Anxiety

What is anxiety disorder?
Everyone gets anxious from time to time. But if you worry so much that you can't enjoy anything, your anxiety may have become an illness. Doctors call this illness generalized anxiety disorder. We'll call it anxiety disorder for short. We've looked at treatments for adults and for children and teenagers.
Many people who have anxiety disorder don't realize it. They just think they are born worriers.
1 Or they may think they have a physical illness. This is because anxiety disorder can give you symptoms such as headaches
or
palpitations (when you can feel your heart beating too fast).
2
Source:
Ninan PT.
Dissolving the burden of generalized anxiety disorder.
Journal of Clinical Psychiatry. 2001; 62 (supplement 19): 5-10.
Ninan PT.
Dissolving the burden of generalized anxiety disorder.
Journal of Clinical Psychiatry. 2001; 62 (supplement 19): 5-10.
palpitations
A palpitation is when you feel like your heart is beating very fast.
A palpitation is when you feel like your heart is beating very fast.
Source:
Andrews G, Creamer M, Crino R et al.
The treatment of anxiety disorders: clinician guides and patient manuals.
2nd edition. Cambridge University Press, Cambridge, UK; 2002.
Andrews G, Creamer M, Crino R et al.
The treatment of anxiety disorders: clinician guides and patient manuals.
2nd edition. Cambridge University Press, Cambridge, UK; 2002.

If anxiety is keeping you from enjoying life, you can get treatment.
If you have anxiety disorder, you can
get help. There isn't a cure for this condition, but there are good treatments that can help you control your anxiety, and not have
anxiety controlling you.
2
Source:
Andrews G, Creamer M, Crino R et al.
The treatment of anxiety disorders: clinician guides and patient manuals.
2nd edition. Cambridge University Press, Cambridge, UK; 2002.
Andrews G, Creamer M, Crino R et al.
The treatment of anxiety disorders: clinician guides and patient manuals.
2nd edition. Cambridge University Press, Cambridge, UK; 2002.
- Anxiety disorder is a real illness, and it can be treated.
- If you have it, you can't stop worrying, usually about ordinary, everyday things.
- Anxiety disorder is quite common, but many people don't realize they have it. Doctors find it hard to recognize, too.
- There's no cure for anxiety disorder, but treatment should help you control your worries.
- There are two kinds of treatment that work: "talking treatments" (or
psychotherapy
Psychotherapy is a talking treatment. It is given by trained therapists (such as a psychiatrists, psychologists or social workers). Psychotherapy usually consists of regular sessions (often weekly) between the therapist and the patient. There are many types of psychotherapy, including cognitive behavioral therapy and interpersonal therapy.psychotherapy) and treatment with drugs. - The best kind of psychotherapy is called cognitive behavioral therapy.
- Anxiety disorder can happen to children and teens, as well as adults.
There are some useful questions you can ask yourself if you think you may have problems with anxiety. To read more, see Test yourself for anxiety disorder.
Anxiety is a normal human emotion. We all worry at times about things such as money, our families or our jobs. But some people
get more anxious than others.
Anxiety becomes an illness when you worry so much that it interferes with your life. You can't stop worrying even though you try. You probably worry over lots of different things, like work or school, your
family or your health. Your worry is out of proportion, and it makes you feel ill and tired.
1
2
3
Source:
Ninan PT.
Dissolving the burden of generalized anxiety disorder.
Journal of Clinical Psychiatry. 2001; 62 (supplement 19): 5-10.
Ninan PT.
Dissolving the burden of generalized anxiety disorder.
Journal of Clinical Psychiatry. 2001; 62 (supplement 19): 5-10.
Source:
Andrews G, Creamer M, Crino R et al.
The treatment of anxiety disorders: clinician guides and patient manuals.
2nd edition. Cambridge University Press, Cambridge, UK; 2002.
Andrews G, Creamer M, Crino R et al.
The treatment of anxiety disorders: clinician guides and patient manuals.
2nd edition. Cambridge University Press, Cambridge, UK; 2002.
Source:
American Psychiatric Association
Diagnostic and statistical manual of mental disorders (DSM-IV-TR).
4th edition. American Psychiatric Association, USA; 2000; 328.
American Psychiatric Association
Diagnostic and statistical manual of mental disorders (DSM-IV-TR).
4th edition. American Psychiatric Association, USA; 2000; 328.
Doctors say you have an anxiety disorder if you worry too much on most days for at least six months. Your anxiety may make
it hard for you to live life normally. You might find it difficult to get a job, go to college or make friends.
Researchers don't really know what happens in your brain when you have anxiety disorder. X-rays or blood tests can't show
what's wrong. But that doesn't mean that what you're going through isn't real.
Your doctor won't be able to tell you why you have anxiety disorder. We don't know exactly what causes it, but scientists
believe that many things may play a part. They are studying how we are affected by our
genes, stressful experiences, everyday worries and unhappiness in childhood. They're also looking at the balance of chemicals in
the brain. All these things seem to affect how much you worry and how anxious you are.
4
5
6 To learn more, see More about causes of anxiety disorder.
genes
Your genes are the parts of your cells that contain instructions for how your body works. Genes are housed on chromosomes, structures that sit in the nucleus at the middle of each of your cells. You have 23 pairs of chromosomes in your normal cells, each of which has thousands of genes. You get one set of chromosomes, and all of the genes that are on them, from each of your parents.
Your genes are the parts of your cells that contain instructions for how your body works. Genes are housed on chromosomes, structures that sit in the nucleus at the middle of each of your cells. You have 23 pairs of chromosomes in your normal cells, each of which has thousands of genes. You get one set of chromosomes, and all of the genes that are on them, from each of your parents.
Source:
Brantley PJ, Mehan DJ Jr, Ames SC, et al.
Minor stressors and generalized anxiety disorder among low-income patients attending primary care clinics.
Journal of Nervous and Mental Disease. 1999; 187: 435-440.
Brantley PJ, Mehan DJ Jr, Ames SC, et al.
Minor stressors and generalized anxiety disorder among low-income patients attending primary care clinics.
Journal of Nervous and Mental Disease. 1999; 187: 435-440.
Source:
Brown ES, Fulton MK, Wilkeson A, et al.
The psychiatric sequelae of civilian trauma.
Comprehensive Psychiatry. 2000; 41: 19-23.
Brown ES, Fulton MK, Wilkeson A, et al.
The psychiatric sequelae of civilian trauma.
Comprehensive Psychiatry. 2000; 41: 19-23.
Source:
Hawker DS, Boulton MJ.
Twenty years' research on peer victimization and psychosocial maladjustment: a meta-analytic review of cross-sectional studies.
Journal of Child Psychology and Psychiatry and Allied Disciplines. 2000; 41: 441-455.
Hawker DS, Boulton MJ.
Twenty years' research on peer victimization and psychosocial maladjustment: a meta-analytic review of cross-sectional studies.
Journal of Child Psychology and Psychiatry and Allied Disciplines. 2000; 41: 441-455.
Studies show that some things can make it more likely that you will get anxiety disorder. You may be more at risk if you:
- Lose a parent when you are very young
Source:
Andrews G, Creamer M, Crino R et al.
The treatment of anxiety disorders: clinician guides and patient manuals.
2nd edition. Cambridge University Press, Cambridge, UK; 2002.
2 - Experience stressful events, such as the death of someone close, divorce or the loss of a job
Source:
Andrews G, Creamer M, Crino R et al.
The treatment of anxiety disorders: clinician guides and patient manuals.
2nd edition. Cambridge University Press, Cambridge, UK; 2002.
2 - Have more than the usual number of constant daily hassles to cope with, such as car repairs, household tasks or missed appointments
and find these more stressful than other people
Source:
Brantley PJ, Mehan DJ Jr, Ames SC, et al.
Minor stressors and generalized anxiety disorder among low-income patients attending primary care clinics.
Journal of Nervous and Mental Disease. 1999; 187: 435-440.
4 - Get bullied
Source:
Hawker DS, Boulton MJ.
Twenty years' research on peer victimization and psychosocial maladjustment: a meta-analytic review of cross-sectional studies.
Journal of Child Psychology and Psychiatry and Allied Disciplines. 2000; 41: 441-455.
6 - Live through a disaster, such as a flood, hurricane or plane crash
Source:
Brown ES, Fulton MK, Wilkeson A, et al.
The psychiatric sequelae of civilian trauma.
Comprehensive Psychiatry. 2000; 41: 19-23.
5 - Are a woman. Women are twice as likely as men to have anxiety disorder.
Source:
Wittchen HU, Hoyer J.
Generalized anxiety disorder: nature and course.
Journal of Clinical Psychiatry. 2001; 62 (supplement 11): 15-19.
7Source:
Jordi Alonso and Jean-Pierre Lépine
Overview of Key Data From the European Study of the Epidemiology of Mental Disorders
Journal of Clinical Psychiatry 2007; 68: 3-9
8Source:
Oakley-Browne M, Wells E, Scott K
Te Rau Hinengaro : The New Zealand Mental Health Survey
Ministry of Health, Wellington, 2006.
9
- Unemployed
Source:
Ninan PT.
Dissolving the burden of generalized anxiety disorder.
Journal of Clinical Psychiatry. 2001; 62 (supplement 19): 5-10.
1 - A homemaker. About a quarter of women with anxiety disorder don't have a job outside the home
Source:
Wittchen HU, Hoyer J.
Generalized anxiety disorder: nature and course.
Journal of Clinical Psychiatry. 2001; 62 (supplement 11): 15-19.
7 - Separated, divorced or widowed.
Source:
Ninan PT.
Dissolving the burden of generalized anxiety disorder.
Journal of Clinical Psychiatry. 2001; 62 (supplement 19): 5-10.
1
It's possible, for example, that people with an anxiety disorder find it hard to get or keep a job. Or they might find relationships
difficult, and so are more likely to separate or divorce.
If you have anxiety disorder, it's likely that you've already had another mental health problem, such as depression. Many people with anxiety disorder have another mental illness at some point in their lives.
8
Source:
Jordi Alonso and Jean-Pierre Lépine
Overview of Key Data From the European Study of the Epidemiology of Mental Disorders
Journal of Clinical Psychiatry 2007; 68: 3-9
Jordi Alonso and Jean-Pierre Lépine
Overview of Key Data From the European Study of the Epidemiology of Mental Disorders
Journal of Clinical Psychiatry 2007; 68: 3-9
Some of these extra problems are similar to anxiety disorder. See Other types of anxiety disorder to find out about these conditions.
Sometimes these illnesses lead to problems with alcohol or drug abuse.
3
10
11 If you have problems with alcohol or drugs, tell your doctor and get treatment.
Source:
American Psychiatric Association
Diagnostic and statistical manual of mental disorders (DSM-IV-TR).
4th edition. American Psychiatric Association, USA; 2000; 328.
American Psychiatric Association
Diagnostic and statistical manual of mental disorders (DSM-IV-TR).
4th edition. American Psychiatric Association, USA; 2000; 328.
Source:
Hoehn-Saric R, Noyes R.
The Anxiety Disorders.
1st edition. Cambridge University Press, Cambridge, UK; 1998.
Hoehn-Saric R, Noyes R.
The Anxiety Disorders.
1st edition. Cambridge University Press, Cambridge, UK; 1998.
Source:
Hidalgo RB, Davidson JR.
Generalized anxiety disorder: an important clinical concern.
Medical Clinics of North America. 2001; 85: 691-710.
Hidalgo RB, Davidson JR.
Generalized anxiety disorder: an important clinical concern.
Medical Clinics of North America. 2001; 85: 691-710.
Sources for the information on this page:
- Ninan PT.Dissolving the burden of generalized anxiety disorder.Journal of Clinical Psychiatry. 2001; 62 (supplement 19): 5-10.
- Andrews G, Creamer M, Crino R et al.The treatment of anxiety disorders: clinician guides and patient manuals.2nd edition. Cambridge University Press, Cambridge, UK; 2002.
- American Psychiatric AssociationDiagnostic and statistical manual of mental disorders (DSM-IV-TR).4th edition. American Psychiatric Association, USA; 2000; 328.
- Brantley PJ, Mehan DJ Jr, Ames SC, et al.Minor stressors and generalized anxiety disorder among low-income patients attending primary care clinics.Journal of Nervous and Mental Disease. 1999; 187: 435-440.
- Brown ES, Fulton MK, Wilkeson A, et al.The psychiatric sequelae of civilian trauma.Comprehensive Psychiatry. 2000; 41: 19-23.
- Hawker DS, Boulton MJ.Twenty years' research on peer victimization and psychosocial maladjustment: a meta-analytic review of cross-sectional studies.Journal of Child Psychology and Psychiatry and Allied Disciplines. 2000; 41: 441-455.
- Wittchen HU, Hoyer J.Generalized anxiety disorder: nature and course.Journal of Clinical Psychiatry. 2001; 62 (supplement 11): 15-19.
- Jordi Alonso and Jean-Pierre LépineOverview of Key Data From the European Study of the Epidemiology of Mental DisordersJournal of Clinical Psychiatry 2007; 68: 3-9
- Oakley-Browne M, Wells E, Scott KTe Rau Hinengaro : The New Zealand Mental Health SurveyMinistry of Health, Wellington, 2006.
- Hoehn-Saric R, Noyes R.The Anxiety Disorders.1st edition. Cambridge University Press, Cambridge, UK; 1998.
- Hidalgo RB, Davidson JR.Generalized anxiety disorder: an important clinical concern.Medical Clinics of North America. 2001; 85: 691-710.
This information was last updated on Mar 23, 2009
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© BMJ Publishing Group Limited 2009. All rights reserved.
© BMJ Publishing Group Limited 2009. All rights reserved.
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