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Anxiety disorder is a blanket term used to describe states of irrational fear and/or dread. Although anxiety can be a normal reaction to stress, when an individual's mood is impacted negatively affecting one physical and emotional being, an anxiety disorder is thought to exist. Anxiety is the result of the body's fight-or-flight reaction, which is the automatic response from perceived harm or attack. Anxiety disorders are often comorbid with other mental or physical disorders and are subject to flare-ups with stress and are typically diagnosed after six months of being present. Clinical depression has been thought to occur with anxiety disorders 60 percent of the time. Anxiety disorders also are believed to have a genetic component, thus running in families. The various types of anxiety disorders are believed to be the most frequently occurring of mental disorders.

Anxiety disorders are detrimental to a person's emotional and physiological being. Emotional symptoms of anxiety can include irritability, feelings of catastrophe, trouble concentrating, apprehensiveness, and restlessness. Accompanying physical symptoms often include heart pounding, shortness of breath, insomnia, sweating, diarrhea, and muscle tension.

Six types of anxiety disorders are generally recognized: generalized anxiety disorder, obsessive-compulsive disorder, social phobias, specific phobias, post traumatic stress disorder, and panic disorder. The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) classifies anxiety disorders somewhat differently, using the following categories: panic attack, panic disorder (with and without a history of agoraphobia)-fear of a situation or place where escape may be difficult-agoraphobia (with and without a history of panic disorder), specific phobia, social phobia, obsessive-compulsive disorder, post-traumatic stress disorder, acute stress disorder, generalized anxiety disorder, anxiety disorder due to a general medical condition, substance induced anxiety disorder, and anxiety disorder not otherwise specified.

Generalized Anxiety Disorder

Generalized anxiety disorder (GAD) is chronic anxiety (fear) that impacts a person's ability to function as well as their happiness. This fear should be excessive-according to the patient-and should be disproportional to the actual danger or stress of the situation. GAD is a chronic disease. Symptoms may include nausea, worry, irritability, low energy, feelings of doom, sweating, and hypervigilance. GAD can be caused in part by genes, stress, and learned behaviors. It is slightly more common in women and tends to persist for many years.

In fact, the DSM-IV-TR stipulates that at least six months of excessive anxiety and worry must elapse for diagnosis. Diagnosis usually includes a physical exam to rule out physical causes, such as hypothyroidism, heart disease, or menopause. A prescription review rules out pharmaceutical causes, called substance-induced anxiety disorder by the DSM. Finally, a psychological exam must be conducted to determine pathology. This can be difficult because GAD often occurs with other psychological disorders. Treatment may include medications such as antidepressants, benzodiazepines and buspirone. Psychotherapy techniques such as behavioral cognitive therapy (BCT) may be used. Lifestyle changes also can prove effective. These may include exercise, nutrition, better sleep habits, and avoidance of alcohol.

Obsessive Compulsive Disorder

Obsessive compulsive disorder (OCD) consists of obsessions or compulsions, which reoccur and have a significant impact on an individual's ability to function normally. Symptoms may include anxiety (fear), obsession (frequently repeated thoughts or feelings), and compulsion (desire to act inappropriately or without forethought). Sufferers may be observed repeating the same ritualistic behavior over and over, and they may report feelings of dread if they fail to continue the behavior. Little is known about the causes of OCD. Various scientists have postulated that OCD may be caused by head injury, genetics, learned behaviors, infections (specifically strep throat). It is sometimes associated with Tourette's syndrome or low serotonin levels. Diagnosis usually relies on psychological interviewing after physical and chemical causes have been ruled out.

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