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 Home | Publications | HealthViews Magazine | Archives & Downloads | Jan/Feb 2008 | When Anxiety Spins Out of Control

When Anxiety Spins Out of Control

Everyone worries occasionally. What's normal worrying, and what's not? According to Katherine Schneebaum, M.D., a board certified family practitioner at Riverview Medical Center, it's not normal to worry for six months or more, or for worry to disturb your work or home life. "These could be signs that you are suffering from generalized anxiety disorder," says Dr. Schneebaum. "More women than men have this treatable illness, which seems to run in families."

Other symptoms of generalized anxiety disorder include:

  • Fatigue
  • Insomnia
  • Difficulty swallowing Breathlessness
  • Pounding heartbeat
  • Nausea
  • Muscle tension
  • Restlessness
  • Headaches
  • Irritability
  • Hot flashes

In addition, generalized anxiety disorder may accompany other medical conditions, such as irritable bowel syndrome, depression, or substance abuse.

Put a Lid on Anxiety
According to Dr. Schneebaum, the first step to getting better is to talk with your doctor if you suspect you have generalized anxiety disorder. Prescription antidepressants or antianxiety drugs can help ease your excessive worrying and relieve other symptoms. You and your doctor should discuss which type of medication and how much will best treat your condition.

Another option is to talk with a counselor. Two types of therapy can teach you how to rein in your worries when anxiety-provoking situations arise. Cognitive-behavioral therapy aims to change both how you think and how you act, while behavioral therapy focuses solely on changing unwanted behaviors. "Sometimes the best option is to combine one of these talk therapies with medication," says Dr. Schneebaum.

Options for Self-Care
Self-help measures often can help you feel better while you are being treated:

  • Encourage members of your family to help you with your treatment goals.


  • Learn and practice relaxation techniques.


  • Avoid substances that could make you more anxious. These may include caffeine and even certain over-the-counter cold medications.


  • Join a generalized anxiety disorder support group.


  • Engage in regular aerobic exercise.


  • Enjoy a joke. Keeping a sense of humor may reduce tension.
About The Doctor
Picture Available Schneebaum, Katherine, M.D.
Board certified in Family Practice
Red Bank, NJ  07701
(732) 758-0048

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