We all feel anxious from time to time. Anxiety is a feeling of discomfort and worry that is often associated with a range of physical sensations.

We may experience anxiety when we attend a job interview, do something new or when confronted with something we are scared of. While anxiety is an emotion that we all experience, for some, anxiety is felt at an intensity and duration that significantly impacts their life at a sufficient severity to be considered an anxiety disorder.

There are many types of anxiety disorders including phobias, obsessive-compulsive disorder (OCD), and generalised anxiety disorder (GAD). Anxiety disorders vary depending on what is feared and how one responds to the anxiety. Anxiety disorders are associated with the experience of fear and anxiety which disrupts day-to-day functioning.

Symptoms of Anxiety

The symptoms of anxiety include a combination of physical, thinking and behavioural signs including:

- Difficulty breathing

- Confusion

- Increased muscle tension and muscle aches

- Irritability

- Pounding heart (palpitations)

- Repeated negative thoughts or excessive worrying

- Nausea or abdominal discomfort

- Intense fear

- Trembling or shaking

- Sense of helplessness or impending doom

- Dizziness or light-headedness

- Avoidance of feared situations

Risk Factors for Anxiety

There is no single cause for anxiety. Anxiety is caused by a variety of factors. These include:

  • Genetic factors: anxiety is more common for people who have a family history of anxiety
  • Personal factors: there are certain types of people that may be more vulnerable to anxiety. For example, those who tend to worry, are perfectionists, shy or have low self-esteem are more prone to anxiety
  • Biochemical factors: for some people, anxiety is related to an imbalance in brain chemistry
  • Life Events: experiencing challenging life events like the loss of a loved one may contribute to anxiety

Treatment and Support for Anxiety

Psychological treatments, particularly Cognitive Behaviour Therapy, are extremely effective in treating anxiety disorders. Cognitive Behaviour Therapy focuses on teaching people how to challenge patterns of unhelpful thinking that contribute to intense anxiety. It also helps people respond more effectively to anxiety-provoking situations. Psychological treatments can assist with developing a range of skills to identify and manage emotions more effectively, including anxiety.

In some cases, medications such as benzodiazepines and anti-depressants may be required to support treatment. 

Seeking Anxiety Treatment

There are many treatments and support options available for people who may be feeling anxious. If you, or someone close to you, is having difficulties dealing with anxiety, seek help early by consulting your family doctor or refer to the Find Help - Services for Mental Health Support directory.

Try this self-assessment tool for anxiety.

Visit MindSG for more tools to take care of your mental well-being.

 

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References: 
  1. Anxiety (n.d.). American Psychological Association. https://www.apa.org/topics/anxiety
  2. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596
  3. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596
  4. Domschke, K., & Maron, E. (2013). Genetic factors in anxiety disorders. Modern trends in pharmacopsychiatry, 29, 24–46. https://doi.org/10.1159/000351932
  5. Kotov, R., Gamez, W., Schmidt, F., & Watson, D. (2010). Linking “big” personality traits to anxiety, depressive, and substance use disorders: A meta-analysis. Psychological Bulletin, 136(5), 768–821. https://doi.org/10.1037/a0020327
  6. Martin M. Smith, Vanja Vidovic, Simon B. Sherry, Sherry H. Stewart & Donald H. Saklofske (2018) Are perfectionism dimensions risk factors for anxiety symptoms? A meta-analysis of 11 longitudinal studies, Anxiety, Stress & Coping, 31:1, 4-20, DOI: 10.1080/10615806.2017.1384466
  7. Prior, M., Smart, D., Sanson, A., & Oberklaid, F. (2000). Does shy-inhibited temperament in childhood lead to anxiety problems in adolescence? Journal of the American Academy of Child & Adolescent Psychiatry, 39(4), 461–468. https://doi.org/10.1097/00004583-200004000-00015
  8. Sowislo, J. F., & Orth, U. (2013). Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies. Psychological Bulletin, 139(1), 213–240. https://doi.org/10.1037/a0028931
  9. Liu, Y., Zhao, J., & Guo, W. (2018). Emotional Roles of Mono-Aminergic Neurotransmitters in Major Depressive Disorder and Anxiety Disorders. Frontiers in psychology, 9, 2201. https://doi.org/10.3389/fpsyg.2018.02201
  10. Spinhoven, P., Elzinga, B.M., Hovens, J.G.F.M., Roelofs, K., van Oppen, P., Zitman, F.G. and Penninx, B.W.J.H. (2011), Positive and negative life events and personality traits in predicting course of depression and anxiety. Acta Psychiatrica Scandinavica, 124: 462-473. https://doi.org/10.1111/j.1600-0447.2011.01753.x
  11. McClintock, A.S., Rodriguez, M.A. & Zerubavel, N. The Effects of Mindfulness Retreats on the Psychological Health of Non-clinical Adults: a Meta-analysis. Mindfulness 10, 1443–1454 (2019). https://doi.org/10.1007/s12671-019-01123-9
  12. Tomba, E., Belaise, C., Ottolini, F., Ruini, C., Bravi, A., Albieri, E., Rafanelli, C., Caffo, E., & Fava, G. A. (2010). Differential effects of well-being promoting and anxiety-management strategies in a non-clinical school setting. Journal of anxiety disorders, 24(3), 326–333. https://doi.org/10.1016/j.janxdis.2010.01.005
  13. Tomba, E., Belaise, C., Ottolini, F., Ruini, C., Bravi, A., Albieri, E., Rafanelli, C., Caffo, E., & Fava, G. A. (2010). Differential effects of well-being promoting and anxiety-management strategies in a non-clinical school setting. Journal of anxiety disorders, 24(3), 326–333. https://doi.org/10.1016/j.janxdis.2010.01.005
  14. Amanda L. Rebar, Robert Stanton, David Geard, Camille Short, Mitch J. Duncan & Corneel Vandelanotte (2015) A meta-meta-analysis of the effect of physical activity on depression and anxiety in non-clinical adult populations, Health Psychology Review, 9:3, 366-378, DOI: 10.1080/17437199.2015.1022901
  15. Chi, Xinli & Liang, Kaixin & Chen, Sitong & Huang, Liuyue & Yu, Qian & Jiao, Can & Guo, Tianyou & Stubbs, Brendon & Hossain, Md & Yeung, Albert & Kong, Zhaowei & Zou, Liye. (2020). Mental Health problems among Chinese adolescents during the COVID-19: The importance of nutrition and physical activity. International Journal of Clinical and Health Psychology. 21. 10.1016/j.ijchp.2020.100218. 
  16. Hyde, L. W., Gorka, A., Manuck, S. B., & Hariri, A. R. (2011). Perceived social support moderates the link between threat-related amygdala reactivity and trait anxiety. Neuropsychologia, 49(4), 651–656. https://doi.org/10.1016/j.neuropsychologia.2010.08.025
  17. Norton, Peter J. PhD; Price, Esther C. MA A Meta-Analytic Review of Adult Cognitive-Behavioral Treatment Outcome Across the Anxiety Disorders, The Journal of Nervous and Mental Disease: June 2007 - Volume 195 - Issue 6 - p 521-531 doi: 10.1097/01.nmd.0000253843.70149.9a
  18. Tolin, D. (2017). Can Cognitive Behavioral Therapy for Anxiety and Depression Be Improved with Pharmacotherapy? A Meta-analysis. The Psychiatric clinics of North America, 40 4, 715-738
  19. https://adaa.org/learn-from-us/from-the-experts/blog-posts/consumer/ssris-and-benzodiazepines-general-anxiety