Dr. Wolfgang Gombas
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Topic ANXIETY

 Depression |  Anxiety |  Relationship problems |  Illicit Drug Abuse |
 Alcohol Abuse |  Eating disorders |  Addiction without substances |
 Psychosis |  Asperger-Syndrome |

Anxiety is part of indispensable human emotions. It is genetically determined to help the species in its struggle to survive. But, of course, there is a problem: anxiety has the potentiality to get out of control. It can overwhelm a person and drown him or her in fear.

Classification of anxiety disorders

The ICD10 ("international classification of diseases") distinguishes four major groups:
F40 Phobic anxiety disorders

F40.0 Agoraphobia
      .00 without panic disorder
      .01 with panic disorder
F40.1 Social phobias
F40.2 Specific (isolated) phobias

F41 Other anxiety disorders

F41.0 Panic disorder
F41.1 Generalized anxiety disorder
F41.2 Mixed anxiety and depressive disorder

F42 Obsessive-compulsive disorder

F42.0 predominantly obsessional thoughts or ruminations
F42.1 predominantly compulsive acts (obsessional rituals)
F42.2 mixed obsessional thoughts and acts

F43 Reactions to severe stress und adjustment disorders

F43.0 Acute stress reaction
F43.1 Post-traumatic stress disorder (PTSD)
F43.2 Adjustment disorders

Anxiety circle

People often describe their symptoms as
amplification process, creating more and more fear
and producing a seemingly unbeatable surge.
Fear of fear leads to avoidance behaviour,
narrowing the focus on reasons and consequences
of anxiety symptoms, circling entirely around ideas
of how to end it immediately.
Consequence: all other aspects of life and, therefore, all resources
a person might have, disappear out of sight. Fear takes over.

There is some sort of "competition" between the disciplines for the most effective treatment. Psychiatry usually recommends medication to stop the anxiety circle and avoid a "memory effect" while psychotherapy focuses on explanations to prevent recurring situations and symptoms.
Patients often do want to know why anxiety symptoms appeared in the first place. And there is a need to integrate these experiences into one's biography.

Anxiety
Anxiety belongs to our basic emotions. It exists in every human and accompanies us through life, changing with experience.

Evolutionary seen anxiety is most important. It protects us from danger and prevents damage to our lifes with mighty impulse.

But if paralysing our actions and getting out of control anxiety becomes a powerful disorder. Some psychiatrists convey the idea that almost all mental disorders have a close relationship to anxiety and fear. By understanding the mechanisms we eventually might defeat them all.