Anxiety For Dummies. Laura L. Smith

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anxiety, everyday anxiety, or something else. We take a close look at all the different forms and symptoms of anxiety. Then, we discuss some of the other emotional disorders that often accompany anxiety.

      

Mental health professionals refer to emotional problems as disorders. For example, instead of saying you’re depressed, they say you have a depressive disorder or some other type of mood disorder. A reasonable case can be made for using the term “disorder.” Although we use the word from time to time, we prefer to think of so-called disorders as normal reactions to a combination of biological, genetic, environmental, and interpersonal factors, as well as learned behaviors and problematic thoughts.

      Imagine a life with no anxiety at all. How wonderful! You wake up every morning anticipating nothing but pleasant experiences. You fear nothing. The future holds only sweet security and joy.

      Think again. With no anxiety, when the guy in the car in front of you slams on the brakes, your response will be slower because your body doesn’t react quickly to danger, and you’ll be more likely to crash. With no worries about the future, your retirement may end up bleak because your lack of worry caused you to not save for the future. The total absence of anxiety may cause you to walk into a work presentation unprepared or not bother studying for an important test.

      Anxiety is good for you! It prepares you to take action. It mobilizes your body for emergencies. It warns you about danger. Be glad you have some anxiety. Your anxiety helps you stay out of trouble. See the sidebar “Anxiety and driving while Black” for suggestions about how normal anxiety may help protect young Black drivers.

      ANXIETY AND DRIVING WHILE BLACK

      All parents of teenagers who are learning to drive are anxious. If you’ve ever been in the car with a brand-new driver, you understand what we’re talking about. When the teen finally gets a license, the fear persists for some months. Will my daughter remember to stop at stop signs or make a turn without crashing into the curb? Will my son speed or try to show off while driving with his friends?

      But if you are a parent of a Black teen driver (especially males), your worries multiply. Will my son be pulled over and know exactly what to say and do? What do I tell him to help him stay safe? Though it isn’t fair or reasonable, parents of Black teens have to give “the talk.” Usually the talk contains a few important elements that are useful for most people who get pulled over, but essential for persons of color. Here are a few items that usually get covered in the talk:

       While the officer approaches the car, roll down the window, turn off the ignition, and place your hands at the top of the steering wheel.

       Don’t move your hands unless instructed to do so.

       When asked for license and registration, move slowly and tell the officer what you are doing, especially if you need to access the glove compartment.

       Be polite and cooperate.

       Do what the officer asks.

       It’s not a good idea to argue or be defensive.

       Do not run or resist arrest.

       Don’t make statements about what did or did not happen until you can talk to an attorney.

      Again, it’s unfair that people of color must take greater care during police encounters than others. But statistics tell us that persons of color have a greater chance of being hurt or killed at a traffic stop. This is a time when a good dose of anxiety may save a life.

Anxiety poses a problem for you when

       It lasts uncomfortably long or occurs too often. For example, if you have disturbing levels of anxiety most days for more than a few weeks, you have reason for concern.

       It interferes with doing what you want to do. Thus, if anxiety wakes you up at night, causes you to make mistakes at work, or keeps you from going where you want to go, it’s getting in the way.

       It exceeds the level of actual danger or risk. For example, if your body and mind feel like an avalanche is about to bury you but all you’re doing is taking a test for school, your anxiety has gone too far.

       You struggle to control your worries, but they keep on coming. Even when you’re relaxing at the beach or on your most comfortable recliner, anxious thoughts continually run through your mind.

      Anxiety comes in various forms. The word “anxious” is a derivative of the Latin word angere, meaning to strangle or choke. A sense of choking or tightening in the throat or chest is a common symptom of anxiety. However, anxiety also involves other symptoms, such as sweating, trembling, nausea, and a racing heartbeat. Anxiety may also involve fears — fear of losing control and fear of illness or dying. In addition, people with excessive anxiety avoid various situations, people, animals, or objects to an unnecessary degree.

      Anxious people tend to be extremely sensitive to danger, rejection, the unknown, and uncertainty. They may pay close attention to unpleasant thoughts, feelings, and physical sensations. They also often dwell on the possibility of future calamities. Anxiety symptoms such as these have a tendency to cluster together. The following sections describe some of these major clusters.

      

The following subheadings roughly correspond to some of the major diagnoses discussed in DSM-5, but we think it’s more productive to focus on symptoms rather than technical diagnostic categories. (See the sidebar “The Diagnostic and Statistical Manual-5 [DSM-5]” for more information.)

      Worrywarts

      Most people have heard of the term “worrywart” and immediately conjure up someone who constantly worries. Worrywarts have a chronic state of tension and worry. They often report feeling restless, on edge, and keyed up. They may tire easily and have trouble concentrating or falling asleep. Once asleep, they may wake up at 3 a.m. with racing, worried thoughts. Worriers also often report having achy muscles, especially in the back, shoulders, or neck.

      The following profile offers an example of what excessive worry looks like.

       In a subway, Brian taps his foot nervously. He slept only a few hours last night, tossing, turning, and ruminating about the economy. He’s sure that he’s next in line to lose his job. Even though his boss says that he’s safe, Brian can’t stop worrying. He believes that he may end up broke and homeless.

       His back is killing him; he shrugs his shoulders trying to loosen up his tight muscles. He struggles to concentrate on the blog that he’s looking at and realizes

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