Anxiety conditions are real, serious, and treatable. Experts believe that anxiety
conditions are caused by a combination of biological and environmental factors,
much like other conditions, such as heart disease and diabetes.
The majority of people with an anxiety condition can be helped with professional
care. Success of treatment depends on the person. Some people might respond to treatment
after a few months, while others might take a year or more. Treatment is sometimes
complicated by the fact that people often have more than one anxiety condition,
or suffer from depression or substance abuse. This is why treatment must be tailored
to each person.
Although treatment is personalized, there are several standard approaches that have
proven to be effective. Therapists will use one or a combination of these therapies.
Treatment Options
Behavior Therapy
The goal of behavior therapy is to modify and gain control over unwanted behavior.
The person learns to cope with difficult situations, often through controlled exposure
to them. This kind of therapy gives the person a sense of having control over his
or her life.
Cognitive Therapy
The goal of cognitive therapy is to change unproductive or harmful thought patterns.
The person examines his or her feelings and learns to separate realistic from unrealistic
thoughts. As with behavior therapy, the person is actively involved in his or her
own recovery and has a sense of control.
Cognitive-Behavioral Therapy (CBT)
Many therapists use a combination of cognitive and behavior therapies, often referred
to as cognitive-behavioral therapy or CBT. One of the benefits of this type of therapy
is that the person learns recovery skills that are useful for a lifetime.
Relaxation Techniques
Relaxation techniques help people develop the ability to more effectively cope with
the stresses that contribute to anxiety symptoms, as well as with some of the physical
symptoms of anxiety. The techniques taught include deep breathing and exercise.
How Medication Can Help
Medication can be very useful in the treatment of certain anxiety conditions and
is often used in combination with one or more of the therapies mentioned above.
Sometimes anti-depressants or anxiolytics (anti-anxiety medications) are used to
alleviate severe symptoms so that other forms of therapy can go forward. Medication
is effective for many people and can be either a short-term or long-term treatment
option, depending on the person.
The most important aspect of the process of beginning a medication is to have an
open and honest discussion with your doctor, followed by ongoing evaluation and
monitoring.
While medications can be extremely effective in treating the symptoms of certain
anxiety conditions, such as worry, panic attacks, insomnia, and difficulty concentrating,
they have some limitations:
Medications might not resolve all of the symptoms of your anxiety condition. To
make sure your symptoms don't return, you might need to make some important changes
in your life. You might also benefit from individual or group psychotherapy treatment.
Medications will only work if they are taken the correct way, following the exact
instructions given by your doctor.
Choosing a Therapist
Anxiety conditions can be treated by a wide range of mental health professionals,
including psychiatrists, psychologists, clinical social workers, and psychiatric
nurses. Primary care physicians are also becoming increasingly aware of anxiety
conditions and depression and are making these diagnoses more often. A primary care
physician might prescribe medication, or might refer a patient to a mental health
provider.
Finding the right therapist can be tricky, as acceptable credentials aren't the
only factors to consider. It is important to feel comfortable with your therapist.
Speak to the therapist, either on the phone or in his or her office, and don't be
embarrassed if you feel uncomfortable and would rather see someone else.
Questions to Ask Your Doctor
A therapist should be willing to answer any questions you might have about his or
her methods, training, and fees. Here are some questions you might want to ask a
therapist during a consultation:
What training and experience do you have in treating anxiety disorders?
What is your basic approach to treatment?
If medication is needed, can you prescribe medication or refer me to someone who
can?
How long is the course of treatment?
How frequent are treatment sessions and how long do they last?
Do you include family members in therapy?
Will you or a staff member go to the home of a phobic person, if necessary?
What is your fee schedule and do you have a sliding scale for varying financial
circumstances?
What kinds of health insurance do you accept?
Remember, if a therapist is unwilling to answer your questions or if you don't feel
comfortable, see someone else.
Length of Psychological Treatment
It is very important to understand that treatments for anxiety conditions don't
work instantly. The person should be comfortable from the start with the general
treatment being proposed and with the therapist with whom he or she is working.
The person's cooperation is crucial and there must be a strong sense that the person
and therapist are working together to improve the anxiety disorder.
It's important to work together to see if the treatment plan seems to be on track.
Adjustments to the plan sometimes are necessary, since people respond differently
to treatment. Many people will begin to improve noticeably within eight to ten sessions
of therapy, especially those who carefully follow the outlined treatment plan.
There is no question that the various kinds of anxiety conditions can severely impair
a person's work, family, and social life. But the prospects for long-term recovery
are very good for most people who seek appropriate professional help.