Generalized Anxiety Disorder (GAD) Part 2

Lab Test
There's no lab test for GAD, so the diagnosis is made based on your description of your symptoms. It's important to be specific when telling your doctor about your anxiety. What do you worry about? How often? Does your anxiety interfere with any activities? You may have GAD if you have been feeling anxious or worrying too much for at least six months

Psychotherapy    

In providing therapy to treat the anxiety, one kind of talk has been found to be very effective. It is called Cognitive Behavioral Therapy or in short CBT. In this talk, the counsellor or the professional will assist the individual to identify their negative thoughts and actions. In this therapy, CBT may include other related work such as homework, example listing down the thoughts that can an individual to excess worry. The individual will also learn how to calm themselves and those sort of strategies. Individual will see the progress in 4 to 5 months and they would feel better of themselves. Often enough, mixture of both the medicine and CBT session would work well.

Drugs and Medications 

Medical prescriptions such as Cymbalta, Effexor XR, Lexapro and Paxil are common name for antidepressants that work well to lower their anxiety. At times the doctor will also recommend benzodiazepine for a short term solution. There are also various drugs used to treat this, include Ativan, Klonopin, Valium and Xanax. But these drugs carry a risk of addiction. Always be aware of both pros and cons of the medications you are recommended to take. 

Self - Care 

Changing your lifestyle also can help treatment for GAD. Simple stuffs like avoiding caffeine, alcohol or common street drugs can tremendously assist to reduce the anxiety symptoms. Get enough rest and practice healthy food dietary. Relaxation techniques such as yoga and meditation and of course exercise can help very much. There are proven evidence that consistent moderate exercise and physical activity can help to calm you down.

Alternate Remedies 
The are other alternate options as well which including non-traditional remedies for GAD. But these are not certified or known if it has worked well. Massage is good for most people, listening to your favourite music that can smooth and relax your mind is also good and benefitting. Another one is acupuncture, which seen as a treatment for anxiety but is has not shown any proven science data that whether it works or not.

Herbal Remedies 

Although there are many traditional method of curing anxiety but there are no exact or proven evidence yet to proof that herbal remedy can cure or least to reduce the anxiety attack. Always seek your doctor’s advice prior starting any sort of herbal remedy.

Other Disorders

Individual who suffers from GAD may likely also develop other related illness such as depression, alcoholism or even drug addiction. It is bad that if in the event one of these illnesses occurs, then a second treatment also may need. It is common that anybody suffers from GAD to have other anxiety disorder. This where the panic disorder, stress disorder, obsessive-compulsive disorder and social phobia. 

Take Social Anxiety Disorder Test and evaluate yourself if you are suffering from social phobia. Early detection is better than let it being deteriorated. 

How to prepare for your appointment and the questions to Ask.

In the event if you have any signs of panic attack that similar to all the symptoms and effect, make an appointment with a doctor and he or she may later on refer you to the psychiatrist or psychologist for treatment. But before seeing the doctor, you will need to prepare for the appointment and here’s the list of questions and tips how to prepare for your appointment to see doctor for panic attack.


List down all your symptoms in specific, this include the initial experience and how frequent you've had them
List down your personal background information, for example like traumatic events happened that cause stressful to yourself. 


This can be also any major case that occurred before your first panic attack.
If you have had any medication subscription also lists them down. It can be any medical treatment, be physical and health condition. It would be good if you can actually specify the medication you are taking. 


Request a close family member or a trusted friend to accompany you to the appointment if can. By doing this, you can ask the person to remember some of the important advice or note that the doctor may consult. 


Now list down the Questions you should ask the doctor 

• What is that you believe the cause of my symptoms? 
• Is it maybe the current medication issues are causing my symptoms? 
• Is it necessary for me to conduct diagnostic test? 
• Is it necessary for me to make an appointment with the mental specialist?
  
  What I can do to manage my symptoms?

These are the Questions that you need to ask in the event if you are referred to a mental health officer 

• Which one do I have, is it the panic attacks panic attacks or panic disorder? 
• What method of treatment would you recommend me to follow? 
• If it is a therapy, what is the period of sessions and how long do I need to follow? 
• Would having a group therapy be more useful in my case? 
• What are the side effects if you recommending me to prescribe to medications? 
• How long do I need to take that medication? 
• Is there a time period that you will monitor if my treatment is working or not?
  Is there anything I can do to reduce my panics attacks from recurring? 
• How can I self-help to manage my condition? 
• Can I get some brochures or physical materials to be my guide and references for home use? 
• What websites I can refer to? 
• If there’s something that you still do not understand or have doubt over the information, just ask. 

What you can expect from your doctor.
The doctor or mental health officer whom treats you for the possible panic disorder or panic attack will ask you;

• When the first time you had the attack and what was the symptoms? 
• How frequent your attacks come and usually how long would they last? 
• If there anything is specific that can trigger you the attack? 
• Do you often experience fear of another panic attack? 
• Do you by chance avoid any specific locations or experiences that seem to trigger the attack? 
• How is the symptom affecting your personal life, professional work relationship and daily chores? 
• In your life history, did you ever experience any tremendous stress or a traumatic event before? 
• How was your childhood period like, how would you describe your relationship with your parents? 
• Do you have any family history, having panic attacks or panic disorder? 
• How often do you exercise and how often do you consume beverages with caffeine or alcohol?

Generalized Anxiety Disorder (GAD) Part 1

It is common and natural to worry about something and especially during the stressful times, but some people will continue to worry about a particular matter day after day when in actual or reality there is nothing to be worried about. When this symptoms lasts for days and months, it will lead to anxiety disorder or GAD.

Primary symptom of the GAD is the sense of tension and stress that is consistently exaggerated. The individual may not be able to identify the reason why they felt so in such a way. And this worry can be so specific such as their pets, health, payment bills, house, water or even their life. This worrying can hugely effect their sleep and the ability to think clearly. The individual also may feel irritable because lack of sleep or perhaps the illness itself. 

Excessive worrying can lead to the following body problems such as – muscle pain or tension, one and off headaches, diarrhea, trembling and twitching and other related symptoms. 

The unique part of the worrying on their daily chores is that they cannot stop thinking or worrying about the matter on a day to day basis. Whether it could be their troubles, money and others they cannot find a peace of relaxing moment in their life. Although they might be doing something they enjoy, GAD will still interfere and cause them unnecessary worries. 

Individual can develop GAD at any age. The disorder can grow gradually and with very first symptoms that likely to come during the childhood and middle age for any individual. 

How can you help someone with panic attack

Understanding Panic Attack

Understanding what is panic attack in the first place – Panic attack is a sudden attack to a person of an extreme fear, terror or phobia of something that is which actually not happening. Panic attack can come without any sign or warning but the symptoms are listed in this blog site. Panic attack is not life threatening and it last about 10 to 20 minutes, take note that sign of this attack are very similar to an heart attack which we earlier discussed about it that people can sometime mistaken panic attack for an heart attack. But if the panic attack are related or caused by serious medical health problems such as asthma, tachycardia or similar to it, it can lead to death. But not to worry in this as there is no report so far any death from the panic attack.

For the first time any individual experiences this, it is better to seek immediate medical attention.

For any first time experience, it will create a doubt of what actually the attack is. It could be heart attack or a panic attack, so when in doubt, seek immediate medical help. Do not hesitate to call for help if required, as you are not sure what the case of the sudden heart beats fast is and palm gets wet.

Know the root cause of the attack

Try to communicate with the person if the attack is a panic attack or he or she needs immediate medical attention for any other attack that might occurred. When you communicate and talk to the person, be very gentle and ask the specific question of the cause. Do not try to break any conversation of long talk.

Identify if there’s a cause for the fear and if it is, then bring the person away from the environment to more a calmer place.

Removing the person with the panic attack from the area that causes him or her to trigger the fear could ease the situation. The person with the disorder will may have any techniques that they practice when panic attacks and you could gently ask them if there’s anything you can do to assist them.

Do not snub their attack and condition by comforting phrase such as ‘there’s nothing to worry about’ or ‘it’s all in your mind’

Always remember, for anyone who have the panic attack the fear and terror are real to them. And telling them that everything is going to be ok or fine is not going to help or make things easier but it would only cause more stress to them. Just simple say ‘It’s Ok’ or ‘It’s fine’ would do and move on breathing. It is important to treat and take their fears very seriously. In case their fear is related to past and not base on the current reality, then assist to do some specific reality checks. Perhaps you can ask such question in a neutral manner like ‘Is this something to do in the past or what’s going on right now’. This can help the victim to recall and stay in reality. Just listen and accept whatever answer the person gives. There is no argument should be raised that only worsen the situation, in case if they use any abusive words or situation arises, then let them respond to the situation as how they would but be there to support.

Do not pressure the individual, do not push for a definite answer as this is not the time for any who is correct but stay calm and relax handling the individual.

Listening and just let them talk perhaps is the best answer to this. Minimize the tension by controlling the situation in a relaxed atmosphere. Never insist them to figure out what was the cause of their attack.

Motivate and encourage them to control their breathing

During this situation, breathing is the one of the most elements that can help them to calm down. Many will only short quick and rapid breath when they are panicking and worst some will hold their breath. Less oxygen intake to the lung will only cause the heart to race more. Encourage them to take a deep breath and make them understand that it will give them the relaxation.

You can try this method by counting their breaths. By asking them to breathe in and out, ensure that the inhale is deep enough and gradually repeating the same. Repeat this until their breathing has slowed down and is regulated.

Take a cold object and place near them.

To keep them cool, take any cold items and place t near their neck and face. Usually in these circumstances, the individual will feel sensational warmth, in order to cool that down use this technique. You can use washcloth or a water bag that has been freeze.

Stay with them until they are back to normal and never leave them alone

The individual with the attack can be very rude and unfriendly with you at the time of the attack. But understanding what panic attack can make you to see what they are going through. Do not leave them alone especially when they are struggling to breathe. Kindly ask them what has worked out for them in the past and if they have been taking their medications.

Always remember that their feelings are close to real and their experiences are terrorizing

Ensure to them that you will seek and get help and never leave them alone. They could injure or harm themselves. Seek medical treatment if that is necessary including an ambulance.  

Call professional medical assistance

In case the symptoms do not recover within 15 – 20 minutes, do not hesitate to call an ambulance or seek professional medical assistance. Simply call for an advice or consult. Remember, this is not a near death experience and bringing them to Emergency Room could only make things worse. A simple further guide and steps to control the situation would be deemed necessary enough. If this is a first time attack, the individual may want to seek medical help as they are terrified with what’s happening to them. For those who have had the experience before, they know and aware that getting medical assistance will only cause more stress and anxiety to themselves.

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Dealing with Anxiety and Panic Attack

This short video summaries how a panic attack can actually manifest and then lead to develop to a panic disorder. It is short example of how people experience panic attacks for the first time. 

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What is anxiety and phobias?

Suddenly you found your heart beats not in a regular pace, your palms started to get wet and you begin to tremble. These physical signs are reaction to an unknown danger that puts your whole body into an alert of something.

But if that all happens with a fear feeling of yours when knowing in reality that there is no or little danger , for example if you are on a ship cruise or train, then the real cause of the effect are anxiety.

Anxiety is a cheat, a cunning slick feeling that makes people think that they are in danger when actually in reality they are not. Extreme anxiety is part of the factor that leads to panic attack. It’s about 19 million of Americans have illogical fears which is also called in another word phobias that brings on anxiety.

They can and will fear or afraid of anything even to the smallest scenario things that happen around them. With this aspect, people with such fear in their mind would respond to anything that could trigger to their anxiety feeling and would feel increasingly uncomfortable with the surroundings.

When such fear interrupts in our daily chores and life, then the only remedy can be said is the truth. But all facts alone are just not enough, you will need to overcome your anxiety by focusing on the present and the staying positive to it.

Do not indulge the feeling of ‘what if’ effect. It will not be easy, but taking small steps daily to practice this can create positive results in long term as this not a short term solution. Medication is also not the only answer for this illness.

You need to create the type of balance lifestyle to beat the disorder step by step. Lifestyle including, reading positive materials, eating properly, exercise, practicing yoga, making peace with oneself and also accepting the actual trust as it is and not creating another form of illusion or virtual scenario that is which not happening.

How to prepare for your appointment and the questions to Ask.

In the event if you have any signs of panic attack that similar to all the symptoms and effect, make an appointment with a doctor and he or she may later on refer you to the psychiatrist or psychologist for treatment. But before seeing the doctor, you will need to prepare for the appointment and here’s the list of questions and tips how to prepare for your appointment to see doctor for panic attack.

List down all your symptoms in specific, this include the initial experience and how frequent you've had them List down your personal background information, for example like traumatic events happened that cause stressful to yourself. 

This can be also any major case that occurred before your first panic attack. If you have had any medication subscription also lists them down. It can be any medical treatment, be physical and health condition. It would be good if you can actually specify the medication you are taking. 

Request a close family member or a trusted friend to accompany you to the appointment if can. By doing this, you can ask the person to remember some of the important advice or note that the doctor may consult. 

Now list down the Questions you should ask the doctor 

• What is that you believe the cause of my symptoms? 
• Is it maybe the current medication issues are causing my symptoms? 
• Is it necessary for me to conduct diagnostic test? 
• Is it necessary for me to make an appointment with the mental specialist? What I can do to manage my symptoms?

These are the Questions that you need to ask in the event if you are referred to a mental health officer 

• Which one do I have, is it the panic attacks panic attacks or panic disorder? 
• What method of treatment would you recommend me to follow? 
• If it is a therapy, what is the period of sessions and how long do I need to follow? 
• Would having a group therapy be more useful in my case? 
• What are the side effects if you recommending me to prescribe to medications? 
• How long do I need to take that medication? 
• Is there a time period that you will monitor if my treatment is working or not? Is there anything I can do to reduce my panics attacks from recurring? 
• How can I self-help to manage my condition? 
• Can I get some brochures or physical materials to be my guide and references for home use? 
• What websites I can refer to? 
• If there’s something that you still do not understand or have doubt over the information, just ask. 

What you can expect from your doctor. The doctor or mental health officer whom treats you for the possible panic disorder or panic attack will ask you;

• When the first time you had the attack and what was the symptoms? 
• How frequent your attacks come and usually how long would they last? 
• If there anything is specific that can trigger you the attack? 
• Do you often experience fear of another panic attack? 
• Do you by chance avoid any specific locations or experiences that seem to trigger the attack? 
• How is the symptom affecting your personal life, professional work relationship and daily chores? 
• In your life history, did you ever experience any tremendous stress or a traumatic event before? 
• How was your childhood period like, how would you describe your relationship with your parents? 
• Do you have any family history, having panic attacks or panic disorder? 
• How often do you exercise and how often do you consume beverages with caffeine or alcohol?

Panic Attacks Symptoms

The symptoms of panic attack may include the following experiences.
A terror feeling of intense fear and phobia, those whose experience this will feel as if it is real thing that is happening around them. They feel such great fear that they might think they are going to die or something really bad is going to happen to them.

Trouble breathing or very fast breathing, suddenly you will feel as if you cannot breathe at all. Stay calm when this symptom emerges. Like mentioned in the panic attack treatment, you can take charge of the beginning of the attack by controlling the way you breathe. Slowly and gradually.

Chest pain or tightness, this can be slight a grey area. Some would mistaken this for heart attack and rush to hospital emergency room. What you can do is, first to stay calm and relax, and if the pain still persist immediately visit the nearest hospital or clinic for further medical check up. For those who has the history of heart attack more over. 

This is not be taken lightly. This include other heart attach related symptoms like sweating, heartbeat that races and not regular.

Nausea or an upset stomach and numbness or tingling.

The cause of the panic attack can be vary and depending on the person. Some people have the fear of being in the crowd, standing in line or even going into a dark place or room. The reason of this panic attack is of not being able to escape, that which the problem is called agoraphobia. It is so bad, that some people dare not leave their homes and stay inside for a long period of time. This also tend to lead them to depression over the period of time. And most of the time, you wouldn't know when the panic attack will come. 

Symptoms of the panic attacks that commonly known to be are.

Sense of something is going bad going to happen.

Terrible fear of sudden death or loss of something.

Sweating heavily.

Abdominal cramping. 

Chest pain.

Headache.

Dizziness.

Faintness.

Tightness in you throat.

Panic Attack Treatment

Panic Attack Treatment

It begins with self – care at home and it must be reminded that panic attack not to be mistaken for another fatal illness such as heart attack. The doctors are facing dilemma when this wrongly assumed cases are brought to hospital emergency rooms or department. Although there are ways to get this treated, would like to share the main treatment that is common among the patients and clients.

1. Many studies have shown that psychotherapy is one of the important treatments to panic attack. In more specific it is called cognitive behavioral therapy (CBT), which the most effective. This therapy reflects the importance of both behavioral and the thought processes in controlling and understanding of that panic attacks. The main focus and objective of this type of treatment is assist and help the patients to identify their illusion and reality. Psychotherapy is usually performed by an experienced psychologist or psychiatrist.

2. Medications can hugely reduce the amount of symptoms caused by panic attacks including the depression and anxiety. There are certain types of medication that has been recommended to be effective in managing the symptoms and those are ;

Selective serotonin reuptake inhibitors (SSRIs)

Serotonin and norepinephrine reuptake inhibitors (SNRIs)

Benzodiazepines

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Causes of Panic Attack

Although continuous research is being carried out to identify the cause of panic attack, the cause of this symptoms and trauma is many and vary among the individuals. There are evidence that says panic attack is an inherited disease, but however there is also evidence that panic attacks can be initiated by healthy people simple by the certain condition of circumstances.

There is no concrete proof or evidence says that nutritional deficiencies like zinc, magnesium are the causes or the risk factors to panic attack. Certain sources said that food additives like aspartame, alone or in combination with food dyes are only suspected to play a role in the development of panic attacks in certain people. It is that more research is needed to understand their role in this disease.

People whom experience repeated panic attacks and who meet other diagnostic criteria may be diagnosed with this illness. In more common related causes of this disorder are also appears to be connected with major life transitions like graduating from college and entering the real work world, getting married and starting a new life, severe stress, divorce and other major life turning point events, as much it is also caused by medical conditions and other physical causes that you might need to seek professional medical advices.  

What is Panic Attack?

                                   

Panic attacks are rather terrorizing and frightening circumstances but fortunately it is harmless chapters. It can happen to a person whom has been constantly exposed to a particular events and that has caused the panic attack to be triggered. It can reach its peak very fast and evaporate over a short period of time.

They are many version or way a person may feel when they are having a panic attack, for instance – some may feel that they are dying or maybe having an heart attack, suffocating or even hear voices within their mind and they will seek immediate action to remove or get out from that situation. People suffer from panic attack can suffer emotionally and experience anxiety-based illnesses.  

  

When someone has had a panic attack, they can develop a sense of irrational phobia’s or fear of something which does not exist. And then they will try to avoid that. The tension will develop to a level where the individual will unable to carry out the normal duty as usual. This disorder may cause different results to the age level of people whom experience it. Example for younger children may results in their grades declining, decreased in school attendance and avoiding mixing with other students. But if this went untreated, as they grow up become teens, this will further develop to suicidal tendency and substance abuse i.e. Drugs etc. 

How to Overcome Panic Attacks

Although it is easier said than done, how to overcome panic attacks is to stay calm and in absolute control of one self. There are number of ways to prevent the attack from making things bad to worst but we always can take charge of the happening and stay in control. By doing the same thing you only will get the same old results, in this article I would like to share a different path or way how to react when that panic attacks.

You need to look at things very differently and gradually take the necessary steps to overcome this panic attack.

Stay calm and be collected, remember your fear is not real.

It is easier said than done, for those who have this panic attack – the feeling of fear are real to them. So in this case, you need to tell yourself that this is going to be Ok. Do not pressure yourself more into getting that feeling of fear but hold tight to your positive thoughts in your mind when the anxiety feeling starts to roll in your nerves. Immediately start to switch your mind into something extremely positive and good. It is the only way to divert the feeling of letting the fear to take charge on you. Of course, this will take time but practicing over and over again will eventually build the mental system how to respond to it whenever it comes.

One of the best way to stay calm is by inhaling deep breath and reverting the mind into a positive state at all cost. For some people, the panic attack can be traumatizing. For them the terror and the fear is almost seems to be real and actually happening, when this small seed of fear start to take root in the moment immediately stop it from spreading all over your mind. Understand that it needs constant practice with small steps daily that eventually build a strong foundation to it.

If you are outdoor when the panic attacks come, stay calm. If you are in a restaurant, sit where you are and imagine a serenity place, if you are in shopping mall, find a place to sit and calm down, do not jump into a transport and drive home in fear. 

Start reading lots and lots of motivational and inspiring stories 

Read stories about others failures and how they make it in life. These inspiring stories will at least explain to you that no matter what happens in life or circumstances are. When you read and install the stories into your mind, over a period of time when any panic attacks, you mind will automatically tell this story to yourself that what worst could happen anyway. Anything that does not kill you only makes you stronger, like this phrase you need to hard code the statement in memory that can last for long or a lifetime. It takes gradual steps to practice this, but it can be done.

Pick up books and magazines that talk about the success stories of other. The story will tell you what obstacles and fear that this people have to overcome to where they are today. Your mind will remember those words and capture the line of getting through any difficulties, including panic attack that is actually not real. Your mind makes it look real when it is not.

Although this method will only work in the longer run, it is always good to start practicing.  

Praying, Yoga and Food

Spiritually connected to your religion and belief can also provide the tranquility you need. These include practicing Yoga to calm your mind and soul. Both can be used and practice as a source of serenity. Having faith in God and constantly looking out for the blessing can work miracles for those who believe.

Practicing Yoga to mediate and calm your inner side. This exercise and practice can provide such relaxing mode to yourself. One of the best technique is close your eyes and take a deep breath. Loosen your shoulders and conscious  of any stresses that makes you feel tension in your muscles. With gentle reassurance, progressively tense and relax all the larger muscle groups. From leg, move on to body and one muscle group at a time. Visualize a peaceful and calm scenario. Slow down your breathing as you inhale deep to it. Try to exhale the air as if you are blowing a candle. Take control the way you breathe out, slowly with knowing that you are in charge of your body system and this will signal your panic attack to decrease.


Eat regular and proper foods and avoid processed foods. Consume more vegetables and fruits to keep the blood sugar level stable at all time. What to avoid when panic attack is substance with caffeine, alcohol and illicit drugs. These items can only make the matter worst and not any better. The best organic method to manage the panic attacks including aerobic exercise, stress management method like deep breath and regular yoga meditation. These activities are known to be profoundly helped to decrease the panic attacks.


Share your emotions with the closed one

Find someone whom you can share all your thoughts and feelings. Do not bottle up all the stress to yourself alone, you will only add more burden to yourself. Sharing with someone you know close or trust can at least release the burden. Do not be shy to share anyway, if you do not find anyone whom can share your story then find a therapist. There's no shame in this. But first share with your friends, family or someone you know well before getting a professional to attend to your cause. 


Communicate within yourself

This is talk to yourself with a silent voice to tell that your are in control of what is happening within you. The voice will be heard and you need to take note of the discomfort feeling and not danger. Panic attack will only cause your terrible discomfort and not any danger form. You need to understand this well, so when the attack comes you know it is just nothing more than a feeling. 

Get Panic Cure

Panic is defined as a sudden fear that usually appears in a violent or disaster situation. This attack can bring hazard to your overall health. It may occur at random trigger that is exposed to a person. The sufferers always think that they are suffocating or dying. Once an individual suffer from a panic attack, it may lead to an irrational fear or phobia. It can be surely dangerous; thus, the psychiatrist always develops a system to heal panic attacks. Panic Away system has been tested and proven really well to help those who live with this kind of frightening mental disorder.

‘Does Panic Away really work?’ was a common question doubting the effectiveness of this product. After following this treatment, they all felt better as their panic syndromes have successfully disappeared. Some still experience panic attacks with less intense occurrence than before. Panic Away offers a 100% effective and safe product.

The development of panic management is really helpful for those who are suffering panic disorders. The system helps the sufferers to reduce their panic attack levels. The system helps the sufferers to get more relaxed whenever they are dealing with any unwanted circumstances such as violence or a disaster.

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Before the Panic Away was published, such remedy as anxiety medication was used to decrease the panic symptoms. However, unlike the Panic Away treatment, anxiety medication failed to cure the symptoms completely. This e-book will provide the patients ideas and medication options in dealing with panic attacks. Those who suffer from panic attacks will greatly benefit a lot from this treatment.

Panic disorder is the worst mental turmoil. Treating this disorder with the system recommended in Panic Away will help you become happy all day. You can start doing your daily activities without limitation of being stressed. Panic Away is highly recommended for those who are in despair to get rid of the disorder. With this system you can expect to gain amazing outcome that can change your life.

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