Tell us what “anxiety” really is in a clinical sense, and how it’s different than “a case of nerves” that everyone occasionally feels.
You’re correct that everyone feels stress and gets a case of nerves from time to time. You couldn’t live a meaningful life without them. Normal anxiety occurs when you’re faced with real challenges and hassles. Normal anxiety can even prepare you to deal with such challenges more effectively. Some experts call this type of anxiety facilitative anxiety. Normal anxiety dissipates when the problem is solved or diminishes.
Think of preparing for an examination. If you have no anxiety or worry at all, you’re likely to feel little motivation to prepare. If you’re moderately anxious, you’ll spend a lot more time studying. If your anxiety goes over the top, you may study a lot, but be unable to concentrate or you may deal with the anxiety by procrastination or avoidance of the task. In other words, complete absence of anxiety isn’t always such a good thing, moderate amounts can help and excessive anxiety interferes with performance.
Clinical anxiety debilitates rather than facilitates. By definition, most anxiety disorders persist for months. They involve reactions that exceed the objective nature of whatever seems to trigger them and in some cases; no trigger is even easily identifiable. Clinical anxiety comes with strong physical symptoms such as fatigue, restlessness, interrupted sleep, poor concentration, muscle tension, and irritability. Clinical anxiety reduces quality of life.
When it comes to prescribing meds for anxiety, the voices of dissent are many. Tell us something about the controversy surrounding benzodiazepines and other anxiety meds.
Evidence suggests that many anxiety disorders are treated especially effectively with certain psychotherapies most of which are based on cognitive behavior therapy. Thus, we would rarely suggest medications as the first line strategy. Benzodiazepines, although frequently prescribed for anxiety by general practitioners, are especially problematic for a variety of reasons including:
- Benzodiazepines have a significant addictive potential which may be heightened among those with anxiety disorders.
- Some data suggests that these drugs may actually increase …