{"id":48751,"date":"2025-02-18T20:51:13","date_gmt":"2025-02-18T20:51:13","guid":{"rendered":"https:\/\/luchat8.com\/wiki\/anxiety-2\/"},"modified":"2025-02-18T20:51:13","modified_gmt":"2025-02-18T20:51:13","slug":"anxiety-2","status":"publish","type":"wiki","link":"https:\/\/luchat8.com\/en\/wiki\/anxiety-2\/","title":{"rendered":"Anxiety"},"content":{"rendered":"
\n

ANXIETY – definition<\/strong><\/h2>\n

Anxiety is a chronic state of apprehension, a feeling that has the character of unpleasant anticipation, foreboding and uncertainty. Anxiety syndrome began to be recognized as an individual disease relatively late, at the end of the 19th century. The first scientific research reports contain more descriptions of physical\/somato-vegetative symptoms than psychological ones, and these somatic signs could not be explained by physical illness but by the effects of an overstimulated nervous system, stress and fatigue. We all feel discomfort, fear, anxiety and tension at a certain period of our lives, which is desirable and useful in certain situations, because it allows an individual to overcome life’s challenges and leads to personality development. On the other hand, anxiety, which, due to its intensity or duration, disables and significantly reduces the quality of life, is a subject of interest in modern society.<\/p>\n

 <\/p>\n<\/div>\n

\n

CAUSES – etiology<\/strong><\/h2>\n

The interaction of biological, psychological and socio-social factors in the development of anxiety disorders varies, both for infectious disorders and for each individual. Genetic predisposition, or heredity, confirms the role in the etiology of anxiety disorders. Biochemical factors, a decrease in 5-HT and GABA neurotransmission, as well as an increase in NA and DA transmission, are one of the chemical correlates of these diseases. Then, long-term exposure to stressful situations and long-term accumulation of stress often precede the development of panic attacks and phobic disorders. Also crucial are environmental factors in childhood, or parenting. Negative childhood experiences that have been imprinted on our personality limit us, hinder the development of our relationships and connections. On the other hand, children who were overprotected by their parents also have a predisposition to the later development of anxiety.<\/p>\n

 <\/p>\n<\/div>\n

\n

SYMPTOMS<\/strong><\/h2>\n

Anxiety syndrome is manifested by numerous psychological symptoms, such as: constant worry about everyday activities, constant anticipation and expectation of unfavorable events, loss of energy and reduced concentration for performing usual activities, withdrawal, self-isolation, distancing from close people. On the other hand, numerous physical symptoms are also present, for example: palpitations and rapid heartbeat, sweating, muscle tension, shortness of breath, a feeling of tightness in the chest and suffocation.<\/p>\n

 <\/p>\n<\/div>\n

\n

RISK FACTORS<\/strong><\/h2>\n

<\/strong><\/p>\n

\n

TRAUMA<\/h3>\n

Children and adults who have experienced a stressful event (rape, abuse, child neglect by parents, death of a close person, illness, traffic accident) have a higher risk of developing an anxiety disorder;<\/p>\n<\/div>\n

\n

GENETIC FACTORS<\/h3>\n

hereditary predisposition increases the risk of developing anxiety;<\/p>\n<\/div>\n

\n

LACK OF EMOTIONAL INTELLIGENCE<\/h3>\n

emotions are signs, so it is important to be able to “read” what they are saying, if we sabotage and stifle them or on the other hand analyze them too much and get into doubt, they can also lead to discomfort and unrest;<\/p>\n<\/div>\n

\n

DRUGS AND ALCOHOL<\/h3>\n

massive use and abuse can cause and worsen anxiety;<\/p>\n<\/div>\n

\n

OTHER MENTAL DISORDERS<\/h3>\n

anxiety occurs as a symptom of other illnesses, such as during depression;<\/p>\n

\u200d<\/p>\n<\/div>\n<\/div>\n

\n

ANXIETY DISORDERS<\/strong><\/h2>\n

\u00a0<\/strong><\/p>\n

\n

GENERALIZED ANXIETY DISORDER (F41)<\/strong><\/h3>\n

Generalized anxiety disorder is characterized by persistent anxiety and worry, which is not related to external circumstances, but is exclusively a “floating” fear. The patient is unable to control emotions, due to excessive fear and worry, which lasts for weeks or even months, and significantly affects the quality of life and daily functioning.<\/p>\n

GAP is the most common among anxiety disorders, its etiology is usually unknown and the cause is difficult to detect. About 2\/3 of patients are women. It is most commonly found in divorced and widowed people, housewives and unemployed people, and in urban areas, where the pace of life is significantly faster.<\/p>\n

 <\/p>\n

The intensity of symptoms varies during the day, although in the evening hours before bedtime they can be severe and cause insomnia, which further affects the quality of life and the performance of daily activities the next day.<\/p>\n

 <\/p>\n

If the disorder is not treated, it can become chronic. About 25% of people with GAP develop panic disorder.<\/p>\n

 <\/p>\n<\/div>\n

\n

OBSESSIVE-COMPULSIVE DISORDER (F42)<\/strong><\/h3>\n

Obsessive-compulsive disorder (OCD) is a type of neurosis, belonging to the anxiety disorders, and the main characteristics are repetitive compulsive thoughts and compulsive actions, which are unpleasant, occur against their will and the person experiences them as their own. What distinguishes OCD from other anxiety disorders is the fact that fears are associated with repetitive, unwanted and intrusive unpleasant thoughts – obsessions and compulsive actions.<\/p>\n

 <\/p>\n

Three clinical forms are possible:<\/p>\n

1.\u00a0\u00a0\u00a0\u00a0Presence of only compulsive thoughts;<\/p>\n

2.\u00a0\u00a0\u00a0\u00a0Presence of only compulsive actions;<\/p>\n

3.\u00a0\u00a0\u00a0\u00a0Presence of both compulsive thoughts and actions \u2013 found in 80% of patients<\/p>\n

 <\/p>\n

In order to fully understand OCD, we need to distinguish it from ordinary fear and worry. For example, someone may think that they did not turn off the stove or iron or left the apartment unlocked, although somewhere in themselves that person knows that they did it, but in order to calm their thoughts, they have to go back and check if the action was done. Very often, this certain number of repetitions is repeated more and more, and behind this is the unrealistic idea of \u200b\u200bthe patient that in this way they will “prevent” the disaster. In practice, the most common obsessions are related to: infections and cleanliness, details and symmetry, death, loss of control, sexual and aggressive content<\/p>\n

Diagnosis and differential diagnosis:<\/p>\n

The diagnosis is made based on the presence of obsessive thoughts and\/or compulsive actions, which are a source of suffering and the patient’s inability to perform everyday activities.<\/p>\n

OCD should be differentiated from mental disorders such as:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Schizophrenia<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Depressive disorder<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Tourette’s syndrome<\/p>\n

 <\/p>\n<\/div>\n

\n

PANIC DISORDER (F41)<\/strong><\/h3>\n

Panic disorder is characterized by frequent panic attacks, associated with constant worry about whether and when the attack will occur again, and avoidance of activities that may trigger an attack.<\/p>\n

 <\/p>\n

The incidence of panic disorder is 2 to 4% in the general population at some point in life. It is twice as common in females. It occurs in late adolescence and early adulthood.<\/p>\n

Panic disorder is manifested by:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Recurrent, unpredictable panic attacks, which are a specific type of anxiety, accompanied by various physical symptoms, such as rapid heartbeat or palpitations, tremors, shaking, shortness of breath, sweating, dry mouth, chest pain or discomfort;<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Patients feel a strong and very intense fear or discomfort between panic attacks;<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0almost always accompanied by a secondary fear of death, loss of control and reason;<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0half of patients develop agoraphobic behavior – they avoid places and situations that they think are a potential cause of the attack, fearing the outcome of the situation and whether the environment will understand them and accept their current state;<\/p>\n

A person who has panic attacks is not mentally ill, nor mentally ill, but has a certain problem, with which he or she currently does not know or cannot cope.<\/p>\n

A panic attack occurs suddenly and abruptly, usually lasts 10 to 30 minutes, with the peak reaching in the first 5 to 10 minutes. Patients usually see a doctor immediately, because the physical symptoms are very pronounced and most often think that the illness in question is a physical illness, such as a heart attack, stroke, or it all depends on which physical symptom is the most pronounced. The doctor’s duty is to take a precise history, perform a physical examination, do an ECG and check thyroid hormones. If there is no pathological element, or disease, it is important to diagnose panic attacks and give a referral to a psychologist and\/or psychiatrist. But the most important thing is to provide the patient with adequate help and to promptly return to their daily routine step by step.<\/p>\n

Panic disorder should be distinguished from physical diseases such as endocrine (hormonal), cardiac, pulmonary or neurological.<\/p>\n

\u00a0<\/strong>\u00a0<\/strong>\u00a0<\/strong><\/p>\n<\/div>\n

\n

POST TRAUMATIC STRESS DISORDER(F43)<\/strong><\/h3>\n

Post-traumatic stress disorder is an anxiety disorder and occurs as a delayed or prolonged reaction to a stressful event, such as natural disasters, exposure to torture, rape, war events, terrorism, and includes intense fear, fright and helplessness. A person does not necessarily have to survive a dangerous event to get sick. Also, the sudden unexpected death of a loved one can cause upheaval.<\/p>\n

The risk of contracting PTSD after a stressful event is about 8% for men and about 20% for women.<\/p>\n

The clinical picture and symptoms are possible immediately after the stressful event, several weeks later or even several years.<\/p>\n

Symptoms of re-experiencing a stressful event (flashbacks)<\/p>\n

a)\u00a0\u00a0\u00a0\u00a0The patient feels or behaves as if the event is currently happening (through the feeling of re-experiencing the trauma, illusions, hallucinations), in a particularly vivid and disturbing way;<\/p>\n

b)\u00a0\u00a0\u00a0\u00a0\u00a0Present daydreams, dreams and nightmares;<\/p>\n

c)\u00a0\u00a0\u00a0\u00a0\u00a0Intense discomfort when exposed to internal or external stimuli<\/p>\n

 <\/p>\n

Symptoms of avoidance of events or circumstances related to the trauma<\/p>\n

a)\u00a0\u00a0\u00a0\u00a0Efforts to avoid thoughts, feelings or conversations related to the trauma<\/p>\n

b)\u00a0\u00a0\u00a0\u00a0Emotional apathy, feeling of numbness, disconnectedness with emotions<\/p>\n

c)\u00a0\u00a0\u00a0\u00a0\u00a0Feeling of alienation<\/p>\n

Symptoms of overexcitement (hypersensitivity):<\/p>\n

a)\u00a0\u00a0\u00a0\u00a0Difficulties with sleeping<\/p>\n

b)\u00a0\u00a0\u00a0\u00a0Irritability<\/p>\n

c)\u00a0\u00a0\u00a0\u00a0\u00a0Difficulties with concentration<\/p>\n

A detailed assessment and analysis by a psychiatrist together with a psychotherapist decides on the type of therapy, whether psychotherapy alone is possible or whether drug therapy is also included.<\/p>\n

 <\/p>\n<\/div>\n

\n

SOCIAL ANXIETY<\/strong><\/h3>\n

A condition that is a form of fear, worry, restlessness and\/or nervousness, or avoiding contact with other people. This anxiety disorder appears as an excessive and irrational fear when expressing opinions in small groups, talking to people they do not know, public speaking, talking on the phone or any other situation where they are exposed to the views and evaluation of other people. Physical symptoms are present such as heart palpitations, shortness of breath, sweating, shaking of the body, then rapid or slow speech, stuttering, avoiding looking the interlocutor in the eyes, difficulty focusing. The person is afraid of saying something wrong, and of embarrassing themselves in front of others, tends to be perfectionist and rightly so, if they are not sure about something, they do not complete the task and give up, therefore they experience it as a personal failure and incompetence. Social anxiety is accompanied by feelings of shame and embarrassment.<\/p>\n

 <\/p>\n<\/div>\n

\n

PHOBIAS (F40)<\/strong><\/h3>\n

A state of irrational fear of a specific object or situation. The fear and apprehension interfere with daily activities, work or relationships, causing mental distress. People suffering from phobias avoid situations or objects that cause discomfort and anxiety. The prevalence of agoraphobia is 2.7-5.8%, social phobia 1.2-2.2%, and specific phobias 4.5-11.8%.<\/p>\n

 <\/p>\n

Manifestations<\/p>\n

\n

a)\u00a0\u00a0\u00a0\u00a0 Agoraphobia (Greek: Agora-trg)<\/h4>\n

It is a fear of open spaces and crowds, closed spaces with many people, travel or any other situation where self-isolation, or escape from one’s own home, is not possible. It manifests itself in a classic panic attack, or the inability to self-control one’s emotions. The main characteristic is the avoidance of places or situations that cause them anxiety and fear, which significantly affects the quality of life. People who suffer from agoraphobia often carry medication, amulets and insist on being accompanied by a person who gives them security.<\/p>\n<\/div>\n

\n

b)\u00a0\u00a0\u00a0\u00a0 Social phobia<\/h4>\n

Anxiety occurs due to an irrational fear of other people and social situations, such as public speaking, meeting people of the opposite sex or strangers. The person avoids all situations that can lead to a panic attack and anxiety, which leads to mental unrest and reduces the potential of that person.<\/p>\n

 <\/p>\n<\/div>\n

\n

c)\u00a0\u00a0\u00a0\u00a0\u00a0Specific (isolated) phobias<\/strong><\/h4>\n

They are limited to narrowly specific situations.<\/p>\n

They are:<\/p>\n

1.\u00a0\u00a0\u00a0\u00a0Animal phobias<\/p>\n

2.\u00a0\u00a0\u00a0\u00a0Phobias of natural phenomena (heights, weather, water)<\/p>\n

3.\u00a0\u00a0\u00a0\u00a0Phobias of blood\/injections\/injury<\/p>\n

4.\u00a0\u00a0\u00a0\u00a0Phobias of situations (transport, elevators, bridges, clowns)<\/p>\n

 <\/p>\n

The most favorable prognosis is for social phobia, then for agoraphobia with panic disorder, and then for specific phobias.<\/p>\n

 <\/p>\n<\/div>\n<\/div>\n<\/div>\n

\n

DIAGNOSTICS<\/strong><\/h2>\n

In order to rule out the occurrence of a physical illness, the general practitioner should first recommend laboratory tests and analyses. If the physical examination is negative, the diagnosis is made by a psychiatrist and psychologist.<\/p>\n

Long-term conversations and sessions with a psychologist\/psychiatrist, psychological tests and questionnaires, insight into negative feelings and thoughts, as well as symptoms in order to establish an accurate diagnosis of the disorder.<\/p>\n

 <\/p>\n<\/div>\n

\n

TREATMENT<\/strong><\/h2>\n
\n

PSYCHOTHERAPY<\/h3>\n

the method of choice for the prevention and reduction of any type of anxiety disorder. Choosing a psychotherapist is not an easy task and it is quite okay if someone does not suit you at first and you change it and look for an adequate person for you, the most important thing is not to give up and be persistent in your goal, because it is a process, like everything else in life. Psychotherapy is a process in which we discover personal, painful and intimate things, therefore we strive to feel safe, understood and accepted. The psychotherapist should provide support and help the patient to become psychologically resistant to stress and to be more effective in everyday life and in relationships with others. Also, in order to learn more about ourselves, our emotions and the way we express them, and with the help of certain tools to establish control over emotions.<\/p>\n

 <\/p>\n<\/div>\n

\n

PHARMACOTHERAPY (DRUGS)<\/h3>\n

Drugs can be used to regulate and neutralize symptoms and feelings of tension and anxiety. The most common and most effective treatment for anxiety disorders is a combination of drugs and psychotherapy methods. Research and practice have shown that antidepressants from the SSRI group (selective serotonin reuptake inhibitors), or tricyclic antidepressants, have the best effect, which are prescribed for a period of six months to a year.<\/p>\n

Side effects of antidepressants are:<\/p>\n

o\u00a0\u00a0 Dizziness;<\/p>\n

o\u00a0\u00a0 Nausea;<\/p>\n

o\u00a0\u00a0 Dry mouth;<\/p>\n

o\u00a0\u00a0 Sleep problems;<\/p>\n

 <\/p>\n

Various anxiolytics are also included (benzodiazepines are drugs that have a depressant effect on the central nervous system and eliminate feelings of tension, anxiety and fear, which leads to calmness, another name – psychosedatives).<\/p>\n

 <\/p>\n

Side effects of anxiolytics are:<\/p>\n

o\u00a0\u00a0 Drowsiness;<\/p>\n

o\u00a0\u00a0 Uncertainty in walking (ataxia);<\/p>\n

o\u00a0\u00a0 They affect the reduction of alertness and coordination of movements (called setrignoses);<\/p>\n

o\u00a0\u00a0 Benzodiazepines, although relatively safe, are advised to be treated for as short a period as possible;<\/p>\n

 <\/p>\n<\/div>\n

\n

CHANGE LIFESTYLE HABITS<\/h3>\n

A large number of people have a mild form of anxiety and by changing their lifestyle habits, it is possible to reduce the level of stress and worry, and bring everything under control.<\/p>\n

1.\u00a0\u00a0\u00a0\u00a0 Eat healthy<\/p>\n

Foods rich in tryptophan (milk, bananas, soy, nuts, sesame seeds, chicken), vitamin B (green vegetables, rice, eggs,) omega-3 fatty acids (salmon, chia seeds, nuts, avocado) can have a beneficial effect on the body and be an appropriate stimulant for improving mood.<\/p>\n

2.\u00a0\u00a0\u00a0\u00a0 Sleep is crucial<\/p>\n

Sleep is a physiological process that is necessary for life in order to cope with everyday stress, prevent fatigue, preserve energy, and restore the mind and body.<\/p>\n

3.\u00a0\u00a0\u00a0\u00a0 Be physically active<\/p>\n

In addition to being important for physical health, it is also important for mental health. It increases mood levels by stimulating the secretion of dopamine.<\/p>\n

4.\u00a0\u00a0\u00a0\u00a0 Avoid alcohol and drug consumption<\/p>\n

Alcohol and drug abuse lead to damage to both physical and mental health.<\/p>\n

Although they reduce anxiety symptoms at the time of use, in the long term, they only reinforce and intensify symptoms.<\/p>\n

5.\u00a0\u00a0\u00a0\u00a0 Reduce caffeine intake and cigarette consumption<\/p>\n

6.\u00a0\u00a0\u00a0\u00a0 Educate yourself and implement relaxation techniques and training<\/p>\n

Breathing techniques, meditation, yoga and reading books can help relieve symptoms.<\/p>\n

7.\u00a0\u00a0\u00a0\u00a0 Surround yourself with people who are important to you<\/p>\n

Support and understanding from family, friends and other close people can be the most important thing in treating mental disorders.<\/p>\n

8.\u00a0\u00a0\u00a0\u00a0 Ashwagandha Supplementation<\/p>\n

Ashwagandha is an herbal supplement that has been used in naturopathic medicine for centuries. It is obtained from the root of the Indian plant Withania somnifera and has the ability to reduce stress and anxiety, affect glucose, testosterone and strength.<\/p>\n

9.\u00a0\u00a0\u00a0\u00a0 LUCHA T8<\/strong> Device<\/p>\n

Lucha T8 is a device that reduces stress levels in the body and synchronizes our brain waves with nature and the natural frequencies of the earth’s vibrations, strengthens the immune system and eliminates pain.<\/p>\n

 <\/p>\n

 <\/p>\n<\/div>\n<\/div>\n

\n

REMEMBER:<\/h2>\n

Everything you are currently feeling is human and natural.<\/p>\n

Everything you are struggling with, someone else is struggling with.<\/p>\n

It is okay to have bad days.<\/p>\n

Persistence is the most important thing, so don’t give up.<\/p>\n

You are not strange, weird or ugly, you are part of nature, LET IT GO.<\/p>\n

Be yourself.<\/p>\n

You have the right to everything.<\/p>\n<\/div>\n

\n

Sources:<\/h2>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Psychotherapy, a textbook for medical students, edited by Aleksandra Nedi\u0107 and Olga \u017divanovi\u0107;<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0https:\/\/psihobata.com\/anxiety\/panic-disorder-f41-0\/<\/a><\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0https:\/\/www.stetoskop.info\/psihologija-danas\/anxiety<\/a><\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0https:\/\/savetovalistemozaik.com\/o-opsesivno-kompulzivnom-poremecaju\/<\/a><\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0https:\/\/medtim.rs\/lecenje-anksioznosti\/<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

ANXIETY – definition Anxiety is a chronic state of apprehension, a feeling that has the character of unpleasant anticipation, foreboding and uncertainty. Anxiety syndrome began to be recognized as an individual disease relatively late, at the end of the 19th century. 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