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Anxiety is a term which describes a normal feeling people experience when faced with threat or danger, or when stressed. When people become anxious, they typically feel upset, uncomfortable and tense. Feelings of anxiety are caused by experiences of life, such as job loss, relationship breakdown, serious illness, major accident or the death of someone close. Feeling anxious is appropriate in these situations and usually we feel anxious for only a limited time. These feelings are not regarded as clinical anxiety, but are a part of everyday life. What are the anxiety disorders? The anxiety disorders are a group of illnesses, each characterised by persistent feelings of high anxiety. There are feelings of continual or extreme discomfort and tension, with the fear of panic attacks, usually without discernible cause. People are likely to be diagnosed with an anxiety disorder when their level of anxiety and feelings of panic are so extreme that they significantly interfere with daily life and stop them doing what they want to do. This is what characterises an anxiety disorder as more than normal feelings of anxiety. Anxiety disorders affect the way the person thinks, feels and behaves and, if not treated, cause considerable suffering and distress. They often begin in early adulthood and are often triggered by a series of significant life events. Anxiety disorders are common and affect one in 20 people at any given time. What are the main types of anxiety disorders? Most types of anxiety disorder are characterised by heightened anxiety and fear of panic. Obsessive compulsive disorder and post-traumatic stress disorder are considered types of anxiety disorder, as both feature high levels of anxiety, which people try to control. Generalised anxiety disorder People with this disorder worry constantly about harm affecting themselves or loved ones, for example, financial disaster, their health, work or personal relationships. The irrational worry is accompanied by a feeling of constant apprehension. Agoraphobia Agoraphobia is a fear of being in places or situations from which it may be difficult or embarrassing to get away, or the fear that help might be unavailable if needed. Agoraphobia is the most common anxiety disorder and constitutes about half those with anxiety disorders who seek professional help. People with agoraphobia most commonly experience fear in a cluster of situations: in supermarkets and department stores, crowded places of all kinds, confined spaces, public transport, lifts, freeways and heights. People experiencing agoraphobia may find comfort in the company of a safe person or object. This may be a spouse, friend, pet or medicine carried with them. We do not understand why, but the onset of agoraphobia is common between the ages of 15 and 20, or between 30 and 40. Many more women than men seek treatment. Panic disorder (with or without agoraphobia) People with this disorder experience extreme panic attacks in situations where most people would not be afraid. The attacks are accompanied by all the unpleasant physical symptoms of anxiety, with a fear that the attack will lead to death or a total loss of control. It is because of this that some people start to experience a fear of going outside (agoraphobia) and being in places where help is not at hand. Specific phobia Everyone has some irrational fears, but phobias are intense fears about particular objects or situations which interfere in our lives. These might include fear of heights, water, dogs, closed spaces, snakes or spiders. Someone with a specific phobia is fine when the feared object is not present. However, when faced with the feared object or situation, the person can become highly anxious and experience a panic attack. People affected by phobias can go to great lengths to avoid situations which would force them to confront the object or situation which they fear. Social phobia People with social phobia fear that others will judge everything they do in a negative way. They believe they are permanently flawed and worthless if any sign of poor performance is detected. They cope by either trying to do everything perfectly, limiting what they do in front of others, especially eating, drinking, speaking or writing, or they withdraw gradually from contact with others.
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