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Acute Anxiety


Presentation

  • Abstract After the preliminary successful use of injectable lorazepam in calming 20 patients who presented with acute anxiety crises, a formal study of 115 other such patients was carried out.[ncbi.nlm.nih.gov]
  • Presently, the common use of the term tranquilizer refers to the "minor" tranquilizers mainly of the benzodiazepine family.[science.jrank.org]
  • The symptoms must be present for a minimum of two days and a maximum of four weeks and must occur within four weeks of the traumatic event for a diagnosis to be made. See also Post-traumatic Stress Disorder.[allpsych.com]
Swelling
  • I tried things blindly, raising this and lowering that, jiggling this and wiggling that, fishing around in the water for something that might stem the swelling tide.[theatlantic.com]
Hypoxemia
  • The unexpected onset of 7 cases of acute anxiety symptomatology coincident with recent arrival at moderate-to-high altitudes represents a highly unusual incidence and temporal distribution, suggestive of hypobaric hypoxemia as the proximal cause.[ncbi.nlm.nih.gov]
Dyspnea
  • ., insomnia) and not report other symptoms that are usually associated with GAD. 12 Some patients may not complain of anxiety or specific worries but present with exclusively somatic symptoms such as diarrhea, palpitations, dyspnea, abdominal pain, headache[aafp.org]
Loss of Appetite
Tachycardia
  • Anxiety may have an association with the following heart disorders and cardiac risk factors: Rapid heart rate (tachycardia) – In serious cases, can interfere with normal heart function and increase the risk of sudden cardiac arrest.[hopkinsmedicine.org]
Left Ventricular Dysfunction
  • In 1993, Frasure-Smith et al.[ 9 ] as the first ones identified depression after MI as an important predictor of 3-4-fold increase in mortality from cardiac causes, regardless of previous MI’s and/or left ventricular dysfunction.[journals.plos.org]
Skin Lesion
  • […] to 65 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Inclusion Criteria: Age 18-65 years Naïve to tDCS Right-handed Impact of Event Scale Scores 30 Exclusion Criteria: Metal implants inside skull or eye Severe skin[clinicaltrials.gov]
Ectopia Lentis
  • Based on the revised Ghent nosology the diagnosis of Marfan syndrome were established in case of each patient by systematically assessing the presence or absence of aortic involvement (either aortic dilation or dissection), ectopia lentis, positive family[bmcpsychiatry.biomedcentral.com]
Muscle Twitch
  • Emotional Symptoms The feelings that accompany social anxiety include anxiety, high levels of fear, nervousness, automatic negative emotional cycles, racing heart, blushing, excessive sweating, dry throat and mouth, trembling, and muscle twitches.[socialphobia.org]
  • twitches, particularly around the face and neck.[socialanxietyinstitute.org]
Fracture
  • Abstract : The role of injury-related beliefs and hopelessness on depression and anxiety in the acute phase following hip fracture was investigated in 103 hip fracture patients.[ncbi.nlm.nih.gov]
Fear
  • They are based on the empowering truth that there is nothing to fear except our own thoughts. Black Tourmaline's specialty is to disarm them.[melaniedufty.com]
  • KEYWORDS: 7.5% CO2; anxiety; eyewitness memory; face matching; fear; photographic identification[ncbi.nlm.nih.gov]
  • The main features that indicate the use of Aconite are fear, restlessness, suddenness and violence. The action of the heart is so overpowering that the fear of death is marked.[drhomeo.com]
  • Etiology By definition, acute stress disorder is a result of a traumatic event in which the person experienced or witnessed an event that involved threatened or actual serious injury or death and responded with intense fear and helplessness.[allpsych.com]
  • Fear of suffocation, common in panic disorder, can make you hyperventilate. Startle Response - Gets stronger in generalized anxiety disorder as worries increase. It's excessive in post traumatic stress disorder.[anxiety-disorder-depression-help.com]
Chronic Anxiety
  • The definition continues: “Severe or chronic anxiety can stop you doing many things in your day-to-day life.[nme.com]
  • Many people experience a type of long, drawn out, chronic anxiety that they live with every day.[calmclinic.com]
  • Given enough chronic anxiety, any family can become symptomatic .[lornahecht.com]
  • anxiety symptoms Chronic anxiety typically last for a longer time.[cancer.net]
Indecisiveness
  • They may include acute anxiety episodes along with 1 or more of the symptoms below: Excessive worrying Restlessness Muscle tension Insomnia, which is not being able to fall or stay asleep Irritability Fatigue Difficulty concentrating Indecision, which[cancer.net]
  • When anticipatory anxiety, worry, indecision, depression, embarrassment, feelings of inferiority, and self-blame are involved across most life situations, a generalized form of social anxiety is at work.[socialanxietyinstitute.org]
Fear of Loss of Control
  • According to the Mayo Clinic, signs of an anxiety attack include: Abdominal cramping Chest pain Chills Dizziness, light-headedness, or faintness Fear of loss of control or death Feeling of unreality or detachment Headache Hot flashes Nausea Numbness or[everydayhealth.com]
Psychiatric Symptoms
  • Marfan and Ehlers-Danlos syndrome) may be associated with various psychiatric symptoms, such as those of anxiety and depression. Connective tissue disorders are a source of frustration for patients.[bmcpsychiatry.biomedcentral.com]
Dizziness
  • These include: Headaches Stomach aches or indigestion Sweating Heart palpitations Shortness of breath Dizziness Chest pain Treatment for acute stress often includes rest and relaxation.[healthcentral.com]
  • For example, if you feel a little dizzy it may cause you to start automatically hyperventilating, thus creating an anxiety attack. Learn to get used to these triggers by causing them on purpose.[calmclinic.com]
  • Neither does dizzying stress. Tackle these early on. You'll have a better chance of keeping the 'acute' out of your life. Want to feel better? Facing what makes you anxious is the answer to conquering fear.[anxiety-disorder-depression-help.com]
Agitation
  • R45.1 ICD-10-CM Diagnosis Code R45.1 Restlessness and agitation 2016 2017 2018 2019 Billable/Specific Code acute reaction to stress F43.0 crisis F43.0 Stupor (catatonic) R40.1 ICD-10-CM Diagnosis Code R40.1 Stupor 2016 2017 2018 2019 Billable/Specific[icd10data.com]
  • . † Behavioral adverse effects (eg, disinhibition, agitation) are common but are usually mild to moderate. Usually, decreasing the drug dose or changing to a different drug eliminates or reduces these effects.[merckmanuals.com]
  • People with anxiety disorders — social anxiety disorder , generalized anxiety disorder , obsessive-compulsive disorder — or phobias spend most of their lives in an agitated state.[everydayhealth.com]
  • Feelings of extreme agitation and terror are often accompanied by dizziness, chest pains, stomach discomfort, shortness of breath, and rapid heart rate.[hopkinsmedicine.org]
  • The other symptoms that are associated with major depression include decrease or increase in appetite, insomnia or hypersomnia, psycho motor agitation or retardation, constant fatigue, feelings of worthlessness or excessive and inappropriate guilt, recurrent[adaa.org]
Tremor
  • Other medicines can help some of the physical symptoms of anxiety, for example propranolol (eg Inderal LA) can slow a fast heart beat and reduce tremor.[netdoctor.co.uk]
  • Shaking (tremor). Sweating. Dry mouth. Chest pain. Headaches. Fast breathing. The physical symptoms are partly caused by the brain which sends lots of messages down nerves to various parts of the body when you are anxious.[patient.info]
  • Then I started getting tremors, and that was when I went to the doctor. I thought: I can't do this any more. I wondered if it was a hormonal thing.[theguardian.com]
Sleep Disturbance
  • We subjected two areas, which are assessed by the self-rating scales, to a special analysis, namely sleep disturbances and loss of interest in sex. The data was analyzed in the Statistika Cz program, version 12, and in MS Office—Excel 2007.[journals.plos.org]
  • Symptoms include distress, sleep disturbance, difficulty concentrating and exhaustion.[stpatricks.ie]
  • Restlessness or feeling keyed up or on edge Being easily fatigued Difficulty concentrating or mind going blank Irritability Muscle tension Sleep disturbance (difficulty falling or staying asleep, or restless unsatisfying sleep) The focus of the anxiety[aafp.org]
  • Effects of a brief behavioral treatment for PTSD-related sleep disturbances: a pilot study. Behav Res Ther. 2007 Mar. 45(3):627-32. [Medline]. Raskind MA, Peskind ER, Hoff DJ, Hart KL, Holmes HA, Warren D.[emedicine.medscape.com]
Tremulousness
  • Then he spoke in his oritund voice, a little tremulous from anxiety. I knew well enough that his anxiety had been on my account, but it was so unnecessary! And if he turned his eyes to his own camp, he saw little to relieve his anxiety.[thesaurus.com]
  • […] drugs have sedating properties, they should rarely be used as therapy for patients with GAD. 12 Beta-adrenergic agents are useful for the treatment of patients with performance anxiety (a type of social phobia) because they lower heart rate and decrease tremulousness[aafp.org]

Treatment

  • The acceptability of treatment will be measured as the proportion of patients who discontinued treatment during the acute phase of treatment.[ncbi.nlm.nih.gov]
  • This was a retrospective study and it has the following limitations; lack of controls; lack of a standard protocol for CES treatments that includes number of treatments, the current level and length of treatment, and for where treatments were done – clinic[alpha-stim.com]

Prognosis

  • Prognosis Prognosis for this disorder is very good. If it should progress into another disorder, success rates can vary according to the specific of that disorder.[allpsych.com]
  • Gender, depression, and one-year prognosis after myocardial infarction. Psychosom Med. 1999;61: 26–37. pmid:10024065 View Article PubMed/NCBI Google Scholar 11. Welin C, Lappas G, Wilhelmsen L.[journals.plos.org]
  • Key words: Acute coronary syndrome; Anxiety; Prognosis.[scielo.isciii.es]
  • Prognosis Prognosis is markedly good. People completing CBT training report a high success rate, compared to control groups.[socialphobia.org]
  • Prognosis The prognosis for recovery depends on the specific disorder, the severity of the patient's symptoms, the specific causes of the anxiety, and the patient's degree of control over these causes.[medical-dictionary.thefreedictionary.com]

Etiology

  • Etiology By definition, acute stress disorder is a result of a traumatic event in which the person experienced or witnessed an event that involved threatened or actual serious injury or death and responded with intense fear and helplessness.[allpsych.com]
  • […] or specific worries but present with exclusively somatic symptoms such as diarrhea, palpitations, dyspnea, abdominal pain, headache or chest pain. 2 These patients warrant a full medical evaluation because there may be no indication that GAD is the etiology[aafp.org]
  • Other etiologic factors are associated with a threat to completion of developmental tasks at various life stages, for example, a threat to an adolescent in the completion of developmental tasks associated with sexual development, peer relationships, and[medical-dictionary.thefreedictionary.com]
  • As syndromes, anxiety disorders are under intensive study to define more precisely their etiologies and clinical outcomes.[triroc.com]

Epidemiology

  • Abstract Clinical and epidemiological data suggest that generalized anxiety disorder (GAD) is a chronic illness causing patients to suffer for many years leading to significant distress in daily life functioning.[ncbi.nlm.nih.gov]
  • Journal of Clinical Epidemiology. 2007 Apr;60(4):356-60.[alpha-stim.com]
  • Alcohol Epidemiology Research Doctor Profiles The following doctors are part of the Sutter Health network. Learn about the doctors on this site. View All Related Doctors[altabatessummit.org]
  • The latest government epidemiological data show social anxiety affects about 7% of the population at any given time.[socialphobia.org]
Sex distribution
Age distribution

Pathophysiology

  • Factors that can precipitate an attack of anxiety include any pathophysiological event that interferes with satisfaction of the basic human physiological needs.[medical-dictionary.thefreedictionary.com]
  • Conversely, physicians should include a psychiatric disorder in the differential diagnosis when symptoms are vaguely described, do not conform to known pathophysiologic mechanisms, persist after a negative work-up and are not resolved by reassurance.[aafp.org]
  • “The role of GABA in the pathophysiology and treatment of anxiety disorders”. Psychopharmacol Bull 37 (4): 133–146. PMID 15131523 . Enna SJ (1984). “Role of gamma-aminobutyric acid in anxiety”.[ja.wikipedia.org]
  • Pathophysiology and drug treatment. Drugs. 1995 Mar. 49(3):328-44. [Medline]. Greist JH, Jefferson JW, Kobak KA, Katzelnick DJ, Serlin RC. Efficacy and tolerability of serotonin transport inhibitors in obsessive-compulsive disorder. A meta-analysis.[emedicine.medscape.com]

Prevention

  • Recognition of AHPA is particularly relevant in a military population; warfighters with anxiety spectrum diagnoses may have a recognizable and possibly preventable vulnerability.[ncbi.nlm.nih.gov]
  • Truly preventing acute anxiety requires a commitment to your own mental health and the ability to genuinely recognize what you need to control your panic.[calmclinic.com]
  • When one is acutely in fear (like a panic attack or ongoing intense anxiety that prevents normal functioning) or in serious depression, only some tools are appropriate because people are just trying to get through the day.[melaniedufty.com]
  • As a result, life-saving and preventative cardiac surgical interventions are frequent among Marfan syndrome patients.[bmcpsychiatry.biomedcentral.com]

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