Anxiety
Disorders: The Role of Psychotherapy in Effective Treatment
Everyone feels anxious and under stress from time to time.
Situations such as meeting tight deadlines, important social
obligations or driving in heavy traffic, often bring about
anxious feelings. Such mild anxiety may help make you alert and
focused on facing threatening or challenging circumstances. On
the other hand, anxiety disorders cause severe distress over a
period of time and disrupt the lives of individuals suffering
from them. The frequency and intensity of anxiety involved in
these disorders is often debilitating. But fortunately, with
proper and effective treatment, people suffering from anxiety
disorders can lead normal lives.
What are the major kinds of anxiety disorders?
There are several major types of anxiety disorders,
each with its own characteristics.
• People with generalized anxiety disorder have recurring fears or worries, such
as about health or finances, and they often have a persistent sense that
something bad is just about to happen. The reason for the intense feelings of
anxiety may be difficult to identify. But the fears and worries are very real
and often keep individuals from concentrating on daily tasks.
• Panic disorder involves sudden, intense and unprovoked feelings of terror and
dread. People who suffer from this disorder generally develop strong fears about
when and where their next panic attack will occur, and they often restrict their
activities as a result.
• A related disorder involves phobias, or intense fears, about certain objects
or situations. Specific phobias may involve things such as encountering certain
animals or flying in airplanes, whereas social phobias involve fear of social
settings or public places.
• Obsessive-compulsive disorder is characterized by persistent, uncontrollable
and unwanted feelings or thoughts (obsessions) and routines or rituals in which
individuals engage to try to prevent or rid themselves of these thoughts
(compulsions). Examples of common compulsions include washing hands or cleaning
house excessively for fear of germs, or checking over something repeatedly for
errors.
• Someone who suffers severe physical or emotional trauma such as from a natural
disaster or serious accident or crime may experience post-traumatic stress
disorder. Thoughts, feelings and behavior patterns become seriously affected by
reminders of the event, sometimes months or even years after the traumatic
experience.
Symptoms such as shortness of breath, racing heartbeat, trembling and
dizziness often accompany certain anxiety disorders such as panic and
generalized anxiety disorders. Although they may begin at any time, anxiety
disorders often surface in adolescence or early adulthood. There is some
evidence of a genetic or family predisposition to certain anxiety disorders.
Why is it important to seek treatment for
these disorders?
If left untreated, anxiety disorders can have severe consequences. For
example, some people who suffer from recurring panic attacks avoid at all costs
putting themselves in a situation that they fear may trigger an attack. Such
avoidance behavior may create problems by conflicting with job requirements,
family obligations or other basic activities of daily living.
Many people who suffer from an untreated anxiety disorder are prone to other
psychological disorders, such as depression, and they have a greater tendency to
abuse alcohol and other drugs. Their relationships with family members, friends
and coworkers may become very strained. And their job performance may falter.
Are there effective treatments available for
anxiety disorders?
Absolutely. Most cases of anxiety disorder can be treated successfully by
appropriately trained health and mental health care professionals.
According to the National Institute of Mental Health, research has
demonstrated that both "behavioral therapy" and "cognitive therapy" can be
highly effective in treating anxiety disorders. Behavioral therapy involves
using techniques to reduce or stop the undesired behavior associated with these
disorders. For example, one approach involves training patients in relaxation
and deep breathing techniques to counteract the agitation and hyperventilation
(rapid, shallow breathing) that accompany certain anxiety disorders.
Through cognitive therapy, patients learn to understand how their thoughts
contribute to the symptoms of anxiety disorders, and how to change those thought
patterns to reduce the likelihood of occurrence and the intensity of reaction.
The patient's increased cognitive awareness is often combined with behavioral
techniques to help the individual gradually confront and tolerate fearful
situations in a controlled, safe environment.
Proper and effective medications may have a role in treatment along with
psychotherapy. In cases where medications are used, the patient's care may be
managed collaboratively by a therapist and physician. It is important for
patients to realize that there are side effects to any drugs, which must be
monitored closely by the prescribing physician.
How can a qualified therapist help someone
suffering from an anxiety disorder?
Licensed psychologists are highly qualified to diagnose and treat anxiety
disorders. Individuals suffering from these disorders should seek a provider who
is competent in cognitive and behavioral therapies. Experienced mental health
professionals have the added benefit of having helped other patients recover
from anxiety disorders.
Family psychotherapy and group psychotherapy (typically involving individuals
who are not related to one another) offer helpful approaches to treatment for
some patients with anxiety disorders. In addition, mental health clinics or
other specialized treatment programs dealing with specific disorders such as
panic or phobias may also be available nearby.
How long does psychological treatment take?
It is very important to understand that treatments for anxiety disorders do
not work instantly. The patient should be comfortable from the outset with the
general treatment being proposed and with the therapist with whom he or she is
working. The patient's cooperation is crucial, and there must be a strong sense
that the patient and therapist are collaborating as a team to remedy the anxiety
disorder.
No one plan works well for all patients. Treatment needs to be tailored to
the needs of the patient and to the type of disorder, or disorders, from which
the individual suffers. A therapist and patient should work together to assess
whether a treatment plan seems to be on track. Adjustments to the plan sometimes
are necessary, since patients respond differently to treatment.
Many patients will begin to improve noticeably within eight to ten sessions,
especially those who carefully follow the outlined treatment plan.
There is no question that the various kinds of anxiety disorders can severely
impair a person's functioning in work, family and social environments. But the
prospects for long-term recovery for most individuals who seek appropriate
professional help are very good. Those who suffer from anxiety disorders can
work with a qualified and experienced therapist such as a licensed psychologist
to help them regain control of their feelings and thoughts -- and their lives.
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