Join Now | Sign in

Stress and anxiety Health Article

Media Gallery

	Overcoming Anxiety play video read transcript
	When Worries Surface at Night: Sleep and Anxiety play video read transcript
	Treating Anxiety play video read transcript
	Job Stress: How to Keep Your Cool play video read transcript
	The Psychological Impact of Hair Loss play video read transcript
	Staying Healthy Through Stress Reduction play video read transcript
	The Stress of Cancer: When to Seek Help play video read transcript

Marketplace

Licensed from

Page: < Back 1 2

Call your health care provider if

Your doctor can help you determine if your anxiety would be best evaluated and treated by a mental health care professional.

Call 911 if:

You have crushing chest pain, especially with shortness of breath, dizziness, or sweating. A heart attack can cause feelings of anxiety.
You have thoughts of suicide.
You have dizziness, rapid breathing, or racing heartbeat for the first time or it is worse than usual.

Call your health care provider if:

You are unable to work or function properly at home because of anxiety.
You do not know the source or cause of your anxiety.
You have a sudden feeling of panic.
You have an uncontrollable fear -- for example, of getting infected and sick if you are out, or a fear of heights.
You repeat an action over and over again, like constantly washing your hands.
You have an intolerance to heat, weight loss despite a good appetite, lump or swelling in the front of your neck, or protruding eyes. Your thyroid may be overactive.
Your anxiety is elicited by the memory of a traumatic event.
You have tried self care for several weeks without success or you feel that your anxiety will not resolve without professional help.

Ask your pharmacist or health care provider if any prescription or over-the-counter drugs you are taking can cause anxiety as a side effect. Do not stop taking any prescribed medicines without your provider's instructions.

What to expect at your health care provider's office

Your doctor will take a medical history and perform a physical examination, paying close attention to your pulse, blood pressure, and respiratory rate.

To help better understand your anxiety, stress, or tension, your doctor may ask the following:

When did your feelings of stress, tension, or anxiety begin? Do you attribute the feelings to anything in particular like an event in your life or a circumstance that scares you?
Do you have physical symptoms along with your feelings of anxiety? What are they?
Does anything make your anxiety better?
Does anything make your anxiety worse?
What medications are you taking?

Diagnostic tests may include blood tests (CBC, thyroid function tests) as well as an electrocardiogram (ECG).

If the anxiety is not accompanied by any worrisome physical signs and symptoms, a referral to a mental health care professional may be recommended for appropriate treatment.

Psychotherapy such as cognitive-behavioral therapy (CBT) has been shown to significantly decrease anxiety. In some cases, medications such as benzodiazepines or antidepressants may be appropriate.

References

Muller JE, Kohn L, Stein DJ. Anxiety and medical disorders. Curr Psychiatry Rep. 2005 Aug;7(4):245-51.

White KS, Farrell AD. Anxiety and Psychosocial Stress as Predictors of Headache and Abdominal Pain in Urban Early Adolescents. J Pediatr Psychol. 2005.

Lubit R, Rovine D, Defrancisci L, Eth S. Impact of trauma on children. J Psychiatr Pract. 2003; 9(2): 128-138.

Page: < Back 1 2

Reviewer Info: Benjamin W. Van Voorhees, MD, MPH, Assistant Professor of Medicine, Pediatrics and Psychiatry, The University of Chicago, Chicago, IL. Review provided by VeriMed Healthcare Network.; ADAM Health Illustrated Encyclopedia, 07/27/2007