| In this section, we will
focus only on generalised anxiety disorder, panic disorder
and phobias, as these are the more common anxiety disorders.
1. Generalised Anxiety Disorder

Generalised anxiety disorder (GAD) is chronic exaggerated
worry and tension even when nothing seems to provoke
it. People with GAD anticipate disaster, worry excessively
about health, money, family or work. They have difficulty
relaxing and are unable to shake off their concerns
even though they realise that their anxiety is irrational.
Their worries are accompanied by physical symptoms especially
trembling, twitching, muscle tension,headaches, irritability,
sweating or hot flashes.
They may feel lightheaded or out of breath and may feel
nauseated or have to go to the bathroom frequently.Usually,
the impairment associated with GAD is mild and people
with this disorder do not feel too restricted in social
settings or on the job. However if severe, GAD can be
debilitating, making it difficult to carry out even
the most ordinary daily activities.
2. Panic Disorder
People with panic
disorder have feelings of terror that strike suddenly
and repeatedly with no warning. They cannot predict
when an attack will occur and may develop intense anxiety
between episodes, worrying when and where the next one
will strike. In between attacks, there is a persistent,
lingering worry that another attack could come any minute.
When a panic attack
strikes, the heart pounds and the sufferer may feel
sweaty, faint, weak or dizzy. Their hands may tingle
or feel numb and they may feel flushed or chilled. Chest
discomfort, smothering sensations, a sense of unreality,
fear of impending doom or loss of control may also be
present. The sufferer may genuinely believe that he
is having a heart attack or stroke, losing his mind,
or on the verge of death. While most attacks average
a couple of minutes, occasionally they can last for
up to ten minutes. In rare cases, they may last an hour
or more.
Panic disorder is
often accompanied by other conditions such as depression
or alcoholism, and may develop into phobias. Some people's
lives become greatly restricted. They avoid any situation
that would make them feel helpless if a panic attack
occurs. When their lives become so restricted by the
disorder, which happens in about one-third of people
with panic disorders, the condition is called agoraphobia.
3. Phobias
Phobias occur in several
forms. Phobias are not just extreme fear; they are irrational
fear.If the object of the fear is easy to avoid, people
with phobias may not feel the need to seek treatment.
A specific phobia
is a fear of a particular object or situation. Many
people experience specific intense, irrational fears
of certain things or situations e.g. dogs, closed-in
places, heights, escalators, tunnels,water, flying and
injuries involving blood are a few of the more common
ones.
Social phobia is an
intense fear of being humiliated in social situations,specifically
of embarrassing themselves in front of other people.
Small mistakes may seem much more exaggerated than they
really are. Blushing itself may seem painfully embarrassing
and the sufferer feel as if all eyes are focused on
him. Or the fear may be more specific, such as feeling
anxious about giving a speech, talking to a boss or
other authority figure, or dating. Social phobia disrupts
normal life,interfering with career or social relationships.
Agoraphobia,
which often accompanies panic disorder, is a fear of
being in any situation that might provoke a panic attack,
or from which escape might be difficult if one occurred.
People with agoraphobia are afraid to travel far from
home or go into confined places e.g. trains, elevators,
planes for fear of having a panic attack and being unable
to flee quickly or get help.
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