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Anxiety

The Full Story

Experiencing occasional anxiety is a normal part of life. However, people with anxiety disorders frequently have intense, excessive and persistent worry and fear about everyday situations. Often, anxiety disorders involve repeated episodes of sudden feelings of intense anxiety and fear or terror that reach a peak within minutes (panic attacks).

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These feelings of anxiety and panic interfere with daily activities, are difficult to control, are out of proportion to the actual danger and can last a long time. You may avoid places or situations to prevent these feelings. Symptoms may start during childhood or the teen years and continue into adulthood.

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Examples of anxiety disorders include generalized anxiety disorder, social anxiety disorder (social phobia), specific phobias and separation anxiety disorder. You can have more than one anxiety disorder. Sometimes anxiety results from a medical condition that needs treatment.

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Whatever form of anxiety you have, treatment can help.

Symptoms

Generalized anxiety disorder symptoms can vary. They may include:

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  • Persistent worrying or anxiety about a number of areas that are out of proportion to the impact of the events

  • Overthinking plans and solutions to all possible worst-case outcomes

  • Perceiving situations and events as threatening, even when they aren’t

  • Difficulty handling uncertainty

  • Indecisiveness and fear of making the wrong decision

  • Inability to set aside or let go of a worry

  • Inability to relax, feeling restless, and feeling keyed up or on edge

  • Difficulty concentrating, or the feeling that your mind “goes blank”

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Physical signs and symptoms may include:

  • Fatigue

  • Trouble sleeping

  • Muscle tension or muscle aches

  • Trembling, feeling twitchy

  • Nervousness or being easily startled

  • Sweating

  • Nausea, diarrhea or irritable bowel syndrome

  • Irritability

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There may be times when your worries don’t completely consume you, but you still feel anxious even when there’s no apparent reason. For example, you may feel intense worry about your safety or that of your loved ones, or you may have a general sense that something bad is about to happen.

Your anxiety, worry or physical symptoms cause you significant distress in social, work or other areas of your life. Worries can shift from one concern to another and may change with time and age.

Anxiety symptoms in children and teens

Children and teenagers may have similar worries to adults, but also may have excessive worries about:

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  • Performance at school or sporting events

  • Family members’ safety

  • Being on time (punctuality)

  • Earthquakes, nuclear war or other catastrophic events

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A child or teen with excessive worry may:

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  • Feel overly anxious to fit in

  • Be a perfectionist

  • Redo tasks because they aren’t perfect the first time

  • Spend excessive time doing homework

  • Lack confidence

  • Strive for approval

  • Require a lot of reassurance about performance

  • Have frequent stomachaches or other physical complaints

  • Avoid going to school or avoid social situations

When to see a Medical Professional

Some anxiety is normal, but see your doctor if:

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  • You feel like you’re worrying too much, and it’s interfering with your work, relationships or other parts of your life

  • You feel depressed or irritable, have trouble with drinking or drugs, or you have other mental health concerns along with anxiety

  • You have suicidal thoughts or behaviors — seek emergency treatment immediately

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Your worries are unlikely to simply go away on their own, and they may actually get worse over time. Try to seek professional help before your anxiety becomes severe — it may be easier to treat early on.

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