Anxiety is a psychological state characterized by excessive worry, fear,
and nervousness about future events or uncertain situations. It is a normal
response to stress but becomes a disorder when it is persistent,
uncontrollable, and interferes with daily life. Anxiety affects both mental and
physical health and is associated with conditions like generalized anxiety
disorder (GAD), panic disorder, and phobias.
Types of Anxiety
- Generalized
Anxiety Disorder (GAD) – Persistent and excessive
worry about everyday activities without a specific cause.
- Panic
Disorder – Sudden and intense episodes of fear, accompanied by physical
symptoms like rapid heartbeat and breathlessness.
- Social
Anxiety Disorder – Fear of social situations and being judged by others.
- Phobic
Disorders – Intense, irrational fears of specific objects or situations
(e.g., heights, closed spaces).
- Obsessive-Compulsive
Disorder (OCD) – Repetitive thoughts (obsessions) and behaviors (compulsions) to
reduce anxiety.
- Post-Traumatic
Stress Disorder (PTSD) – Anxiety following a
traumatic event, leading to flashbacks and avoidance behaviors.
- Separation
Anxiety Disorder – Excessive fear of being away from loved ones, common in children
but can affect adults.
Theories of Anxiety
- Psychoanalytic
Theory (Freud) – Anxiety results from unconscious conflicts between desires and
societal restrictions.
- Behavioral
Theory – Anxiety is learned through negative experiences and reinforced
behaviors.
- Cognitive
Theory – Anxiety arises from distorted thoughts and exaggerated
perceptions of danger.
- Biological
Theory – Anxiety is caused by imbalances in neurotransmitters like
serotonin and dopamine.
Causes of Anxiety
- Genetic
Factors – Family history of anxiety disorders.
- Neurobiological
Factors – Increased activity in the amygdala and reduced serotonin levels.
- Environmental
Factors – Stressful life events, trauma, financial issues.
- Personality
Factors – Perfectionism, low self-esteem, high sensitivity to stress.
- Medical
Conditions – Hyperthyroidism, heart disease, chronic illnesses.
- Substance
Abuse – Alcohol, caffeine, and stimulant drugs can trigger or worsen
anxiety.
Clinical Features, Signs &
Symptoms of Anxiety
- Excessive
and uncontrollable worry.
- Restlessness,
irritability, and nervousness.
- Rapid
heartbeat (palpitations), sweating, dry mouth.
- Shortness
of breath, dizziness, nausea.
- Muscle
tension, trembling, headaches.
- Difficulty concentrating and sleep disturbances.
Investigations
- Psychological
Assessments – Hamilton Anxiety Rating Scale (HAM-A), Beck Anxiety Inventory
(BAI).
- Blood
Tests – To rule out thyroid dysfunction or vitamin deficiencies.
- ECG
(Electrocardiogram) – To differentiate between
anxiety-induced palpitations and heart-related issues.
- Neuroimaging
(MRI, CT Scan, EEG) – In cases where anxiety is
linked to neurological disorders.
Treatment & Management
- Cognitive
Behavioral Therapy (CBT) – Helps change negative
thought patterns and develop coping strategies.
- Relaxation
Techniques – Deep breathing, meditation, yoga, and mindfulness.
- Lifestyle
Modifications – Regular exercise, healthy diet, limiting caffeine and alcohol
intake.
- Medications –
Antidepressants (SSRIs, SNRIs), benzodiazepines (for short-term relief),
beta-blockers (for physical symptoms).
- Support
Therapy – Counseling, group therapy, and self-help strategies.
Homeopathic Remedies
- Aconitum
Napellus – Sudden, intense anxiety with panic attacks, fear of death.
- Argentum
Nitricum – Anticipatory anxiety, fear of crowds, impulsiveness.
- Gelsemium
Sempervirens – Anxiety with trembling, weakness, and dizziness.
- Arsenicum
Album – Anxiety about health, restlessness, fear of being alone.
- Kali
Phosphoricum – Nervous exhaustion, anxiety due to stress and overwork.
PSYCHOLOGY INCLUDES:-
- Mind
- Behavior
- Sensation
- Perception
- Illusion
- Hallucination
- Delusion
- Memory
- Thinking
- Motivation
- Emotion
- Imagination and Image
- Intelligence
- Aptitude
- Attention
- Personality
- Frustration
- Conflict
- Anxiety
- Psychosomatic manifestation
- Dreams
- Developmental Psychology