Living in Fear: Anxiety Disorders
Most people experience brief moments of fear just before a public speaking engagement or a first
date. However, for 40 million adults suffering from anxiety disorders, feelings of fear and dread
disrupt their lives for at least six months.
“Anxiety disorders impair social
and occupational functioning,” explains Mathew Sipple, D.O., an osteopathic psychiatrist from
Erie, PA. “Since it is not uncommon for anxiety disorders to occur in people who have
pre-existing mental or physical illnesses, physicians will first rule out any medical causes for
anxiety symptoms. Then, the treatment can focus on the underlying cause of the anxiety.”
While many different anxiety disorders exist, Dr. Sipple says that the most common are:
• Specific phobias;
• Social anxiety disorder;
• Post-traumatic stress
disorder; and
• Generalized anxiety disorder, or GAD.
Other disorders such
as panic disorder and obsessive compulsive disorder occur less frequently but can cause
considerable impairments.
Specific phobias are the most common forms of anxiety disorder
and involve intense fear over particular situations or things like spiders, heights or
thunderstorms.
Social anxiety disorder is characterized by the fear of being judged
negatively in social settings. The severe fear often causes the person to avoid social situations,
which can significantly restrict his or her life.
“Patients with GAD suffer from
constant, uncontrollable worry about daily events,” explains Dr. Sipple. “They can
experience anxiety about any situation or thing, from a parking spot to a hurricane.”
Another common anxiety disorder, post-traumatic stress disorder, or PTSD, is the result of
experiencing a life-threatening event. PTSD can result from an armed robbery, sexual assault or war
experiences. Victims frequently relive the trauma through flash backs or nightmares.
“Treatment options differ for specific phobias, social anxiety, GAD and PTSD,” says
Dr. Sipple. “However, most anxiety disorders are treated with medication, psychotherapy or
both.”
He further explains that physicians develop a treatment plan for an anxiety
disorder based on the physical or mental condition that may be causing the stress and the
patient’s personal preferences.
A physician may ask the patient about his or her
medical and psychiatric history, perform a physical examination and order lab tests to determine the
best treatment for controlling the disorder.
“If you or someone you love is
experiencing symptoms of an anxiety disorder, visit your physician to learn more about specific
treatment options,” advises Dr. Sipple.
Preventive medicine is just one aspect of
care osteopathic physicians (D.O.s) provide. Osteopathic physicians are fully-licensed to prescribe
medicine and practice in all specialty areas including surgery. D.O.s are trained to consider the
health of the whole person and use their hands to help diagnose and treat their patients.