The treatment of anxiety disorders is based on drug or psychological interventions. In all cases, medical care is necessary to set up adequate therapy, adapted to the patient’s needs, his symptoms and his family and social situation.
Psychological support is necessary in the event of anxiety disorders.It can even constitute the only treatment, or be associated with pharmacological treatment, depending on the severity of the disorders and the expectations of the affected person.
Cognitive behavioral therapy is the therapy that has been the most studied in the treatment of anxiety disorders, including social phobia, panic disorder and obsessive-compulsive disorder. By focusing on the factors that cause and maintain anxiety and giving the patient tools for control, this type of therapy is generally effective in a sustainable way (12 to 25 sessions of 45 minutes in general). According to the HAS, structured cognitive and behavioral therapies are even as effective as drug treatments. For the anxiety counselling sheffield this is important.
Other types of therapy, such as mindfulness therapy, have also been shown to be effective in clinical studies. The goal is to pay attention and focus on the present moment, and thus learn to control your anxiety.
Analytical psychotherapy can be initiated to understand the origins of anxiety, but its effectiveness on symptoms is slower and less recognized.
If the symptoms are too intense and psychotherapy is not enough to control them (for example in generalized anxiety), drug treatment may be necessary.
- Several drugs are recognized for their effectiveness against anxiety, in particular anxiolytics (benzodiazepines, buspirone, pregabalin) which act quickly, and certain antidepressants which constitute the basic treatment , namely the selective inhibitors of the reuptake of the serotonin (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs).
- These drugs can cause anxiety to worsen at the start of treatment and close medical supervision is therefore necessary.
- Because of the risk of dependence, benzodiazepines should be prescribed on a temporary basis (ideally no longer than 2 to 3 weeks). Both initiation and discontinuation of treatment should be supervised by the physician.
- As pregabalin does not induce a risk of dependence and its effectiveness is immediate, it is sometimes preferred to benzodiazepines.
“What if the plane crashed?”
These panicked questions sometimes go round and round in the brain for no good reason, a bit like a fire alarm that goes off for nothing and howls, shrill, while not the slightest smoke floats in the room.
In such a perfectionist and performance-focused society, many of us from time to time experience a wave of unpleasant anxiety or fear about the future.
More generally, we speak of a link between a psychological experience and a bodily manifestation. “An anxiety attack is characterized by a feeling of imminent danger and loss of control, accompanied by a physical discomfort that can last for several hours and cause, among other things, stomach aches, heart palpitations and sweaty hands. It can be summed up as excessive vigilance which induces fear.” It is thus distinguished from a “panic attack”, shorter and whose symptoms are much more intense.