Aly has grown more and more anxious at work. She just started her job a month ago, after dedicating the last 10 years to being a stay at home mom, and now she isn’t sure how to properly navigate the office. She’s tried starting conversation with a few people in the cubicles next to her, but assumed that they engaged with Aly because they felt sorry for her. So, she’s stayed quiet and keeps her head down low at the office. She hates the idea of people looking at her, judging her, and assumes that they all believe she’s inadequate.
Tyler, Aly’s husband, worries about Aly and encourages her to speak with a counselor about her anxiety at work. Hesitant, she agrees. After a few sessions, she’s started to feel more confident in social settings—specifically at work. Her counselor helps her identify and alter her negative thoughts (such as her idea that everyone in the office believes she’s incapable). Now, Aly goes out of her way to greet her coworkers in the morning with a big smile—which is always returned. She still attends anxiety counseling and is excited to continue to break out of her anxious thoughts.
What Is Anxiety?
What’s life without the occasional anxiety? You might feel anxious when a problem arises at work or when you get into an argument with a friend—that’s normal. But there’s a big difference between feeling anxious or worried from time to time and suffering with a serious anxiety disorder. Anxiety disorders are more than temporary worry or fear—they’re often severe and can interfere with daily life such as job performance, school, or relationships.
According to the US National Institutes of Health (NIH), anxiety disorders are the most common mental disorders among adults. Statistics show that 28.8% of people in the US will experience an anxiety disorder at some point in their lives. And in any given year, 18.1% of the US population will experience an anxiety disorder, while 4.1% will experience severe anxiety disorder symptoms. Furthermore, women are 60% more likely than men to experience an anxiety disorder in their lifetime.
What Anxiety Disorders Are There?
As previously mentioned, there are a multitude of anxiety disorders, as listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). These include:
- Generalized anxiety disorder
- Selective mutism
- Social anxiety disorder
- Specific phobia
- Panic disorder
- Substance/medication-induced anxiety disorder
- Anxiety disorder due to another medical condition
- Other specified anxiety disorder
- Unspecified anxiety disorder
These specific disorders vary in symptoms and diagnostic criteria. However, generally speaking, a person with a diagnosable anxiety disorder experiences more intense symptoms than brief “normal” anxiety, such as excessive fear or dread. Anxiety disorders can, and often do, occur alongside other mental or physical illnesses. And some co-occurring problems—such as depression, addictions, chronic pain, autism-spectrum disorders, or substance abuse—have the potential to mask anxiety symptoms (or simultaneously exacerbate them). In some instances, like in the instance of substance abuse, the co-occurring problem will need to be treated before a person can respond effectively to treatment for their anxiety.
Causes of Anxiety
While anxiety disorders sometimes run in families, no one knows for sure what causes an anxiety disorder. Indeed, the cause might be multifaceted, meaning that some anxiety disorders may emerge for a few reasons. They may occur due to…
- One’s environment: for example, an individual might develop social anxiety due to a bad experience in a large crowd, for example.
- Genetics: whereas one’s genetically susceptible to anxiety.
Studies investigating biological factors have found that several parts of the human brain are involved in fear and anxiety. In addition, ongoing research regarding environmental factors continues to develop, offering further explanations for causes of anxiety. In fact, there is a sentiment among researchers that evolutionarily (or biologically) a human body is designed to live life at a much slower pace and with less stimulus change. The simple fact that our environments are so disparate from what we have experienced as a species for many thousands (or more) of years, could be the most effectual root cause of the significant discomfort and anxiety many people feel.
How Does Anxiety Counseling Work?
There is good news: anxiety disorders are treatable. Therapy—as well as certain medications (such as Xanax, Clonazepam, and antidepressants)—proves to be especially helpful for anxiety. Talk therapy involves talking with a counselor to understand what caused your anxiety disorder and how to manage or even eliminate it. A popular and effective form is called cognitive behavioral therapy or CBT: an empirically-based method that can be useful in treating a number of mental health issues including mood disorders (such as anxiety disorders).
CBT’s aim is to help the patient change thinking patterns that produce negative emotions (such as anxiety), and thereby change the way a patient reacts to anxiety-provoking situations. For example, CBT can help a person with panic disorder learn that his or her panic attacks are not heart attacks (a common misconception), or help a person with social phobia learn how to change the false belief that others are always watching and judging him or her. Furthermore, CBT can include exposure-based treatment, which has been used to treat specific anxieties or phobias, whereas the patient gradually encounters the object or situation that is feared (such as a spider, snake, germs, or small space).
Who Should Seek Anxiety Counseling?
If you think you have anxiety and need help managing it, you could benefit from working with an anxiety counselor. Keep in mind, as you embark on this journey, that response to treatments can vary, and recovery doesn’t always follow a linear path to healing. More often, persons will experience their recovery as cyclical—a “two steps forward, one step back” motion. One will feel better, then somewhat worse, then better, and so on. Unfortunately, when results are not immediate, or when regression occurs, sometimes people believe they have “failed” at treatment—or that the treatment didn’t work for them—when, in fact, the person simply needs more time in treatment for it to be effective. Also, sometimes a person must try different treatments (or a combination of treatments) before they find what will be effective for them.
Quick Facts About Anxiety
- CBT may be conducted individually or with a group of people who have similar problems. Group therapy is particularly effective for social phobia, as the patient/client can encounter and confront some social issues in treatment.
- Talking with a trusted friend, or religious mentor/clergy member, can also provide support, though it’s not usually a sufficient alternative to professional care.
- Stress management techniques and meditation can help people with anxiety disorders learn to self soothe and may greatly enhance the effects of therapy.
- Regular exercise has been shown to reduce stress and anxiety levels.
- Sufficient sleep can help one to experience reduced anxiety. Often ignored, the impact of adequate sleep can be substantial.
- Caffeine, alcohol, and certain illicit drugs can provide temporary relief from anxiety; however, they’re generally considered to be unhelpful for the long-term anxiety management and may produce other negative outcomes. Some over-the-counter cold medications can also aggravate the symptoms of anxiety disorders.
- One’s family can be an important asset in the recovery of an anxiety disorder. Ideally, one’s family should be supportive, but not enable, their loved one’s symptoms.
Get Anxiety Help Today
If you’re struggling with an anxiety disorder, it’s important to know that there is treatment out there. A counselor or therapist at Thriveworks can help you manage your symptoms and better understand how to cope with your disorder—they have the skills and experience to assist you. Additionally, they truly care about your health and wellbeing. To book a session with a provider near you, click here. Or, to check out our online counseling opportunities, click here.
More about Phobias
Most (dare I say, all) of us are afraid of something, whether it be small spaces, heights, or snakes; and as it turns out, we often share the same fears. One common fear is social phobia: this fear is rooted in one’s fear of being judged or negatively perceived by...
Claustrophobia is the fear of small, enclosed spaces; those who suffer with it often go to extremes to avoid encountering such spaces. Symptoms include a racing heartbeat, dizziness, hyperventilation, shaking, headaches, nausea, and chest tightness. While symptoms are...
Social phobia is characterized by an intense fear of being negatively assessed or observed by others. This form of anxiety (like most forms) can make everyday tasks difficult, as the fear is excessive and can completely take over one’s life. In addition to worrying...
Agoraphobia is the fear of being in large, small, or crowded spaces, using public transportation, or leaving the house alone.This fear can become so severe that the individual isolates him or herself in her home and is forced to rely on others for food and other...
The fear of germs, or mysophobia, is a common and harmful one; this disorder can cause one’s life to be ruled by their stress and anxiety related to germs.Symptoms of this disorder include excessive hand-washing, avoiding dirty surfaces, and obsessing over...