Mike Shery asked: People with generalized anxiety disorder (GAD) with the passing days filled with worry and tension exaggerated, although there is little or nothing provoke. Provide for the disaster and are overly concerned about health issues, money, family problems, or difficulties at work. People with GAD can not get rid of their concerns, although usually realize that their anxiety is more intense guarantees of situation. Can not relax, does wince easily and concentration difficulties. The physical symptoms that often accompany the anxiety include, but are not limited to, fatigue, headaches, muscle tension, muscle pain, their difficulty swallowing, trembling, pulling, irritability, sweating, nausea, sventatezza, not having to go frequently to the bathroom, and finding us from the influences of hot flashes.GAD approximately 6.8 million Americans and about twice as many women as men. Turns gradually and can begin across the life cycle, although the risk is highest between childhood and the Middle Ages is diagnosed when someone moving at least 6 months who is concerned over a number of problems daily. There is evidence that genes play a modest role in disorders of GAD.Other anxiety, depression, or substance abuse often accompany GAD, which rarely occurs alone. It is commonly treated with the therapy cognitive-behavioral drug an / or. The treatment of disorders of DisordersAnxiety of anxiety is typically treated with the drug, the specific types of psychotherapy, or both. The choice of treatment depends on the problem and the preference of individuals. Before treatment, a doctor must perform a careful diagnostic evaluation to determine if the symptoms are caused by a disorder of anxiety or a physical problem. If an anxiety disorder is diagnosed, the type of disorder must be identified, as well as all the terms of coexistence, such as depression or substance abuse. Sometimes alcoholism, depression or other circumstances of coexistence have such a strong effect on individuals who deal with the anxiety disorder must wait until the circumstances to submit a coexistence control. People with anxiety disorders who have already received treatment should tell their current doctor about that treatment. If you received the drug, they should tell their doctor that the drug was used, what the dosage was at the beginning of treatment, if it was increased or decreased state that side effects occurred and whether the treatment has helped significantly. If the received psychotherapy, they should describe the type of therapy, how often they attended the sessions and how much therapy has helped. People often believe that they failed at treatment or that treatment has not worked for them when, in fact, it was not specified for a sufficient duration or was administered incorrectly. Sometimes people have to try different treatments or combinations before you find what them.MedicationsMedication no facilities for the care of anxiety disorders, but can often keep it under control while the person receives psychotherapy from a psychologist. The main drugs used to treat anxiety disorders are antideprimente, drugs and anti-anxiety beta blockers that control some of the physical symptoms. With appropriate treatment, many people with anxiety disorders can lead normal and fulfilling lives.AntidepressantsAntidepressants has become to treat depression but is also effective for anxiety disorders. Although these medications begin to alter brain chemistry after the first dose, their full effect requires about 4 - 6 weeks before symptoms start faded. It is important to continue taking these medications long enough to leave that work.SSRIsSome more new antideprimente inhibitors are known as selective serotonin reuptake, or SSRIs. SSRIs alter the levels of the neurotransmitter serotonin in the brain, which, like other neurotransmitters, helps brain cells communicate with each other. The Fluoxetine (Prozac), the Sertraline (Zoloft), the escitalopram (Lexapro), the paroxetine (Paxil) and citalopram (Celexa) are some of the SSRIs commonly prescribed for panic disorder, OCD, PTSD and social phobia. These drugs are also used to treat panic disorder when it occurs in conjunction with OCD, social phobia, or the depression. Venlafaxine (Effexor), a drug closely related to the SSRIs, is also used to treat GAD. These medications are started at low doses and gradually increased until they cause side effects or produce a favorable effect.SSRIs have few side effects that the older antideprimente, but sometimes produce slight nausea or nervousness when people first begins to take it. These symptoms sbiadicono with time, however. Some people also feel that sexual dysfunction with SSRIs, which may be helped by recording the dosage or switching to another medication.TricyclicsTricyclics is older than SSRIs and work as well as SSRIs for anxiety disorders except OCD. Also started at low doses that are increased gradually. Sometimes the cause dizziness, drowsiness, dry mouth and weight gain, which can usually be corrected by changing the dosage or switching to another drug. Tricyclics include imipramine (Tofranil), which is prescribed for panic disorder and GAD and Clomipramine (Anafranil), which is the only tricyclic antideprimente useful for the treatment of inhibitors dell'ossidasi of OCD.MAOIsMonoamine (Maois) is the oldest class of drugs antideprimenti and those most commonly prescribed for anxiety are phenelzine (Nardil), followed by tranylcypromine (Parnate) and isocarboxazid (Marplan), which are useful in the treatment of panic disorder and social phobia. People who take Maois can not eat different foods and beverages (including cheese and red wine) that contain tyramine or take certain medications, including some types of pills of birth control, analgesics (such as Advil, Motrin and Tylenol, allergy medication and cold, and herbal supplements, these substances can interact with Maois to cause dangerous increases nell'anima pressure.MAOIs may also react with SSRIs to produce a serious condition called serotonin syndrome, which can cause confusion, hallucinations, sweating increased muscle stiffness, seizure, changes in blood pressure or heart rhythm and other potentially dangerous benzodiazepines DrugsHigh power-Anti-Anxiety states. combat anxiety and have few side effects except drowsiness. Because people can develop a tolerance to them and may need higher and higher doses to achieve the same effect, the benzodiazepines are usually prescribed in short periods, particularly for people who have abused drugs or alcohol or who become easily dependent drug. An exception to this rule, however, people with panic disorder, which can take benzodiazepines for up to a year without damage. Clonazepam (Klonopin) is used for social phobia and GAD, lorazepam (Ativan) is useful for panic disorder and alprazolam (Xanax) is useful for both panic disorder and GAD.Some people the withdrawal symptoms experienced when i stop taking benzodiazepines abruptly instead of decreasing anxiety and may delay once the drug is stopped. These potential problems have led some doctors to start as from using these drugs or use them in inadequate doses. Buspirone (Buspar), a azapirone, is a newer drug of anti-anxiety used to treat GAD. The effects possible secondary include dizziness, headaches and nausea. Unlike benzodiazepines, the buspirone must be taken consistently for at least 2 weeks to achieve an anxiety-effect.PsychotherapyPsychotherapy involves communicating with a professional of the medical and mental health formed as a psychologist, a social worker, or counselor, to discover what caused an anxiety disorder and how to deal with on TherapyCognitive therapy cognitive behavior-Del-Del behavior symptoms. (CBT) is very useful in the treatment of anxiety disorders. People hearing aid part of the change patterns of thought that support their fears and change the behavior of the people aid of the party the way you react to situations diprovocazione. For example, CBT can help people with panic disorder to learn that their panic attacks are not really heart attacks and help people with social phobia learn how to overcome the belief that others are always watching you and judging. When people are ready to confront their fears, are indicated as use the techniques of exposure desensitized to situations that trigger their anxieties. People with OCD who fear dirt and germs are encouraged to get their hands dirty and wait increasing the time before washing them. The therapist helps the person all'ansia pull that waiting produces after the exercise was repeated a number of times the anxiety diminishes. People with social phobia may be encouraged to spend time in feared social situations without giving in to temptation to flee and make small mistakes coarse social and observe how people respond to them. Because the answer is usually very hard that the fears of people, these worries have decreased. People with PTSD may be supported through recalling their event traumatic situation in a safe, that helps reduce the fear it produces. I of CBT therapists also teach deep breathing types and other exercises to relieve anxiety and encourage relaxation. treat Exposure-based behavior has been used for many years to treat specific phobias. The person gradually encounters the object or situation that is feared, perhaps at first only through pictures or tapes, then face to face next. The therapy group is particularly effective for social phobia. The work is often allocated for participants to complete between sessions. There is some evidence that the benefits last longer than those of the CBT to medication for people with panic disorder and the same may be true for OCD, PTSD and social phobia. If a disorder recurs at a later date, the same therapy can be used to treat it successfully a second time. The drug can be combined with psychotherapy for specific anxiety disorders and this is the best treatme
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