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| Anxiety |
Last updated: May 05, 2008 |
Signs, symptoms and indicators | Conditions that suggest it | Contributing risk factors | Other conditions that may be present | It can lead to... | Recommendations
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Anxiety can be an appropriate or inappropriate response to threats of many types. An appropriate response would be to become anxious regarding threatening circumstances (physical, emotional, financial threats). In this case, taking immediate action to reduce the threat would be appropriate. If the threat is going to be prolonged and can not be changed, then how the threat is viewed must be changed to reduce the likely mental and health consequences.
Simple anxiety commonly results from chronic stress. Mental health professionals speak of "anxiety disorders", of which there are multiple types - Generalized Anxiety Disorder, Panic Disorder, Obsessive-compulsive Disorder, Post-traumatic Stress Disorder, Agoraphobia, Social Anxiety - to mention a few. In addition to anxiety, other psychological or physical symptoms can be experienced.
People with social anxiety disorder do not believe that their anxiety is related to a medical or physical illness or disease. This type of anxiety occurs in most social situations, especially when the person feels on display or is the center of attention.
People with panic believe very strongly that the "panic attack" they experienced means that something is physically wrong with them. People with panic disorder can be checked, rechecked, and repeatedly use the hospital emergency rooms before it ever becomes clear to them that they are legitimately suffering from anxiety, and not a physical, medical condition. The central point is that people who experience panic attacks fear that they have a physical, medical disease.
Psychological symptoms associated with anxiety may include overwhelming worry, apprehension, nervousness and a nagging uneasiness about the future. Physical symptoms can include rapid heartbeat and palpitations, sweating, dizziness, headaches, insomnia and relentless fatigue. The set of symptoms that an individual experiences helps physicians diagnose their specific disorder. Anxiety disorders, like depression, may run in families and be linked to an imbalance in neurotransmitters. Anxiety symptoms are often relieved when the depression is successfully treated.
If anxiety is disproportional to life's circumstances and there are no obvious underlying reasons for the it, psychological and biochemical disturbances should be investigated. Alternative medicine has a lot to offer in this respect, common recommendations including avoiding caffeine, sugar and alcohol. Hidden food allergies may be a contributing factor or cause.
Nutrients such as calcium and magnesium, B vitamins, niacinamide, B12 injections (especially if stomach acid production is insufficient), tryptophan with inositol and chromium, valerian root, and GABA can have a calming effect.
In people with chronic anxiety unrelated to life events, an injection of sodium lactate will trigger a panic attack. Eating a lot of foods high in refined sugar increases blood lactate levels and can induce panic in susceptible persons. Eliminating caffeine and alcohol and refined sugars from the diet is essential for anyone suffering from anxiety.
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Signs, symptoms & indicators of Anxiety: | |  | | | | Symptoms - Mind - Emotional | Impatient/hostile disposition
Feelings of insecurity | Symptoms - Mind - General |
Jumpiness | Symptoms - Nervous |
Facial burning/tingling | Anxiety conditions can cause adrenaline surges which result in tingling of the face, as well as other parts of the body. |
| Symptoms - Sleep |
(Frequent) difficulty falling asleep |
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Conditions that suggest Anxiety:
Risk factors for Anxiety:
Anxiety suggests the following may be present:
Anxiety can lead to: | |  | | | | Risks | Cancer / Risk Reduction - General Measures | Using a standard measure of neuroticism, Purdue University psychologist Daniel Mroczek tracked more than 1600 men over 12 years, recording not only how neurotic they were at the start but also whether they got more or less neurotic over time. He also looked at mortality risk for these same men over an 18-year span. As reported in the May issue of Psychological Science (2006?), those who increased over time in neuroticism was a ticket to an early grave. In other words, these men-all middle age or older to begin with-did not grow old gracefully. They likely got more and more stressed, worried or fretful, and this downward spiral increased their risk for dying, mostly from cancer and heart disease.
The good news is that men with a fretful temperament, if they managed for whatever reason to calm down a bit over time, had survival rates similar to those of emotionally stable men. |
Increased Risk of Coronary Disease / Heart Attack | Using a standard measure of neuroticism, Purdue University psychologist Daniel Mroczek tracked more than 1600 men over 12 years, recording not only how neurotic they were at the start but also whether they got more or less neurotic over time. He also looked at mortality risk for these same men over an 18-year span. As reported in the May issue of Psychological Science (2006?), those who increased over time in neuroticism was a ticket to an early grave. In other words, these men-all middle age or older to begin with-did not grow old gracefully. They likely got more and more stressed, worried or fretful, and this downward spiral increased their risk for dying, mostly from cancer and heart disease.
The good news is that men with a fretful temperament, if they managed for whatever reason to calm down a bit over time, had survival rates similar to those of emotionally stable men. |
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Recommendations for Anxiety: | |  | | | | Amino Acid / Protein | Tryptophan / 5 HTP | Tryptophan (or 5-HTP), the precursor of the sleep-inducing neurotransmitter serotonin, also has relaxing and calming effects. Serotonin levels are often low among people with anxiety disorders. A recent study found that 44% of alcoholics suffer from anxiety. You can be pretty sure that you are low on tryptophan if you have ever blacked out from drinking. It has been established that low tryptophan stores trigger blackouts.
A combination product called Amoryn contains St. John's Wort, 5HTP, and small amounts of B6, B12 and folic acid. This product may help with anxiety. |
Theanine (L-Theanine)
Glutamine | To produce enough GABA, people need an abundant supply of the amino acid glutamine - glutamine is the nutritional precursor of GABA which has an antianxiety effect. [Acta Paediatr Jpn Oversea Ed (Tokyo) 20(1978): pp.11-23] In another study, people taking glutamine showed significant reductions in their feelings of anger and fatigue. [Rogers, et. al., Effects of Glutamine on IQ, Tex. Rep. Biol. Med. 5] |
GABA (gamma-aminobutyric acid) | GABA has a powerful calming effect on the brain. Tranquilizers like Valium and Librium work by stimulating the brain's receptors for GABA. GABA inhibits anxiety by slowing down anxiety related messages between parts of the brain. Because GABA receptors reside throughout the body, as well as in the brain, GABA can have both a mentally and physically calming effect. When children are deficient in GABA, they often feel the same anxiety and restlessness that makes adults drink, crave sweets or succumb to food binges. In children, though, this anxiety and restlessness is often labeled as Attention Deficit Disorder, or ADD. [Control Hyperactivity A.D.D. Naturally, by B.J. Sahely, Ph.D., C.N.C, p.46-47]
Because GABA is known to play a central role in anxiety, some alternative practitioners suggest simply taking this amino acid as a supplement. However, no scientific evidence suggests that orally ingested GABA crosses the blood brain barrior (BBB). |
| Botanical |
Valerian Root (Valeriana officinalis)
Kava | Kava seems to be as effective as the class of synthetic pharmaceuticals called benzodiazepenes (such as Valium) for treating anxiety, but without their dangerous side effects of sedation and addiction. Only about 2% of patients taking kava reported minor side effects, predominantly gastrointestinal complaints, skin reaction, headache and photosensitivity. Other research has shown that kavapyrones act on receptors in the hippocampus and amygdala complexes in the brain to produce measurable changes in brain wave activity and reduce anxieity. [Journal of Clinical Psychopharmacology 2000 Feb;20(1): pp.84-9] |
Frankincense (Boswellia carteri) | Frankincense oil can help to fortify a mind burdened with mental anxiety, nervous tension or stress. It reduces anxiety and helps revitalize the mind when a person is mentally exhausted. |
Passionflower (Passiflora incarnata) | Treatment with a passionflower extract over a one month period compared favorably to oxazepam (Serax - an antianxiety benzodiazepine drug) in a randomized, double-blind study of 36 outpatients diagnosed with generalized anxiety disorder. Passionflower extract demonstrated a slower onset of action and less impairment of job performance than oxazepam.[J Clin Pharm Ther 2001;26(5): pp.363-367] |
| Diet |
Sugars Avoidance / Reduction
Therapeutic Fasting | Fasting has been repeatedly observed to alleviate anxiety and neuroses by improved brain functioning. |
Caffeine/Coffee Avoidance | Caffeine can cause adrenal insufficiency which in turn can lead to anxiety. |
Alcohol Avoidance
Artificial Sweetener Avoidance | Drug |
GHB (Gamma-Hydroxybutyrate) | GHB’s efficacy for treating anxiety has been positively demonstrated in tests involving schizophrenic subjects (Laborit, 1964). Its sedative properties have earned it a role as a psychotherapeutic adjunct (Vickers, 1969). It has also been used to assist the process of “abreaction,” or the release (usually through verbalization) of repressed emotion (Vickers, 1969). Unlike other “anxiolytic” (or anti-anxiety) drugs, GHB’s effect is non-toxic. Furthermore, GHB’s reduction of inhibitions, its tendency to encourage verbalization, and the typical lack of fear during the GHB experience would seem to provide an ideal context for the verbal exploration of difficult emotional territory during therapy. |
| Extract |
De-Stress | Twenty-four healthy volunteers (12 males, 12 females) were subjected to Psychometric tests to evaluate anxiety evolution in a moderate stress situation, with or without consumption of the De-Stress hydrolysate for 15 days. A comparative, randomized double-blind design involving 3 parallel groups was employed. Also included were tests for Systolic Blood Pressure, Diastolic Blood Pressure, heart rate, AUC (area under the curve), Cmax (max. value), Dmax (max. increase) and salivary cortisol levels. Following the saliva stress tests, volunteers with a high anxiety level as a stable disposition had a slower increase of their global anxiety-state score when they received the hydrolysate. |
| Habits |
Aerobic Exercise | Exercise is one of the most important coping mechanisms to combat anxiety and stress. By discharging negative emotions and stress hormones through physical activity, you can enter a more relaxed state from which to deal with the issues and conflicts that are causing your anxiety.
The benefits of exercise can come from many directions: the decision to take up exercise, the symbolic meaning of the activity, the distraction from worries, mastering your inertia and the effects on self-image, and the biochemical and physiological changes that accompany the activity.
Exercise increases blood flow to the brain, releases hormones, stimulates the nervous system, and increases levels of morphine-like substances found in the body (such as beta-endorphin) that can have a positive effect on mood and pain. Exercise may trigger a neurophysiological high that produces an antidepressant effect in some, an antianxiety effect in others, and a general sense of "feeling better" in most. |
| Lab Tests/Rule-Outs |
Test for Food Allergies | Mineral |
Calcium
Magnesium | Because of its nerve and muscle support, magnesium may also be helpful for nervousness and anxiety.
Magnesium is considered the "antistress" mineral. It is a natural tranquilizer as it functions to relax skeletal muscles as well as the smooth muscles of blood vessels and the gastrointestinal tract. Whereas calcium stimulates muscle contraction, magnesium relaxes them. |
Lithium (low dose) | See the link between Depression and Lithium. |
| Nutrient |
Inositol | Inositol works by regulating the action of serotonin, a calming neurotransmitter, within the nerve cells. |
Meyer's
DMAE | DMAE alleviates anxiety. In one study, subjects administered 1,200mg of DMAE per day for 5 days exhibited better control of anxious reactivity. |
| Oriental Medicine |
Emotional Freedom Technique (EFT)
Acupuncture | 32 subjects underwent ear acupuncture using relaxation, tranquilizer and master cerebral points on the ear. There was a greater reduction in anxiety in the ear acupuncture group compared with the other two groups (one receiving conventional acupuncture and one control. [Anesth Analg 2001;93; pp.1178-1180]
Acupuncture has been successfully used to treat general feelings of anxiety, stress, migraines, insomnia and even nervous ticks. |
| Physical Medicine |
EMDR | Psychological |
Counseling | Vitamins |
Vitamin B Complex | Several of the B-vitamins are indicated in anxiety treatment. When taking high doses of a particular B-vitamin, it is best to use a B-complex as well. |
Vitamin Niacinamide | The textbook description of anxiety neurosis exactly matches the symptoms of vitamin B3 (niacin) deficiency: hyperactivity, depression, fatigue, apprehension, headache, and insomnia. It has been shown in animals to work in the brain in ways similar to drugs such as benzodiazepines (Valium-type drugs) that are used to treat anxiety. One study found that niacinamide (not niacin) could help people get through withdrawal from benzodiazepines, which is a common problem. A reasonable amount of niacinamide to take for anxiety, according to some doctors, is up to 500mg four times per day.
Niacinamide locks onto the same receptor sites in the brain as do tranquilizers such as Valium, and is a natural tranquilizer. The manufacturer of valium is also the worlds largest manufacturer of niacinamide. [Nature 278: pp.563-65,1979] |
Vitamin B12 (Cobalamine) | Low B12 levels have been found to be related to self-reported overall distress level and specifically to depression, anxiety, confusion, and possibly nervousness as well as to clinically rated depressed and anxious mood.
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Vitamin B6 (Pyridoxine) | A deficiency of vitamin B6 (pyridoxine) causes extreme anxiety, nervousness, confusion, and melancholy. Vitamin B6 is easily destroyed by heavy use of alcohol, drugs and refined sugars. |
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KEY |  | Weak or unproven link |  |  | Strong or generally accepted link |  |  | Proven definite or direct link |  |  | May do some good |  |  | Likely to help |  |  | Highly recommended |
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