Dr. Kanav Sharma
Anxiety disorder is an emotion characterized by an unpleasant mind, often accompanied by nervous behavior, such as packing back and fort, somatic complaints, and rumination. Anxiety is not the same as fear which is a response to real or perceived immediate threat, where as anxiety is the expectation of future threat. Anxiety is a worry about future events and fear is reaction to current events. Anxiety is a feeling of fear, uneasiness and worry, usually generalized and unfocused as an overreaction to a situation that is only subjectively seen as menacing. It is often accompanied by muscular tension, restlessness, fatigue and problems in concentration. Anxiety can be appropriate, but when experienced regulary the individual may suffer from an anxiety disorder. Anxiety disorders are a group of mental disorders characterized by feelings of anxiety and fear. These feelings may cause physical symptons, such as racing heart and shakiness. There are various forms of anxiety disorders, including generalized anxiety disorders, phobic disorders and panic disorders. While each has its own characteristics and symptoms, they all include symptoms of anxiety. Anxiety disorders are include symptoms of anxiety. Anxiety disorders are partly genetic but may also be due to drug use including alcohol, caffeine and benzodiazepines(which are often prescribed to treat anxiety, as well as withdrawal form drugs of abuse. They often occur with other mental disorders, particularly bipolar disorder, or certain personality disorders. The term anxiety covers four aspects of experiences that an individual may have : mental apprehension, physical tension, physical symptoms and dissociative anxiety. The emotions present in anxiety disorders range from simple nervousness to bouts of terror. There are other Psychiatric and medical problems that may mimic the symptoms of anxiety disorders, such as hyperthrodism, Psychodynamic theory says that anxiety is often the result of opposing unconscious wisher or fears that manifest via maladaptive defence mechanisms(Such as suppression, repression, anticipation, regression, somatization,dissociation) that develop to adopt to problems with early objects and empathic failures in childhood. For example persistent parental discouragement of anger may result in repression/suppression of angry feelings which manifests as gastrointestinal distress when provoked by another while the anger remains unconscious and outside the individuals awareness. Such conflicts can be targets for successful treatment with Psychodynamic therapy. Common treatment options include lifestyle changes, medication and therapy.
COMMON CAUSES:-Anxiety can be a symptom of underlying health problems such as asthma or chronic obstructive pulmonary disease (COPD), heart disease (Heart attack, heart failure, or arrhythmia), sleep apnea, chronic pain, Parkinson’s disease, multiple sclerosis, cancer, diabetes, and stroke etc. While medical cause of anxiety accompanied by physical symptoms often should be ruled out by a physician before diagnosing a primary anxiety disorder have excessive worries about having a medical condition despite multiple medical workups being negative for another cause. It is important that both healthcare professionals and patients recognize that physical symptoms ae common manifestations of anxiety and not necessarily indicative of a serious medical condition.
SUBSTANCE INDUCED:-Several drugs of abuse can cause or exacerbate anxiety, whether in intoxication withdrawal and from chronic use. These include alcohol, tobacco, cannabis, sedatives. Ipioids (including prescription pain killers and illicit drugs like heroin), stimulants (such as caffeine, cocaine and amphetamines), hallucinogens and inhalants.
SOCIAL:-
Social risk factors for anxiety include a history of trauma (e.g. physical, sexual or emotional abuse or assault), early life experiences and parenting factors (e.g., rejection, lack of warmth, high maternal negative effect, anxious child rearing, modeling of dysfunctional and drug-abusing behavior, discouragement of emotions, poor socialization, poor attachment and child abuse and neglect), Cultures factors (e.g. :- stoic families/cultures, persecuted minorities including the disabled) and socioeconomics (e.g.: uneducated, unemployed, impoverished people)
Dr.Kanav Sharma
P.G Scholar(First year)
Department of Kaya Chikista
Jammu Institute of Ayurveda &Research
