Anxiety Disorders, Panics and Phobias

Anxiety is the fearful anticipation of further danger or problems accompanied by an intense unpleasant feeling (dysphoria) or physical symptoms. An anxiety disorder differs from normal stress and anxiety.  It is more severe and long-lasting, and interferes with work and relationships.  Anxiety disorders include Generalized Anxiety Disorder, Panic Disorder, Social Phobia, Post-Traumatic Stress Disorder, and Obsessive/Compulsive Disorder.
Psychotic Disorders ,depression, monomanias
Anxiety is not uncommon in children and adolescents.

  • Separation Anxiety Disorder: Excessive anxiety concerning separation from home or from those to whom the child is attached. The youngster may develop excessive worrying to the point of being reluctant or refusing to go to school, being alone, or sleeping alone. Repeated nightmares and complaints of physical symptoms (such as headaches, stomach aches, nausea, or vomiting) may occur.
  • Generalized Anxiety Disorder: Excessive anxiety and worry about events or activities such as school. The child or adolescent has difficulty controlling worries. There may also be restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep difficulties.
  • Panic Disorder: The presence of recurrent, unexpected panic attacks and persistent worries about having attacks. Panic Attack refers to the sudden onset of intense apprehension, fearfulness, or terror, often associated with feelings of impending doom. There may also be shortness of breath, palpitations, chest pain or discomfort, choking or smothering sensations, and fear of “going crazy” or losing control.
  • Phobias: Persistent, irrational fears of a specific object, activity, or situation (such as flying, heights, animals, receiving an injection, seeing blood). These intense fears cause the child or adolescent to avoid the object, activity, or situation.

Symptoms related to anxiety disorders:

  • Physical – Heart palpitations, chest pain, rapid heartbeat, flushing, hyperventilation, shortness of breath, dizziness, headache, sweating, tingling and numbness, choking, dry mouth, nausea, vomiting, diarrhea, muscle aches, restlessness, tremors/shaking
  • Psychological – Unrealistic and/or excessive fear and worry, mind racing or going blank, decrease concentration and memory, indecisiveness, irritability, impatience, anger, confusion, restlessness or feeling “on edge” or nervousness, tiredness, sleep disturbance, vivid dreams
  • Behavioral – Avoidance of situations, obsessive or compulsive behavior, distress in social situations, phobic behavior

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