Anxiety: A General Overview by Dr. Carlo Carandang



hello my name is dr. Carlo Carandang I'm a psychiatrist and I'm here to answer your anxiety questions today we have a question from Jane who hails from San Francisco and he asks if I can give an overview of anxiety anxiety disorders are characterized by extreme fear nervousness or worry on exposure to a feared stimulus the feared stimulus can be an object person or situation now there's a difference between fear and anxiety fear is a reaction to a current stimulus whereas anxiety is fear of some future stimulus or anticipation of one anxiety becomes a problem when one becomes fearful nervous or worried out of proportion to the feared stimulus or becomes nervous or worried about some future stimulus or anticipated event fear is needed for survival fear is a normal response and it is a necessary component of survival when you are presented with a danger there is a physiological reaction which is triggered with subsequent release of adrenaline into the bloodstream adrenaline is a fear response hormone and adrenaline causes several physical changes in the body including increased heart rate increased rate of breathing and dilated pupils also when adrenaline is released this causes a shunting of the blood flow from the digestive system and the skin to the skeletal muscles so what this does is that it can cause butterflies in the stomach and can also cause numbness and tingling sensations of the extremities so this is known as the fight-or-flight response these physical changes with the adrenaline release allows the person to prepare to fight danger or to run from it again this is called the the fight-or-flight response so why all the physical changes with adrenaline release well adrenaline causes an increase heart rate and breathing which allows the blood to supply more oxygen to the skeletal muscles needed to fight or run blood is shunted to disculpa muscles which further aids the process to either fight or run also adrenaline causes the people's to dilate so this improves vision so that you can assess the danger more adequately also adrenaline causes the brain to become more alert and hyper vigilant for danger allowing one to scan their environment in order to deal with the external danger anxiety is basically fear gone wild the fear response goes awry and turns into anxiety when you start to anticipate the danger you overestimate the danger and you underestimate your ability to cope with the danger so basically it's not the event that leads to anxiety it's your thoughts about the event which leads to anxiety the fear response is heightened by your thoughts about the event or future event and your thoughts of anticipatory worry overestimation of the danger and underestimation of your coping leads to the anxiety so with regards to a journal and anxiety the body perceives fear and anxiety the same way so a gentleman is released and triggered would either fear or anxiety so basically abnormal anxiety serves no purpose anxiety activates the fight-or-flight response it serves no purpose as the danger is more on your head rather than externally and your thoughts about the situation leads to anxiety anxiety becomes a disorder when the anxiety symptoms cause impairment of functioning in your relationships and work in school and also you have significant distress and are unable to control the anxiety the major anxiety disorders include generalized anxiety disorder specific phobia social phobia panic disorder post-traumatic stress disorder and obsessive-compulsive disorder for more information on anxiety please visit the anxiety boss calm I hope this answers your questions and thank you for viewing and listening

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