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How Big a Problem is Anxiety?

The chances are fairly high that either you or a loved one has had a history of anxiety. In any given year about 17% of us will have an anxiety disorder---and over our lives, about 28 % of us will have an anxiety disorder. And, if you have one anxiety disorder, then you probably have two or three anxiety disorders---and, possibly, depression. The most common anxiety disorders are panic disorder, social anxiety disorder, generalized anxiety disorder, post-traumatic stress disorder, obsessive compulsive disorder and specific phobia. 49% of the general population has a history of anxiety, depression, substance abuse or some of all three major problems.

Anxiety disorders have effects on your health. People with panic disorder are more likely to have mitral valve prolapse, hypertension, peptic ulcer, diabetes, angina or thyroid disease. In fact, men who have anxiety disorders are also at greater risk for cardiac disorders, hypertension, gastrointestinal disorders, respiratory illness, asthma, and back pain. Women with anxiety disorders are more likely to have a history of cardiac problems, hypertension, metabolic, gastrointestinal, dermatological, respiratory disorders and arthritis.

And anxiety has been increasing. The average high school kid today has the same level of anxiety as the average psychiatric patient in the early 1950’s. We are getting more anxious every decade. Psychologists have speculated about the possible reasons for this increase in both anxiety and depression over the last fifty years. Some of the reasons may be a decrease in “social connectedness”---we tend to move more, change jobs, participate less in civic organizations, and we are less likely to participate in religious communities. People are far less likely to get married, more likely to delay getting married, and more likely to live alone. All of these factors can contribute to worry, uncertainty, anxiety and depression.

And our expectations have changed in the last fifty years. We expect to have a more affluent life-style, we are driven by unrealistic ideas of what we need (“I need the latest ipod!!”), and we have unrealistic ideas about relationships and appearance. In the 1950’s sociologists would write about “The Organization Man” who worked for the corporation for his or her entire career. Today many people would love to have a job that had that kind of stability. And our expectations about retirement also lead us to feel anxious. We now have to rely on our own savings---rather than a company pension plan---to help us survive during retirement.

And anxiety isn’t helped by the fact that we have all the bad news all the time. Turn on your cable stations and you can immediately see the latest catastrophe---sometimes as it is actually happening in “real time”. Bad news sells—and reminds us--- that we can all be in danger. Even though we live longer, have better health care, travel is safer, we are richer, and we have safer cars--- we now think that there is a disaster on the horizon. Because we are constantly bombarded with bad news, we think that we are in greater danger. We may not be in greater danger---but it’s what we think that counts in the way we feel.

No wonder we are nervous wrecks.

In this blog, I hope to give you some understanding about the nature of anxiety and what you might do to help yourself.

Comments

expectations for anxiety

I am looking forward to this blog topic. I agree fully with your view that we live in a fear based society with enormous pressures. I would like to add that I think people even become anxious about being anxious. I went through a recent divorce and although it was at times very rough, I kept my anxieties about the future at bay. People were very bothered by this. They would ask me questions like "Will you get married again? What if you never meet anyone?"
When I would answer "I don't know, but I'm not worried", people seemed very uncomfortable. They seemed stressed about my lack of stress. I am now dating a great guy and am very happy. It happened quite quickly and I actually wondered if it was wrong for it to have been so easy? I refuse to be anxious over not being anxious, however. That is just silly, especially as a person who has overcome crippling social anxiety. Perhaps that triumph gave me an overall calm. Who knows. I choose not to worry about it:)


personal control over anxiety

I like Becky's spirited statement, "I refuse to be anxious over not being anxious." Based on the cognitive therapy research, it is not surprising that this is working for her. By contrast, many newer approaches to anxiety have suggested that we cannot control it without outside gimmicks, like eye movements. Or, they promote a return to the early theories of Carl Rogers, just unconditionally "accepting" it all. However, the intention to use one's conscious mental abilities to learn to control or master worry is necessary to overcoming it, in my opinion. In cognitive therapy – like in Becky’s own experience – the potential to stop anxiety is within our own personal control. I have read Dr. Leahy’s book, The Worry Cure, and he explains this theory quite well.


My personal anxiety disorder- can anyone relate?

I have alot of anxiety at night around bedtime where my thoughts ring something like, "You haven't accomplished enough today". I read alot of self-improvement books in my early 20s giving me very high expectations of myself and a very idealistic perspective of what I should be doing/accomplishing, and in what direction I should be going.

I ended up going through a divorce and losing a job which were both painful and difficult and still affect me today. On the positive side, my striving has opened up the door for a great career opportunity, and my divorce gives me the opportunity to find a partner who can more appreciate what I want to accomplish in my career and in our family relationship. Sometimes I wonder if all the striving is worth it considering the problems I've had in my personal and job relationships. Even with all the striving, I find myself often in fearful ruts wishing I could just relax and unwind without feeling worthless.

I know I'm prone to anxiety and depression as well. As Leahy describes above, I think my social-connectedness needs work, and I've been making some powerful strides with my family and friends and feeling good about it. I'm considering going back to church and doing more community work to feel better about my social connections and service to the community.

I guess I just wonder if anyone can relate to my story or has suggestions.


Big Anxiety/Panic problem

For years and years I have taken meds to help me with my disorder. My world has shrunk due to avoidance, and I mean literally shrunk as I do not drive beyond my town and I will not be a passenger with anyone except the few people who know of my disorder.
Someday, and I can imagine it, I will drive to the beach or to the city, or to the country. I see it as a happy and carefree day. I simply haven't figured out how to get beyond the panic attacks while I am behind the wheel of a car. It's just too dangerous to have a panic while driving.
Any ideas on this?


Anxiety Disorder

"Great post. Here's a website that can help you overcome
anxiety disorder without much hassle. You might want to give it a try at www.attackanxiety.org"


Anxiety Is A Huge Problem

Thanks Dr. Leahy. Anxiety is truly a global problem affecting all walks of life from all cultures. Thanks to people like you we can increase awareness and help one another.

Sincerely, Bill


Thanks

Thank you for the article.
I'm really grateful, for the fact I can get the support I need
online. There are several blogs, and numerous forums where you can get the support you need.
One of my favorite blogs is
http://anxiousangst.blogspot.com/
Looking forward to seeing some more articles!


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