© 2020 Select Healthy Mind Ltd
This article was prepared by
Barbara Paczkowska, MSc., CBT Psychologist and Therapist -
If you are accompanied by a feeling of anxiety that persists for a long time or there is no specific reason, your problem may be ....... Anxiety Disorder, panic or phobia.
To better understand the problem, let us explain what is fear / anxiety
Anxiety is a normal human emotion, a defensive reaction of the body to situations that we perceive as a threat. Sometimes however, anxiety can also occur when there is no immediate danger rather when we face oncoming problems which we find difficult to resolve.
Fear dissipates when we get used to the situation that caused it, when the circumstances change, or if you simply leave a dangerous place. However, sometimes it happens that a feeling of anxiety persists for a long time, or even when there is no specific reason for it.
This in turn reduces our living comfort which affects our family relationships, our performance at work or our health. When we think that we are in the situation described above we should take more decisive steps and think about seeking out treatment.
The most recognised form of anxiety comes with the fear caused by ‘direct threats’ -
Although the fear / anxiety is an unpleasant feeling, it often plays a very useful role in our lives, because it is part of the so-
Fear / anxiety may occur in one of three forms:
What are the most common cause of our anxiety?
Sometimes some of the above factors may cause our anxiety. However, in some situations, there is no way to determine what is the cause of our fears because it may be a combination of our personality, major life changes or catastrophic events in our lives.
Cognitive Behavioural Therapy (CBT)
Often fear of social stigmatisation thinking others will classify us as a ‘psycho’ or a ‘lunatic’ makes us avoid contact with a specialist, and instead seek suffer in silence. There is no shame in seeking treatment from a professional in the same way you would seek treatment for a physical ailment. Please contact me at Select Healthy Mind to discuss with me whether or not therapy sounds like the right step forward to helping you. As one of the therapies I currently offer ‘Cognitive -
Treatment is carried out through individually tailored sessions, usually arranged once a week and can continue for several weeks. After applying the techniques of C.B.T. You will begin to take control over your fears and learn to stop avoiding situations and places which previously were related to our unpleasant symptoms.
In milder anxiety computerized cognitive behavioural therapy may be helpful, which I will be able to recommend accordingly.
In the treatment of fears and phobias certain pharmacological treatments may also be advised through discussions with your G.P. Sedatives such as Valium -
Some antidepressants acan lso help relieve anxiety, although usually theses are prescribed for the treatment of depression. Reducing anxiety usually appears after 2-
Studies suggest chamomile (lat. Matricaria recutita) and lemon balm (lat. Melissa officinalis) alleviate anxiety particularly in mild cases.
Organizations offering support in England:
Anxiety UK: Call: 08444 775 774. This is a charitable organization established 30 years ago, its founder suffered agoraphobia. They can help people with anxiety syndrome.
British Association for Behavioural and Cognitive Psychotherapies (BABCP) leads a register of accredited therapists of which ‘Select Healthy Minds’ is one.
Additional sources of information-
Overcoming worry: A self-
Overcoming anxiety: a five Areas Approach (Overcoming fear: approach five areas). by Chris Williams (2003). London: Hodder Arnold.
Stories and analogies in Cognitive Behaviour Therapy (stories and analogies in cognitive-
Available online source of cognitive-
Living Life to the Full (Live life to the fullest): Free online course to help people and their carers in difficult situations in the development of life skills. It helps to understand why we feel this way and not otherwise, it helps to make a change in thinking and action to improve relations with others.
Fear Fighter (Conqueror of Fear): Free program available in England and Wales, it rewrites therapist or family doctor.
Anxiety neurosis / generalized anxiety disorder (GAD):
the most important symptom is difficult to identify -
Anxiety neurosis accompanied by a feeling of increased tension, irritability, as well as bodily symptoms, i.e. Heart palpitations, trembling hands, sweating, feeling of choking, headaches, muscle tension, sleep disorders.
Panic attacks, also called panic disorder:
This sudden, unanticipated, terrifying anxiety panic attack, accompanied by a strong fear of death, syncope, and severe somatic symptoms: shortness of breath, dizziness, increased heart rate.
Unreality of objects, distances or unreality themselves intimidated and fear of losing the senses.
Panic attacks are short, very intense and reach a peak within a few minutes, but because it can be repeated and so unexpected, they significantly contribute to the deterioration of our quality of life.
Panic attacks also cause fear of another attack, I.e. fear of fear itself. Therefore the panic of even getting to the doctor or hospital with a ‘suspected’ but undiagnosed one can even bring on the real thing. In many cases however, the anxiety of not understand what is happening to us causes emotional distress -
Panic attacks can lead to us making behavioural changes in our daily lives.
Worrying about the onset of another panic makes us feel helplessness and confusion begins to grow. This often increases our feeling of loss of self-
Phobia is a feeling of fear of an object or a situation that is not actually dangerous and in most people does not cause any significant adverse reaction. Frequently the distance from the object of our phobia determines our reaction, the closer to the object of our fear the higher the level of our fear.
There are different types of phobias (2 of the most commonly treated are):
Fear of leaving the house is referred to as ‘agoraphobia’ originated from the Greek words agora -
In the above situations, we can feel: accelerated heartbeat, sweating, tremor, dry mouth, nausea, flushing, chills, feeling of numbness or itching. We can experience difficultly breathing, we feel chest discomfort, we feel that something in the back of the throat and we can not swallow -
Social phobia as a phenomenon is very common and is characterized by the appearance of intense fear or discomfort in situations where there is a need to make contact with other people. The main problem we experience is our fear of how others perceive us, what others think of us and evaluate us. Fear of criticism, ridicule or embarrassment in the company causes huge discomfort, nervousness, and often severe bodily ailments such as. palpitations, dizziness, nausea and severe flushing. In company sufferers worry over their ability to control their speech, or even avoid speaking completely -
Social phobia in the workplace can manifest itself by avoiding situations that represent a confrontation with colleagues or people perceived as an authority. Avoiding this type of situation, in turn, can dramatically affect our performance at work, promotion and can cause constant stress.
All the above-