What are Anxiety Disorders?
by Dianne E. Butts
Everyone experiences anxiety, whether it's dreading tomorrow's
math test or fearing a dangerous situation. However, anxiety
disorders cause anxiety out of proportion to the situation and
interfere with normal, daily activities.
Generalized Anxiety Disorder (GAD), exaggerated tension
without apparent cause, can be debilitating but doesn't usually
cause people to avoid certain situations. People with GAD often
seem unable to relax or fall asleep and may experience lightheadedness,
shortness of breath, nausea, trembling, muscle tension, headaches,
irritability, or sweating.
Panic Disorder (PD) causes people to feel terror suddenly
and unpredictably. PD can become disabling when people avoid
situations they fear may bring on an attack. Panic attack symptoms
include rapid pulse, chest pains, shortness of breath, dizziness,
nausea, numbness, trembling, and a fear of going crazy or dying.
Depression or alcoholism often accompanies PD.
Agoraphobia, the most disabling anxiety disorder, is
diagnosed when panic attacks cause people to increasingly refrain
from normal activities. As such people avoid situations where
they fear an attack may occur -- in crowds and stores and on
bridges and public transportation -- they become so restricted,
they may not leave their homes.
Social Phobia (SP), an intense fear of humiliation
in social settings, may cause sufferers to avoid parties, public
speaking, eating out, or even signing a check in public. Unlike
shyness, those with SP can feel at ease around others, yet particular
situations, like walking down an aisle, cause intense anxiety.
SP disrupts relationships and careers as sufferers avoid certain
situations.
Obsessive-Compulsive Disorder (OCD) is characterized
by rituals, such as washing hands or checking things repeatedly
(compulsions), or persistent, unwelcome thoughts, such as fears
of committing violent acts, of performing sexual acts repugnant
to the person, or of thoughts contrary to the person's religious
beliefs (obsessions). Compulsive activities consume an hour or
more each day and interfere with daily life.
Post-Traumatic Stress Disorder (PTSD) can result
after a terrifying event, causing sufferers frightening thoughts
and memories. Anniversaries of the incident can be difficult
and ordinary events can trigger flashbacks or intrusive images.
Sufferers may become easily irritated or have violent outbursts.
Depression, substance abuse, or anxiety may accompany PTSD.
Source: Anxiety Disorders (Washington: National
Institute of Mental Health, 1994). Brochure states, "All
material in this publication is free of copyright restrictions
and may be copied, reproduced, or duplicated without permission
of the Institute; citation of the source is appreciated."