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anxiety attack

Generalized Anxiety Disorder

You should limit or avoid completely:

 

  • alcohol
  • nicotine
  • amphetamines
  • antihistamines
  • slimming tablets
  • thyroid preparations
  • xanthine compounds (theophylline and caffeine

 

Psychological and Physical Symptoms of GAD

Psychological

 

Feeling keyed up or on edge

Restlessness

Difficulty concentrating

Difficulty relaxing

Exaggerated startle response

                                 

Physical

 

Palpitations

Symptoms of hyperventilation

__tightness in chest

__light-headedness

__numbness or tingling

Sweating

Dry Mouth

Nausea

Diarrhea

Frequent urination

Muscular tension, particularly across the shoulders and back

Trembling

Headaches

Excessive caffeine is the most commonly unrecognized 'impersonator' of substance-induced generalized anxiety. Caffeine intoxication can mimic both GAD and panic disorder. When the symptoms mimic GAD, the person has typically consumed larger and larger amounts of caffeine, sometimes unsuspectingly, over several weeks or months. While an individual may initially have consumed caffeine to combat fatigue, unintentional consumption of toxic levels may occur through frequent use of over-the-counter medications or beverages not known by the consumer to contain caffeine. Initial episodes of stimulant-induced anxiety usually disappear when the substance is discontinued. The exception is individuals at increased genetic risk (i.e. those with first- degree relatives who suffer from GAD), who may still suffer from anxiety after the discontinuation of caffeine or other stimulants. Individuals who are physiologically dependent on caffeine require gradual tapering of their caffeine intake. Conversely, anxiety symptoms can result from withdrawal of alcohol or other substances, including caffeine. Anxiety is a poorly appreciated but common consequence of caffeine withdrawal in individuals with a history of high caffeine consumption. GAD may therefore be caused both by chronic use caffeine and by caffeine withdrawal. GAD can occur in association with other psychiatric disorders, notably depression and other mood disorders, other anxiety disorders and early on in schizophrenia.  

 

What Treatments Are Available for Generalized Anxiety Disorder?

Generalized anxiety disorder (GAD). The first step towards successful management of GAD is identifying the problem. Patients with coexisting depression and anxiety tend to be identified and treated by primary care physicians, but those with pure GAD uncomplicated by depression often go unrecognized. However, even when GAD is unaccompanied by depression, high rates of social and work impairment are seen. Even if recognized, patients with pure GAD tend to be inadequately treated for their condition. This is unfortunate because many patients with pure GAD can be managed effectively by counseling and, if necessary, other psychological therapies. A series of, for example, four or five consultations over several weeks will often clarify the cause of anxiety and allow the patient to recognize their own role in controlling the condition.

 

Patients with more severe anxiety or those who do not respond to counseling alone may benefit from behavioral therapy and support from the family physician or practice nurse, or from community psychiatric services. Relaxation therapies may also be useful. For patients who do not respond to psychological treatment alone, a short course of medication may help to control their symptoms. The choice of drug depends on the needs of the individual patient.  Benzodiazepines are the agents of first choice if a rapid anxiolytic response is required. Antidepressants are appropriate for patients with concomitant depression. Several trials have shown venlafaxine to be effective in both the short term (8 weeks) and the long term (6 months). Some SSRls have also shown efficacy in this indication. • Buspirone is suitable for the short-term management of anxiety if a quick response is not required. However, the efficacy of buspirone has been questioned.

Beta blockers are often useful in patients in whom mild physical symptoms, such as palpitations, predominate. Patients who do not respond to primary care treatment should be referred for specialist assessment. Few such patients require hospitalization; most are treated as outpatients, with the continuing involvement of the primary care team.

Can People with Generalized Anxiety Disorder Also Have Other Physical and Emotional Illnesses?

 

Research shows that Generalized Anxiety Disorder often coexists with depression, substance abuse, or other anxiety disorders. Other conditions associated with stress, such as irritable bowel syndrome, often accompany Generalized Anxiety Disorder. Patients with physical symptoms such as insomnia or headaches should also tell their doctors about their feelings of worry and tension. This will help the patient's health care provider to recognize that the person is suffering from Generalized Anxiety Disorder.

 

TREAT Generalized Anxiety Disorder NATURALLY

 

 

 

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