Anxiety treatment and therapy

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Stress and Post-traumatic Stress treatment and therapy

Anxiety treatment and therapy

Written by Dr.Deyn on 28 June 2016, last reviewed and updated on 22 July 2022

Anxiety treatment and therapy

Anxiety disorder is common and an estimated 6% of the population suffers from some mental anxiety.

Anxiety feels like a constant feeling of worry, overthinking, stress and fear of being judged. It can happen to anyone and for no reason and the constant worry and nervousness gets worse over time. Sometimes you just want to break down and cry.

Anxiety can sometimes appear like ADHD. You feel restless and can’t focus. The constant uneasiness and fear upon waking every day is like a neurotransmitter that triggers a fight or flight reflex that makes it very difficult for you to function during the day. And this neurosis (a strong feeling of fear or worry) can be over nothing and sometimes lead to irrational thoughts like quitting your job, or even suicide.

Anxiety can destroy our lives, by hurting our work performance, and relationships with family and be so frustrating because you just want it to end.

 

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Anxiety: What’s Normal and What Isn’t

It is normal to feel anxious when the situation calls for it. When stakes are high and performance is crucial, feelings of anxiety help keep our bodies ready for action.

If anxiety persists for an extended period of time and affects your day-to-day living, you may be suffering from an anxiety disorder.

Anxiety disorders can be debilitating conditions that affect both our mental and physical well-being, but they can be managed with the help of a psychiatrist, psychologist or counselor.

 

Types of Anxiety Disorders

  1. Obsessive-compulsive disorder / O.C.D - When a person has repeating, distressing and intrusive thoughts of images and urges to perform certain actions or rituals over and over, this person may have OCD. In general, such a person knows that these actions are not rational but still has trouble stopping the behavior. Their excessive fears of things that are otherwise minor cause them to repeatedly take precautionary or salutatory measures to that end. Washing hands repeatedly for fear of infections, and constantly checking that the door is locked when going out for fear of burglary are some examples of OCD behavior.

  2. Panic Disorder/Anxiety attacks/panic attacks
    This type of anxiety disorder is used to describe a person who experiences random panic attacks in day-to-day life without any apparent cause or triggers. A panic attack can consist of sweatiness, chest pains, severely elevated heartbeat, choking or symptoms that feel like a heart attack, difficulty breathing, wet palms, and trembling of the body.

  3. Specific phobias
    When a person experiences extreme fear of a particular stimulus or situation, we call this a phobia. Flying, blood, spiders, germs and snakes are examples of phobias that are commonly experienced. When facing their phobias, people will tend to freeze up; experience severe tremors; have a racing and pounding heart; and have rapid, shallow breathing.

  4. PTSD or Post-traumatic stress disorder
    Victims of an extreme situation – death of a loved one, diagnosed with cancer, domestic violent, combat, child abuse, rape or natural disasters – may develop PTSD. People with this type of anxiety disorder tend to be excessively vigilant, experience flashbacks of the extreme events, see everything as threats, experience excessive anger, and may have sleep problems.

  5. Social anxiety - fear of public speaking, Inability to express ideas to a group.
    Social anxiety disorder is also known as social phobia. People with this disorder are fearful of social situations in which they might feel embarrassed or judged. They typically feel nervous spending time in social settings, feel self-conscious in front of others, and worry about being rejected by or offending others. Other common symptoms include having a hard time making friends, avoiding social situations, worrying for days before a social event, and feeling shaky, sweaty, or nauseous when spending time in a social setting.

  6. Separation anxiety disorder - Fear of losing someone or being alone. 

  7. Generalized Anxiety Disorder (GAD)
    A person with this type of anxiety disorder has excessive worries about everyday matters for a long period of time (typically 6 months or more). Some other symptoms of GAD include restlessness, fatigue, trouble concentrating, irritability, muscle tension and sleep disturbances. Such a person may also have trouble making commitments, and find it tough to decide on day-to-day matters.

19 Signs you have Anxiety

  1. Fast heartbeat / Heart palpitations/breathing becomes faster

  2. Chest pain and tightness / Difficulty breathing / Shortness of breath

  3. Panic attacks feel like a heart attack or stroke

  4. Nausea / Feel like throwing up / Dry retching

  5. Sweaty palms / Hands trembling / Body shaking / Tingling sensations

  6. Can’t concentrate / Mind goes numb / Paralysed

  7. Phobias - fear of crowded places, presentations, dirt and germs

  8. Worrying about what others think / Feeling judged

  9. Dizzy / Losing Control / Blackout and faint

  10. Need to micro-manage everything

  11. Feeling Helpless / Hopeless

  12. Worry/ Scared of the future / Sense of dread

  13. Constantly nervous / Restless / Can’t sit still

  14. Overwhelmed / Breakdown and cry

  15. Chronic overthinking / Mind constantly active worrying about health, work. situations or certain people

  16. Poor sleep / Night sweats

  17. Feeling tense / Muscle tightness / Eye and facial twitches / Hot flushes

  18. Self-doubt / Low self-confidence / Feel like you are failing

  19. Gastric reflux / IBS / Stomach ache / Ulcers

 

Common Causes of Anxiety Disorders

Anxiety disorders are generally caused by any combination of the following factors:

Biological Causes

A person has chemical imbalances in the body, typically an excess of cortisol (the ‘stress’ hormone).

Genes

The family tree of the anxious person is full of similar cases.

Upbringing

Being exposed to traumatic or stressful situations in their early years may cause people to experience anxiety when presented with similar situations.

 

Common triggers for Anxiety

  1. Stress from heavy workloads, tight deadlines, uncertainties at work

  2. Health worries

  3. Difficult colleague or boss who makes us feel scared to go to work

  4. Toxic work environment

  5. The burden of aging parents or in-laws that are just plain toxic

  6. Worry about our children’s health and how they are performing in school

  7. Job insecurity as we are not doing well in our job and worry about the future

  8. Worry about how others think of us

  9. Trauma from being bullied, abused or molested

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How to Cope with Anxiety

  1. Avoidance You find yourself avoiding situations that in the past triggers uncomfortable feeling and panic attack.

  2. Distraction Social media, gaming, Netflix and YouTube. Binging on videos and occupying the mind somehow makes you feel more at ease.

  3. Alcohol and Drugs Drinking numbs the feelings and helps us forget

  4. Food Over-eating gives you a sense of comfort

Coping with anxiety is tiring and frustrating. Sometime you might feel so depressed that you just want it all to end. The good news is that the right Counsellor can help

How to deal with anxiety

Even without medication, we can undertake some of these stress-busting activities to stay calm in the face of anxiety or stress:

  • Step back from the stressful situation.
  • Take care of our diet.
  • Reduce alcohol and caffeine.
  • Sleep well.
  • Exercise frequently.
  • Breathe deeply.
  • Count slowly.
  • Commit to action.
  • Make light of the situation.
  • Stay positive.
  • Talk to a friend.
 

If taking these steps don’t seem to help your symptoms, you should seek help from a psychiatrist, psychologist or counsellor for help in treating your anxiety.

Link between Anxiety and Depression

Anxiety is strongly linked to depression because after many failed attempts at trying to cope and avoid anxiety, you spiral into dysthymia or depression.

The long-term effects of anxiety are poor health, poor sleep, stress and depression. Many long-term sufferers are on anxiety medication. Thinking about this may give you a lump in your throat because you worry about the side effects. But sometimes, medication is the only way to lower anxiety to manageable levels that they are reasonable enough to take the next step and go for counseling and therapy.

It is important to know that you don't need to feel helpless or hopeless in your anxiety, stress or insomnia. There are many people out there just like you.

With the right therapy, the scale of the anxiety can be reduced and in many cases, the anxiety symptoms can be overcome.

Getting Medicated for Anxiety

Unfortunately, no medication cures anxiety or depression. Most drugs aim to just reduce the nervous feelings and help us sleep better. The problem is that sometimes, the medication itself gives us a headache and makes us more anxious.

If you have been to a polyclinic or the IMH (Institute of Mental Health) and have seen a psychiatrist and you are on medication, it's best that you follow their instructions. Even though you are seeking alternative treatment.

Anxiety relapse rates are very high for medication, so many take the next step towards resolving the root cause of the anxiety through counseling.

How to help someone with Anxiety

What to do when someone you know has anxiety? The best helpline is to spot the signs of anxiety and encourage to get professional help.

Anxiety can literally change a person's life. A person could feel so nervous and fearful of crowded places that they avoid going to restaurants or even avoiding taking a holiday because they worry about being stuck in an airplane where they can’t escape the situation.

You may have asked someone you love if they need help but they said “No.” What next?

Keep trying. That person in most cases has tried or is trying to cope with the anxiety. But constantly failing may have spiraled them into a state of depression. But with depression, there will be times when they are actively searching for a solution and willing to get help.

There are many causes of anxiety. It could be caused by pressures from school or work, abuse, bullying, or trauma in the past. It’s best to let the right Counselor resolve the root cause.

The best way to help is what you are doing right now, finding the right counselor for your loved one. And as you decide on the right counselor, start encouraging them to agree to counsel. Get them feeling confident they too can succeed by reading the latest client reviews or video testimonials. Keep encouraging them to get help. After some time, they might agree.

Anxiety and Depression Counselling and Therapy

Anxiety & Depression Counselling and Therapy can help many people suffering from anxiety feel safe.

With the right therapy, anxiety attacks, which in the past happened often and was so intense, can occur less frequently and reduce significantly in severity.

For a good percentage of clients at PULSE, anxiety can be overcome with high success rates, allowing you to become finally become free from anxious feelings and panic attacks and achieve your full potential.

 

PULSE Counselling and Therapy Program

Program Duration
  • Each session is 1 hours on average

  • The program typically completes within 6 weeks

Personalized and Easy

  • Although we can’t change your life situation, we can help you feel better, more confident, and in control. We work towards your objectives, and explain more about the program as we progress each session so you know what’s ahead every session.

Confidential

  • Our conversations are private and confidential. There is no medical record.

Online / Face to Face

  • Initial consultations begin online and over the phone. Therapy sessions are face to face at our office for the best results.

Weekday Package 12000THB (2,000THB/session)

Session Times

  • Monday to Friday 9am - 1pm, 2pm - 3.30pm. Excluding public holidays.

Weeknd Package 18000THB (3,000THB/session)

Session Times

  • Saturday to Sunday 1pm - 3.30pm. Excluding public holidays.

 

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With whatever you’re experiencing, you are not alone. PULSE Social Enterprise is here for any concerns and questions that you might have about your health.

 

From general wellness to mental well-being to sexual health, we will be sure to give you fast, reliable, and safe diagnosis, treatment, and consultation.

 

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