Top 10 Signs and Symptoms of Anxiety

Signs and Symptoms of Anxiety

Top 10 signs and symptoms of someone suffering from anxiety and social anxiety who may not know it- According to DSM

Overview

There are two types of anxiety:-

  1. Generalized anxiety disorder (GAD)
  2. Social anxiety

GAD

  1. Excessive worry occurring consistently for over 6 months about a number of everyday activities or events
  2. The person shows signs of
  • Restlessness
  • Feels keyed up
  • Feels on edge
  1. They are:
  • Easily fatigued- due to worry and anxiety
  • Have difficulty concentrating
  • Irritable
  • Experience muscle tension
  • Tired due to sleep disturbance
  1. GAD affects around 5% of people at some time during their lifetime but unlike SA this is not specific to a situation but the anxiety that is generalized to everyday activities.

Social Anxiety

  1. The person will have particular fears that can be troubling or difficult to cope with around social situations

So everyday activities such as socializing, shopping, speaking on the telephone, going out of your home and working can make them feel anxious or self-conscious

  1. They experience excessive feelings of nervousness or dread in relation to their feared situations
  2. May experience specific physical symptoms
  3. Extreme anxiety can lead to panic attacks
  4. They are usually very self-conscious and worried about what other people are thinking about them
  5. Can suffer from chronic insecurity about their relationships with others, hypersensitive to criticism or fears around being rejected
  6. Many start symptoms during adolescence but symptoms can persist for years after increasing the likelihood of apprehension, worry, and worry about interactions with others.
  7. They avoid certain situations which can lead to inhibitions, defensiveness in feared situations and increase the likelihood of depression or loneliness
  8. Can suffer from a range of physical symptoms such as
  • blushing,
  • sweating,
  • trembling or shaking,
  • nausea,
  • difficulty in speaking,
  • confusion,
  • heart palpitations.
  1. Hypervigilance about their performance reviewing what they said or did look to see if embarrassed self, and how they came across to others.  This leads to neutral or ambiguous conversations being interpreted with a negative outlook. What Works To Reduce Social Anxiety Symptoms?

Related Disorders

  • Depression
  • Panic disorder
  • GAD
  • Agoraphobia
  • OCD
  • PTSD
  • Other issues

Treatments

  • Medication
  • Psychological therapy such as CBT
  • Support groups
  • Self-help books
  • Herbal
  • Complimentary therapies
  • Relaxation exercise
  • Hypnosis
  • NLP ( Neuro-linguistic Programming)

Symptoms of anxiety and social anxiety vary from person to person but what they all have in common is a fear of a situation and that fear leads to heightened worry and stress.  It is important to build awareness of how anxiety affects you as an individual as this will dictate the kind of treatment that would be successful for you.

Anxiety is common and though there is still a stigma attached to mental health issues, everyone experiences it and success in managing or overcoming anxiety comes from taking consistent action.

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How to manage ADHD in Children?

Meaning of  Attention Deficit Hyperactivity (ADHD)

The term ADHD means Attention Deficit Hyperactivity Disorder which is a brain disorder. There have other terms which indicate ADHD like “attention deficit disorder”, “Hyperkinetic disorder” “Hyperkinesias” and “minimal brain dysfunction”. ADHD syndrome is characterized by persistent hyperactivity, impulsivity, and difficulties in sustaining attention which may lead to poor attainment in school and difficulties making and maintaining appropriate peer relationship.

Inattention, impulsivity, and hyperactivity make it difficult for the teenager with this acknowledgment to confirm the parental expectations, so children with ADHD often involved in conflict type relationship with their parents. For child ADHD it may long 17 years of age and for adult, it occurs after 18 years of age.

For two-thirds of cases, the primary problems of ADHD occur into adulthood. Roughly a third develop significant antisocial behavior problems in adulthood including conduct disorder and substance abuse which may lead criminality, adjustment problems, and suicidal attempts.

The name ADHD was first introduced in 1980 at DSM (The Diagnostic and Statistical Manual of Mental Disorders). In 1994 ADHD is included in DSM 5 by defining the name “Attention Deficit Hyperactivity Disorder’ and the definition was changed by three main criteria.

  1. Inattention
  2. Hyperactivity
  3. Impulsivity

Parents can see some of the behavioral symptoms into their children during attention deficit hyperactivity disorder (ADHD):

          Diagnosis ADHD in Children

Diagnostic Symptoms of ADHD:

  • The children with ADHD may have a short attention span and they feel difficulty in continuing attention on activities.
  • Susceptibility to interruption by extraneous stimuli and internal thoughts.
  • Gives the impression that he/she is not listening well.
  • Frequently failure to follow instructions, finishing school assignment and other small activities
  • They may be forgetful, lack of attention in activities, and losing equipment essential for tasks.
  • They are Hyperactive with high energy level, agitation, the problem to sitting silent, or noisy or unnecessary conversation.
  • Impulsivity is shown by awaiting the turn in group situations,
  • Before finishing the question they go through the answer.
  • Frequent intrusions into others’ personal business.
  • Frequent disruptive, aggressive, or negative attention- seeking behaviors.
  • The tendency to engage in carelessness or potentially dangerous activities.
  • Difficulties to work accurately for complete the task effective way, frequently blame others for his/her own mistake, and most of the time they fail to work from experience.
  • Low self-esteem and poor social skills.

You can also see the symptoms of Inattention, Hyperactivity, and Impulsivity of children

Factors/causes for Attention Deficit Hyperactivity Disorder (ADHD)

The exact factors/causes of attention deficit hyperactivity disorder (ADHD) cannot be described in a word, but various combining factors may be influenced ADHD. These factors are personal, biological, contextual and psychological.

Predisposing factors:

  • Genetic vulnerability
  • Intrusive parenting
  • Parental psychological problem
  • Family disorganization
  • maternal smoking, alcohol use in pregnancy
  • Anorexia at birth
  • diseases in infancy
  • social disadvantage
  • Institutional upbringing
  • Minor physical abnormalities  at birth
  • Early neurological problem

 Maintaining factors:

  • Deregulation of dopamine, adrenergic and nor-adrenergic system
  • Co-morbid with various disability
  • Low self-efficacy
  • Dysfunctional coping strategy
  • Family deny problem
  • Lack of coordination involves professionals
  • Unhelpful parenting
  • Father absence
  • Low parental self-esteem
  • Poor social support network
  • High family stress
  • Confused communication patterns
  • Parental psychological problem or criminology
         Way to deal with  child’s ADHD

How parents can deal with a child’s ADHD?

Treatment/Management for Attention Deficit Hyperactivity Disorder (ADHD):

  1. Parents’ psychoeducation about the child ADHD:

    Parents require clear authoritative information about the syndrome of inattention, hyperactivity, and impulsivity. They need to learn the above symptoms and factors that caused ADHD. Parents need to know the rights of their child to appropriate educational resources, and local guidance on how best to access these resources.

  2. Psychological Test:

    Complete psychological testing to identify the child with a diagnosis of ADHD as well finds out the common emotional factors.

  3. Proper Medication:

    Take prescribed medication as a directive by the physician. Parents have to monitor child for psychotropic medication prescription compliance, side effects, and effectiveness; consult with the prescribing physician at regular intervals.

  4. Introduce an organized system:

    Parents need to develop and utilize an organized system to keep track of the child’s school assignment, chores, and household responsibilities.

  5. Communication with school:

    Parents should maintain communication with the school to increase the child complains of the completion of the school assignment.

  6. Discuss with the child’s teachers:

    Parents need to consult with the child’s teachers to implement strategies to improve school performance. For example:

    • sitting in the front row during class
    • using a prearranged signal to redirect the child back to tasks
    • providing frequent feedback
    • calling on the child often
    • arranging for listening buddy
    • implementing a daily behavioral report card
  7. Reinforcement:

    Ensure reward system/reinforcement for appropriate behavior and completion of his/her assignments.

  8. Teaching the child about task taking strategies:

    Teach the child more task taking strategies such as:

    • reviewing material regularly
    •  reading directions twice
    •  and rechecking work.
  9. Teaching the child about coping mechanism:

    Teach the child meditation and self-control strategies (e.g., “stop, look, listen and think”) to delay the need for instant gratification and inhibit impulses to achieve more meaningful, longer-term goals.

  10. Psychological training:

    Parents need to know from a psychological expert about “Parents management Training approach” where they will be able to implement:

    • a reward and punishment system
    • contingency contract
    • token economy
    • how parent-child behavioral interaction can reduce the frequency of impulsivity, disruptive, negative attention-seeking behaviors and
    • increased desired behavior through promoting and reinforcing positive behaviors
  11. Enhancement of parents and child bonding:

    Parents need to spend 10-15 minutes daily of one-on-one time with the child to create a closer parent-child bond. Allow the child to take the lead in selecting the activity to the task.

  12. Confrontation of the child’s disruptive behavior:

    Firmly confront the child’s impulsive behaviors, pointing out consequences for him/her and others.

  13. Coordination activities:

    Parents need to assign child the task of showing empathy, kindness or sensitivities to the needs of others (e.g., allowing sibling or peer to take first time to play a video game, helping with school fundraiser).

  14. Confront the child stalemates:

    Confront stalemates in which child blames others for his/her annoying or impulsive behaviors and fail to accept responsibilities for his/her actions.

  15. Identify the stressors:

    Parents need to identify stressful events or factors that contribute to an increase in impulsivity, hyperactivity, and destructibility.

  16. Stress management techniques:

    Parents and clients will develop a positive coping strategy (e. g., anger management techniques, and meditation with assertiveness techniques, positive self-talk) to manage stress more effectively.

  17. Group therapy session:

    Parents and child will regularly attend and actively participate in group therapy. Here, parents and child may be given their homework assignment.

The above strategies are not a complete treatment plan to handle ADHD child. There are many other methods which are used by expert clinical/counseling/educational psychologist. After proper diagnosis, disruptive behavior of a child with ADHD can be identified. As the ADHD child spend most of the time with their parents, so they have more role than teacher or psychotherapists for the child’s well-being.

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Social Anxiety Help-Are You Sabotaging Your Recovery?

heal the hurt, overcoming social anxiety, self sabotage,Social Anxiety Help

You may have already realized that even though you really do want to overcome your social anxiety.  You may have also realized that, as much as you read the books and listen to the audio courses, that there are underlying issues that you’re still not able to get at yet.

  • Self-sabotage is at work if you find your recovery from social anxiety slow or non-existent
  • Hurt is one of the most feared emotions to experience and we will do anything to avoid feeling it, but this can also be the reason why your anxiety isn’t getting better
  • Dealing with hurt is counterintuitive, but it works
  • There are 5 steps to take that will help you in your recovery and one very important question you must ask yourself first.

So my question to you is you sabotaging your recovery?

And the reason I ask this is that there are always underlying issues that you will be feeling, but you don’t know where they came from and why it’s happening to you and this will be contributing to you sabotaging your recover from anxiety.

Jenny’s dilemma

Jenny was just like you, and she was suffering from social anxiety, and of course, generalized anxiety.  And though she tries every day to put into action, lots of the tips and strategies that she’d read about, there was always something that she couldn’t quite get a handle on.

And that was because she was sabotaging her recovery, but she didn’t realize it.  What gave this away was when she read about hurt and pain, and what we will instinctively do if we feel this.

She read that whenever she felt hurt, she would instinctively avoid that person or situation.  Now, as obvious as this may sound, it wasn’t until she read about it, that she started to reflect on her life and she realized that for most of her life, she had spent avoiding people/situations, and was now feeling the effects of that.

When she looked into this little deeper, she realized that she was so afraid of feeling, that she would do almost anything not to feel again, at least the negative feelings.  And because of this, she ended up staying in the same job, in the same situations that made her feel mildly comfortable.  But as she looked back on her life, she realized she hadn’t been happy, despite trying to avoid any situation that felt threatening to her.

What hurt and avoidance can teach us

It is normal and instinctive to avoid that which makes us feel uncomfortable.  And as we grow up, it’s normal to experience self-doubt and insecurity.  One of the more difficult emotions to be comfortable with, however, is hurt.

Being hurt feels incredibly painful.  And it can take a long time to overcome it.  And because we end up leaving those situations, we all have a vein of hurt running through our lives.  And most situations that we find ourselves in will be viewed from the perspective of trying not to get hurt again.

Now, this isn’t an intellectual reaction, is automatic and it’s emotional, and there are not many people who will willingly put themselves in the firing line to get hurt because it hurts.

What hurt teaches us then, is that instead of running away to avoid being hurt again, we should face and deal with our hurt, because it grows as time moves on.

The paradox of helping yourself

In order to be able to help yourself, you need to feel at your best.  If you experience or have experienced a lot of hurt in your life, then you will not feel at your emotional best, so what should you do?

What you should do, is the face and deal with your hurt.  But what you can’t do, however, is the face and deal with your hurt.  So you see the paradox here?

So, if like Jenny, you find yourself avoiding hurt, but you know you have some issues to resolve in this area, what should you do?

Well, this is what Jenny decided to do.  Read along and see if her solution will help you.

Jenny knew she could do one of two things

1. She could decide to keep things as they were, surround herself with more people, and try and muddle her way through her everyday existence.  This is what she had been doing though, for the last few years, and though it was in one sense working for her, she felt dissatisfied.

But what she already knew was that whenever she tried to do something new, she would find herself reverting back to her old behavior, much like when most people go on diets, they start off well, but they always end up eating the cake anyway.

So, for her, she knew she needed to find a way to stop repeating old behaviors, but this was difficult for her.

2. She could decide to find a resource that would help her to understand what she was actually going through.  And this is what she actually decided to do.

So why did Jenny decided to take the second option and not the first?

Jenny decided to take the second option, because this was the least difficult for her.  She knew what her weak areas were, and she knew that in order to be able to take option one, that she would need the help of someone else.  And as she didn’t have the funds to do that at the moment, this wasn’t an option she could take.

As a note, the first option is absolutely doable if you have previous experience of helping yourself through your anxiety.  So if you’ve been practicing and exposure plan, then you are in a better position to be able to help yourself in a situation.

Option two was easier for Jenny to start to do today, as all it meant was buying a particular resource and putting it into practice.  But the downside to this.

The downside is, that you have to be very self-motivated in order to get the outcome you want.  But you may find yourself in a similar situation to Jenny, which makes you highly motivated to change a situation, which she was.

Another note

Be aware that self-help books are absolutely brilliant at describing the pain and various situations, but they can be very thin on solutions and practical applications for you to do every day.  If you can read between the lines, then you will be fine.

How to know if you are sabotaging your recovery

  • You cling to the familiar.  So, whether that’s a person or a situation you are reluctant to move out of your comfort zone and try something new.  You know you should but you still can’t get yourself to act.
  • You know that despite your best intentions, it will be really difficult for you to get the outcome that you want because you always end up going back on your word.
  • You believe that it’s up to other people to change, or for situations to get better before you can get better.
  • You realize that you’ve become more cynical, and your focus is on how things don’t work, how difficult they are for you, and basically you put yourself off doing what you need to do.
  • And lastly, you don’t follow through because of fear or symptoms of anxiety.

Actions you can take instead of what you normally do

  • Make a list of the areas in your life that don’t work for you.
  • Identify specific areas in your life that are working for you and notice how much pain and avoidance you are experiencing in these situations.  This is an indication that you have unresolved hurt that you need to heal.
  • Get yourself into a really good emotional space, because now you are going to try and find the hurt.
  • Think about a specific situation in the past that caused you much hurt.
  • NOTE this particular step can be quite difficult if you are not used to reflecting on past hurts, and you may decide that you need to have the support of somebody else.  So my suggestion here is to find a mildly upsetting hurt something that doesn’t make you feel too bad to start with first.
  • Be honest with yourself.

Ask yourself if you are you now willing to cover any past hurts, and heal yourself of those hurts so that you can live an anxiety-free life?

If you are willing to confront your past hurts and heal them, then this will work to you.

This article may helpful for you:- It seems incredible that you can overcome your life long social anxiety enough to live and lead a normal life, and yet it’s true!

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