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Psychiatry Blog

Discussing topics like how to find a psychiatrist, psychiatrist vs. counselor, what is psychotherapy, and much more.


​Our blog is meant to provide information and answers to common questions in psychiatry, cognitive behavioral therapy, mental illness, mental health professionals, talk therapy, psychologists, substance abuse, and anything else that would be helpful to those seeking mental health information. Knowing how to find a good psychiatrist, and what a licensed psychiatrist is will help you in your search.

How does anxiety cause chest pain?

3/24/2023

7 Comments

 
Anxiety causes chest pain
Chest Pain
Panic attacks are characterized by sudden and intense feelings of fear, anxiety, and discomfort. During a panic attack, individuals may experience a wide range of physical symptoms, including shortness of breath, palpitations, dizziness, sweating, and chest pain. Chest pain is one of the most common symptoms experienced by individuals during a panic attack, and it can be a source of significant distress and concern.


Chest pain during a panic attack is often described as a tightness or pressure in the chest that may feel like a heart attack. This sensation can be frightening and can exacerbate feelings of anxiety and panic. However, it is important to note that chest pain during a panic attack is not usually a sign of a serious medical condition.


So, why do panic attacks cause chest pain?


There are several reasons why panic attacks can cause chest pain. The first reason is related to the physical symptoms of anxiety. During a panic attack, the body's fight or flight response is activated, triggering the release of stress hormones such as adrenaline and cortisol. These hormones can cause physical changes in the body, including an increased heart rate, rapid breathing, and muscle tension. This can lead to chest pain, as the muscles in the chest become tense and constricted, making it difficult to breathe and causing discomfort.


Another reason why panic attacks can cause chest pain is related to the psychological symptoms of anxiety. During a panic attack, individuals may experience intense feelings of fear, dread, and impending doom. These feelings can trigger a range of physical sensations, including chest pain. The fear of having a heart attack or other serious medical condition can also exacerbate the physical symptoms of anxiety, leading to chest pain and other discomfort.


In addition to the physical and psychological symptoms of anxiety, panic attacks can also cause chest pain due to hyperventilation. Hyperventilation is a common symptom of panic attacks, and it occurs when individuals breathe too quickly or deeply. This can lead to an imbalance in oxygen and carbon dioxide levels in the body, causing symptoms such as dizziness, lightheadedness, and chest pain.


It is important to note that chest pain during a panic attack is usually not a sign of a serious medical condition. However, if you are experiencing chest pain or discomfort, it is always a good idea to seek medical attention to rule out any serious underlying health issues.  Heart attacks can cause similar symptoms which is why patients with panic attacks often are diagnosed first in the emergency room.


In conclusion, chest pain is a common symptom experienced by individuals during a panic attack. This discomfort can be caused by a range of physical and psychological factors, including muscle tension, hyperventilation, and feelings of fear and anxiety. While chest pain during a panic attack can be distressing, it is usually not a sign of a serious medical condition. If you are experiencing chest pain or discomfort, it is important to seek medical attention to rule out any underlying health issues and to find ways to manage and reduce the symptoms of anxiety.
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Bedtime Anxiety

12/4/2021

18 Comments

 
Child Bedtime Anxiety
Regular and consistent sleep patterns are an important aspect of children’s mental wellness. During sleep, children’s minds process information from daily experiences and stressors. Regular and consistent sleep can lead to greater self regulation and less likelihood for behavioral issues resulting from tiredness and sleepiness.

In short, when children are rested, they feel calmer, less anxious, and more in control of their emotions and responses. Restful activities combined with routines are more likely to lead to good sleep hygiene. The steps to creating a successful nighttime routine include consistency, a calm environment, connection, and preparation for potential hiccups. 


Routine
Create a bedtime routine that includes the routine essentials but also incorporates calming activities. Bedtime routines optimally begin 1-2 hours before sleep, but can take less time once the routine is internalized. This window of time prepares the child for rest both emotionally and physically. Create a bedtime poster with your child, list the activities (written or drawn), and discuss why each step in the routine is important for the child’s health and wellness.

Increase self-efficacy by asking your child how he/she feels after they complete each task. For children who become distracted or are overwhelmed easily, following the steps on the chart will keep them on task and organized. Include options and privileges. For example, when kindergartner Caroline completes her bedtime routine, she may choose one of three calming bedtime activities: story time, coloring, or playing with a fidget toy. Watching electronics at bedtime should be avoided as the graphics, colors, movements, and sounds will activate the brain leading to restlessness rather than rest. 


Environment
Create a calm environment at the start of the bedtime routine. Dim the lights or switch from overhead lighting to lamps. Close the blinds or curtains. Turn on calm music. The child’s sleep area should be as uncluttered as possible in order to decrease distractions and anxiety. Include favorite stuffed animals in their bed.

Select a corner or area of the room in which the child has easy access to calming toys and books. Include comfortable seating, whether a floor pillow, rocker, beanbag chair or tent. Create physical boundaries by naming what rooms/areas of the house are within or off limits during the bedtime routine. 


Connect
Finish the routine with a short mindfulness or loving-kindness exercise to promote a calm mental state for sleep. Ask your child to list three people he/she is grateful for or list one thing that went surprisingly well today.  


Recite a mantra: “ I feel calm in my body. I feel calm in my mind. I feel calm in my heart.” Whatever your activity, take this moment to connect with your child. Caregiver connection, even for short periods, enables co-regulation between parent and child. 


Hiccups
When routines are interrupted, behavior changes due to dysregulation can result. Factors like hunger and tiredness can lead to outbursts or hyperactivity. Introduce a calming activity before beginning the bedtime routine. Explain to your child that calming activities, as moments for self regulation, are neither privilege nor punishment, but essential for healthy emotional regulation development.

​When your child is dysregulated, attune yourself by bringing your body to their level, using an even and calm tone, and looking them in the eyes. If your child is unable to focus on you, touch them gently, for example by lightly touching their arms. “I see that you have a lot of energy. It is time to sleep. Let’s take a few minutes to calm down with a quiet activity.” Narrating behavioral issues without shame will make the child feel seen by the caregiver and also help the child recognize behaviors and triggers over time. 


When nightmares and specific fears add to bedtime anxiety, try these strategies. Take your child with you as you check around their room for common fears like monsters, spiders, or snakes. Keep it lighthearted. This will validate the child’s fears and show that their safety and wellbeing are important to you. Reframe fears by asking your child if there is anything interesting or likable about the thing they fear. Name exceptions to fears. Ask your child: “What about you could be scary to the monster?” Your local librarian can recommend books about common fears. For example, Seaver the Weaver by Paul Czajak and Verdi by Janell Cannon impart child-like struggles upon a spider (Czajak) and a snake (Cannon). When monsters acquire human-like qualities, children’s fears deflate as children recognize that all things, even monsters, have fears. 
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Are Panic Attacks Different than Anxiety?

6/2/2021

5 Comments

 
Why do we have stress? How is stress different from anxiety?   

Our bodies have evolved over millennia to protect us from dangers. Our nervous system deploys the fight-flight or freeze responses in order to protect us. In fight-flight, we feel amped up with adrenaline and increased heart rate and blood flow to our limbs. More oxygen flows through our lungs as our body prepares us for action. You may feel the urge to run away, pace, or hide. The ability to rationalize or make good decisions lowers. Action, rather than reflection, is the order of the day. The freeze response is our body’s “play dead” response and is often tied to trauma. It can lead to tingling sensations, chest tightness, difficulty breathing, and feeling overwhelmed or incapable. According to Stephen Porges, the originator of Polyvagal theory, dangers can be real (like the saber tooth cat outside your cave) or perceived as such by our bodies (a slideshow in front of your boss). This means that in individuals prone to anxiety, bodies respond to perceived threats as though the threats are real.
   
Fight, Flight, and Freeze responses can be triggered not only by stimuli in the environment but also sensations in our bodies, thoughts or even memories.  Anxiety is fear without obvious danger. Anxiety differs from helpful stress that enables us to survive, stay safe, or get things done. Anxiety reactions can make dealing with situations more difficult and can affect relationships and our ability to live life on life’s terms.  
  
What are panic attacks? How do panic attacks differ from anxiety?  
Anxiety is taken to another level in panic attacks. Panic attacks include marked sensations like butterflies in the stomach, sweatiness, muscle tension, racing heartbeat, and breathing difficulties. Individuals may feel faint or dizzy, hot, or cold.  The sensations of the panic attack are overwhelming and the individual may feel disconnected from surroundings. Panic attacks also include worries that one is ‘losing it’ or that illness or death are imminent. Chest tightness may be perceived as evidence for a heart attack. This fear often brings individuals to emergency rooms.  

Sometimes panic attacks occur after specific triggers, like an individual with agoraphobia having a panic attack in a crowded public space. Other times, however, the panic attack comes on without a known cause. According to the Diagnostic and Statistical Manual 5 (DSM-5), some individuals will experience waking panic attacks, in which they wake from sleep in panic. Panic attacks lead to more “fear of fear” as the individual avoids contexts and environments in which panic attacks might happen. 
  
What causes panic attacks?   

According to the Cognitive Behavioral model for Panic Attacks, the normal effects of stress on the body (like increased heart rate) are misinterpreted as a serious problem. Put simply, symptoms of stress are catastrophized as indications of serious health issues or impending death.   

When the individual experiences symptoms like shortness of breath and chest tightness, worst case-scenario thoughts lead to more anxiety, which worsen symptoms and create a negative feedback loop of ever-increasing seriousness. Symptoms can lead to thoughts like: Am I having a heart attack? and Am I going to die? Am I Losing it? However, if the individual experiences the same symptoms but does not perceive the symptoms to mean something more than they are (symptoms of anxiety rather than a heart attack, for example), then the negative feedback loop will be lessened.   

The uncomfortable and overwhelming experience of a panic attack creates fear of more panic attacks. Body sensations like dizziness after standing up quickly or breathlessness during exercise are then understood to be something worse. Drinking caffeine can lead to bodily reactions that the individual associates with panic attacks. For example, increased heart rate or shakiness could lead one to associate the symptoms with a heart attack or a loss of control.   

Emotions like excitement or anger lead to bodily changes (increased heart rate or labored breathing) that could be misattributed as well.  The covid-19 pandemic has led many to worry about infection. Some symptoms of Covid-19 that are shared with panic attacks are the sensation of chest tightness as well as labored breathing. This can lead to some individuals perceiving symptoms due to the virus rather than anxiety, which leads to catastrophic What Ifs.   
  
What populations have panic attacks?  

According to the DSM-5, females are twice as likely to have panic attacks than males. Panic attack incidences tend to appear during adolescence and early adulthood, peak in adulthood, and then decline by age 65 (APA 2013).   
  
How are panic attacks treated?  

Medications and talk therapy combined are one way to treat Panic Attacks. Cognitive Behavioral Therapy (CBT) is to date the most tested therapeutic approach to panic disorders. In treatment, CBT challenges patients to test assumptions leading to more moderate viewpoints. Therapists may use exposures that mimic symptoms present in panic in order to enable clients to sit with the discomfort and learn from it. This could include spinning until dizzy as dizziness is one common symptom. As the sensations experienced are normalized, catastrophic thinking may be less likely to heighten anxiety into panic. In short, as the symptoms that lead to a panic attack are better understood, anxiety will be less likely to be interpreted as a worst-case scenario. Other treatment recommendations may include keeping a panic journal.
​  
 
While CBT is currently the most researched therapeutic approach to panic disorders, there is no significant data to suggest that it is the most effective approach. When considering your own treatment, work with a mental health professional to understand what type of treatment or therapy would best fit your needs and personality. For example, individuals who gravitate to rationalizing and reasoning may respond well to CBT. Artistic individuals may respond well to Psychodynamic Psychotherapy. Those who are interested in Mindfulness based therapies may be a good fit for ACT. ​
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Who to talk to about Anxiety

4/13/2021

3 Comments

 
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Anxiety is a natural reaction to stress.  It is your body's physical and emotional reactions to situations in which you are uncomfortable, like taking an examination or a job interview.  However when it becomes persistent or overwhelming, it is time to seek professional help.

Counselor
A licensed professional counselor is a masters level professional trained specifically for talk therapy.  They will experience a significant amount of book learning, followed by a clinical practicum.  Many will develop advanced techniques in specialized types of therapy.
 
Psychologist
A psychologist is a licensed professional at the doctorate level that provides counseling and advanced testing.  Testing can be extensive and quite specialized.  Some perform educational evaluations or neuropsychological evaluations.  Individual testing for IQ and personality issues can also be performed.  Most states do not allow psychologists to prescribe medications, including Texas.
 
Psychiatrist
A psychiatrist is a medical doctor whose specialty is in mental illnesses.  This is a licensed professional that can provide  counseling as well as prescribe medications.  Psychiatrists complete a bachelors degree, followed by 4 years of medical school, and then at least 4 additional years specializing in psychiatry.  This is the most extensive level of training regarding medications that treat mental illness.
  
Good preparation is key to any visit with a mental health professional.  Take the time to make a list of how you feel especially if you can identify triggers.  List how long you have felt this way.  Include a list of questions you have.  How is this issue effecting your life at work, home, personal relationships, social situations, etc.  Include a list of all medications you are taking including over the counter, dosages and when they are taken (like twice, morning and night).
 
Make a separate list of things you consume that are not medication related.  This includes coffee or other caffeinated drinks, tobacco including vaping, alcohol, illicit drugs even recreationally, and any foods that contain large amounts of anything like sugar or salt.
 
There are a number of disorders that can be identified and treated:
  • General – This is when you feel anxious or stressed for no real reason.
  • Panic – This is a sudden, intense reaction that can include a rapid heartbeat, sweating, or difficulty breathing.
  • Social Anxiety – This is when you have difficulty when in common social situations including meetings, parties, or other, even small, gatherings.  It usually includes a feeling of inadequacy or not fitting in.
  • Medication – Withdrawal from some medications or illegal drugs can be a source of extreme anxiety.
 
There are other disorders that can be diagnosed and treated.  Some of them are more specific to children like separation anxiety or mutism.  Seeking help from a qualified, licensed professional can be the answer to the problems.  You do not need to live your life in a consistently anxious state.  Seek the help you need today.
 
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Treating Debilitating Anxiety

2/17/2021

3 Comments

 
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Anxiety is a normal emotion we all experience occasionally; may it be due to stress at work or fear of certain things and situations. Even the calmest and most relaxed people know what it feels like to be anxious, nervous, or worried in moments when they are taken away from their comfort zone.
 
Unfortunately, anxiety it isn’t always a routine emotion, with over 40 million adults in the United States suffering from debilitating anxiety or other forms of anxiety disorders. Not only can this be painful and uncomfortable, but it can also affect one’s way of living.
 
Here are things you need to know about how your debilitating anxiety can be treated:
 
1.Relaxation Techniques and Other Therapies
 
There are relaxation techniques one can follow on their own with the guidance of a therapist or psychiatrist to treat anxiety and recover from triggers and attacks, including:

  • Yoga to help calm the mind and reduce stress
  • A guided meditation that utilizes imagery and suggestion with audio tracks, so the patient is on a journey to feel deeply relaxed
  • Art therapy, including drawing, painting, or sketching to express negative feelings
  • Deep breathing techniques to increase mindfulness
  • Mindfulness training to help reduce the distracting or disturbing thoughts, acknowledging the moment and senses, accepting the experience without further negativity
  • Massage therapy can relieve stress by manipulating one’s soft muscle tissue, releasing toxins while increasing blood flow
  • Aromatherapy offers various health benefits and is known to help with relaxation and reduce anxiety
  • Aerobic therapy helps bodies produce serotonin and dopamine, along with release endorphins to help with stress
 
2.Cognitive-Behavioral Therapy
 
This is a common form of therapy that involves practice and homework. It involves various strategies to change the response to triggers and any underlying causes of negative emotions.
 
Furthermore, it helps in identifying possible triggers, thoughts, or related actions that cause anxiety attacks. Through identifying triggers, it can help patients avoid them or work through finding ways to change negative thoughts and perspective towards the trigger.
 
CBT also includes learning coping skills and relaxation techniques to manage the severe symptoms of anxiety. See your psychiatrist or counselor for help with CBT.
 
3.Exposure through Forms of Talk Therapy
 
This type of treatment is sometimes recommended for trauma-related anxiety or phobias, which will guide patients to discuss the trauma or fear, working through it slowly. Through thinking, discussing, and feeling emotions towards the anxiety-provoking subject, or prolonged exposure to the subject can help dissipate the negative response towards it gradually.
 
 
4.Medication
 
There are medications that your doctor may prescribe to treat anxiety or panic disorders. Such medications include:

  • Benzodiazepines for short-term use
  • SSRI or SNRI antidepressants, either for long-term use or situational events
 
 
When one’s response to anxiety becomes excessive, it may become debilitating, affecting one’s relationships, work, and ability to function when paralyzed in fear. It can also cause physical symptoms, such as insomnia, agitation, chronic pain, or weight changes.
 
If you believe you or a loved one has debilitating anxiety, do have it checked by a medical professional for treatment. Some tools can help one recover from such anxiety disorders, and the earlier it is treated, the better.
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3 Comments

Nervous Stomach

2/10/2021

426 Comments

 

​How to Calm Down a Nervous Stomach

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You’ve probably felt it before- the flutter in your stomach when you’re about to speak in front of a crowd, talking with a crush, or facing a huge fear. However, the discomfort and ‘butterflies’ in your stomach can feel much worse, to the point it’s painful and can lead to gastrointestinal issues.
 
This is what we call a ‘nervous stomach’, which is one of the many prime examples of how our emotions can affect our bodies, physically. But what does a nervous stomach mean and how can we get rid of it?
 
We'll be tackling the causes, symptoms, and treatment for the nervous stomach.
 
Causes and Symptoms of a Nervous Stomach
Our gastrointestinal systems have their own nervous systems, known as the enteric nervous system. The nerve endings in our stomach respond to stress hormones that are transmitted from our brains, a part of the flight-or-fight response we have. This response causes our stress hormones to signal our stomachs to slow down, which helps more blood to pump in our hearts, lungs, and muscles.
 
High-stress levels can trigger the flight-or-fight response, causing our stomach to 'act up'. Stress levels and triggers vary from person to person, though common triggers include:

  • Fear or upcoming events that trigger nervousness
  • Financial issues
  • Relationship or family issues
  • Changes in work or school
  • Moving
  • Chronic illness
  • Death or loss of loved ones
 
Those with a nervous stomach can give people ‘butterflies’, which is a normal and mild feeling. Sometimes, it can go as far as making the person feel like they want to vomit.
 
Other times, the symptoms can get worse, mirroring the symptoms of gastrointestinal disorders. Here are symptoms associated with a nervous stomach:

  • Bloating
  • Gas
  • Nausea
  • Diarrhea
  • Delayed gastric emptying
  • Frequent flatulence
  • Indigestion
  • Fluttering or warm feeling in the pit of your stomach
 
Take note that this is different from irritable bowel syndrome, gastroenteritis, Crohn’s disease, or ulcerative colitis. If you experience other symptoms related to the mentioned disorders, do have it checked with a doctor for immediate treatment.
 
What You Can Do About It
The first thing you should do to treat the nervous stomach is to identify your stress triggers, which can help you know how to address them and reduce the symptoms. It’s also best to have it checked with your doctor to rule out any gastrointestinal disorders.
 
Treatments for the nervous stomach include:

  • Seeking professional treatment and therapy to reduce stress
  • Medication for anxiety and depression
  • Meditation and other stress-relieving techniques, such as breathing exercises or repeating a mantra
  • Other stress-relieving activities like journaling, reading, exercising, talking to loved ones, or even listening to music
  • Taking frequent breaks from work or school, if these are the main triggers of stress hormones. This can prevent the nervous stomach
  • Avoiding food that can worsen an already upset nervous stomach, such as caffeinated beverages, dairy products, among others
  • Using natural remedies such as ginger teas, supplements, or essential oils
 
Wrapping It Up
Having a nervous stomach can be quite painful and uncomfortable, leading to long-term issues. However, when you are more knowledgeable on its causes and identify the triggers, you can control the symptoms and reduce any pain felt when anxious or stressed. It all boils down to being aware of your emotions and performing exercises to control the negativity.
 
Take this information in mind and start learning more on how to keep your mental and physical health in check! Good luck and stay healthy.
 
For those who have questions or want to share their experiences with the nervous stomach, let us know what you think in the comments section below. Your thoughts are much appreciated!
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426 Comments

Anxiety in Teens: What You Should Know and How You Can Help

2/3/2021

4 Comments

 
anxiety in teens
Between 2007 and 2012, anxiety in children and teens actually went up to 20%. According to the National Institutes of Health, almost 1 out of every 3 adolescents between 13-18 years old experience an anxiety disorder. 
This leads many of us, especially parents, to wonder what's happening and what anxiety in teens entail. Read on to learn more about anxiety in teens and what you can do to help.
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​

What is Anxiety? 

Anxiety is a normal feeling to experience during tense or scary situations. This is usually described as a sense of worry, fear, dread, uneasiness, or nervousness about what is happening right now or in the future. This feeling is different from fear, which we feel when in presence of a threat.  Anxiety is the sense of an anticipated threat or danger.

Such feelings can range from mild to intense. However, in some cases, it can go beyond manageable, which may be an anxiety disorder.

An anxiety disorder is a mental health condition that involves excessive and/or intense amounts of anxiety, dread, fear, nervousness, or worry. It may cause one to feel distracted, preoccupied, tense, and/or always on alert mode. 

This disorder is one of the most common mental health conditions today, affecting people of all ages.  But one thing all of these anxiety disorders have in common is that anxiety would occur too often and would be too strong, being an "abnormal" reaction to the current situation. The disorder and its symptoms would also affect a person's daily life and overall happiness.

The symptoms of anxiety disorders can come unexpectedly, or build up gradually, lingering until the person realizes something is wrong. It may also arise when exposed to triggers, with people having different triggers depending on their environment and individual trauma.

What’s Causing Anxiety in Teens?

As mentioned, anxiety disorders in teens are on the rise. While there isn't one main cause, there may be a few factors that contribute to the rising numbers. Besides genetics, individual brain chemistry, life events, and personality, there is more to be taken into consideration, such as:
  • Today's youth are now feeling even more pressure for success compared to the previous generation. A survey done yearly by the Higher Education Research asks incoming college freshmen if they feel overwhelmed with their current tasks and responsibilities. In 2016, 41% of participants responded yes, compared to the 20% back in 2000.
  • With an increase in school shootings, school drills and lockdowns, and even more danger around public areas, children are under more stress than ever before.
  • Teens are very much connected to social media, so it comes as no surprise that their worldview and self-esteem may become negatively affected, constantly comparing their lives to others.

Wrapping It Up
Whatever the main cause of the rising numbers of anxiety in teens, it’s time to make the change and take the first step. This can prevent any drastic symptoms from occurring, such as depression, substance abuse, or even self-harm and suicide. 
​

Be aware of the signs and symptoms and talk to your teen regarding any potential stressors and how to handle them together. Also, be mindful of your expectations towards your children and build a healthy home environment for them to feel safe and free from triggers. If required, it may be time to take them to a mental health professional to get the appropriate treatment they need. 
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Anxiety Center

9/29/2020

2 Comments

 

Anxiety Center - How to Treat Anxiety Disorders

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When it comes to treating someone with an anxiety disorder, you first need to accurately determine the type of anxiety that is causing the suffering.  The treatment may combine various methods of care.
​
If you want to know what to do to treat such disorders, check out these methods from our Anxiety Center.
1. Getting Counseling and Therapy
A standard treatment for anxiety disorders, as well as most mental illnesses, involve psychological counseling and therapy.
 
One of the common types of psychotherapy is cognitive-behavioral therapy.  Cognitive-behavioral therapy (CBT) helps the patient recognize and change harmful thought patterns which trigger anxiety, along with other troubling feelings. It helps to change the scale and intensity of one's reactions to triggers and stressors.
 
Therapy helps patients manage the way their mind and body would react when facing stressful situations.
  
2. Prescription Medications
There are different kinds of medications to help treat anxiety disorders. 
  • SSRI's (selective serotonin re-uptake inhibitors) are the most common class of anxiety medication used.  They are also considered anti-depressants.
  • Cardiac medications like beta-blockers and alpha agonists can reduce symptoms in our physical body which provides calming feedback to our brain.
  • Buspirone is a unique 5-HT1A agonist that can reduce stress feelings
  • Benzodiazepines, while potentially addictive, can assist in the early stages of anxiety to promote faster results and improve sleep.
 
Make sure that you get a prescription from your healthcare provider and take only the advised dosage. 
 
3. Self-Treatment and Having a Support System
Some patients with anxiety disorders may be able to reduce their symptoms without the need for clinical supervision. 
 
•  Stress management is very helpful in preventing and limiting potential triggers. This can include managing deadlines, keeping a sustainable schedule, and organizing your tasks.
• Relaxation techniques reduce the symptoms of anxiety.  Some relaxation techniques are taking warm baths,  deep-breathing exercises, and meditation.
•    Having a support network is extremely helpful and effective to avoid suppressing anxious feelings.
•   Exercise often.  Exercise can help release positive neurotransmitters for better emotions and coping. 
•  Visualization techniques can replace negative thoughts with more positive ones.  Imagine conquering fears or achieving your goals before difficult tasks.
 
Wrapping It Up
If you or someone you know may suffer from a mental health disorder, don’t be afraid to reach out to organizations such as Your Family Psychiatrist's Anxiety Center in Houston now. 
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What is Social Anxiety?

8/24/2020

2 Comments

 

What Is Social Anxiety? An Overview


Social Anxiety

​Social anxiety is something that all of us have experienced at one point in life. It is the feeling of being uncomfortable or nervous in a social situation. 
However, when the nervousness becomes severe in intensity or occurs too frequently, it can affect your ability to interact with others and it can influence your social behavior negatively. Social anxiety can also create an adverse impact on your self-esteem and self-confidence. 
Hence, it is important to be aware of what social anxiety means and why it occurs so that you can take appropriate steps to avoid it. 

What are the signs of social anxiety?

Patients who suffer from social anxiety often prefer to avoid any social events. Things usually considered “normal” by others such as making eye contact and small talk make them uncomfortable. They also tend to flush or feel physically anxious in the presence of others, especially strangers or people they feel intimidated by.
Some other symptoms of social anxiety include:
  • Rapid heartbeat
  • Trembling of hands
  • Increased sweating
  • Shaky voice
  • Dizziness
  • Muscle tension
  • Inability to your catch breath
  • Stomach upset

When does social anxiety occur?

​Each person with social anxiety experiences difficulties in interacting with others, but in different ways.
Here are some common situations in which you may have trouble:
  • Speaking at public events
  • Talking to strangers
  • Going to parties
  • Starting conversations
  • Entering a room, especially when a number of people are already present
  • Dating
  • Going to school or work
  • Making eye contact while talking
  • Eating in front of other people
Not all of these situations cause discomfort in patients with social anxiety. For example; some people may be able to give a speech with confidence but going to a party seems like a nightmare to them. [1]
The symptoms and characteristics each patient experiences varies depending on their past experiences - both pleasant and unpleasant. [2]
For example, if they have bitter memories of how they were bullied at school, they may fear facing similar situations while at the workplace. This may lead to social anxiety that becomes worse while in meetings or giving a presentation.
On the other hand, if they have received praise for their talent and capabilities to make a presentation, they may not develop anxiety at the workplace. 

What causes social anxiety?

In most cases, the socially anxious people have reasons, usually an unpleasant event they have experienced, for dreading certain situations. [3]
However, in general, it is the overwhelming fear and anxiety of:
  • Being humiliated and embarrassed
  • Being judged by others
  • Being the center of attention
  • Offending someone accidentally

Why it is important to identify and treat social anxiety?

Social anxiety can compel you to avoid situations that people usually consider “normal”. This can prevent you from enjoying your life and create a sense of hopelessness.
Avoiding most or all social situations may even affect your personal relationships. Over a period of time, it can also lead to:
  • Poor social skills
  • Low self-esteem
  • Increased sensitivity to criticism
  • Depression
Hence, it is important to seek proper treatment in order to avoid the impact of social anxiety on your life. [4]

​In Conclusion, It is possible to control the symptoms of social anxiety by seeking appropriate treatment including counseling and behavioral therapy. The use of medications may be recommended in severe cases of social anxiety to help a person feel at ease.

References:
  1. https://www.webmd.com/anxiety-panic/guide/mental-health-social-anxiety-disorder#1
  2. https://www.nimh.nih.gov/health/publications/social-anxiety-disorder-more-than-just-shyness/index.shtml
  3. https://adaa.org/understanding-anxiety/social-anxiety-disorder
  4. https://www.webmd.com/anxiety-panic/guide/mental-health-social-anxiety-disorder#2


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2 Comments

How To Talk To A Psychiatrist About Anxiety

8/3/2020

2 Comments

 

Anxiety Doctor Houston


Anxiety Doctor in Houston

For a person battling mental health issues, it can be difficult to talk to a psychiatrist in spite of knowing they can help  overcome stressful situations.

You may develop anxiety before meeting a psychiatrist and feel confused or unclear about what exactly you should discuss. You may also feel wary of discussing your personal life or any unpleasant events related to your past or present. As an anxiety doctor in Houston, I know that your hesitation or anxiety may create a kind of barrier between you and your psychiatrist thus taking it longer for you to recover. It will surely help to know some tips on how to talk to your psychiatrist so that you can receive the best treatment.

If you are planning to visit a psychiatrist or are already seeking treatment for mental health issues, read on to know the right way to discuss your concerns with your doctor.
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What are the best ways to discuss your anxiety with your psychiatrist?

  • Prepare for the appointment
Before each appointment, prepare in advance the points you want to discuss. You can write down how you feel, the times you felt good or bad, and the possible factors or situations that increased your symptoms. [1]
This would help your psychiatrist offer effective suggestions to help you overcome your symptoms.
  • Take your time
If you suffer from anxiety, you may not be quick to open up, especially during the first few visits. It's best to give yourself time to feel at ease while talking to your psychiatrist. [2]
You need not rush into discussing all that you feel. 
  • Avoid hesitation
​You may feel nervous about discussing your personal life with your psychiatrist. The hesitation may lead you to hide some facts that could be crucial for your treatment. Remember that the events or experiences that hurt you the most could be responsible for your mental health issues. Hence, it is advisable to discuss your symptoms as well as past experiences with the psychiatrist to help him/her offer appropriate advice. [3]
However, if you feel any particular experience is too uncomfortable for you to share, you may avoid discussing it during the first visit. Over the next visits to the doctor, as you gain more confidence and start feeling comfortable, you can share the more painful experiences.
  • Have an open mind
While discussing your concerns, be open to feedback and ideas that may be different from what you previously thought. Take your time to develop a bond so that you feel comfortable with the doctor. This will ensure you can discuss your concerns with an open mind and in a clear manner.

Conclusion

Your psychiatrist can provide you the strong bridge to cross from your current state of mental health to a happier state. You can follow the tips discussed above while talking to your psychiatrist. This will allow them to understand your concerns in a better way. It will also allow them to offer the best treatment to help you overcome your mental health issues more effectively.

If you are looking for a Texas Online Psychiatrist or a Psychiatrist in Houston, give us a call: 281-849-4080

References:
https://pubmed.ncbi.nlm.nih.gov/21969650/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3096184/
https://www.yourhealthinmind.org/psychiatry-explained/your-first-appointment
​
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