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Anxiety is poorly recognized by the patient and requires a high degree of suspicion for diagnosis.
Patients with anxiety may present with a complaint of excessive worrying but they are more likely to report various somatic complaints, such as palpitations, insomnia or exhaustion, or gastrointestinal disturbances.
Past medical history/review of systems.
Chronic medical conditions are often comorbid with anxiety.
Patients with hypertension, diabetes, or chronic obstructive pulmonary disease are more likely to develop an anxiety disorder, and vice-versa.
Anxiety does produce physical symptoms which can be confused with the presentation of a wide variety of medical conditions, especially those highly associated with stress.
Anxiety is being prescribed with abandon.
Scared of flying? take a xanax.
Can’t sleep? take an ambien.
Shy at parties? try a buspar.
For severe physical symptoms of anxiety, a limited course of medication may be required, but we don’t recommend it for generalized anxiety.
Why not? first off, anti- anxiety medications are highly addictive; and second, they do nothing to reboot the neural and hormonal pathways for long-term mental health — they simply disrupt the pathway and mask symptoms so you can function.
Third, in some cases, particularly in older women, drugs like xanax and ativan can actually make symptoms worse.
* in other words, anxiolytics are just not a workable solution for the long haul.
I believe the vast majority of women with anxiety symptoms do not need medication.
I will prescribe anti-anxiety medicine only when a patient feels completely paralyzed by her symptoms.
This helps calm her nervous system enough so that together, we can help her make the crossing to better health.
I constantly monitor her progress, and when we agree she’s ready, she’ll taper off anxiolytics.
Usually with great success.
Anxiety is perfectly normal.
We all experience situations that make us fearful and apprehensious.