Signs & Symptoms
Each of these anxiety disorders is distinct in some ways, but they all share the same hallmark features:
- irrational and excessive fear
- apprehensive and tense feelings
- difficulty managing daily tasks and/or distress related to these tasks
Cognitive, behavioural and physical symptoms include:
- anxious thoughts (e.g., “I’m losing control” )
- anxious predictions (e.g., “I’m going to fumble my words and humiliate myself”)
- anxious beliefs (e.g., “Only weak people get anxious”).
- avoidance of feared situations (e.g., driving
- avoidance of activities that elicit sensations similar to those experienced when anxious (e.g., exercise)
- subtle avoidances (to distract the person, e.g., talking more during periods of anxiety)
- safety behaviours (habits to minimize anxiety and feel “safer,” e.g., always having a cell phone on hand to call for help)
- excessive physical reactions relative to the context (e.g., heart racing and feeling short of breath in response to being at the mall)
The physical symptoms of anxiety may be mistaken for symptoms of a physical illness, such as a heart attack.
Several factors determine whether the anxiety warrants the attention of mental health professionals, including:
- the degree of distress caused by the anxiety symptoms
- the extent to which the anxiety symptoms affect the person’s ability to work or study, socialize and manage daily tasks
- the context in which the anxiety occurs.
People with anxiety disorders may feel anxious most of the time or for brief intense episodes, which may occur for no apparent reason. They may have anxious feelings that are so uncomfortable that they avoid daily routines and activities that might cause these feelings. Some people have occasional anxiety attacks so intense that they are terrified or immobilized.
People with anxiety disorders are usually aware of the irrational and excessive nature of their fears. When they come for treatment, many say, “I know my fears are unreasonable, but I just can’t seem to stop them.”
Causes & risk factors
Like most mental health problems, anxiety disorders appear to be caused by a combination of biological factors, psychological factors and challenging life experiences, including:
- stressful or traumatic life event
- family history of anxiety disorders
- cildhood development issues
- acohol, medications or illicit substance
- oher medical or psychiatric problems.
Adapted from Anxiety Disorders: An Information Guide © 2009 Centre for Addiction and Mental Health