Joyce Nash, PhD

MY SPECIALTIES

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Anxiety

How do I know if I have a problem with anxiety?

Anxiety is a part of our everyday lives. Who is not nervous on the first day of school or a new job, speaking in public, or walking down a dark street alone at night? In such situations anxiety can be helpful because it makes us more alert and prepares us to respond to a problem or threat. On the other hand, anxiety can become overwhelming and interfere with our lives. It can cut down on productivity, damage relationships, and keep us from even trying to reach our goals or achieve our desires. When anxiety reaches this level, it may be a symptom of an anxiety disorder.

What are the symptoms of anxiety?

Common emotional symptoms of anxiety include irritability, tension excessive worry, fatigue, difficulty falling asleep, and difficulty concentrating. Feeling sad or "down" may also accompany persistent anxiety. Common physical symptoms of anxiety include rapid heartbeat, shakiness, chest pain or tightness in the chest, shortness of breath, sweating or choking sensations, nausea or upset stomach, trembling, dizziness, or fear that you may be losing control. Other symptoms can include headaches, muscle aches, and irrational fears. Many of these symptoms are similar to those of other diseases. In fact, they may lead you to believe you have a physical disease. It is only when a physical examination and medical tests reveal no physical disease that your physician may suspect anxiety to be the cause.

What are some of the different types of anxiety disorders?

  • Generalized Anxiety Disorder (GAD) - involves recurring worries or fears about many things that preoccupy your thinking and can upset your well-being or disturb relationships.
  • Panic Disorder - involves the sudden onset of intense fears or unexplained feelings of terror and dread. Some people think they are having a heart attack, while others feel as if they are suffocating.
  • Obsessive-Compulsive Disorder (OCD) - is characterized by intrusive, unwanted thoughts or images (obsessions) usually followed by routines or ritual (compulsions) such as checking or hand-washing, which serve to bind the anxiety generated by the intrusive thoughts or images.
  • Post-traumatic Stress Disorder (PTSD) - involves re-experiencing a trauma, crime, or natural disaster through nightmares, flashbacks, or other reminders months or even years after the event.
  • Social Phobia, also Social Anxiety Disorder (SAD) - involves anxiety provoked by being in certain types of social or performance situations, such as going to parties, speaking in public, or interacting with authority figures. Click here for more information about Social Phobia.
  • Specific Phobia - involves anxiety provoked by being exposed to feared objects or situations. Common specific phobias include fear of heights, flying, dogs, spiders, enclosed spaces, snakes, and so forth.

How is an anxiety disorder treated?

Most specialists agree that a cognitive-behavior therapy is best for the treatment of anxiety disorders. Treatment may include the use of relaxation, guided imagery, and exposure with response prevention (ERP). Medication can also be helpful in managing anxiety.

Where can I get more information on anxiety disorders?

The following websites can be helpful:

 


Dr. Joyce Nash, PhD    (650) 329-1000


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