Do you seem to worry more than your family or friends? Are your worries overwhelming? Do they interfere with your life?

While most of us occasionally worry about this, that, and the other thing, for people with anxiety disorders these worries are persistent and can be crippling and terrifying.

"Anxiety disorders are subtly disabling," says Catherine L. Woodman, M.D., UI Behavorial Health specialist. "They affect the sufferers' ability to work and lead productive lives, as well as their ability to enjoy family and friends. These disorders are often thought of as part of people's personalities, and it is assumed that there is no treatment, but effective treatment is readily available."

Anxiety disorders are categorized into general areas, each with distinct features. However each disorder is bonded to the other disorders by the common theme of excessive, irrational fear and dread.

Panic disorder--feelings of terror that strike unexpectedly and repeatedly without warning. The symptoms are generally not life-threatening and include pounding heart, shortness of breath, sweating, dizziness, or feelings of losing control. Panic disorder is one of the most treatable of the anxiety disorders, responding to medication and psychotherapy.

Obsessive compulsive disorder--involves anxious thoughts or rituals you feel you can't control. You feel the need to wash your hands over and over, or are pre-occupied with order or symmetry, or spend long periods of time touching things or counting them. There is no pleasure in carrying out the rituals, only a temporary relief in completing them. The disorder generally responds to medication and psychotherapy.

Post-traumatic stress disorder--a debilitating condition that can develop following a terrifying event. You may have persistent frightening thoughts and memories of the ordeal and feel emotionally numb. Ordinary events can serve as reminders of the trauma and trigger flashbacks. The disorder generally responds to medication and psychotherapy.

Social anxiety disorder--involves over-whelming anxiety and excessive self-consciousness in normal social situations. You have a fear of being watched and judged by others and may worry far in advance of a dreaded situation, such as speaking in front of a large group. The disorder generally responds to medication and psychotherapy.

Specific phobias--an intense fear of something that poses little or actual danger, such as heights, closed-in places, flying, dogs, or tunnels. The phobia is not just fear, but irrational fear of a particular thing. Specific phobias are treated with psychotherapy.

Generalized anxiety disorder--exceeds the general worry people experience daily. This worry and tension is chronic and exaggerated even though there is little or nothing to directly provoke it. You are constantly looking at the black side, anticipating disaster. It generally responds to medication.

For more information about anxiety disorders, contact UI Behavioral Health at 319-384-8999 or toll free at 877-384-8999 or call UI Health Access, 319-384-8442, ext. 703, or 800-777-8442, ext. 703, to contact a UI Family Care physician.

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Anxiety disorders are the most common forms of mental illness in the U.S., affecting 19.1 million people or 13 percent of adults.

• Anxiety disorders cost more than $42 billion a year, almost one-third of the U.S. mental health bill.
• General anxiety disorder affects four million people. Women are twice as likely to be affected.
• Obsessive compulsive disorder affects more than three million people and is equally distributed between men and women.
• Panic disorders affect more than two million people and again twice as many women.
• Post traumatic stress disorder affects more than five million people, with women being twice as likely to be afflicted.
• Social anxiety disorder affects more than five million people and is equally distributed between men and women.
• Specific phobia affects more than six million people, with women being twice as likely to be affected.
• Any phobia (agoraphobia, etc.) affects more than 11 million people--eight percent of the adult American population.

*Anxiety Disorders Association of America. All statistics represent U.S. populations.

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DO --

• Be stable and consistent. Don't surprise them
• Let the person set his own pace for recovery
• Be patient and accepting
• Support the person as he moves forward in his recovery

DON'T

• Assume you know what the person needs, ask him
• Enable avoidance
• Sacrifice your own life
• Let the person accept or assume he is permanently disabled
• Say "Relax" or
• "Calm down"

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For more information:

• National Institute of Mental Health
  Anxiety Disorders

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