Saturday, 10 October 2020

UNDERSTANDING ANXIETY

ANXIETY



“I can feel my heart beating fast. Am anxious something will go wrong.”

“It is impossible to concentrate, I fear making a mistake at work. Because I will make mistakes at work, I will be fired. Because I will be fired, I will not be able to pay the rent.”

“I am feeling these butterflies in my stomach as my turn for the interview is nearing.”

“Am well prepared for the workshop, but I keep thinking what if I don’t deliver properly?”

“Am excited my child is traveling alone first time, but feeling jittery too what if something goes wrong?”

    ANXIETY!! Anxiety is a feeling of worry, nervousness, or unease about something with an uncertain outcome and strong desire to do something or wanting something to happen.

    When faced with possible harmful or worrying triggers or situations on which we may not have a control on; feelings of anxiety is the only normal but necessary response that a body shows for survival. It is the ‘fight-or-flight’ reaction. While riding a bus to a new destination for the first time, even though you have asked the personal to inform you of your desired station to get down at; your constant checking out the names of each bus stop; is just one of the examples. The thought could be, “What if the Bus Conductor forgets to inform you when your station arrives?” “What if you are unable to hear the Bus Conductor in the crowd of the bus?” “Precaution is better” – your mind is telling you and so you continue to keep watch on each passing bus station. 

    While most times, Anxiety is a normal part of our day-to-day life, there happens to be a thin line between anxiety being normal and anxiety that needs medical attention. The moment you start noticing that the worry, the thoughts are constantly affecting your day-to-day life, it is time to get a check done. 


This brings us to the obvious question then:- WHAT ANXIETY IS?



        Anxiety is your body's natural response to stress. It's a feeling of fear or apprehension about what's to come. The first day of school, going to a job interview, meeting new people in a function or giving a speech may cause most people to feel fearful and nervous.

        It becomes clear that anxiety in natural sense, actually helps us to perform better like creating pressure in a positive way to support achieve our goals. So we can say occasional anxiety is OKAY. However, anxiety disorders are different. They are a group of mental illnesses that cause constant and overwhelming anxiety and fear. The excessive anxiety makes you avoid work, school, family get-togethers and any other social situations that might trigger or worsen the symptoms.


ANXIETY DISORDERS:


Generalized Anxiety Disorder (GAD) - A person feels anxious on most days, worrying about lots of different things. This may last for a period of six months or even more.

Social Anxiety - It is the fear of negative judgement from others in social situations or of public embarrassment. It includes a range of feelings, such as stage fright, fear of intimacy, dining sitting in company of group of people, anxiety of being humiliated and rejected.

Specific Phobias - An irrational fear and avoidance of a particular object or situation. Phobias are not like other anxiety disorders, as they relate to a specific cause. Like feeling anxious when in a group of people, fear to alight in a lift alone. Although the person with a phobia might acknowledge a fear as illogical or extreme but still remains unable to control feelings of anxiety around the trigger.

Panic Disorder - Shaking, confusion, dizziness, nausea, and breathing difficulties. Panic attacks tend to occur and escalate rapidly.

Obsessive Compulsive Disorder (OCD) - is characterized by unwanted thoughts or behaviors that seem impossible to stop or control. “Every time I see things scattered in a room, I cannot stop but start cleaning.” “I get irritated if the order of the things placed is changed even a little bit.” 

Post-Traumatic Stress Disorder (PTSD) - is an extreme anxiety disorder that can occur in the aftermath of a traumatic or life-threatening event. Like in case if you have experienced a car accident, speeding of a vehicle or even the possibility of another vehicle coming closer to yours can trigger stress. Since the time she was first hospitalized for asthma, she fears traveling to heighted places, fears eating anything cold, fears being pricked with needles or the mere fact of visiting hospital makes her stressed.  

           A big event or a gradual buildup of smaller stressful life situations may trigger excessive anxiety. For example, a death in the family, work stress or ongoing worry about finances. Personality. Genetics/ People with certain personality types are more prone to anxiety disorders than others are. Other mental health disorders. Withdrawal from an illicit substance.

        As we talk on various aspects of Anxiety, let’s learn to identify the PHYSICAL SYMPTOMS of ANXIETY. Many of us have complained some or the other time of -

  • Stomach pain, nausea or digestive trouble
  • Headache
  • Insomnia or other sleep issues
  • Weakness or fatigue
  • Rapid breathing or shortness of breath
  • Pounding heart or increased heart rate
  • Sweating
  • Trembling

        These feelings most times are associated with an ongoing event or an event that is going to occur soon. Even when you decide to go shopping or catching up with old friends, one feels goosebumps, sweet feelings in the stomach.

        Daily stressors like traffic jams or missing your train can cause anxiety in anyone. But long-term or chronic stress can lead to long-term anxiety and worsening symptoms, as well as other health problems. Stress can also lead to behaviors like skipping meals or binge eating, drinking alcohol, snapping or getting angry quickly or not getting enough sleep.

        Another inquiry naturally arises that if Anxiety happens to be a normal part of our day-to-day to life to an extent; then there obviously should be means/methods available to calm my anxiety naturally too! Let’s explore these.


WAYS TO NATURALLY REDUCE ANXIETY -




  • Regular exercise needs to be part of your daily routine for your physical and emotional health. 

  • Stop consuming Alcohol - Alcohol is a natural sedative. However, as the effect of alcohol comes down one might crave for more alcohol, leading to developing alcohol dependence.
  • Stop smoking.
  • Ditch caffeine - Caffeine may cause or worsen anxiety disorders. It may also cause panic attacks in people with panic disorder.
  • Fix your daily sleep time - Insomnia is a common symptom of anxiety. Avoid using phone while in bed. Avoid caffeine, large meals and nicotine before bedtime.
  • Meditate – Meditation helps to remove chaotic thoughts from your mind and replace them with a sense of calm and mindfulness of the present moment. Deep breathing exercises as in Yoga also help reduce anxiety.
  • Aromatherapy - Fragrant essential oils help to promote health and well-being. The oils may be inhaled directly or added to a warm bath or diffuser. They helps you relax, get good sleep, boosts mood, reduces heart rate and blood pressure.
        With the type of life that we are subjected to now, many of us are suffering from issues ranging    from thyroid to blood sugar levels, dehydration, skin infections and so on. The chemicals in processed foods such as artificial flavourings, artificial colourings and preservatives may cause mood changes in some people. A high-sugar diet may also impact temperament. Shift to a healthy diet rich in complex carbohydrates, fruits and vegetables and lean proteins as much as possible. 


SEEKING PROFESSIONAL HELP -     




        Last but not the least Counseling is also an effective important tool to opt for. A support system apart from all that one is trying on his/her own to treat/manage Anxiety, a Counselor supports and guides you to identify and manage Anxiety on a one-on-one basis. Counseling includes Cognitive Behavioral Therapy (CBT), Psychotherapy or a combination of therapies. Sometimes Medications too may be required. A person can support anxiety management with several types of medication. The Therapist will work with you to determine the cause and type of your anxiety disorder and devise a course of treatment.

       Exposure Therapy is one of the therapy method used by Counselor that involves exposing the patient in a safe and controlled environment to physical sensations they experience during an anxiety or panic attack. The idea is that by repeating the things that may trigger a panic attack; those triggers will eventually lose their power.

      Focus on one single task at a time. You will instantly feel less overwhelmed. If you arethe car, focus on staying in the middle of the lane. If you are at work or school, take care of the most important thing you need to do that day. Focusing on a single activity distracts your mind from the anxiety it is producing.

      And speaking of activity, find something, be it coloring, doing a crossword puzzle, writing, knitting, cleaning cupboard, washing clothes by hand or anything else that occupies your hands and your mind will help keep anxiety at bay. Living with anxiety doesn’t have to feel like a life sentence. Take a proactive role in your own mental health treatment and find techniques that work for you to help manage your anxiety.

    REMEMBER -- As you ongoingly try and deal with Anxiety in your life with almost all the self-help that you can; do not at any point deal with it singlehandedly alone only. A Therapist, a Counselor is one of the much required and an essential Personal you need reach out to. The right to living a life in a fulfilling, happy, peaceful way even in the chaos of everyday routine, is just a step away.


POONAM R. KHAIRNAR
RELATIONSHIP COUNSELOR
https://udyojak.org/poonamkhairnar/

poonam.counselor@rediffmail.com