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Symptoms

By Mayo Clinic staff

Common anxiety signs and symptoms include:

  • Feeling apprehensive
  • Feeling powerless
  • Having a sense of impending danger, panic or doom
  • Having an increased heart rate
  • Breathing rapidly (hyperventilation)
  • Sweating
  • Trembling
  • Feeling weak or tired

Several types of anxiety disorders exist:

  • Panic attacks can start suddenly and cause apprehension, fear or terror. You may have feelings of impending doom, shortness of breath, heart palpitations or chest pain. You may feel as if you're choking, being smothered or that you're "going crazy."
  • Agoraphobia is anxiety about, or avoidance of, places or situations where you might feel trapped or helpless if you start to feel panicky.
  • Specific phobias are characterized by major anxiety when you're exposed to a specific object or situation and a desire to avoid it. Phobias provoke panic attacks in some people.
  • Social phobias are characterized by major anxiety provoked by exposure to certain types of social or performance situations and a desire to avoid them.
  • Obsessive-compulsive disorder (OCD) includes persistent, recurring thoughts, images or impulses (obsessions) or an irresistible desire to perform irrational or seemingly purposeless acts or rituals (compulsions). Often it involves both obsessive and compulsive behavior.
  • Post-traumatic stress disorder (PTSD) includes the feeling that you're re-experiencing an extremely traumatic event. It causes intense emotions and physical reactions along with a desire to avoid anything that might remind you of the event.
  • Acute stress disorder includes symptoms similar to those of PTSD that occur immediately after an extremely traumatic event.
  • Generalized anxiety disorder includes at least six months of persistent and excessive anxiety and worry about small or large concerns. This type of anxiety disorder often begins at an early age. It frequently occurs along with other anxiety disorders or depression.
  • Anxiety disorder due to a medical condition includes prominent symptoms of anxiety that are directly caused by a physical health problem.
  • Substance-induced anxiety disorder is characterized by prominent symptoms of anxiety that are a direct result of abusing drugs, taking medications or being exposed to a toxic substance.
  • Separation anxiety disorder is a childhood disorder characterized by anxiety related to separation from parents or others who have parental roles.
  • Anxiety disorder not otherwise specified is a term for prominent anxiety or phobias that don't meet the exact criteria for any of the other anxiety disorders but are significant enough to be distressing and disruptive.

When to see a doctor
See your doctor if:

  • You feel like you're worrying too much and it's interfering with your work, relationships or other parts of your life
  • You feel depressed, have trouble with alcohol or drug use, or have other mental health concerns along with anxiety
  • You think your anxiety could be linked to a physical health problem
  • You have suicidal thoughts or behaviors (seek emergency treatment immediately)

Your worries may not go away on their own, and they may actually get worse over time if you don't seek help. See your doctor or a mental health provider before your anxiety gets worse. It may be easier to treat if you address it early.

Causes Definition
References
  1. Anxiety disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed May 17, 2012.
  2. Hales RE, et al. The American Psychiatric Publishing Textbook of Psychiatry. 5th ed. Washington, D.C.: American Psychiatric Publishing; 2008. http://www.psychiatryonline.com/resourceToc.aspx?resourceID=5. Accessed May 17, 2012.
  3. Rakel RE. Textbook of Family Medicine. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/191205553-4/0/1481/0.html#. Accessed May 18, 2012.
  4. Marx JA, et al. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05472-0..X0001-1--TOP&isbn=978-0-323-05472-0&uniqId=230100505-57. Accessed May 18, 2012.
  5. Hicks D, et al. An approach to the patient with anxiety. Medical Clinics of North America. 2010;94:1127.
  6. Roy-Byrne PP, et al. Anxiety disorders and comorbid medical illness. General Hospital Psychiatry. 2008;30:208.
  7. Rakel D. Integrative Medicine. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/das/book/body/208746819-2/0/1494/0.html. Accessed May 21, 2012.
  8. Lakhan SE, et al. Nutritional and herbal supplements for anxiety and anxiety-related disorders: Systematic review. Nutrition Journal. 2010;9:42.
  9. Natural medicines in the clinical management of anxiety. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed May 24, 2012.
  10. Kava linked to liver damage. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/news/alerts/kava. Accessed May 24, 2012.
  11. Mayo Clinic statement: Recommendations regarding the safety concern with citalopram (Celexa) therapy. Mayo Clinic. http://mayoweb.mayo.edu/mfpfc-cmte/1202citalopramStatement.pdf. Accessed June 5, 2012.
  12. Jacka FN, et al. Association of Western and traditional diets with depression and anxiety in women. American Journal of Psychiatry. 2010;167:305.
  13. Teschke R, et al. Risk of kava hepatotoxicity and the FDA consumer advisory. Journal of the American Medical Association. 2010;304:2174.
  14. Valerian. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/valerian. Accessed June 5, 2012.
  15. Miyasaka LS, et al. Passiflora for anxiety disorder. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004518.pub2/abstract. Accessed June 5, 2012.
  16. Support & programs. National Alliance on Mental Illness. http://www.nami.org/Template.cfm?section=Find_Support. Accessed June 5, 2012.
  17. Getting support. Anxiety and Depression Association of America. http://www.adaa.org/finding-help/getting-support. Accessed June 5, 2012.
DS01187 June 30, 2012

© 1998-2013 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.com," "EmbodyHealth," "Enhance your life," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.

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