cola, energy drinks, and chocolate. Caffeine is a mood-altering drug, and it may make symptoms of anxiety disorders worse.
• Eat right, exercise, and get better sleep. Brisk aerobic exercises like jogging and biking help release brain chemicals that cut stress and improve your mood.
• Sleep problems and anxiety disorder often go hand in hand. Make getting good rest a priority. Follow a relaxing bedtime routine. Talk to your doctor if you still have trouble sleeping.
• Ask your doctor or pharmacist before taking any over-the-counter meds or herbal remedies. Many contain chemicals that can make anxiety symptoms worse

WebMD Medical Reference Reviewed by Smitha Bhandari, MD on June 12, 2017