Anxiety Disorders
Anxiety disorders are mental health conditions whose primary symptom is anxiety, which manifests in an inappropriately intense, persistent, or recurrent form.
Typical Characteristics
-
Intense anxiety or worry
-
Physical symptoms (e.g., rapid heartbeat, trembling, sweating, or shortness of breath)
-
Avoidance behavior
-
Significant impairment in daily life
Anxiety disorders are classified under ICD-10 codes F40/F41
Types of anxiety disorders
-
Agoraphobia (F40.0): Fear of situations or places from which escape seems difficult (e.g., crowds, public places, traveling)
-
Social phobias (F40.1): Marked fear of social evaluation or embarrassment in social situations
-
Specific phobias (F40.2): Fear of specific objects or situations, e.g., heights, spiders, injections, or flying
-
Panic disorder (F41.0): Recurrent, sudden panic attacks with severe physical symptoms
-
Generalized anxiety disorder (F41.1): Persistent, difficult-to-control worry and tension in many areas of life
Prevalence
According to S3 guidelines, the lifetime risk of developing an anxiety disorder ranges from 14% to 29%.
Treatment
Cognitive behavioral therapy (CBT) assumes that anxiety symptoms arise from the interactio of stressful experiences, thoughts, feelings, and behavior, and are maintained, among other things, by anxiety-provoking thought patterns and avoidance behaviors.
Treatment goals:
-
Identify and challenge anxiety-provoking automatic thoughts
-
Develop more realistic and helpful ways of thinking
-
Reduce avoidance and safety-seeking behaviors
-
Gradually confront anxiety-provoking situations (exposure)
-
Learn strategies for managing anxiety and physical symptoms
-
Strengthen self-confidence and a sense of control in daily life
-
Prevent relapse