Anxiety 2 Calm

March 15, 2010

Dizziness Vertigo Anxiety







A while back I blogged about the links between anxiety and dizziness and how more often than not the two seem to go together: people experiencing dizziness as part of an anxiety attack or a panic attack.

Today I want to look at dizziness and vertigo as potential causes of anxiety and panic disorder – things like agoraphobia. It has often been said that stress and anxiety can bring on what is often referred to as giddiness, dizziness, light-headedness and vertigo. The reason being that blood is diverted to the muscles, the oxygen balance in the blood changes. This is perhaps true however it doesn’t tell the whole story. For the whole story on panic attacks consider something like Panic Away, one of the most reliable anxiety cures.

The fight or flight response is meant to save us, but why did we evolve to disable our balance mechanism when poise and stability is needed most, when we are in danger? That begs a question along the lines of the chicken and the egg: what comes first dizziness or anxiety/panic?

For sure anxiety or a big shock can bring on balance problems like vertigo, often very short sharp bouts. However I think, and there is a certain amount of scientific evidence to back this up, that there are a lot of people with panic disorder who actually have an underlying balance problem.

If you into a supermarket and feel funny, maybe get derealization or feel dizzy or lightheaded the doctor will no doubt send you to a psychologist that will tell you that your subconscious doesn’t like being out of control and in a supermarket there is no easy way of escape. Maybe this is rubbish. Maybe the lighting and long aisles of a supermarket make it such a strange environment that the signal from ear and eye get somewhat out of sync in people with a slightly defective vestibular system. Maybe that is what causes the panic like symptoms and leads for the desire for an easy escape route.

If you think about it, the agoraphobics’ worst nightmares are all places that tend to be unnatural and odd and somewhat disorientating: supermarkets, shopping malls, motorways and highways: all places that could cause strange feelings in a person with a vestibular balance problems.

This is potentially important because in such cases your psychologist or charlatan hypnoanalyst will be telling you your neighbor sexually abused you. In fact there are types of vestibular rehabilitation and other physio techniques, as well as drugs, that might well help.

If your anxiety seems heavily related to dizziness or vertigo, or you experience balance problems elsewhere in life it might well be worth looking into.

October 5, 2009

Anxiety Dizziness







Filed under: anxiety, dizziness/vertigo, symptoms — Tags: , , , — admin @ 4:35 pm

Dizziness is one of the most common symptoms of anxiety. Referred to by doctors as vertigo, it can feel like a spinning sensation, as if objects are actually spinning round. The dizziness can also feel like the floor is unsteady, rocking up and down like a boat.

One explanation for why anxiety and dizziness often go together is to do with the fight or flight response.  When we are anxious our bodies natural protection mechanism, the flight or flight response, tries to protect us by focusing our energy and attention on the perceived threat. It draws blood towards our core and gives less resources to unnecessary functions.

Somewhere along the line our balance mechanism in our inner ear is disrupted causing what is a harmless although unpleasant symptom.  It should be noted that dizziness can be caused by other things than anxiety, so a trip to the doctor to rule out ear infections, viruses, labyrinthitis and other physical causes is important.

Assuming it is anxiety, the best thing to do is to come to terms with it. It is harmless and passes quickly as soon as you relax. The problem is that because it feels so unpleasant we tend to assume it is more serious than it is, and this causes us to worry more and feed the fear cycle.

If dizziness from anxiety is a serious problem for you then the normal anxiety medications like SSRI’s and Benzodiazepines may well help. There is also a drug called prochlorperazine (marketed as Stemetil and Buccastem) which is used to treat dizziness and associated nausea or vomiting. Relying on drugs might not be wise though, why not also consider something like Panic Away to help you relax and cure anxiety.

Really though, drugs should be a last resort. Easier to say than do, but if you can accept anxiety symptoms they will pass, lessen and eventually disappear, and dizziness is no exception. Try taking some calming breaths and telling yourself that the dizziness you are experiencing is just an unpleasant symptom and nothing else.

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October 3, 2009

Anxiety in Children







Filed under: Uncategorized, anxiety, children — Tags: , — admin @ 11:46 pm

Anxiety in children is not uncommon, in fact some anxiety during childhood and adolescence is the norm rather than the exception. Children have a lot to learn and a lot to explore, and some of that can be stressful. This is part of the learning process and the growing up process and parents and caregivers shouldn’t try to completely protect a child from it, children need to learn to do that themselves. What I am talking about thus far is normal low level anxiety that arises from the everyday harshness of real life.

More of a problem is when children start to experience unreasonable anxiety. Unreasonable anxiety is hard to define, but if it is interfering with education, development or socializing then you can be pretty sure it has gone too far.  Some children can develop phobias of school or of going out alone. These insecurities may manifest as panic attacks or move in different directions like eating disorders or self-harm.

Often childhood anxiety can manifest as irritability, panic attacks, phobias, fear of being alone, difficulty sleeping, bed wetting.

The most important thing to do is to get help. Schools, doctors surgeries and health clinics should all be able to offer advice. If the school has a counseling service then that is a good place to start.

Treatment wise, children are generally not prescribed medication such as SSRI’s or Benzodiazepines unless it’s really necessary. Indeed drugs like prozac may cause psychological symptoms to worsen in children.

Luckily, children are quick learners and can respond well to therapy and counseling, and can be taught to relax.

Lastly, it is important for parents and caregivers to make sure the child feels loved and accepted. This in itself can be a big part of the solution to childhood anxiety.

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October 2, 2009

Anxiety Stress







Filed under: anxiety, stress, symptoms — Tags: , — admin @ 4:48 pm

Anxiety and Stress go hand in hand. They have a symbiotic relationship meaning that they both feed off each other.

What’s the difference between anxiety and stress?

Anxiety has specific mental and physical symptoms, and is clinically identifiable. Follow this link for an explanation of anxiety symptoms. Stress on the other hand is a much more common phenomenon. Stress also much more commonly expresses itself as anger, irritation, short patience and irritability. Anxiety, on the other hand, tends to manifest itself as fear, hyperventilation, dizziness, feeling dislocated, or having stomach discomfort.

Both Anxiety and stress have been related to IBS .

If one lives constantly in a state of stress then anxiety and even an anxiety disorder are likely to follow. However this is not the case for everyone. Some people “thrive off stress” in the same way that adrenaline junkies effectively thrive off anxiety. but that does not mean that daily stress is good for you. In fact it is much better for you to be able to unwind and de-stress.  While stress might motivate you through the day and give you a buzz, when the working day is over your body needs a chance to relax.

The same tricks that help you overcome anxiety cam help you deal effectively with stress: meditation and yoga, exercise, herbal supplements and everything else mentioned on this site.

One of the main features of stress may be difficulty in getting to sleep. Insomnia can be caused by muscle tension, dwelling on the events of the day or worrying about the future or by having too many stimulants in your system.

Caffeine is an obvious candidate for removal if you want to sleep better. It can stay in your system for as long as twenty hours (although it effects different people in different ways.) Also, some people think they are unwinding from stress when they have an alcoholic drink. This is in fact not the case. Alcohol actually becomes a stimulant after it is broken down by your liver and this is one reason why many anxiety sufferers get anxiety with a hangover or even while drunk!

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October 1, 2009

Seredyn for Anxiety







Filed under: Natural Remedy, anxiety, medication, supplement, treatment — admin @ 11:42 pm

Seredyn is an anxiety treatment that can be obtained without prescription. It includes none of the chemicals you would associate with other anxiety medications such as SSRI’s and Benzodiazepines. But Seredyn does claim to have much the same effects – a reduction in anxiety.

So what exactly is Seredyn? Well, as far as we know it is a blend of Valerian Root, Passion Flower and Suntheanine. Suntheanine is a registered trademark version of the amino acid L-theanine that I have blogged about before. L-theanine is basically a key ingredient of GABA, which when taken promotes anxiety relief in the same way as a Benzodiazepine such as Xanax.

Both Valerian Root and Passion Flower (Passiflora) have been used as stress-relievers and anxiety cures for countless years.

Although the ingredients are clear, the actual amount of each ingredient is not clear. Some say this is because Seredyn want to protect their intellectual property (after all, Valerian Root, Passiflora and L-theanine are available in pretty much any self-respecting health food store). Other, more cynical, people say that Seredyn doesn’t contain enough of each ingredient to be effective.

As products like Seredyn don’t need to be licensed in the same way as new drugs do, there will never be extensive, peer reviewed, clinical research. I guess that means you either take advice from people you trust, or try it yourself and see if it works.

Elsewhere on the Internet people have said you should watch Seredyn if you have low blood pressure, as it can supposedly exacerbate the problem. I don’t know if that’s true or not, but basically there isn’t much else in there that’s likely to do the normal person any harm!

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September 29, 2009

Depression Panic Attacks







Filed under: depression, panic attack — Tags: , — admin @ 9:13 pm

Depression and Panic Attacks can often be linked. There is a simple reason for this and that is that low levels of the neurotransmitter Serotonin can lead to both depression and panic attacks.

What’s more, people who suffer from panic attacks often find themselves placing restrictions on their lives. For example someone who experiences panic attacks may become to a greater or lesser extent agoraphobic. Agoraphobia being basically a fear of panic attacks.  If you start to fear things that you used to do easily you may well become depressed and frustrated.

So depression and panic attacks might coexist because of the same cause, or because one leads to the other.

Certainly, the treatment you choose for one would most likely effect the other. For example SSRI anti-depressants like Celexa/Citalopram are often used to treat panic disorder, although the dose may need to be altered to be effective for panic.

Likewise, a course of CBT (Cognitive Behavioral Therapy) will teach you how to think more rationally and not be afraid of the symptoms of panic attacks. The same techniques can happily be applied to depression and the negative thought trains which surround it.

So basically establishing the link between panic attacks and depression is not really necessary for effective treatment.

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September 28, 2009

Xanax Anxiety







Filed under: Uncategorized, anxiety, medication, panic, panic attack, treatment — Tags: , , , , , — admin @ 7:19 pm

Xanax, also known by the generic name Alprazolam, has been licensed in the USA to treat anxiety and panic attacks since 1981. It is used in the treatment of anxiety disorders, panic disorder and, in some cases, depression. It is a member of a family of drugs known as Benzodiazepines. It is a mild tranquilizer.

Many people who have experienced drugs like Valium may be aware of how Benzodiazepines can make you feel doped and sleepy. Xanax is not like this for many people. In my own personal experience Xanax didn’t make me feel very different at all, just much much calmer. I didn’t get any of the side effects listed, and in an ad hoc experiment to see how my reaction times were effected I actually found my reactions to be almost exactly as good as when I wasn’t on Xanax.

Some people do suffer from side effects, sleepiness, dizziness and vertigo, nausea. But these drugs are rather well-tolerated.

In terms of dose, it is important to follow your doctor’s instructions. I personally worked my way up from the 0.25mg dose which is the lowest available and now take 1.5mg on an as needed basis.

Initially I took a tiny amount of one Xanax tablet to see how I tolerated it. As I was fine I took the rest. Some people who suffer from anxiety may have a psychosomatic side effect of feeling a sudden onset of anxiety or panic whenever they try something new. This can mean that at first a Benzodiazepine has a paradoxical effect. If I were you I would persevere, as for the short term relief of temporary anxiety and panic attacks this drug is very useful and very effective.

A word of caution. Like all Benzodiazepines, Xanax can be habit forming. If you take it for too long you may need to taper off slowly to avoid withdrawal effects. Also, if you take it often you may find you need to take more to get the same effect. Your doctor will be able to advise you on this.

I don’t recommend you buy from online pharmacies without prescription, you don’t know what you are getting or how safe it is, or even if it will arrive or not!

See also:

Xanax for travel anxiety.

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September 27, 2009

Medication for Anxiety







Filed under: Uncategorized, anxiety, drugs, medication, treatment — Tags: , , — admin @ 9:26 pm

There is lots of medication for anxiety available on the market. Almost all of it is only available on prescription from a doctor.

Normally, Patients presenting with anxiety are offered Selective Serotonin Re-uptake Inhibitors (SSRI for short). This family of medication is considered suitable if the anxiety disorder is ongoing, as SSRI’s are not suitable for short term use. They tend to take at least four weeks to start working (although some people claim to feel better in as little as two days) and aren’t thought to be fully effective until they have been taken for 6 weeks to two months. The common SSRI’s are:

Other drugs which might also be prescribed and are similar to SSRI’s are SNRI’s or Serotonin-norepinephrine Reuptake Inhibitors. The most commonly prescribed SNRI is Venlafaxine (Effexor). SNRI’s are newer than SSRI’s and tend to be slightly better tolerated with fewer side effects. They were designed to treat depression but are also a medication for anxiety. Likewise they are prescribed for long term use, normally six months or more and sometimes years.

If a medication for anxiety which is short term is needed then there are various other options. In times of extreme grief or pain, or when panic attacks are severe, a short acting anxiolytic might be used. The normal choice would be one of the Benzodiazepine family:

Benzodiazepines are good because they work quickly (less than an hour even) and are very good at what they do – stopping anxiety and panic. In a way they are the ultimate medication for anxiety. The problem is that if they are taken for too long they become less effective and can become addictive. Constant use for more then three weeks is rarely advised.

Another drug that is not a Benzodiazepine is Buspirone, which is said to be as good as a Benzodiazipine for reducing anxiety but non-addictive and non-sedating. It has a better side-effect profile but can not be taken on an as needed basis. It has to be taken daily and takes two or three weeks to take effect. As it is non-addictive it is much better suited to long-term use Benzodiazepines.

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September 25, 2009

Treatment for Anxiety







Filed under: Mindfulness Meditation, Uncategorized, anxiety, cbt, omega 3, treatment — Tags: , , , — admin @ 7:04 pm

Choosing the best treatment for anxiety is a potential minefield. There are two many treatments out there to name ranging from the clinically proven to the wacky and bizarre.

My first piece of advice is to do some Cognitive Behavior Therapy. I am not saying that CBT cures anxiety or that it is the best treatment for anxiety. What I am saying though is that the cognitive skills learned in CBT form the back bone of positive thinking and changing thought patterns.

It the bad old days CBT was expensive and your insurance or health service would only let you have a few miserable sessions. Now CBT is much more in your control. You can read some great books on CBT which have practical exercises and seeing an expert might not be necessary at all. There is another option that has become increasingly popular and that is computerized CBT. You can use this online and it takes you through various exercises. There are many websites offering this service for free or a nominal price. Moodgym is one such.

You can also try something like the Panic Away program that has successfully helped thousands of people overcome panic attacks and anxiety.

In an article about treatments for anxiety it would be normal to talk about drugs, medication and herbs. i won’t talk about any of those because they don’t treat anxiety, they mask the symptoms.

I will however talk about nutrition. Anxiety can be causes or exacerbated by a lack of Omega 3 fats and some vitamin and mineral deficiencies. You should consider supplementing with a good quality fish oil that has a high EPA content. Also, make sure you are getting enough B vitamins.

If you have IBS your stomach may not absorb vitamins and minerals well enough. This could lead to deficiencies so a modified diet which avoids food which you can’t tolerate may help in the long term. There is certainly a link between IBS and Anxiety.

Lastly you need to learn how to relax. A CBT therapist will teach you breathing and relaxation exercises but in my opinion there is nothing better for anxiety than mindfulness meditation. The simple act of becoming aware of what is around you, living in the present moment, observing thoughts without letting them become you or take you over, is the most calming thing. Like all good things it comes to those who wait, or to be more precise those who are patient and can practice mindfulness regularly.

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September 24, 2009

Social Anxiety







Filed under: Uncategorized — admin @ 5:28 pm

Social Anxiety can be described as a feeling of fear or dread that arises because of a social situation, intense shyness, guilt and shame. Social Anxiety may be felt before a situation in anticipation of it, during a social interaction or afterwards, as the sufferer over-analyses the interaction and feels ashamed or guilty about what happened.   Some people decide to completely avoid all social interaction, this is called Social Phobia.

Social Anxiety Disorder symptoms are just like any those for any other aspect of generalized anxiety disorder in many ways. The physical symptoms are often the same: palpitations, hyperventilation, muscle tension, nausea and vertigo. In some cases however a social anxiety sufferer may blush or stammer uncontrollably. In some cases they may even freeze, and be unable to speak.

Treatment for Social Anxiety

As Social Anxiety is caused by faulty thinking and physical symptoms that lead back into those faulty thinking patterns in a vicious circle the first line psychological treatment is often Cognitive behavior Therapy. With CBT a therapists will help you identify faulty thinking patterns or individual beliefs and then correct them or rationalize them.

The therapist will also teach some relaxation techniques to break the flight or fight cycle. CBT can be very effective and is often easily available although it can be expensive if you are not insured. There are many good books on the subject which can be as worthwhile as seeing a professional and much cheaper.

Doctors will often also prescribe drugs. Medication for Social Anxiety often takes the form of SSRI’s such as Citalopram (Celexa). These work by increasing Serotonin levels in the brain and improving mood and confidence.

Another type of drug that can be prescribed for social anxiety is a beta-blocker like Inderal. It doesn’t cross the blood-brain barrier sand therefore doesn’t effect mood but can be good for Social Anxiety because it blocks some of the adrenaline and therefore lessens the physical symptoms. This allows the sufferer to build confidence.

One vitamin, niacinamide, which is a form of vitamin B3, has been found in high doses to be beneficial for social anxiety. Scientists are divided over how it works and indeed if it works. On the consumer health rating site Revolution Health, readers have praised it’s effectiveness so it might be worth investigation and talking over with a doctor. There are safety concerns over taking high doses of Niacinamide.

Generally there is a good chance of a positive outlook for people with social anxiety. The numerous treatments available have a good chance of success and your doctor should be your first line of attack.

See Also

Do I have Social Phobia

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