Fear and Anxiety are essential functions that occur in the brain that allow people to respond to stimuli appropriately. These feelings as normal as they are can cause problems and in 3.1 percent of adult Americans approximately 6.8 million people it does cause problems (“Generalized anxiety disorder”, 2014). A problem can arise when people have too much fear and anxiety; a problem is evident when it interferes with their life and their ability to do things. This is known as general anxiety disorder (GAD). When someone is suffering from generalized anxiety disorder they normally experience excessive exaggerated anxiety and worry about normal life events that give no clear reason for worry (“Generalized anxiety disorder”, 2014). This disorder can be debilitating and rule over people’s lives if it is severe and a better understanding of the disorder can be gained by looking at historical views, current views, causes and symptoms, case studies, differential diagnosis considerations, and treatment.
Historical Views
The overall history of psychology is a short one in comparison to the other fields of medicine and this is because things considered to fit into psychology today were put in other categories throughout history. They were passed off as other ailments or labeled as nerves or stress (Tracy, 2013). Anxiety disorders were seen as a woman’s problem and unimportant. This is a misconception though, because both men and women suffer from anxiety disorders (Tracy, 2013). As time progressed many things were tried and most failed due to the little to no understanding of the cause. Many early treatments involved bloodletting, hydropathy, herbs and balms, bathing in very cold rivers or streams, and health spas (Tracy, 2013). The a...
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Pollack, M. H. (2006). case study: "I can't stop my head". Medscape Psychiatry, Retrieved from http://www.medscape.org/viewarticle/527758_4
Sandberg, L., Busch, F., Milrod, B., Caligor, E., Schneier, F., & Gerber, A. (2012). Panic-focused psychodynamic psychotherapy in a woman with panic disorder and generalized anxiety disorder. Harvard Review of Psychiatry, 20, 5, 268-276. Retrieved from http://eds.a.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=21&sid=90152116-522c-4817-bf1f-1cec13d11c80%40sessionmgr4003&hid=4213
The history of psychology. (2001). Retrieved from http://www.learner.org/series/discoveringpsychology/history/history_nonflash.html
Tracy, N. (2013, May 08). History of anxiety disorders. Retrieved from http://www.healthyplace.com/anxiety-panic/articles/history-of-anxiety-disorders/
Generalized Anxiety Disorder, also known as (GAD) is one of the several types of anxiety disorders. GAD according to our textbook (Lahey) is an uneasy sense of general tension and apprehension for no apparent reason that makes the individual highly uncomfortable because of its prolonged presence. GAD is much more than the normal anxiety people experience day to day. Without provoking, it is chronic and exaggerated worry and tension. This disorder can involve anticipating disaster, often worrying excessively about health, money, family or work. Sometimes, though, just the thought of getting through the day brings anxiety.
2. By looking through the case study, the most prominent problem Sara struggles with, is her persistent worry about different parts of her life including her job status, health and her relationship with her husband. For the past six months, she has been anxious and worried excessively, leading her to have difficulty sleeping. As she admitted, “ I cannot shut my brain off anymore, I am worrying all the time”, therefore her condition met the primary criteria of generalized anxiety disorder which is the excessive worry for at least 6 months more days than not, about diverse events and activities. Being restless, irritable, having sleep difficulty and being easily fatigued are four factors of GAD that are apparent in this case. “I have always had lots of energy but now at times I struggle to get out of bed and drag myself thorough the work day”; it indicates the fatigue she recently experienced. Fidgets with her jewellery when speaking and a nervous laugh she has, shows her persistent anxiety. Moreover, she was recently diagnosed with irritable bowel syndrome which has a high comorbidity with anxiety disorders. In conclusion, since she is persistently worried about different aspects of her life and she has the criteria for GAD, generalized anxiety disorder is the most likable disorder she has.
...s: the nature and treatment of anxiety and panic (2. ed.). New York, NY [u.a.: Guilford Press.
Stone, D. (2011, May 8). Psychological Musings: Historical Perspectives of Abnormal Psychology. Retrieved April 23, 2014, from http://psychological-musings.blogspot.com/2011/05/historical-perspectives-of-abnormal.html
Alice Park’s article in TIME Magazine, entitled “The Two Faces of Anxiety”, outlines the key positive and negative effects anxiety can have on both the individual and humanity as a whole. Because of the steady increase in diagnoses of Generalized Anxiety Disorder and similar mental illnesses, evaluating the origins of anxiety as well as its effects are crucial steps for developing both medical treatments and alternative methods of coping with the disorder. While many of the 40 million American adults suffering from anxiety believe that eliminating the feeling altogether is ideal, they fail to consider what psychologists have mounds of empirical evidence in support of: anxiety is not inherently adverse, and can, in many cases, be advantageous. Anxiety is generally understood to be a biological process in which specific symptoms, such as increased heart rate and blood pressure, manifest as a response to stressful scenarios. In these potentially-fatal situations, the fight-or-flight response is an evolutionary reaction developed to prevent species from engaging in behavior that could result in extreme negative consequences, while also preparing them for possible conflict. Overall, this response is a constructive adaptation, but an issue arises when individuals face stressful, albeit non-fatal, situations. The body still experiences the same symptoms despite the absence of any “real” danger, and the person suffering from the anxiety feels as though he or she has little control over the behaviors brought on by the condition. Triggered by both genetic and environmental factors, there appears to be a wide variation in the severity of anxiety as well as what treatment methods are effective for each individual. However, many psychologists ...
unrelenting anxiety about events that are unlikely to occur. Symptoms that point to GAD are
The onset of Generalized anxiety disorder begins in childhood or adolescents, and It can have a lifetime prevalence of 3-5% with a higher risk in women. One major effect of Generalized Anxiety Disorder is excessive worry or anxiety lasting up to 6 months at a time, although individuals that have Generalized Anxiety Disorder don’t identify their worrying as excessive all of the time, but they will recount subjective distress because of a constant worry, or may have difficulty with control over the worrying, or even experience social impairment. Anxiety can be associated up to 6 symptoms which include inability to sleep, fatigued, lack of concentration, easily agitated, muscle tension, and sleep disturbances. Most of which can affect everyday lifestyle and greatly effect physical health, not only can they cause personal distress but may also cause distress in those around.
Phillips, J. G. "The Early Treatment Of Mental Disorder: A Critical Survey Of Out-Patient Clinics." Journal Of Mental Science 69.(1923): 471-482. PsycINFO. Web. 12 Nov. 2013.
Bearing in mind that an anxiety response is a result of various factors, there are different types of anxiety disorders. The most common type of anxiety disorders as described as specific phobias, social anxiety disorder (SAD), panic disorder (PD), generalized anxiety disorder (GAD), obsessive compulsive disorder (OCD) and post-traumatic stress disorder (PTSD). According to Anxiety and Depression Association of America (ADAA) (2016), specific phobias affect about 19 million adults in the U.S, while SAD affects 15 million, PD affects 6 million, GAD affects about 6.8 million, OCD affects about 2.2 million and PTSD affects 7.7 million adults respectively. Considering that anxiety disorders are the most common mental illness in the U.S, yet only about one-third of those suffering receive treatment (ADAA, 2016).
The majority of the world’s population occasionally experiences stress and anxiety caused by problems or events. However, some people continuously worry over a variety of daily issues; they most likely have a psychological disorder called generalized anxiety disorder, also known as GAD. Their fears can become intense and severe, interfering with their daily lives. Besides excessive worry, fatigue, restlessness, irritability, and muscle tension are also known to be part of the diagnostic criteria for GAD. The several potential risk factors and causes of GAD are genetics, brain structure, environment, and personality. Along with its numerous symptoms and causes, generalized anxiety disorder also has many forms of treatment, including medication, cognitive therapy, and supplements. How well the patient responds to treatment depends on the severity of the disorder, but generalized anxiety disorder is often treated successfully.
The main concern of the discipline of psychology in ancient times was the “[speculation of] the nature and locus of the mind, sensation and perception, memory, and learning”. There existed a strong connection between psychology and medicine, physiology, and neurology. The purpose of psychology, for the ancient physicians and philosophers, was to describe its procedures and demeanor in terms of science (e.g. medicine). In order to understand the emergence of psychology, the advances in medicine in these ancient cultures must be discussed. That way, one can see how psychology was linked to each one of them, in one way or the other.
Anxiety is a feeling of tension associated with a sense of threat of danger when the source of the danger is not known. In comparison, fear is a feeling of tension that is associated with a known source of danger. I believe it is normal for us to have some mild anxiety present in our daily lives. Everyday that I can think of I have some kind of anxiety though out that day. Anxiety warns us and enables us to get ready for the ‘fight or flight’ response. However, heightened anxiety is emotionally painful. It disrupts a person's daily functioning.
The symptoms that one face during GAD include: worry all the time, irritation, feeling of insecurity, depression, dizziness, tension, restless, sleeping disorder, headaches, mental disorder, nausea, and muscle aches. It happens continually for more than 6 months. The symptoms of worry vary during General Anxiety Disorder, worry about family, finance, and always thinking about negative outcomes of any action. Although worrying about family is normal, but in GAD case, the patient think whole day about the way of living of his family, their future, their finance and calculate negative outcomes.
Freud also was a medical doctor that specialized in the treatment of nervous disorder also known as neuroses. His main focus was that of psychoanalysis. He was also the first person to map out the entire subconscious geography of the human psych. Through his studies, he concluded that disordered thinking was the result of fears experienced in childhood. These disorders can range from hysteria, anxiety, depression, and obsession. Through his studies, he argued that neurotic behaviors had to be treated by bringing childhood experiences to the surface and confront them.
Anxiety is a normal reaction to stress. Every person experiences some form of anxiety in his or her lifetime. Anxiety helps us deal with tense situations like using our flight or fight reaction, study harder for an exam, or keep focus on important deadlines. Anxiety can be useful until it gets to the point of interfering with everyday life. Some people explain it as not being able to shut the anxiety off. When anxiety becomes an excessive, irrational dread of everyday situations, it becomes a disabling disorder (National Institute of Mental Health, 2009). Each year, anxiety disorders affect about 40 million American adults age 18 years and older (National Institute of Mental Health, 2009). There are five major Anxiety Disorders they include Generalized Anxiety Disorder (GAD), Obsessive-Compulsive Disorder (OCD), Panic Disorder, Post-Traumatic Stress Disorder (PTSD), and Phobias.