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ENG 101
Dr. Cassel
12 November 2018
I have dealt with anxiety since a small child but was not diagnosed until the age of 16. I
have experienced almost every symptom imaginable, from something as simple as shakiness to
something as severe as nearly passing out and have dealt with panic attacks and bouts of anxiety
at the worst moments possible. I have had panic attacks in the middle of my school after lunch,
for seemingly no reason, as well as before a test while studying. Yet I have learned to overcome
these issues and begun to treat it. While I do not think my anxiety disorder will ever completely
leave me, it has slowly become more manageable and I am able to live alongside my disorder,
The phrase “Anxiety disorder” is more of an umbrella term and can refer to a few
different disorders such as generalized anxiety disorder, social anxiety disorder, specific phobias
and Agoraphobia. Agoraphobia being the fear of situations that may trigger anxiety or result in
embarrassment. These disorders are all put under the same term because they all elicit the same
through some sort of anxiety disorder any given year, and 8% of children and adolescents
experience anxiety disorders, many showing symptoms before the age of 21. According to a
study done in 2007, 10-44% of people in developing countries suffer from anxiety and
depression disorders (Ames, Kamholz & Munir). Although anxiety can sometimes be seen as not
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too intense of a mental illness, disorders can result in many health issues or even death, but there
There are a multitude of causes for anxiety disorders (AD), and they vary from person to
person. ADs can be caused by preexisting medical conditions such as thyroid problems,
respiratory disorders, drug misuse, chronic pain or rare tumors. Usually ADs are attributed to
these preexisting ailments if there is no history of these disorders in blood relatives or it was not
prevalent as a child. There are other risk factors, for example trauma. Different types of traumas
can become a trigger for anxiety, with many disorders tailoring to the specific trauma
experienced. More possible factors can include stress due to an illness, general stress buildup,
substance abuse or having blood relatives with a disorder of their own. ADs can also be
attributed to competence and the demand for higher standards, these standards cause people to
set unrealistic and unattainable goals, sparking anxiety when these goals are not completed. The
disorders also affect more people who are female or younger. Obsessive Compulsive Disorder
(OCD) and Post Traumatic Stress Disorder (PTSD) are examples of some other illnesses that can
Anxiety can present itself in many ways depending on the cause and person it is
affecting. The feelings associated with this disorder are often over exaggerations of the actual
amount of danger presented, can last long after the danger has left or been removed, and are not
easily controllable. These feelings can start off minor with reactions as simple as restlessness or
a fast heartbeat, but can escalate all the way to dizziness, shaking and diarrhea. More often than
not, the symptoms present themselves at inappropriate times and can become persistent,
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stress the body, which then presents itself physically. Due to each person being unique
chemically, the amount, intensity, length and prevalence of the symptoms change, meaning one
person could have very mild symptoms, while another could have very intense ones (Ames, Folk
& Team).
The symptoms ADs cause can wreak havoc on the body in many ways. Anxiety can lead
to or worsen other mental illnesses, for instance depression, substance misuse, digestive or bowel
problems, insomnia, and can cause social isolation, problems functioning at school or work, poor
quality of life and suicide. Stress and anxiety are bad for our immune system, as they can inhibit
its functions; the more anxiety, the worse it can get. ADs can affect the mineral levels in our
body, disrupting things like zinc or magnesium. With less zinc in the immune system, it can
leave the body more open to colds and the flu. Extended times dealing with anxiety can cause
multiple issues, such as activating our fight or flight response; resulting in symptoms such as
sweating, higher blood pressure and a release of adrenaline. Being on ‘high alert’ for extended
periods of time can and will cause lower energy, leaving feelings of emotional and physical
There is no way to prevent anxiety, but there are ways to help it and help cope with it.
One of the ways ADs can be helped is through getting help early on and as soon as symptoms
start to arise. This help can appear in many ways, ranging from talk therapy, which is where the
person suffering with the illness can either talk one on one with a therapist, or in group therapy,
to staying active and avoiding drug and alcohol use. Some prefer problem-focused coping, which
is when the individual suffering focuses exactly on what is causing these issues and feelings, and
resolves it overtime. People who use this form of coping are also seen to be less anxious and
depressed than those using other forms of coping. Other ways to help improve anxiety is through
coping is both adaptive and maladaptive, it basically focuses on emotion and how they are
processed and expressed in result of the issue that has occurred (Ames, Munir & Team).
therapies (ICBT). ICBT has recently become strongly considered by many to be a good form of
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cognitive therapy for those who have limitations. These limitations can be anxiety related, for
example someone could have such bad social anxiety that they cannot physically leave the house
to receive care and go to therapy. ICBT allows them to receive help and improve their situation
without forcing them to leave their home or wherever their comfort zone is. This method is also
a lot more convenient for patients, who are more likely to be able to sit on their phone or
computer for an hour, rather than go to an office. This is extremely helpful because
“…According to data collected by the Substance Abuse and Mental Health Services
Administration (SAMHSA) in 2015, nearly one in five Americans (17.9%) met criteria for a
mental health disorder…” however, the author goes on to say that less than half received
treatment for it. With ICBT more popularized, more are likely to try to receive help or continue
to receive help in a more convenient fashion. However, ICBT is not without its flaws. One of the
issues that may come with receiving care online is the lack of human touch, or face-to-face
interactions. This can also mean that trained professionals could have a harder time
personalizing treatment, resulting in a patient who could still lack in some aspects that take
practice, such as how to relax around people, or respond in certain ways that cannot be done
unless face-to-face. Another study also showed that patients were more likely to stick to their
treatment when seeing a professional in person. Patients seem to be less motivated to keep up
with treatment over ICBT, with a significant drop in completion of courses discovered, 33%
completion with ICBT vs. 77% completion with face-to-face for social phobias (Woods).
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However, there are components that may impact how a person can cope. One of these
components is Neuroticism. Neuroticism, which is one of the Big Five personality traits used in
the study of psychology, can be linked to anxiety and “self-condemnation” as a result of poor
self-esteem, an underlying feature of people with the habit of perfectionism. Perfectionism has a
significant relation to ADs, as perfectionists often set unreachable goals, and when fail to reach
I have been lucky enough to receive treatment, like previously mentioned. My treatment
has consisted of talk therapy and medication, both of which have been tweaked while learning
what works best for me. I see a psychiatrist every few months or so to check in with me
medication-wise and I have had a therapist when I felt like I needed one. All of it has been
completely controlled by me, even while a minor, which has helped tremendously. Nobody can
do what is best for your mental health better than you, so you need to be in control of your
treatment to find what works best for you, since every mental illness affects an individual
differently.
With all the different symptoms from breathlessness to panic attacks and the ways it
affects people; anxiety disorders are something to be taken seriously. While there are ways to
improve disorders and manage them, they are still very prevalent in the world, with one in every
thirteen people facing it. Clearly, although anxiety can sometimes be seen as not too intense of a
mental illness, disorders can result in many health issues or even death; even though there are
Works Cited
Ames, Steven. “Anxiety Disorders.” Mayo Clinic, Mayo Foundation for Medical Education and
Folk, Jim, and Marilyn Folk. “Anxiety Symptoms and Signs - Over 100
Kamholz, Barbara. “Understand the Facts.” Anxiety and Depression Association of America,
Kilburn, Marianna. “How Does Anxiety Affect Our Body?” A. Vogel, 15 Mar. 2018,
www.avogel.co.uk/health/stress-anxiety-low-mood/anxiety/how-does-anxiety-affect-our-
Munir, Nida, and Tehreem Arshad. “Neuroticism, Perfectionism and Coping Strategies among
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