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2.1
Acute Anxiety
Anxiety Acute

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]

In addition, at least one symptom from each of the symptom clusters required for posttraumatic stress disorder is present. [psychcentral.com]

Entire Body System

  • Inflammation

    In chronic obstructive pulmonary disease (COPD), inflammation of the airways is exacerbated by a loss of elasticity in the lungs: not only is it more difficult for air to reach the lungs, but the lungs neither fill nor expel air completely. [health.harvard.edu]

    Updated on Mar 16, 2016 Anxiety and Dizziness: The Link Dizziness is described as the lightheaded, faint feeling that is typically caused by a drop in blood pressure or inner ear inflammation. [34-menopause-symptoms.com]

  • Surgical Procedure

    Three sample groups were established based on the surgical procedure: group 1 had acute aortic surgery; group 2 had prophylactic surgery; group 3 had no surgery (see Table 2 for details). [bmcpsychiatry.biomedcentral.com]

Respiratoric

  • Common Cold

    Primary care physicians report that anxiety is one of the most frequent complaints driving patients to their offices – more frequent, by some accounts, than the common cold. [theguardian.com]

    In a much-cited 1976 study, primary-care physicians reported that anxiety was one of the most frequent complaints driving patients to their offices—more frequent than the common cold. [theatlantic.com]

  • Dyspnea

    Chronic Generalized anxiety disorder, panic disorder, alcohol abuse Panic disorder Intense, brief, acute anxiety; frequency of attacks variable; often no precipitant Bimodal onset (late adolescence, mid-30s) Rapid heart rate, trembling, diaphoresis, dyspnea [aafp.org]

Gastrointestinal

  • Loss of Appetite

    This can produce a variety of symptoms, including sweating, dizziness, shortness of breath, insomnia, loss of appetite, and palpitations. [medical-dictionary.thefreedictionary.com]

Cardiovascular

  • Hypertension

    Flare-ups of such diseases as peptic ulcer, ulcerative colitis, or hypertension produce anxiety. Conversely, difficulties with psychosocial adjustment bring exacerbations in these conditions. [triroc.com]

    to undergo extensive diagnostic testing, 3 to report their health as poor and to smoke cigarettes and abuse other substances. 4 Anxiety disorders, particularly panic disorder, occur more frequently in patients with chronic medical illnesses (e.g., hypertension [aafp.org]

  • Heart Failure

    Increased blood pressure – If chronic, can lead to coronary disease, weakening of the heart muscle, and heart failure. Decreased heart rate variability – May result in higher incidence of death after an acute heart attack. [hopkinsmedicine.org]

    In study with heart failure patients it was found that anxiety is a better prognostic indicator than depression and that anxiety increases the risk for 3-fold of unwanted cardiac events (myocardial infarction, sudden cardiac death) 4. [scielo.isciii.es]

  • 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]

Musculoskeletal

  • 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]

  • Motor Restlessness

    Finally, hyperarousal in response to stimuli reminiscent of the trauma is present (e.g., difficulty sleeping, irritability, poor concentration, hypervigilance, an exaggerated startle response, and motor restlessness). [psychcentral.com]

  • 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]

  • Back Pain

    Symptoms include tight muscles, back pain, or headaches for which a physician can find no biological cause. People with GAD often feel restless, on edge, and are easily startled. [aplaceformom.com]

Psychiatrical

  • 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]

    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]

    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]

    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]

    For example: Fear of confined spaces or of being trapped (claustrophobia). Fear of certain animals. Fear of injections. Fear of being sick (vomiting). Fear of being alone. Fear of choking. But there are many more. [patient.info]

  • Chronic Anxiety

    Given enough chronic anxiety, any family can become symptomatic. [lornahecht.com]

    anxiety symptoms Chronic anxiety typically last for a longer time. [cancer.net]

    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]

  • 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]

  • Withdrawn

    People who have anxiety may be withdrawn, but this is not the case for everyone with anxiety. Sometimes, anxiety may trigger a “fight” rather than “flight” response, in which case a person might appear confrontational. [goodtherapy.org]

    Perceptions People with social anxiety are many times seen by others as being shy, quiet, backward, withdrawn, inhibited, unfriendly, nervous, aloof, and disinterested. [socialphobia.org]

    Usually, there is less or no perceived need to move physically, attention is withdrawn from concerns with bodily motion and balance, and there is less or no need to interact socially. [triroc.com]

  • Low Self-Esteem

    For the individual to receive the diagnosis of persistent depressive disorder they should also have two of the diagnostic symptoms which include poor appetite or overeating, insomnia or hypersomnia, low energy or fatigue, low self-esteem, poor concentration [adaa.org]

Neurologic

  • 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]

    Panic disorder : In addition to attacks of anxiety, called panic attacks, common symptoms of panic disorders are stomach upset, palpitations (feeling your heart beat), dizziness, and shortness of breath. [emedicinehealth.com]

    Updated on Mar 16, 2016 Anxiety and Dizziness: The Link Dizziness is described as the lightheaded, faint feeling that is typically caused by a drop in blood pressure or inner ear inflammation. [34-menopause-symptoms.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

    Symptoms include distress, sleep disturbance, difficulty concentrating and exhaustion. [stpatricks.ie]

    Sleep disturbances and loss of interest in sex From the BDI questionnaire, we were further interested specifically in two aspects, which we also assessed in terms of their occurrence in patients over 12 months: changes in sleep and loss of interest in [journals.plos.org]

    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]

Prognosis Prognosis is markedly good. People completing CBT training report a high success rate, compared to control groups. [socialphobia.org]

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 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]

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]

Journal of Clinical Epidemiology. 2007 Apr;60(4):356-60. [alpha-stim.com]

The latest government epidemiological data show social anxiety affects about 7% of the population at any given time. [socialphobia.org]

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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2.1
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